Pizza Hut
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STATE OF NEW YOR
EXECUTIVE DEPARTM
DIVISION OF ALCOHOLIC DEVERA
STATE LIQlJOR AUTHO
ETCONTROL OCT 05 2011 New A
TtOWN OF WAPPINGER
TOWN CLERK for
dardized NOTICE FORM .!i"l'rovidinKa
e Notice to a Local Municioalitv or Communitv Board
the ..ubmi....ion 10 Ihe Slale UqllOr AUlhority oIa (check one)
lication 0 Renewal A
Alteration ADDlication 0
Date the original copy of this Notice was mailed to the Local Municipality or Community Board:
3,
Type(s) of alcohol sold or to be sold under the license
( 'X' !!!ID:
4,
Extent of
food service:
( 'X" !!!ID
~estaurant (Sale of food primarily; Full food menu;
~ Kitchen run by chef)
D Tavern / Cocktail Lounge / Adult Venue / Bar (Alcohol sales primarily-
meets legal minimum food availability requirements)
5,
Type of
establishment:
D Hotel D Live,
MUSIC
D Disk
Jockey
D Juke
Box
D Patron Dancing D Cabaret, Night Club, Discotheque
(Small Scale) (Large Scale Dance Club)
D Capacity for 600
or more patrons
('X" all
that applYI
"
D Club (e,g, Golf / D Bed & D Catering
Fraternal Org.) Breakfast Facility
D Karaoke
Bar
O Top- D
less
Ent,
Restaurant
D Recreational Facility
(Sports Facility /V essel)
6,
Licensed
outdoor area:
D None D Rooftop
D Patio
or Deck
D Freestanding
Covered Structure
D Garden /
Grounds
D Sidewalk
Cafe
D Other
(Specify):
7, Will the license holder or a manager be physically present within the establishment during all hours of operation?
8, License serial number:
10,
11.
12,
13, City, Town, or Village:
14,
15, Within the building at the above address, the establishment is located within the room(s) numbered as follows:
16, Business telephone number of applicant/licensee:
17, Business fax number of applicant/ licensee:
18, Business e-mail address of applicant/licensee:
Does the applicant or license holder
19, own the building in which the
establishment is located? ( 'X' !!!ID
21.
22,
TOWN CLERK
TOWN OF WAPPINGER
SUPERVISOR
Barbara A. Gutzler
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
WWW.TOWNOFWAPPlNGER.US
(845) 297-4158 - Main
(845) 297-5771 - Direct
(845) 298-]478 - Fax
TOWN BOARD
William H. Beale
Vincent Bettina
lsmay Czamiecki
Joseph P. Paoloni
Office of the Town Clerk
..--
October 5, 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
Donald Hardy, President of Pizza Hut, located at 1515 Route 9 Imperial Station,
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,
.~
Christine Fulton
Deputy Town Clerk
CF/