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Las Tacocina .\ TOWN OF WAPPINGER TOWN CLERK CHRIS MASTERSON SUPERVISOR CHRISTOPHER J. COlSEY TOWN CLERK'S OFFICE 20 MIDDlEBUSH ROAD WAPPINGERS FAllS. NY 12590 (845) 297-5771 FAX: (845) 298-1478 TOWN COUNCIL WilLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOlONI December 23,2009 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 Las Tacociina, 1289 Route 9 Suite 1, 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 C. Masterson own Clerk JCMlcf jfg & associates. Inc Consultants 25 juniper lane pawling, ny 12564 Phone: 845-855-3616 Fax: 845-855-3003 Email: jfgassoC@verizon.net John F. Gillespie, President Mike Leonard, Associate December 22, 2009 Town ofWappingers Falls 20 Middlebush Rd Wappingers Falls, NY 12590 Attn Town Clerk Enclosed please find notice that Las Tacociina's is appling for a on-prenises liquor license. They would like to ask the town to wave the 30-=day waiting period if the board has no ob- jection Sincerg-elY 1/1 . Or: OJohn Gillespie I))~c ~C ~V~ "1lt,1, <' v' ~ ~ ~ ~" . ,,,Y'!. l'Wl'", r;",'; l : 1'~, . ',~ ':i~~~' .t STATE OF NEW YORK EXECUTIVE DEPARTMENT DIVISION OF ALCOHOLIC BEVERAGE CONTROL STATE LIQUOR AUTHORITY Standardized ORIGINAL APPLICATION NOTICE FORM for Providing a 3O-Dav Advaaee Notiee to a Loeal MunieiDalltv or Communitv Board in connection with the submission to the State Liquor Authority of the ADDlieant's Ori2inal (FirsO On-Premises Aleobolie 8ever811e Lieen8e AnDlieation for tbe Establlsbment Identified in this Notiee fpa06 1 of 2) I. Date the Original copy of this Notice was Mailed to the Local Municipality or Community Board: THIS 30-DAY ADVANCE NOTICE IS BEING MAILED TO THE CLERK OF THE FOLLOWING LOCAL MUNICIPAUTY OR COMMUNITY BOARD 2. Name of the Local Municipality or Community Board: 3. Street Address of Local Municipality or Community Board: 4. City, Town, or Village: 5. Telephone Number of Clerk of Local Municipality or Community Board: ATTORNEY REPRESENTING THE APPLICANT IN CONNECTION WITH THE APPLICANT'S ORIGINAL (FIRST) ON-PREMISES ALCOHOLIC BEVERAGE LICENSE APPLICATION FOR THE ESTABLISHMENT IDENTIFIED IN THIS NOTICE 6. Attorney's Full Name is: . r e:r>Sp?; 7. Attorney's Street Address: 8. City, Town, or Village: 9. Business Telephone Number of Attorney: THE APPLICANT WILL FILE AN ORIGINAL (FIRST) APPLICATION FOR AN ON-PREMISES ALCOHOLIC BEVERAGE LICENSE IN ORDER TO CONDUCT - WITHIN THE IDENTIFIED ESTABLISHMENT - THE TYPE OF BUSINESS DESCRIBED BELOW 10. Type(s) of Alcohol to be sold under the License ( 'X. Qillj: O Beer Only o Wine and Beer Only ~ Liquor, Wine, and Beer II. Extent of Food Service: [ .X" Qillj 1\/1 Restaurant (Sale of Food ~ Primarily; Full Food Menu; Kitchen run by Chet) O Tavern-Restaurant (A mixed-use establishment that has both a sit-down dining area and a "stand-up" bar where patrons may receive direct deliveries of alcohol) o Tavern / Cocktail Lounge / Adult Venue / Bar (Alcohol sales primarily - meets legal minimum food availability requirements) 12. Type of Establishment: D Hotel D Live Music D Disk Jockey D Juke Box D Patron Dancing D Cabaret, Night Club, Discotheque (Small Scale) (Large Scale Dance Club) D Capacity for 600 or more patrons ( "X" all that apply) ~ D Club (e.g. Golf / Fraternal Org.) D Bed & D Catering Breakfast Facility D Stage D Topless Shows Entertainment 13. Proposed Outdoor Area: ~ None D Rooftop D Patio or Deck D Freestanding Covered Structure D Garden / Grounds 14. Proposed Days and Hours of Operation: (Complete all; circle AM or PM) IIl!IWJ: ~~PM TO ~A~ Iu!!IU ~61IPM TO /1 :,t;J) AM<!>> Wed.....v /~:IP", ~PM TO /.AJ.IU @l~ t!llll:!!!.u ~~PM TO ~ Il!sJI.u /~ePM TO Ie> :CV AM& DNO 15. Will the proposed License Holder or a Manager be physically present within the establishment during All Hours of Operation? ("X" Qillj: 16. Application Serial Number: 17. 18. ',5 19. 20. City, Town, or Village: 21. 22. 23. Business Telephone Number of the Applicant: 24. Does the Applicant own the building in which the proposed Licensed Establishment will be located? ( 'X. Qillj Yes 0 If "YES', SKIP items No. 25-28. Go to Item No. 29, and complete the form. No~ If "NO", ANSWER items No. 25-28. Then continue to Item No. 29, and complete the form. OWNER OF THE BUILDING IN WHICH THE PROPOSED LICENSED ESTABLISHMENT WILL BE LOCATED 25. Building Owner's Full Name is: City. Town, or Villa/(e: ".<I r Zip Code: 1~.5? V 26. 27. · ~A Y' t 1Sf >~ ";',,.7;,........ ~ Standardized ORIGINAL APPLICATION NOTICE FORM for Providing a 3O-Dav Advanc:e Notic:e to a Lotal MunidoaUtv or Community ~oard In connection with the submission 10 the State Liquor Authority of the AooUunt's OrlwnaJ (First} On-Premise, AIc:ohoUc: Beveral!e License AnnUc:ation for the EstabUshment Identified in this Notice (PaGe 2 of 2) STATE OF NEW YORK EXECUTIVE DEPARTMENT OIVISION OF ALCOHOLIC BEVERAGE CONTROL STATE LIQUOR AUTHORITY IN ORDER TO INSURE THAT PAGES 1 AND 2 OF YOUR NOTICE ARE NOT SEPARATED OR MISPLACED, PLEASE RE-ENTER IMMEDIATELY BELOW THE INFORMATION REGARDING YOUR APPUCATION SERIAL NUMBER, NAME, AND TRADE NAME YOUR COURTESIES ARE APPRECIATED 16. Application Serial Number: f?.::-,rl C/O" <:' 01 ~ '..5 17. The Applicant's Full Name, as it appears in the application for the On-Premises Alcoholic Beverage License, is: The Full Name of the proposed licensed Establishment (the Trade Name under which the proposed Licensed Establishment will conduct business) is: /.5 18. INFORMATION REGARDING THE ALCOHOUC BEVERAGE UCENSE MOST RBCJl:RTI,Y I88UBD FOR THE APPlJCANT'S PROPOSED UCENSED ESTABUSHMENT 29. Has a business involving the licensed on-premises sale and/or consumption of alcoholic beverages ever been conducted within the proposed Licensed Establishment? No ~ If"llO", SKIP items No. 30-41. Complete the 3 entries at Item No. 42. If"YD", ANSWER Items No. 30-41, and complete the 3 entries at Item No. 42. Yes D PROVIDE THE FOLLOWING INFORMATION WITH REGARD TO THE UCENSED BUSINESS PREVIOUSLY OPERATED (OR NOW BEING OPERATED) UNDER THE ALCOHOUC BEVERAGE UCENSE MOST RBCJl:RTI,Y I88UBD FOR THE APPUCANT'S PROPOSED UCENSED ESTABUSHMENT 30. D Beer Only o Wine and Beer Only 0 Liquor, Wine, and Beer Type(s) of Alcohol sold under the most recent License (check one): 31. Exten t of Food Service: ('X"~ D Restaurant (Sale of Food Primarily; Full Food Menu; Kitchen run by Chef] Tavern / Cocktail Lounge / Adult Venue / Bar (Alcohol sales primarily - meets legal minimum food availability requirementsj D Tavern-Restaurant (A mixed-use establishment that has both a sit-down dining area and a "stand-up. bar where patrons may receive direct dellveries of alcohol) D 32. Type of Establishment: o Hotel D Live Music D Patron Dancing 0 Cabaret, Night Club, Discotheque 0 Capacity for 600 (Small Scalej (Large Scale Dance Club) or more patrons D Disk 0 Juke Jockey Box ( .X" all that apply) dfIP D Other (Specify! : O Other (Specifyj: D Club (e.g. Golf / Fraternal Org.) D Bed & D Catering Breakfast Facility O Stage 0 Topless Shows Entertainment 33. o None D 0 Patio Rooftop or Deck O Freestanding Covered Structure O Garden / Grounds Il2sW IY!I!Iu Wedll"'ay IIlm!!u I'rIday ~ I!!U!.l . -.L-- TO AM PM AM PM AM PM AM PM AM PM AM PM AM PM -.L-- TO -.L-- TO -.L-- TO -.L-- 34. TO TO TO AM PM AM PM AM PM AM PM AM PM AM PM -.L-- AM PM -.L-- -.L-- -.L-- -.L-- -.L-- -.L-- DYES DNO D DON"!' KNOW 35. Was the former License Holder or a Manager physically present within the establishment during All Hours of Operation? ("X"~: 36. Serial Number of the on-premises alcoholic beverage license most recently issued for the Applicant's proposed Licensed Establishment: 37. Expiration date of the on-premises alcoholic beverage license most recently issued for the Applicant's proposed Licensed Establishment: 38. The most recent License Holder's Full Name, as set forth on the on-premises alcoholic beverage license most recently issued for the Applicant's proposed Licensed Establishment: The Full Name of the most recent licensed establishment (Trade Name) as set forth on the on-premises alcoholic beverage license most recently issued for the Applicant's proposed Licensed Establishment: 39. 40. Is the Applicant's proposed Establishment currently open and being operated by the license holder of the most recently issued on-premises alcoholic beverage license? ('X'~: NoD If"NO., SKIP item No. 41, and complete the 3 entries at Item No. 42. (f"YES., ANSWER item No. 41, and complete the 3 entries at Item No. 42. Yes D 41. Business Telephone Number of the license holder of the most recently issued license for the Applicants proposed Licensed Establishment: 42. If the Original Application is approved, I am the Person who will hold the License or I am a Principal of the Legal Entity that will hold the License. Representations in this form are in full conformity with representations made in documents that have been submitted (or documents that will be submitted) to the State Liquor Authority, and relled upon by the Authority. 1 understand that representations made in this form will be also relied upon by the Authority, and that false representations in any document submitted to the Authority may result in revocation of any license that may be issued. By my signature, 1 affirm - under Penalty of Perjluy - that the representations made In thIs form are true. Title 1()'1~ /?C'- .. _ -" .:; ., 71 a -t- / __I -t" de