Whiskey Jack's Saloon
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TOWN CLERK
Chris Masterson
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY ]2590
WWW.TOWNOFWAPPINGER.US
(845) 297-4]58 - Main
(845) 297-577] - Direct
(845) 298-] 478 - Fax
TOWN SUPERVISOR
Christopher J. Colsey
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
Office of the Town Clerk
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May 10th, 2011
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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
Dawn Weber, Vice President of Whiskey Jacks Saloon, located at 250 Myers Comers Rd,
Wappingers Falls, New York, of intention to file a renewal 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,
1 C. Masterson
own Clerk
JCM/cf
23.
24.
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STATE OF NEW YORK
EXECUTIVE DEPARTMENT
DIVISION OF ALCOHOLIC BEVERAGE CONTROL
STATE LIQUOR AU'lBORlTY
StondonJized NOTICE FORM for Providing D
3O-D.v AdwBCe Notice to a Local MualciDaUtv or CommDDity Board
in connection with the submission 10 the Stare U'fIlOI' AuJhorlty of D (f:heck one)
New Application 0 Renewal Aoplication IiY"
Alteration ApPlication 0
for aD 0a-J>reJnises Alcoholic: Bevel'lll!e Liceue
1.
2.
Date the original copy of this Notice was mailed to the Loca1 Municipality or Community Bo8rd:
THIS30-DAY ADVANCE NOTICE 1$ BEING PROVIDED TO THE CLERK OF THE l'Ou..oWING LOCAL MUNICIPALt'J.\rORCOMMtiNrJy BOARD
Name of the Local Municipality or CommunityBoerd: TOWN OF WPtPPINGf:RS FA L.L
J'OJt....~~.J'R09J.DSJ)~OJ;~.....AI.l.~....OIf~~.i~P4.....
:roa.v.TBR4TJOJf~~'.""AC!R~~;Mi>'~.()J'~N<TIlRATJC)lf18'
POR"~'~"~'~~JPI1'8C)J)'Of"~"",OlQ,Y
OOWOTII8B1'IIIIl.POItIITOCllAJloinoua ........ODOf'~TJOW
Type(s) of alcohol sold or to be sold under ~~= 0 Beer Only 0 Wine snd Beer Only ~ Uquor, Wine, snd Beer
Extent of D ~
food service: Restaursnt (Sale of food primarily; Full food menu; Tavern / Cocktail Lounge / Adult Venue / Bar (Alcohol sales primarily-
( T ll.l!&l Kitchen run by chel) meets lega1 minimum food availability requirements)
3.
4.
5.
Type of
establishment:
O Hotel 0 Uve 0 Diak 1\71 Juke 0 Patron Dsncing 0 Cabaret, Night Club, Diacotheque 0 Capacity for 600
Music Jockey ~ Box (Small Scale) (l.atge Scale Dance Club) or more patrons
(TeIl
that apply) ,
O Club (e.g. Golf / 0 Bed & 0 Catering
Fraternal arg.) Breakfast Facility
O Recreational Facility
(Sports Facility/Vessel)
O Karaoke 0 i:
Bar Ent.
~ Restaurant
6.
Ucensed
outdoor area:
~ None 0 Rooftop D:~
O Other
(Specify):
O Freestanding
Covered Structure
O Garden /
Grounds
O SidewaIk
Cafe
8.
7. Will the license holder or a msnager be physically preaent within the establishment during all hours of operation? ("X"~:
Ucense serial number:
Expiration Date:
10.
11.
12.
13.
City, T~, or Village:
o
14. The establishment is located on the following floor(s) of the building at the above address:
15. Within the building at the above ~dress, the establishment is located within the room(.t numbered as follow.:
16. Business telephone number of applicsnt/licensee:
17. Business fax number of applicsnt/licensee:
18. Business e-mail ~dress of applicsnt/licensee:
19.
Does the applicant or license holder
own the building in which the
establishment is located? ( T m&J
No~
If "NO", ANSWER items No. 20-23,
snd complete the 3 entries
at Item No. 24.
If''YES'', SKIP Items No. 20-23.
Complete the 3 entries
at Item No. 24.
Yes 0
OWNER OF THE BUlIDrJtf91NwaICHTHEUCENSED ESTAI3USHMENT 1S LOCATED
21.
20. Building owner's full name is:
22. City, Town, or Village:
I am the applicsntor hold the license or am .. principal of the lecaI I'Dtitytlult hold. or lupplylng for the lIcenee.~tatiollfdn this form are in conformltywith
representations made in subniltted documents ~ qponbytheAuthor!tywhm-grantingthe1icenec. rundctlltaJUlthat~tations made in thisfurm will also be
re1led Upon, and that faIac.representatbltl~ll!8UIt in disapproval,ofthe application orJeVOCation oftheUcense.
By my lIignature, I a1Ilrm - urnIer-~.tlfPerjaay -that thercpreaentation. made in this e.
PrinAW N WEB
nv. ~~,
MAY 0 3 2011
0_- \,'1" oPT1NGER
TOWN 'lr ~\; 1-", .
TOWN CLERK