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APPLICATION FOR 013-2014 <br /> 2013 - 2014 RENEWAL APPLICATION L0001.• <br /> TR#: STATE OF NEW JERSEY Action ID Code <br /> DEPARTMENT OF LAW AND PUBLIC SAFETY [ ) [ ) C ) [ ] <br /> FEE: DIVISION OF ALCOHOLIC BEVERAGE CONTROL A W D U <br /> DATE: RETAIL LIQUOR LICENSE APPLICATION <br /> 0DISILE ASRIED LICErISoNcy ER DE AyjCATIQi FILED: <br /> [For DIVISION use only ) S �l <br /> CODE TYPE OF LICENSE(CHECK ONE) THIS APPLICATION IS FOR: <br /> CLASS C LICENSES [R.S.33:1-12] r-Cli --.....)1(._...f <br /> 31 Club A New License <br /> 32 Plenary Retail Consumption Person to Person Transf- <br /> w/Broad Package Privilege (Incl. Partnership chan <br /> 33 Plenary Retail Consumption except Ltd. Partnership <br /> 36 Plenary Retail Consum Lion Place to Place Transfer <br /> (Hotel/Motel Exception) (Including expansion of premises) <br /> 37 Plenary Retail Consumption Change of Corporate Structure <br /> (Theatre Exception) Extension of License(To Executor, <br /> 35 Seasonal Retail Consumption Receiver,Adminis rator, etc.) <br /> (November 15 through April 30) _ XX Renewal of License <br /> 34 Seasonal Retail Consumption Amendment of Application on File <br /> (May 1 through Nov. 14) <br /> 44 XX Plenary Retail Distribution <br /> Other <br /> 43 Limited Retail Distribution <br /> OTHER <br /> 14 Annual State Permit 0252-44605-U3 <br /> (R.S.33:1-42, NJAC 13:2-52) E G HOLDING CORPORATION INC 7 <br /> 40 Special Permit for a Golf Facility T/A TOTAL WINE & MORE `__. ` <br /> (NJAC 13:2-5.3) 135 KINDERKAMACK RD <br /> RIVER EDGE NJ 07661 c''' <br /> This Area is Re; r` <br /> Municipal Fee $a�co t Ta <br /> Effective Date __i /_ r.,.> • <br /> (As Stated in Resolution. Date of resolution unless otherwise e • <br /> State Fee $r[0 6 <br /> Date Denied / / <br /> (As Stated in Resolution) <br /> Refund Amount $. <br /> Special Conditions Attached: Yes No <br /> rDc1 01,E o —J)e/7ife A , _ <br /> Type or Print Name (Vast name, first, middle initial)of Municipal Clerk or ABC Secretary <br /> _ ,4/ .�. 'L�.I/ t + <br /> Signet - of Municipal erk or ABC -cr- TR N KL� ��1� ��t?4 <br /> :571.7.7.1 <br /> la <br />