Supporting Documentation · Dec 11, 2024
Exhibit O1 Response to OPRA 2023 1491_Final_Redacted
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Show all pagesPage 3 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBERUI ZZ. . 23 .0IS ce \ The following questions identify information about the licensed premises. This describes the area or place which is to be licensed for the sale, service, consumption, delivery, receipt or storage of alcoholic beverages. Ifthe license is inactive and NOT SITED AT A PLACE OF BUSINESS, answer question 3.1 only, entering N/A for “not applicable.” [If you use N/A as a response to question 3,1, question 2.2 on Page 2 should also be answered N/A.) 3.1 HOW MANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? a lf more than one building is to be included under this license, a separate Page 3 is to be submitted covering each building. An up-to-date sketch of the entire licensed premises should be submitted for inclusion in the State ABC license file. 3.2 BUILDING NO. OF TO BE LICENSED. 8.3 IS THE ENTIRE BUILDING TO BE LICENSED? Yes No If the answer to question 3.3 is “No,” specify which floors are to be under license and which ones are not by answering the following questions: 3.4 Basement pa) ca V¥es were NO) Allofit __ Yes ___No 1" floor ____Yes ___No Allofit___ Yes ____No 2" floor Beta Yes eNO) Allofit ____ Yes ___No 3" floor Yes No Allofit____ Yes ___No Specify each additional floor number to be included under this license: If only part of any floor is to be licensed, attach a more detailed explanation with sketches to clearly delineate licensed areas from unlicensed areas. 3.5 AREANY GROUNDS ADJACENT TO THE BUILDING UNDER LICENSE TO BE INCLUDED AS PART OF THE LICENSED PREMISES? Yes No 3.6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS LICENSE OR BETWEEN LICENSED ADJACENT GROUNDS? Yes No Het eoWES IS "YES," ATTACH A SKETCH OF THE LICENSED AND UNLICENSED AREAS SHOWING DIMENSIONS 3.7 DOES THE APPLICANT OWN THE BUILDING? X ves ___No IF “YES,” IS THERE A MORTGAGE ON THE BUILDING? DG Vesiee Nol DOES THE APPLICANT LEASE THE BUILDING? Yes No If there is a mortgage on the property, answer question 3.8. If the licensed premise is leased, answer question 3.9. 3.8 BOR Rees Mer Rupee i (BS anc iisetNanye Ft Natne Mile al pe Copporste Name) Street Address adel easy BA Nee rae a3 Name P.O, Box # Municipality (YO COM, OS State Ne Zip DV USL 6) 3.9 LANDLORD (HOLDER OF LEASE); (Last Name, First Name, Middle Initial or Corporate Name), Street
eet Address adel easy BA Nee rae a3 Name P.O, Box # Municipality (YO COM, OS State Ne Zip DV USL 6) 3.9 LANDLORD (HOLDER OF LEASE); (Last Name, First Name, Middle Initial or Corporate Name), Street Address ~ Number Street Name P.O. Box # Municipality State Zip RESPONSE TO OPRA 2023-1491 000005
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