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HomeMy WebLinkAboutJ - 09 Cort-Lanes Liquor License Renewalrev12312021 OFFICE USE ONLY 0 Original 0 Amended Date /sirh... iiv 1. Date Notice Sent 49 Standardized NOTICE FORM for Providing 30-Day Advance Notice to a Local Municipality or Community Board la. Delivered by: 2. Select the type of Application that will be filed with the Authority for an On -Premises Alcoholic Beverage License: For premises outside the City of New York: O New Application O Removal O Class Change For premises in the Citv of New York: O New Application O New Application and Temporary Retail Permit O Temporary Retail Permit O Removal O Class Change O Method of Operation O Corporate Change ®Renewal O Alteration rr� Z 5 cc �UQ � Q LL AHIZOfi For New and Temporary Retail Permit applicants, answer each question below using all information known to date A U For Renewal applicants, answer all questions Is For Alteration applicants, attach a complete written description and diagrams depicting the proposed alteration(s) For Corporate Change applicants, attach a list of the current and proposed corporate principals U. For Removal applicants, attach a statement of your current and proposed addresses with the reason(s) for the relocation For Class Change applicants, attach a statement detailing your current license type and your proposed license type For Method of Operation Change applicants, although not required, if you choose to submit, attach an explanation detailing those changes Please include all documents as noted above. Failure to do so may result in disapproval of the application. This 30-Day Advance Notice is Being Provided to the Clerk of the Following Local Municipality or Community Board: 3. Name of Municipality or Community Board: I CORTLAN DVI LLE Applicant/Licensee Information: 4. Licensee Serial Number (if applicable): I2501481 Expiration Date (if applicable): 109/30/2023 5. Applicant or Licensee Name:ICORTLANES INC 6. Trade Name (if any): 7. Street Address of Establishment: 1928 ROUTE 13 8. City, Town or Village:1CORTLAND , NY Zip Code: 113045 9. Business Telephone Number of applicant/ Licensee: I607-7553-3323 I 10, Business E-mail of Applicant/Licensee: �Ohnpartigianoni@yahoo.eom 11. Type(s) of alcohol sold or to be sold: © Beer & cider O Wine, Beer & Cider Q Liquor, Wine, Beer & Cider 12. Extent of Food Service: O Full Food menu; full kitchen run by a chef/cook 0 Menu meets legal minimum food requirements; food prep area required 13.Type of Establishment: 113owllnq Establishment I.: ❑ Seasonal Establishment ❑ Juke Box ❑Disc Jockey ❑ Recorded Music ❑ Karaoke 14. Method of Operation: (check all that apply) ❑Live Music (give details i.e., rock bands, acoustic, jazz, etc.): ❑ Patron Dancing ❑ Employee Dancing ❑ Exotic Dancing ❑ Topless Entertainment ❑ Video/Arcade Games ❑ Third Party Promoters ❑ Security Personnel ❑ Other (specify): I I 15. Licensed Outdoor Area: ❑✓ None ❑ Patio or Deck ❑ Rooftop (check all that apply) ❑ Sidewalk Cafe ❑ Other (specify): ❑ Garden/Grounds ❑ Freestanding Covered Structure r rK 00 Page 1 of 2 opla-rev12312021 OFFICE USE ONLY O Original 0 Amended Date 16. List the floor(s) of the building that the establishment is located on: lone 17. List the room number(s) the establishment is located in within the building, if appropriate: l 18. Is the premises located within 500 feet of three or more on -premises liquor establishments? 0 Yes f- No 19. Will the license holder or a manager be physically present within the establishment during all hours of operation? 0 Yes 0 No 20. If this is a transfer application (an existing licensed business is being purchased) provide the name and serial number of the licensee: I I I Name Serial Number 21. Does the applicant or licensee own the building in which the establishment is located? Yes (if YES, SKIP 23 26) 0 No Owner of the Building in Which the Licensed Establishment is Located 22. Building owner's Full Name: (John M Partigianoni 23. Building Owner's Street Address: 115IRlvervlew Ave 24. City, Town or Village: lCortland 25. Business Telephone Number of Building Owner: 1607-753-3323 IState: IN.Y. I Zip Code: 113045 Representative or Attorney Representing the Applicant in Connection with the Application for a License to Traffic in Alcohol at the Establishment Identified in this Notice 26. Representative/Attorney's Full Name: 1 27. Representative/Attorney's Street Address: l 28. City, Town or Village: l I State: ( Zip Code: 29. Business Telephone Number of Representative/Attorney: 1 30. Business E-mail Address of Representative/Attorney: l I am the applicant or licensee holder or a principal of the legal entity that holds or is applying for the license. Representations in this form are in conformity with representations made in submitted documents relied upon by the Authority when granting the license. I understand that representations made in this form will also be relied upon, and that false representations may result in disapproval of the application or revocation of the license. By my signature, I affirm - under Penalty of Perjury - that the representations made in this form are true. 31. Printed Principal Name: IJohn M Partigianoni I Title: lyres/Owner Principal Signature: .,1�l�1'z� p g r 49 Page 2 of 2