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ja:xThe Commonwealth of Massachusetts
<br /> - Alcoholic Beverages Control Comm*
<br /> 95 Fourth Street,Suite Chelsea.,MA 021, Q'-�'358
<br /> N: www-m as ., ovlabe,e
<br /> `4 APR 3 PM 12: 3 2
<br /> APPLICATION FOR AMENDMENT-Chan f L' Classification
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<br /> 0 Change cif Category 0 Change ofClass ' 19 Change of License T
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<br /> (e.g.All Alcohol,Wines and Malt) (e.g. easonal/Annual) (§12 ONLY,e.g. general on premises,
<br /> • DEAR Certificate of Good Standing • DOR Certificate of Good Standing tavern,inn,restaurant)
<br /> • DUA Certificate of Compliance . DUA Certificate of Compliance ' Change of License Type Application
<br /> • Change of Category Application * Change of Classification Application e 'Vote of the Entity
<br /> • Vote of the Entity * 'Vote of the Entity • Advertisement*
<br /> * Abutter's notification* '* Abutter's Notification* 9 Payment Receipt
<br /> • Advertisement* * Advertisement*
<br /> * Payment Receipt * Payment Receipt
<br /> *If abutter notification and advertisement,are required for transaction,please see the local licensing authority.
<br /> 1. BUSINESS ENTITY INFORMATION
<br /> Name
<br /> Municipality
<br /> ABCC License Number
<br /> _._.... ..._.- .. __ .... :.. ., a.. ......_____ .
<br /> EW SEABURY RESOURCES MA A EMENT INC jMA HPEE11"�67000003
<br /> __.lied for.Attach additional
<br /> „�nA,
<br /> .......Please provide a narrative overview ofthe transaction(s)being applied a1 pages,if necessary.
<br /> Mm�
<br /> _......� ._..— ---.
<br /> APPLICATION��� CONTACT
<br /> fke..........application.contact is the person who should be contacted With any questions regarding this application.
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<br /> Marne Title Email Phone
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<br /> �ALYSON AI i ETELL ADMINISTRATOR R �1AN ETELL@NE EABUR . + M
<br /> ........... ..____.,non,„w, �� ........�,,,,F„
<br /> 112. LICENSE CLASSIFICATION INFORMATION
<br /> Last-Approved License Category erase+ at+e ►
<br /> _.
<br /> 24.... h�an a+ .�c..-_.....___......._.. .,,.,,
<br /> . ...._ _ ._.. ......._ ,,,,,,,,«,, ._�
<br /> All Alcohol,,dine and Malt., nested New License Cate
<br /> Wine Malt and Cordials Requested gory . :
<br /> 2b.Cha..... Last-Approved License Class
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<br /> Seasonal or Annual ................... ................ ............... E,"
<br /> Requested New License Class
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<br /> 2+c,.. c� ,, .....-t Ty",
<br /> Last-Approved License Type §12 Restaurant
<br /> E.g. Restaurant to Club
<br /> L:.... �. ..... .,, ,,,..
<br /> *Certain License Types
<br /> Requested New License Type §12 Club
<br /> CANNOT change once issued*
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