Luigi's Pizza & Grille
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Slandardized NOTICE FORM for Providing a
JO-Dav Advuee Notiee to a Local Munidoality or Com.uuity Board
in connection with the submission /0 the State Liquor Authority of a. (check one)
New Aoolication 0 Renewal Aoolication if
Alteration AoolicationD Coroorate Chan2e 0
for an On-Premises Alcoholic Beverll2e License
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EXECUTIVE DEPARTMENT
~~OW~~t~~R
TOWN CLERK
THIS 3O-DAY ADV.\NCE NOTICE IS BtINOi"RQVIOED TO THE CLltRl{. OF TJ-m. ~NQ I.OCALMUtflClPALI1'\' OR COMMUNlTY BOARD
I. 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 D
( T !ill9: Beer Only
52( Restaurant (Sale of food primarily; Full food menu;
Kitchen run by chef)
D Liquor, Wine, and Beer
2. Name of the Local Municipality or Community Board:
4.
Extent of
food service:
( T !ill9
o
Tavern / Cocktail Lounge / Adult Venue / Bar (Alcohol sales primarily-
meets legal minimum food availability requirements)
5.
Type of
establishment:
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
(Tall
that apply)
Club (e.g. Golf / D Bed & D Catering
Fraternal Org.) Breakfast Facility
D Karaoke 0 Biage 0 Topless 0 Recreational Facility
Bar Shows Entertainment (Sports Facility/Vessel)
6.
D Rooftop
D Patio
or Deck
D Freestanding
Covered Structure
D Garden /
Grounds
D Sidewalk
Cafe
7. Will the license holder or a manager be physically present within the establishment during all hours of operation?
8. License serial number:
10.
II.
12.
13. City, Town, or Village:
14.
15.
16. Business telephone number of applicant/licensee:
17. Business fax number of applicant/licensee:
18. Business e-mail address of applicant/licensee:
19.
Does the applicant or license holder
own the building in which the
establishment is located? ( T !ill9
YesD
If "NO", ANSWER items No. 20-23,
and complete the 3 entries
at Item No. 24.
20.
OWNER OF THE BUlLDING IN W1iICHTJ-m t,ICENSED BS'l'.t\Bl.lSHMENT IS LOCATED
Building owner's full name is:
L,
21.
22.
City, Town, or Village:
23.
Business telephone number of building owner:
I am the appficant or hold the ~ or 8lJl a. ptinclpa1 or the ~~~tb!tt~~I!J~for the llceruIe' Repn:aentations in this fQm;l ~ In ~ with
representations made in lIl1bmi1:ted docuo.,nts.",Ji!;d .uponbytheAu~~~thellcerule.1 ~ that representations made ltl thIa rcmn wiI1ll1!1O be
reUed upon, and that faI$e ~tlotl$ may rtiIlUlt~ ~of the lIJlI)IIc:at!on or revocation of the ficense.
By my si&nature. I atJJrtn - under .....,. GIt...". - that therept"e8!mtationll made in t.hla form are true.
24.
Revised IO/12l11
20 MIDDLEBUSH ROAD
W APPINGERS FALLS, NY 12590
WWW.TOWNOFWAPPINGER.US
(845) 297-4158 - Main
(845) 297-577] - Direct
(845) 298-1478 - Fax
SUPERVISOR
Barbara A. Gutzler
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TOWN CLERK
TOWN OF WAPPINGER
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TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czamiecki
Joseph P. Paoloni
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Office of the Town Clerk
November 14,2011
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
Luigis Pizza & Grill, located at 1315 Route 9, Hark Plaza Ste 9, 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
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