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STATEOFNEWYORK HECE'Vi!~ed RENEWAL APPLICATiON NOTICE FORM forProvidinga
EXECUTIVE DEPARTMENT . 30-Dav Advance Notice 10 a Local Municlualltv or Community Board
DIVISION OF ALCOIIOLIC BEVERAGE CONTROLMA' R 2 I, 2010 in conneclion wilh Ihe submission Iv Ihe SIal. Liquor Aulhvrily oIu
STATE LIQUOR AUTHORITY .. Renewal Aoollcation for an On-Premises Alcoholic Beverae:e License
L PaIr the Onginal Cl>py of lhia Notke ...... MlIiled 10 Ihr 1.DC~\~MI~rr~)JtlllY B\",rd: 10 :3 'Jl~ :2 o , 7 16 1.
TH'$3(h\)AY.Al>V~C&JIIO'llC&.tSBmNo..WJ[.;!l)rO'I'HItCl.Jl;RK'()FTHE'voIioWl"(J ('OCM,.M\J"IPIP~PRCQMMUNl'I'\'.S(l'\RD .'"' ..
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2. Nume uf Ih. Local MuniCIpAlity or Community l3oartl; '1 r(o 11 'JAJ f)C l.IA /J/JI ~ ~~ c:i.l-US
3 Streel Mldre'. of Local MuolCtpllllly pr Cnmmunily Buort!: e2/J 1II1l.~IfJ-j j~ ill
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<I. Clly, Town, or Villall'" I WPrPPltJ L.C7J. < r:41. J I c: I NY I Zip Cnde: ):J.5Q().
5 ".,I"phon. Number of Clerk "r Loeul Munlclpollly l>r Cnmmunlly fioard: I glJ-/ 151 , 2J~ I QI , I J I I l5I0 1
ATTORNEV'FORTHE UCEl'ISE tI0U'>SR.8UBMl'M1NOTliE RENEWAL APPLICATION -: .
.
6. AlIorn.y'x Full Nume la:
7. AltOrneyl... Slrect Adrlre,,":
I - I.Zipcnde:
6. Cily, Tawn, or Villllge'
9. Hu.ine"x Telephone Number ur "Uorn.y; I I I I " 1 I " I I 1 1
CURltEN'ttJCEl'ISE flOLPER WHQ jTHA1'W1LL SU8MIT THE ftItNEW/'.L.APl'LlCA110N .T011iES'M'f&t.lQtJOk AlITHORn'V ..
10. Typel_} 01 "!coho\ aold under Ibe Lice""" I "X:lIllrl; I 0 a"c:r Only o Wlneond 8e>er Only gj Liquor, Wine, om1 Beer
gXUlnl of )3J R".....urnnl (SUle of Food o T.verll.Realauranl (A mi""d.ua<' ealllblillhrnenl Ihlll 0 Toven! I Cnckl.ail Lou"g" / Adull Venue I
II. Food s..",il"" PrimtU'Uy; Full Food Menu; Il/lll bolh l.l ail.down di.nlng ore" ondo "alund.up' bor Bor lAlcohol....le. primurily . mee" legul
I "X' rod Kilchen run by Chert where palron" omy reetHVI' dtrecl dellverie. of ol'O(lholl mlnlmu", lood nvoUablliry ..:qulrrrnenla)
12. Type of Oum,,1 0 l.ive 0 mak 0 Juk" 0 Panon Ollndn!: 0 Cabaret, Night Club, DlBcotheque Ocopa':ilY for ()OO
EMII,bliahmc:nl; Muaic Jockey Box (SOIolI St....I") (\.arg. St:ok Dant'" Club} or mo.... Imlmll"
" o Club le.g. 0011 I D8"d& Denl.ring 0 StI,l\" Oropl""" IX] Olber
'"X" nll_ ~Lt(an+-
rhnt applYI " Frol.,mol Olg.) 8..."kl,,01 FacUlty Show. Enlcrtoinment (Specify):
1:1. Liccmn.'\d o Non. o Rool\op .~PutlO o Fr.,....tJlndinll o O..rden I DOll,.r
Oulduor ArorD; or L><:t:k Cover.d Elmclure (iu1\.lnd~ ISpecify).
14. WllIlhe Un,"'" Holder or n MnMger be phyllicnlly pre...nl whhin the (;.wbUsbment during All Hours of OJl"t;Qtlon? I "X'!l!l!ll: Rl YES 1 0 NO
Ucen.. s"ru.l Numbtor: 1/0'2. D1Xfcn P ODOOq ~ /1.52- 1 16 I ElCpirallon DOle; 1 '0 Is" ,- ",,, 2.16 I r 131
15. 3 I
17. Th" Lu:rruo" Holder's Full Nom., ... 11 opJl"u.... N\~D~ \Nc'
on Ih" Alcl>hdhc Bever"llr Ucenae CertlficRle, i.,
18. The Full NAill' or Ihe eB\4bll.hml"nt IIh. nude "'"m" under I ( 17 1?A ) A ~DN\A OS1~ ~ t}
which th... L;e<:"sed Estubli.hmclll conduct. business) ;a;
I'l. Th" Llc.".cd F...unbliahmentilo 10000ted wtthin Ihe 114 OLD 90Si tD
buildinll which hua th. following stn:el add",x.:
20. CII)" Town, or Village: I \N~~J\ .1, ./11 I' \/A- Uh I NY Zip Cod...; );;26 qo
21. The Uc..,,,.,,d .li:..lnbln.hmenll_ 11Icuted onlhe foIlOW;Il& Ooor\l>) or Ibl" buildll1i\ 01 lilt Dba...... oddrn.: 11\ 1\ 1\, I ~ I
22. Within the building at tli"ahoveoddrr... lilt Li....n.rdE.rllllbll.hm.nt ia locAu~d wllhl~ Ihe roum(B)llumbered a. 101l\1W.' .1
23. auxinns Tdephone Number of Current Lie..n... Holder: ~ L4' 5 . "'2 q 9 " (r; '7 q t)
24. all. in".. "a,. Numbtorof Current L.it.....s. flold".; .,.~ H 5 " Z. '~q l~ . 1 2- I :3
25. BUlIi..".. E- Mail Addr".. or Currrnl L..<,<!".e Holder: I/l\'"n mQ1't (,-\-eYia (ci no+- nlt)\\'{1R tie.}
Duf!. Ihe Ucense Holder owll Ihe If"YES", SKIP illm,. No. 27.30. If 'NO', ANSWER II..... No. :27.30,
26 building In which the t..icenied Yes 0 COloplet., th. 3..ntrie. Noa ..nd complde Ihe :I enlri""
E.rII"bH.hme..1 I. loc"'t"d? I 'x" wu:J 111 lIem No, 31. al It..rn No. :11.
OWNER OF THE B.l11LOING IN WHICH TtlELlCENSED ESTABUSHMENTJSLOC/ITEO '.'
... '. .... ...
27 Building Ow.."r'. Full Nam. ia: .,1\ hMrz..n.. LL.L
28. Building O..ner'. St.",,1 Add"'." ll\~ MAIN ~1'
2'1. Gill', To..n, or Village; I V IS~ILl Lt., I p],/ I Zip Code: 12.S2t.f
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JO. 8uslne.. Telepho..e Number of Building Own.r: r ~rJ..\r 5 -I " 511" C1\ (0 1 - 10\ L)T 1 I c; I
I hold the Licenoe or am a Principal of the !.opl Enllty that hold. theLl=-. RepJftCn~tlcrn.1n thUI [orlll.'" In eonloemlty.wllh rcpreteuU'uoo. Ined" lntlubllliued
docum"n's ",lied upel" by the AuUtortl,Y wbengranting tM ex~ting license. 1 unde...land thet repreile1\tatlona made In th~ formwlU also berell<ldupon,andthal f&Iee
31 ~preMnt8tlon. may reault In reYDClllion oflhe license. By my llignetute,lafrmn - underhlUll7ot'h(luq - Ihatwe upreaentationa mAde in thia form a~ true.
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12-11.ZOOIII07I
TOWN OF WAPPINGER
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TOWN SUPERVISOR
Christopher J. Colsey
TOWN CLERK
Chris Masterson
TOWN BOARD
William H. Beale
Vincent Bettina
lsmay Czamiecki
Joseph P. Paoloni
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
WWW.TOWNOFWAPPINGER.US
(845) 297-4158 - Main
(845) 297-5771 - Direct
(845) 298-]478 - Fax
Office of the Town Clerk
March 24,2010
New York State Liquor Authority
80 South Swan Street
Suite 900
Albany, New York 12210
Attn: Renewals
Dear Sirs:
Please be advised that the Town Board ofthe Town of Wappinger has been notified by
Niedra Inc, d/b/a Aroma Osteria, located at 114 Old Post Rd, Wappingers Falls, New
York, of intention to file an application with the New York State Liquor Authority.
As this location is within the Town of Wappinger, the Town Board has received and
directed that this application be placed on file with no comment.
Sincerely,
J eM/cf