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Supporting Documentation · Jan 8, 2025

Exhibit A 1 Amendment application filed 4 10 24

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Page 11 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER OTB 33 - ols. Oo i AFFIDAVIT LICENSE PERIOD APPLIED FOR erom_AD23 To a2catt DATE State of New Serces, County of ESQ As provided by law (R.S. 33:1-35) ) ) ) ss ) ) (Check One) 1. The Individual Applicant 2, Members of the Partnership Applicant > Joseph Ke Y pALanagec o Essex County Country Club. (President/Vice-Pfegident) (Corporation dr Club Name) | consent(s) that the licensed premises and all portions of the building constituting the licensed premises, including all rooms, cellars, closets, out-buildings, passageways, vaults, yards, attics and every part of the structure of which the licensed premises are a part and all buildings used in connection therewith which are in his/her/their possession or under his/her/their control, may be inspected and searched without warrant at all hours by the Director of the Division of Alcoholic Beverage Control, his or her duly authorized deputies, inspectors or investigators and all other sworn law enforcement officers, and being duly sworn according to law, upon his/her/their oath(s), depose(s) and say(s) that he/she is (they are) the person(s) duly authorized to sign the application, that in instance of corporate ownership, the signator is authorized by corporate resolution to sign on behalf of the corporations; and that the contents of this application represent complete disclosure of the fact, and that the contents of this application are true. (Signature of individual Agent / Sole Proprieton (Corporations Only) Attestation by Corporate Secretary (Partnership Name) (Signature of Partner) Attest Essex County Contry Club Corporate Name (Signature of Partner) By Secretary (Signature of Forporate Presi¥ent or Vice President) (Signature of Partner) Signature Affix Corporate Seal (Signature of Partner) Sworn to and subscribed before me this O day of Mach _ 20 JO A Podge ieee of Officer Administering Oath) BY DULY AUTHORIZED lisa @ k Borate ou | AFFIDAVIT MUST BE SIGNED HERE --. --- > NOTARY PUBLIC (Printed Name of Officer Administering Oatty OR AN ATTORNEY-AT-LAW Attormey - Ab - - Law OF NEW JERSEY Ciitle of abe aga Oath) (Date of Expiration of oP Ni Ow \ersey Commission, if applicable)

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