Wappinger Elks
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STATE.OFNEWYORK
:EXECUTIVE DEPARTMENT
DMSrON OF ALCOHOLIC BEVERAGJ!; CONTROL ,
STATE UQUOR AtJ::mORlTY
StandardiZed RENEWAL APPLICATION NOTICE FORM forProvidlnga
30-Dav Advance Noticli: to a Local MuniciDality or Community Board
. J. . .
In con_lion with th. submusion 10 Ih. Stal. Lif[Uor Authority ola ,
. Renewal ADDlication for an OJi-Premises Alcoholic Beveral!e .Llcense
Date the Original copy ofthia 'Notice wUM;lIiI.!'d to the Local Municipality or Community Board:
'Extent of
Food Service:
( T g
O Restailrant (Sale Qf Food ,r\:II,Ta~m-Resta~t (A' ~d-use ~tab1fshmenttbt 0 T8.Vem / CO~.Lounge / Adult Ven!le /
. Piimai.i1y; . Jl'u1i Food Menu; ~ has both a sit-down dining area and a' .stand-up. bar L.J Bar (Alcohol' sales primarily _ meets 1~a1
Kitchr run. by: Chef) where patrons may receive direct deliveiies of alcohol) , ~um food availability requirementsf
O. ~OteI_".,_O .MLive,USlc . O. Jrn.o.'c:kkey. 0' . JBouke.' _ 0 patrori Dancing O' Cabaret, Night Club, b~cotheque" 0 Cap.,city'Cor 600
A (Small Scale) , (Large 'Scale Dance Club) or more Patrons
Type of
Establishment:
~.
(TaD
thshpplyj
.~. Clu~ ~~g.GoJf / O.Bed & ~ Catering.:
.. ~ Fraternal Org.) Breakfast, ~ Facility
. .
(lg N~e::.D R~ftop 0 ~~~ckO~==cture
O Stage 0 Topless.
. . . Showa Entertainment
O Other
. .... (Specify):
13,
Licensed' ,
'Outdoor.Area:
D.... G~denr ' 0 Other :
, .. Ground. . . .. ' ,(Specify):
14.
Daysalid Houni'
oC Qperation
(Complete all; ,
circle AM or PM)
15.
16.-~e seriaI'N'Um.ber:
18.
19.
20: '
,21.
22.
23;'
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STATEOFNE
EXECUTIVE DEP
DMSION OF ALCOHOLIC B
STATE LIQUOR A
ORK
TMENT FEB 1 4 2011
RAGJ!; CONTROL .
11.
Extent of
Food Service:
( "X" .QM)
O Resta~ant. (Sale of Food
, Primarily; Full Food Menu;
Kitch~n run by Chef)
~ ,Tavern-Resta~t (A' miX"d-use e~tabliShmentth,a, t
~ has both a sit-down dining area and a' 'stand-up' bar
where patrons may receive direct deliveries of alcohol)
o
Tavern I CO~,Lounge I Adult Venue I
Bar (Alcohol sales primarily - meets legal
minimum food availability requirementsf
12.
TYPe of
Establishment:
O Hotel,',',' 0 Live
, ,Music
, 0 Disk
, Jockey
0, Juke
Box
O patrori Dancing 0 Cabaret, Night C,lUb',Di,sCOtheque 0 Capacity for 600
(Small Scale), (LargeScale Dance Club) qr more Patrons
fIfIIiII'
( .X' all
that apply)
fill Club ~:g. Golf I 0 Bed,& 1\11, Catering' 0 stage
J6l Fraternal Org.) Breakfast, ~ Facilit;y, Shows
O Topless.
Entertainment
O Other
,,' (Specify):
13,
O Patio
, orDeck
O Freestanding
, ,Covered S,tructure
O G~den I 0 Other
,Grounds , ' " (Specify):
Fridav
~AM6Y
TO
14.
Days and Hours
of Operation
(Complete all;
cireleAM or PM)
M2!!m '
~AM€J
TO
iW@
15.
16.
lB.
19.
20.
,21.
22.
23;'
24. Business Telephone Number of Current License Holder:
Does the License HolderQWn the
25. building in which the Licensed
Establishment is located? j .X" .QM)
Frs, II) 'JO 1/
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FEB 11 2011
TOWN OF WAPPINGER
TOWN CLERK
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TOWN CLERK
Chris Masterson
TOWN SUPERVISOR
Christopher 1. Colsey
20 MIDDLEBUSH ROAD
W APPINGERS FALLS, NY 12590
WWW.TOWNOFWAPPlNGER.US
(845) 297-4158 - Main
(845) 297-5771 - Direct
(845) 298-1478 - Fax
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czamiecki
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
Wappinger Elks, located at 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,
JCM/cf