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i,.�aoo z <br /> STATE OF NEW JERSEY APPLICATION FOR 2013-2014 <br /> DEPARTMENT OF LAW & PUBLIC SAFETY <br /> DIVISION OF ALCOHOLIC BEVERAGE CONTROL <br /> PO BOX 087, TRENTON, NJ 08625 <br /> RETAIL RENEWAL APPLICATION FOR 2013-2014 LICENSE TERM <br /> SALES TAX AUTHORITY NUMBER: 251729924000 LICENSE NUMBER: 2019-44-071-005 <br /> ISSUING AUTHORITY: TOWNSHIP OF UNION <br /> LICENSE TYPE: PLENARY RETAIL DISTRIBUTION LICENSE <br /> LICENSE STATUS : BUSINESS CORPORATION <br /> LICENSE NAME: CHERRY HILL WINE & SPIRITS INC ]]--,, <br /> TRADE NAME(S) : TOTAL WINE & MORE '{�' /cJ � <br /> LICENSED PREMISES ADDRESS: 950 SPRINGFIELD ROAD ��/J <br /> UNION NJ 07083 <br /> MAILING ADDRESS: NONE ON FILE <br /> IS LICENSE BEING ACTIVELY USED AT AN ACTUAL PREMISE? (V ] YES ( ) NO <br /> IF NO, ON WHAT DATE WAS THE LICENSE LAST USED? / / <br /> ...........!?...,1...,..r......******....................,...***,..,....... <br /> ************ ***** ****** ************************************************* <br /> STATE OF 6' , (.1,R/ Ohl ) <br /> ) SS: <br /> COUNTY OFN4 e AV. R � ) <br /> l <br /> (INDIVIDUAL LICENSEE OR PARTNER OR PRESIDENT OR VICE PRESIDENT OF CORP. ) <br /> BEING DULY SWORN ACCORDING TO LAW, UPON HIS/HER OATH DEPOSES AND SAYS: <br /> (1) INFORMATION CONTAINED ON THIS LICENSE RENEWAL PRINTOUT, AND AS <br /> CONTAINED IN THE MOST COMPLETE FULL APPLICATION ON FILE AS UPDATED OR <br /> AMENDED BY THE ATTACHMENTS HERETO, IS TRUE AND COMPLETE. (2) IF THE <br /> LICENSEE IS A CORPORATION OR A PARTNERSHIP, I AM DULY AUTHORIZED re' {' <br /> (SIGNATURE OF INDI, /AL LI SEE ERAL PARTNER, h�+ I�L-. <br /> OR PRESIDENT OR VICE PRESIDENT OF CORPORATION) AFFIX Cill:PORATE SEAL <br /> I,� v� \ <br /> SWonN TO A_ • Sr. SCRIBED BEFORE ME THIS 77 , h DAY OF /�'[Q,/{ ' " `3 • r <br /> ff J <br /> ■I /■ -1 (A /JO(SIGNATi'-E OF NOTARY OR ATTORNEY TAKING OATH) CHERYLA. COLE <br /> l 1 / / f 1 / NOTARY PUBLIC <br /> �1 r `'0/ Q�`Q�r-�( Comma Expires 07/11/2015 <br /> (PRINTED'�dAME AND TITLE OF NOTARY -QP ATTORNEY) /�6I/3, <br /> (NOTARY SEAL IF APPLICABLE) / <br /> ************* **.************** RESERVED AREA **************** <br /> inv <br /> *** *k****** <br /> MUNICIPAL FEE $�� , STATE FEE. $602) . DATE FILED Pb, l /- 1 <br /> DATE RENEWAL GRANTED / / OR DENIED / / #1 <br /> ARE SPECIAL CONDITIONS IMPOSED FOR THE 2013-2014 TERM? ( ) YES ( ) NOcyy <br /> �G <br /> MUNICIPAL CLE K OR A.B.C. .BO• '► SECRETARY: lYYY <br /> SIGNATURE �vrrrr ' <br /> DATE (/ 419191 <br /> NAME OF ISSUING AUTHORITY ,mss O �11-st c 1C-13 i <br /> STATE COPY '710113 <br />