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Chetti's opla-rev121510 o Original OFFICE USE ONLY o Amended Date 29 APPLICATION FOR ALCOHOLIC BEVERAGE CONTROL RETAIL LICENSE (ON PREMISES) It Is not necessal)' to employ any person, agency or organization to assist you In filing thl 0 be able to assist you In securing adion on your application. The payment of money or other t Ing o~'r',fi~~A~f~, or pl1 mise of Influence In obtaining a license Is a violation of law and offenders will be prosecuted. lR1 ~ \S7 [!;; U W lSl!dJ 1. APPLICANT Name of Applicant: .Barbara Magliochettl Trade Name(D.BA): (see instructions) .. must be provided if premises will be Chettl's called by any name other than as listed in the "Name of Applicant" Premises Street Address: 11639 Route 376 City: IwapPlngers Falls State: INY I Zip Code: 112590 County: IDutchess Telephone Number of Premises (Include area code): Inot available yet Mailing Address (If different than above):1 TOWN CLERK City: I State: I Zip Code: E-mail address (If available): I 2. CONTACT (ifotherthan applicant) Name of Contact: IChrlstoPher Fulgum Office Address: 11 Truffle Ridge Rd. City: IwapPlngers Falls I 0 Attorney 0 Representative @ Contact Person I State: INY Telephone Number of Office (include area code): 1(914) 482-8048 E-mail address (if available): I.BEM.NY@lHOTMAILCOM 3. For SEASONAL licenses only - beginning and ending months: I 4. LICENSE TYPE: I 1 CODE: I I 5. Number of ADDITIONAL BARS (if any): (see schedule offees) . . (see instructions) 6. TOTAL PAYMENT DUE: I Zip Code: 112590 I I I I I D 7. Federal Tax 10 #: 127-4624139 17a. Certificate of Authority Permit#: 8. Are there any local option restrictions in this area (DRY, PARTIAllY DRY)? 0 YES IIYES, explain: I I ~:; NOT KNOW 9. Name of Community Board Notified: ~own Clerk's Offlce/Wappingers Falls, NY 10. Certified Mail Receipt Number: 17010 1870000209268335 110a. Date Sent:IFeb 4,2011 [OFFICE USE,ONL:Y] I continued on next page I DATE FILED: 'I I SERIAL #:11 Page 1 TOWN CLERK Chris Masterson TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD W APPINGERS FALLS, NY 12590 WWW.TOWNOFWAPPlNGER.US (845) 297-4158 - Main (845) 297-5771 - Direct (845) 298-1478 - Fax TOWN SUPERVISOR Christopher 1. Colsey TOWN BOARD William H. Beale Vincent Bettina lsmay Czarniecki Joseph P. Paoloni Office of the Town Clerk February 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 Chetti's, located at 1639 Route 376, 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 February 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, I ~.JI!I _/~..) JCM/cf 02/01/2011 Barbara Magliochetti 1 Truffle Ridge Rd. Wappingers Falls, NY 12590 H: (845) 632-2603 To Whom It May Concern, We are planning to open a restaurant in Dutchess County, 1639 Rte. 376, Wappingers Falls, NY, 12590 on or about March 1, 2011. As this address has occupied two previous restaurants, we respectfully request that you waiver the 3D-day waiting period from the municipality of Wappingers Falls. We thank you in advance for your consideration. ~~_~~6~ Tomabar, LLC DBA: Chetti's ~~~~U~~lQ) FEB 07 20" TOWN OF WAPPINGER TOWN CLERK ----.--