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Pizza Hut TOWN OF WAPPINGER TOWN CLERK CHRIS MASTERSON SUPERVISOR CHRISTOPHER J. COlSEY '" '-"'FJ J.- TOWN COUNCIL WilLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOlONI TOWN CLERK'S OFFICE 20 MIDDlEBUSH ROAD WAPPINGERS FAllS, NY 12590 (845) 297-5771 FAX: (845) 298-1478 March 2, 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 ADF Dutchess LLC, Pizza Hut, 1515 Rt.9 Imperial Station, Wappingers Falls, NY 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, if' d 'J/-"! Y '/ ~ J~ '-'j~' r, n2.~tl STATIC OF NEW YORK EXECIITIVE IlEPARTMENT IllVISION OF ALCOIIOLlC BEVERAGE CONTROL STATE LlQlIOR AIITHORITY SI(/",/arcl1:"d RENEWAL APPLICATION NOTICE FORi\1 .la,. l'rol'"I1/1g II JO-l>llY AdYllnCC Noticc 'a {/ Local Municilllllil\' or Community BOllrd 1. Dale the Original copy of this Notice was Mailed to the Local Municipality or Community Board: THIS 3D-DAY ADVANCE NOTICE IS BEING MAILE:D TO TH(!; CI,ERK OF' THE:F'OLLOWING LOCAL MUNICIPALITY OR COMMUNITY BOARD 3. 2. NH11lC of the Local Municipality or Community Hoard: iI. Clly, Town, or Village: 5. Telephone Number A11'ORNEY FOR THE LICENSE HOLDE:RSUBMITTING THE RE:NEWAL APPLICATION G. At torney's Full Name is: 7. Attorney's Street Address: 8. City', TOWIl, or Village: 9. Business Telephone Number of Attorney: CURRENT LICENSE HOLDER WHO /THAT WILL SUBMIT THE RENEWAL APPLICATION TO THE STATE LIQUOR AUTHORITY 10. Typelsl or Alcohol sold under the LIcense ( "X" onel: Tavern / Cocktail Lounge / Adult Venue / Bar IAleohol sales primarily - meets legal minimum food availability requirements) D Wine and Beer Only D Liquor, Wine, and Beer D II. Exten t or Food Service: I "X" onel ~estauranl (Sale of Food ~ Primarily; Full Food Menu; Kitchen run by Chen Tavern-I<estaurant (A mIxed-use establishment that has both a sit-down dining area and a llstand-up" bar where patrons nlay receive direct deliveries of alcohol) D 12. Type or E-stablishmcnt: 0 Hotel D Live D Disk D .Juke Music Jockey Box D Club (e.g. Golf / D Bed & D Catering Fraternal Org.) Breakfast Facility D Patron Dancing D Cabaret, Night Club, Discotheque ISmail Scalel (Large Scale Dance Club) D Capacity for 600 or more patrons dfIP D Stage Shows D Topless Entertainment D Other ISpecifYI: ("X" all that apply) 13. Licensed Outdoor Area: D None D Rooftop D Patio or Deck D D Garden / . Grounds D Other (SpecifYI: Freestanding Covered Structure 14. Days and Hours of Operation IComplete all; circle AM or PMI Mondav II :OO@'M TO !CL;.lLDAM 15. ]6. License Serial Number: 18. The License Holder's Full Name, as it appears on the Alcoholic Beverage License Certificate, is: The Full Name or the Establishmentlthe Trade Name under which the Licensed r'~slablishment conducts business) is: The Licensed I':slablishment is located within the building which has the following street address: 19. 20. 21. CIty, Town, or Village: 22. 23. Within the building at the above address, the Licensed Establishment is located within the room(sl numbered as follows: 24. Business Telephone Number or Current License Holder: 25. Does the License Holder own the building in which the Licensed ICstablishment is located'( I "X" onel If "YES', SKIP items No. 26-29. Complete the 3 entries at Item No. 30. If"NO', ANSWER items No. 26-29, Rnd complete the 3 entries at Item No. 30. Yes 0 No 26. OWNER OF THE BUILDING IN WHICH THE: LICENSED ESTABLISHMENT ISWCATED Building Owner's Full Name is r" 1,"'31 B W Q}'F-~ e a. '~L.'I- en. __It.-C .Q..7'L-HooKer AVEillJL I-*" L.:) City, Town, or Village: S : N- 27. 28. 29. I hold the License or am a Principal of the Legal Entity that holds the License. Representations in this f. I\" are in conformity with representations made in su bmitted docu,\,e ts relied upon by the Authority when granting the existing license. I understand that represent ti~ns ade in this Jorm will.also be reli~d upon, and that false 30. rep~se tations may resul! in revocation of the license. By my signature. I affirm - underPClnalty of at tbe representatIOns made m this form arc true. 1~-14-05 IJ 1\'7"