Bar Humbug Inc. DBA TJ's Bar
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ST ATE OF NEW YORK
EXECUTIVE DEPARTMENT
DIVISION OF ALCOHOLIC BEVERAGE CONTROL
STATE LiQUOR AUTHORiTY
MAR .. 2 sa.i.eo' RENEWAL APPLlCA TlON NOTICE FORM for Providing 0
. . 30-Dav Advance Notice to a Local Municioalitv or Communitv Board
'~Wl\t ^. .,. ~..' 81" in connection with ,h. submission 10 th. SIal. Liquor Aulhority of a
'I ""-,,..lRlnewal Aoolication for an On-Premises Alcoholic Beveraee License
Date the Original copy of this .Notice was Mailed to the Local Municipality or Community Board:
" ,,;:;:-:>.,,' ' '.. ',' -" "/.,,, -, ':: - '^ ;-/ ,- :'~,
THlS'30-Di\VADVANbE'.. Non. . CEISBE..lN.. ,'G.' MAIL$D..' .... 'Ta TIJE'. 6U!lRJ{Of'THEFbu.OWiN~L09ALMU~lqP^1.ITY.oRCOMfd.Ol'-l!n..' BPAty:?ff
.'" ., ",' ,-- ,- .,"" ..
2. Name of the Local Municipality or Community Board:
3.
4. City, Town, 0, Village:
5.
6.
7. Attorney's Street Address:
8. City, Town, or Village: J,
9. Business Telephone Number <6 5 7 , :),0 )" J
CU~E~LlC~~'1I6~~R,i'\\iHQ:niij.i'WU;L 'SUBMp'.~~~)i:~i.tpkll~~'!p~t$.iiri\TEr.i~til:l~44:mo~~>~/:':;'*;::';"*'..;fj~':~:':;!~"
11.
Extent of
Food Service:
I"X.~
D Restaurant (Sale of Food
. Primarily; Full Food Menu;
Kitchen run by Chef)
o Beer Only D Wine and Beer Only Liquor, Wine, and Beer
D Tavern-Restaurant (A mix~d-use e~tablishment that -c-f Tavern / Cocktail Lounge / Adult Venue /
has both a sit-down dining area and a 'stand-up' bar ~ Bar (Alcohol sales primarily - meets legal
where patrons may receive direct deliveries of alcohol) minimum food availability requirements)
10.
Type(s) of Alcohol sold under the License I OX. ~:
12.
Type of
Establishment:
o Hotel. D ~~:ic
D Disk .["7f Juke D patron. Dancing D Cabaret, Night Club, Discotheque
Jockey OCJ Box (Small Scale) (Large Scale Dance Club)
D CapsCity for 600
or more patrons
tt:?
D Club (e.g. Golf /
Fraternal Org.)
D None
D Bed & D
Breakfast
Catering
Facility
D Stage
Shows
D Topless.
Entertainment
D Other
. (Specify):
I OX. all
that apply)
PM
l!!!!u
~ AMPM
TO
2.- :DO AM PM
D Other
(Specify) :
bm!!!n
IJ: t() AM PM
BundaY r ,,'
1:2.:cU ~
TO
?-:t.V
14.
Days and Hours
of Operation
(Complete all;
circle AM or PM)
M2Un
lJL..U.1Q.@ PM
i?l foo ~PM
~'"'
{ ().u.o~PM
TO
~
W.dDe~
~A PM
TO
~@PM
O Freestanding
Covered Structure
Thuedsy
~ AMPM
TO
l::..;.QJ. AM PM
D Garden /
Grounds
13.
Licensed
Outdoor Area:
o Rooftop
!\yPatio
l.)(l or Deck
16.
License Serial Number:
- .
Expiration Date:
15. Will the License Holder or a Manager be physically present within the establishment during All Hours of Operation? I OX. l!IW:
23.
"1:t\c...
18.
19.
20.
21. City, Town, or Village:
22.
24. Business Telephone Number of Current License Holder:
25.
Does the License Holder own the
building in which the Licensed
Establishment is located? I .X" 2!W
Yes 0
If "YES., SKIP items No. 26-29.
Complete the 3 entries
at Item No. 30.
NO'ti(
If "NO", ANSWER items No. 26-29,
and complete the 3 entries
at Item No. 30.
28. City, Town, or Village:
OWNER OF 1'HE BUILDING IN WHICH THE LlCENSEDESTABLlSHMltNr IS LOCA1l',:D'
26.
27.
29. Business Telephone Number of Building Owner:
I hold the License or am a Principal of the Legal Entity that holds the License. Representations in this form are m. conformity with tepresentations made in submitted
documents relied upon by the Authority when granting the existing license. I understand that representations made in this form will also be relied upon,' and that false
30. representations may result in revocation of the license; By my signature, I affirm - under PaDalt:y of PaJju - th the representations. made in this form are true.
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TItle
TOWN CLERK
Chris Masterson
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
WWW.TOWNOFWAPPINGER.US
(845) 297-4158 - Main
(845) 297 - 5771 - Direct
(845) 298-1478 - Fax
TOWN SUPERVISOR
Christopher J. Colsey
TOWN BOARD
William H. Beale
Vincent Bettina
lsmay Czamiecki
Joseph P. Paoloni
Office of the Town Clerk
March 2, 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
Bar Humbug, Inc, located at 2363 Route 9D, 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,
Q/-C 14(b
i~hn C. Masterson
Town Clerk
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