05/18/2020 BOARD OF SELECTMEN Agenda Packet

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APPLICATION FOR A NEW LICENSE 6A. INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE ........... Does any individual or entity identified in question 6,and applicable attachments., have any direct or indirect,beneficial or financial interest in any other license to sell alcoholic beverages? Yes F No If Yps,list in table below.Attach additional pages,if necessary,utilizing the table format below. ........——---- ...................................... .............. mm Name License Type m M License Marne unicipality .. .......... .............. The Little Shop of Olive W S Oils M 89714-PK-0430 Franklin, MA oi ls ............. .............. ................. .........J� .......... 6B. PREVIOUSLY HELD INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE 4a s............any y individual—''-- —-'o' r' entity--,i-d-e-n-''t"'i f—ie d--i-n--question," -'-'--6,'"..........and applicable attachments,ever held a direct or indirect,beneficial or financial interest in a license to sell alcoholic beverages,which is not presently held? Yes No If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. ........................ .................. ...... —111111111111 Na,m.e License Type License Name Municipality ............. .......... ......................... .................... '."..................... ...... �ummmm ............ .................................................................... 6C. DISCLOSURE OF LICENSE DISCIPLINARY ACTION Have any of the disclosed licenses listed in question 6Aor 6B ever been suspended,revoked or cancelled? Yes F] No If yes,list in table below.Attach additional pages,if necessary.,utilizing the table format below. Cate of Actio"n- . .............. at Name of License 70'" ................. .......... ..... -—----------------------t Reason for suspension,revocation or cancellation .......... ............. ........................... ........ ......................... ................... ........................................................... .......................... ....................—,"".............. ..................... ................. .. .......... 7Ts OCCUPANCY OF PREMISES7 P Please complete,all fields in this section. Please provide proof of legal occupancy of the premises. If the applicant entity owns the premises,a deed is required. If leasing or renting the premises,a signed copy of the lease is required. If the,lease is contingent on the approval of this license,and a signed lease is not available,a copy cif the unsigned lease and a letter of intent to lease,signed by the applicant and the landlord,is required. If the real estate and business are owned by the same individuals listed in question 6, either individually or through separate business entities,a signed copy of a lease between the two entities is required. Please indicate by what means the applicant will occupy the premises [ ...................... -)'Le............'a.............se ................................... ...................................................... ................. Landlord Name dashpee Commons, LLC �r„� �� ......... ........................................ Landlord Phone Landlord Email L............ —Ma sh" p-`eCommo........n.............s.....11,...M...a.................shpe A 26 .............................. ... Landlord Address M . 049..................... Lease Beginning Date 08/01/2019 Rent per onth 2�467 M ........................................ ................. ............. Lease Ending Date 08/01/2022 Rent per Year 129,604 1 ILF/ ................................................... ....... Will the Landlord receive revenue based on percentage of alcohol sales? ( Yes No 3