Dolce Van
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Standardized OR GINAL APPLICATION NOTICE FORM jar Providing a
STATE OF NEW Y [)RJ( 30 D-"A' , N ti I -- 1M" I' C . Do d
EXECUTIVE DEPAR MENT FEB 2 4 2 r '1 - a. ~m nce 0 ce to a OAKa URlCIDa Itv or ommuRltv ar
DIVISION OF ALCOHOLIC REVl RAGE CONTROL ~ . in txtmection with the submission to the State Liquor Authority of the
ADDlicant's Oritrl al {Firstl On-Premises Alcoholic Bevera@e License ADDlication
STATE LlQUORAVT loroWN OF Vv APPINGER for the Establishment Identified in this Notice (Paae 1 0(2)
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Date the Original copy of this Notice wa I Ma;Jpn tn.1 \..J V.V J "'cil -/ r:~mitv BooI d:
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THIS 30-DAY ADVANCE NOTICE IS BEING MAILED TO THE CLERK OF THE
FOLLOWING LOCAL MUNICIPALITY OR COMMUNITY BOARD
4'+ W#__/~A.r."-'
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Name of the Local Municipality or Community Board: I
Street Address of Local Municipality or Community Board: I
City, Town, or ViJiage: I Wq""...... ~ ...,.. ~ hIls
Telephone Number of Clerk of Local M~nici;;;'tity or Community Board:
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NY
1<:217' 1.5'1 - leg. I ~ Is-
I Zip Code: / Z59 0
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5.
ATI'ORNEY REPRESENTING THE APPUCANT IN CONNECTION WITH THE APPUCANT'S
ORIGINAL (FIRST) ON-PREMISES ALCOHOUC BEVERAGE UCENSE APPUCATION FOR THE ESTABUSHMENT IDENTIFIED IN THIS NOTICE
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Attorney's Full Name is: / f' 6 1"; L7 .." ~ . ~ I ;7. -f C. ;)
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Attorney's Street Address: 2. ~ J ~.... ~. _ L u-.
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City, Town, or Village: p.", J _ L
Business Telephone Number of Attorney: .J
NV
I gl 'I 51 - I ~lsls-
Zip Code: / ZS'- ~
-151~1/1,1
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8.
9.
THE APPUCANT WILL FILE AN ORIGINAL (FIRST) APPUCATION FOR AN ON-PREMISES ALCOHOUC BEVERAGE UCENSE
IN ORDER TO CONDUCT - WITHIN THE IDENTIFIED ESTABUSHMENT - THE TYPE OF BUSINESS DESCRIBED BELOW
I 0 Beer 0 fR]
Type(s) of Alcohol to be sold under the License ( "X"~: Wine and Beer Only Liquor, Wine, and Beer
Only
r:;tJ Restaurant (Sale of Food D Tavern-Restaurant (A mixed-use establishment that
IL..) Primarily; Full Food Menu; has both a sit-down dining area and a "stand-up' bar
Kitchen run by Chef] where patrons may receive direct deliveries of alcohol)
Extent of
Food Service:
("X'~
D Tavern / Cocktail Lounge / Adult Venue /
Bar (Alcohol sales primarily - meets legal
minimum food availability requirements)
Type of
Establishment:
D Hotel
O Capacity for 600
or more patrons
D Live
Music
O Disk
Jockey
O Juke
Box
D Patron Dancing 0 Cabaret, Night Club, Discotheque
(Small Scale) (Large Scale Dance Club)
dfP
( "X" all 0:::0-
that apply) "-
Proposed
Outdoor Area(s):
D. Club (e.g. Golf /
Fraternal Org.)
D Bed & D Catering
Breakfast Facility
D Stage
Shows
D Topless
Entertainment
Vl Other
~ (Specify): K-e)-t~ut I"~/I t
D Other
(Specify):
~ None
D Rooftop
DPatiO
or Deck
D Freestanding
Covered Structure
O Garden /
Grounds
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14. Will the proposed License Holder or a Manager be physically present within the establishment during All Hours of Operation? ("X-~: I IRI YES I D NO
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Application Serial Number: _ ,,- I P <. ,,,./,... ~
The Applicant's Full Name. as it will appear in the application I -
for the On-Premises Alcoholic Beverage License, is: d d / C L J ~ _ , A C
The Full Name of the Applicant's proposed licensed Establishment (the Trade Name r
under which the proposed Licensed Establishment will conduct business) is:
The Applicant's proposed Licensed Establishment is located I
within the building which has the following Street Address: I ~ <af .3 ~ i c:.. 9 ~ u . ~ c::. I
City,Town, or Village: I WQ/>A'_"'.J'~ I NY ZipCode: 1'Z59 0
The proposed Licensed Establisht,e~t will i:;llocated on the following f1oor(s) of the building at the above address: I t'? _. -'
Within the building at the above address, the proposed Licensed Establishment will be located within the room(s) numbered as follows: I / ft. 2.
Business Telephone Number of the Applicant:
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S / IS?
Business Fax Number of the Applicant:
IF YOU KNOW -
Business E-Mail Address of the Applicant:
Was there ever an alcoholic beverage license in effect for the space where I I I
you intend to operate your licensed establishment? Yes 0 No 81.
I Don't Know 0
OWNER OF THE BUILDING IN WHICH THE PROPOSED UCENSED ESTABUSHMENT WILL BE LOCATED
Does the Applicant own the building in
which the proposed Licensed
Establishment will be located? ( "X- ~
If "YES', SKIP items No. 27, 28, 29, & 30
Go directly to Item No. 31,
and complete the form.
No~
If "NO', ANSWER items No. 27, 28, 29, & 30.
Then continue to Item No. 31,
and complete the form.
Yes 0
Building Owner's Full Name is: k''' c I ~. r" 7!A iW""~ J-I- c:.
Building Owner's Street Address: / ~<$ ==3 R <i .." -t.e Cj :;.. It i~ e. / 1&/ "
City, Town, or Village: I ri.> A /4,) I
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2. 9 ,
Zip Code:
IZSZy
t.l t:? ~
Business Telephone Number of Building Owner:
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12.11.2009,p.l (02)
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STATEOFN WYORK
EXECUTIVE DE PARTMENT
DIVISION OF ALCOHOLIC ltlil"'fY'\f~ fM'Tcrft VV A P PI
STATE LIQUOR !\UTIWH '\I
TO\NN CLERK
FEB 2 4 2011
Standardized ORIGINAL APPLICATION NOTICE FORM for Providing a
3O-Da~ Advance Notice to a Local Municioalitv or Community Board
in connection with the submission to the Slate Liquor Authority of the
ri..inaltFirst\ On-Premises Alcoholic Beverape License Annlication
for the Establishment Identified in this Notice
(Paae 2 of 2)
IN ORDER TO MAKE SURE THAT PAGES 1 AND 2 OF YOUR NOTICE ARE NOT SEPARATED OR MISPLACED,
PLEASE RE-ENTER IMMEDIATELY BEWW THE INFORMATION REGARDING YOUR APPLICATION SERIAL NUMBER, NAME, AND TRADE NAME.
YOUR COURTESIES ARE APPRECIATED
15.
Application Serial Number: I ~ '" ,"" _. ....
The Aoolicant's Full Name, as it will appear in the..!pplication I
for the On-Premises Alcoholic Beverage License, is:
The Full Name of the Applicant's proposed licensed Establishment (the Trade Name I
under which the proposed Licensed Establishment will conduct business) is:
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llIFOIUlATlOII RBGARDIIIG AllY BU8IlIB88 LICBIISBD TO SELL ALCOHOLIC BBVBRAGBS THAT IS CURRBJITLY BBIIIG OPBRATBD III THB SPACE
WHERE THE APPLICANT INTENDS TO OPERATE HIS/HER/ITS PROPOSED LICENSED ESTABLISHMENT
31. IF YOU KNOW - I s a business that is licensed to sell alcoholic beverages currently being conducted Yes 0 No ~ I Don't Know 0
in the space where you intend to operate your licensed establishment?
Are you buying any asset(s) owned by the operator of the licensed business currently being conducted
32. in the space where you intend to operate your licensed establishment? Yes 0 No f2Sl
(For example: good will, equipment, furniture, cookware, dishware, etc.)
IF YOU ANSWERED "YES" TO ITEM 31 or 32, SKIP ITEMS NO. 33 and 34. GO DIRECTLY TO ITEMS NO. 35, 36, 31, 38, 38, and 39.
IF YOU ANSWERED "NO' TO ITEMS 31 and 32, PLEASE PROVIDE THE INFORMATION REQUESTED BY ITEMS NO. 33 and 34.
IF A BUSINESS LICENSED TO SELL ALCOHOLIC BEVERAGES lS...NQI CURRENTLY BEING OPERATED IN THE SPACE
WHERE THE APPLICANT INTENDS TO OPERATE HIS/HER/ITS PROPOSED LICENSED ESTABLISHMENT, PLEASE PROVIDE
IllFOIUlATlOII RBGARDIIIG AllY BU8IlIB88 LICBIISBD TO SELL ALCOHOLIC BBYBRAGBS THAT WAS MOST RBCBIITLY OPBRATBD III THB SPACE
33. IF YOU KNOW -I Was a business that was licensed to sell alcoholic beverages previously conducted Yes 0 No 1i?J I Don't Know 0
in the space where you intend to operate your licensed establishment?
Are you buying any asset(s) owned by the operator of the licensed business that was most recently conducted
34. in the space where you intend to operate your licensed establishment? Yes 0 No~
(For example: good will, equipment, furniture, cookware, dishware, etc.j
IF YOU ANSWERED "YES" TO ITEM NO. 31 or 32 or 33 or 34, THEN PLEASE ANSWER ITEMS NO. 35 and 36 and 31 and 38 and 39.
IllFOIUlATlOII ABOUT THE OPERATOR OF THB LICBIISBD BU8D1B88 CURRBJ/TLY BBIIIG COIIDUCTBD (OR MOST RBCBIITLY COIIDUCTBDj IN THE SPACE
WHERE THE APPLICANT INTENDS TO OPERATE HIS/HER/ITS LICENSED ESTABLISHMENT. PLBA8B PROVIDE THB I'OLLOWIIIG I11I'OIUIATlOII:
IF YOU KNOW -
35.
IF YOU KNOW -
36.
IF YOU KNOW -
37.
IF YOU KNOW -
38.
The Full Name of the Operator of the licensed business
now being conducted (or that was most recently conductedj
in the space where you intend to operate your licensed establishment:
I Don't Know 0
The Full Name of the licensed Establishment (the Trade Name)
now being operated (or that was most recently operated)
in the space where you intend to operate your licensed establishment
The alcoholic beverage license serial number of the business
now being conducted (or that was most recently conducted)
in the space where you intend to operate your licensed establishment:
I Don't Know 0
I Don't Know 0
The Type of Alcoholic Beverage License held by
the current (or most recentj licensed operator:
I Don't Know 0
39.
IF YOU KNOW - Telephone Number of the current licensed operator
or the most recent licensed operator:
I Don't Know 0
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
40. (or documents that will be submitted) to the State liquor Authority, and relied upon by the Authority.
I 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, I alftnn - under Penalty of Pel'jmy - that the representations made in this form are true.
Printed Name"fo It;'l C,/le;. ~ ~ '<<
J.J-j i A' ~ C}(:: i lit of.....,... I'" c..
Title
Signature
/? -.!- P r'e< :..u~.rl -e IL ~, V tl
12-11-2009, p.2 (02)
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
Town of Wappinger
20 Middlebush Rd
Wappingers Falls, NY 12590
Attn. Town Clerk
Re: Dolce Van Inc
Enclosed please find their 3D-day notice of intention to file for an on-premises license to sell
alcoholic beverages at Dolce Van located at 1083 Rte. 9 Suite 1 Wappinger, NY.
If the Town board has no objection to this will they wave the 3D-day notice requirement?
Sincerely
(:1811
<7J~hn Gillespie
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FEB 2 4 2011
TOWN OF VvAPPINGER
TO\NN CLERK
_..__.~.+' __~.nN__ -__. .._---..,'
Public relations, government affairs, marketing
TOWN CLERK
Chris Masterson
TOWN SUPERVISOR
Christopher J. Colsey
20 MIDDLEBUSH ROAD
WAPP1NGERS FALLS, NY ]2590
WWW.TOWNOFWAPPINGER.US
(845) 297-4158 - Main
(845) 297-577] - Direct
(845) 298-]478 - Fax
TOWN BOARD
William H. Beale
Vincent Bettina
lsmay Czamiecki
Joseph P. Paoloni
March 15,2011
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 of the Town of Wappinger has been notified by
Dolce Van, located at 1083 Route 9, Wappingers Falls, New York, of intention to file an
application with the New York State Liquor Authority. This was approved at our Town
Board Meeting on March 14, 2011.
In this instance, the Town of Wappinger hereby waives its right to the 30 day hold on
processing the above application and consents to the Authority's Approval of said
application.
Sincerely,
JCM/cf