05/18/2020 BOARD OF SELECTMEN Agenda Packet

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APPLICANT'S STATEMENT r-I L! LLC/LLP manager ----.......... I e proprietor;sole Ell partnera. 8a a corporate Au,thorized Signatory INEW SEASURY RESOURCES MANAGE�iENR, Name of the Entity/Corporatior) hereby submit this application (hereinafter the "Applicatioll"),to the local licensing authority(the "'LLA)l)and the Atcoholic Beverages Control COMnlission fthe "*'ABCCII and together with the LLA collectively the "Licensing Authorities') for approval, I do hereby declare under the pains and penalties of perjury that I have personal knowledge of the information subm tte ' in tf e Application, `r .t -nents and is therein aretry to thet belief. et further submitt true . . I und I erstand that each representation in this Application is material to the Licensing Authorities'decision on the Application and that the Licensing Authorities will rely an each and every answer in the Application and accompapying documents in reaching its decision; t the location and descriptioni r emises are in cOMPliance with state and local'laws and regulations; the Applicationis pending, I must notify the Licensing Authorities of any change hn the information submitted therein. I understand that failure to give such notice to the Licensing Authorities may result in disapproval the Application; understandr Application, I must notifyities of any change in the ownershipr the Licensing Authorities. I understandt failure to give licenseeLiCensing Authorities mayr'e-sult in sanctions including revocation of anV license for which this Application is Submitted; statements will be bound by the r t including, but not limited to the identity of persons with an ownership or financial intere'st in the ficense; r statements representations (7) 1 understand that any physical alterationsr changes to the size beverages,consumption of alcoholic t be reportedto the Licensing Authorities of the1icensing Authorities; 1 understand that the licensee'sfailure to operatelicensed premises Applicationrepresentations made in the may result in sanctions, including the revocation any license for which the Application was submitted,;and (9) 1 understand that any false statement or m isre presentation .St it r disapproval sanctions including revocation of any license for which this Application is i submitted. confirm that the applicantcorporation ,c individual secton of the application is good standing with the Massachusetts Department of Revenue and has complied .Of the Commonwealth relating to taxes,, and^^of ,�y contractors, and withholdingremitting Ad ` 9 Da tea a' ! el Title: