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LOO <br /> ,, Q ( ►� <br /> o — o � - ee � e � At7171 <br /> Aco <br /> TRH STATE OF NEW JERSEY gpPLICAI�Uii f� U1014 <br /> DEPARTMENT OF LAW AND PUBUC SAFETY <br /> FEE: DIVISION OF ALCOHOLIC BEVERAGE CONTROL <br /> DATE: RETAIL LIQUOR LICENSE APPLICATION <br /> STATE ASSIGNED LICENSE NUMBER <br /> DATE APPLICATION FILED: <br /> 6f)2-)----__H__-_r D tag I l3 r_Li. <br /> For DIVISION use only 3 <br /> CODE TYPE OF LICENSE(CHECK ONE) THIS APPLICATION IS FOR / (/*/ <br /> CLASS C LICENSES[R.S.33:1-12) <br /> A New License <br /> 31 Club — <br /> Person-to-Person Transfer <br /> 32 Plenary or Retail Package Privilege (including Partnership change, <br /> except Limited Partnership) <br /> 33 — Plenary Retail Consumption Place-to-Place Transfer <br /> (Including expansion of premises) <br /> 36 Plenary oteR1M�otel Consumption n <br /> Change of Corporate Structure <br /> — <br /> 37 Plenary Retail Consumption Extension of License(to Executor, <br /> (Theatre Exception) Receiver,Administrator,etc.) <br /> 35 Seasonal Retail Consumption XX Renewal of License <br /> (November 15 through April 30) — <br /> 34 Seasonal Retail Consumption Amendment of Application on File <br /> (May 1 through November 14) <br /> Other <br /> —44 $g Plenary Retail Distribution <br /> 43 Limned Retail Distribution �`p --A ( W { h t. -I- M a r _, <br /> OTHER <br /> 14 Annual <br /> (R.S State 33:1-42, IJAC 13:2-52) <br /> 40 Special Permit for a Golf Facility <br /> 0722-44-046-008 <br /> (NJAC 13:2-5.3) <br /> E G Holding Corp.—West Orange <br /> 1-- This Area is Reserved for Mi. Tf A Total Wine& More <br /> oC <br /> Municipal Fee $ q 3 325 Essex Green Shopping Ctr. <br /> Effective Date I / West Orange, NJ 07052 <br /> (As Stated in Resolution. Date of resolution unless otherwise established.) <br /> State Fee $ cR o o .°° G=; <br /> Date Denied I I . <br /> ._ <br /> (As Stated in Resolution) <br /> Refund Amount $ � k N' <br /> Special Conditions Attached' Yes <br /> No vim.n€,\)01-..e_, 'KoLe._n ) k. m . c . ,.,. <br /> c...., <br /> ...._. .. _. <br /> Type or Print Name Name, First Na e, Middle Initial)of Municipal Clerk or ABC Secretary <br /> _y/I <br /> TRANS ND: 1 400474 <br /> re of Mun''pal -rk or A=C Secretary <br />