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_`h e Commonwealth of Ma ach usetts <br /> Alcoholic Beverages es Control Commission <br /> 95.Fourth Street,Suite 3, Chelsea,MA 0215 "-2358 <br /> ww-mass. ovrahec <br /> RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION <br /> 20D APR -7 AN 7, 3 2 <br /> MONETARY TRANSMITTAL FORM <br /> APPLICATION FOR A► NEW LICENSE <br /> APPLICATION SHOULD BE COMPLETED ON-LINE,, PRINTED,SIGNED,AND SUBMITTED TO THE LOCAL <br /> LICENSING AUTHORITY. <br /> ECRT CCID ,- A <br /> Please make$200.00 payment here:A CC PAYMENT WEBSITE <br /> PAYMENT MUST DENOTE THE NAME OF THE LICENSEE CORPORATION,LLC, PARTNERSHIP,OR INDIVIDUAL AND INCLUDE THE <br /> PAYMENT RECEIPT <br /> ABCC LICENSE NUMBER IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CITY <br /> mmm „mm <br /> ENTITY/LICENSEE NAME <br /> u <br /> ADDRESS <br /> CITY/TOWN <br /> STATE �- <br /> ZIP CODE <br /> For the following transactions (Check all that apply): <br /> [�J/New License 0 Change of Location [] Change of Class(i.e.Annual Seasonal) El Change Corporate Structure(i.e.Carp/LQ <br /> El Transfer of License 0 Alteration of Licensed Premises Change of License Type(i.e.club/restaurant) Pledge of Collateral(i.e.License/stock) <br /> Change of Manager F� Change Corporate Dame g g Management/operating Agreement <br /> Change of Cate or (i.e.APP APc+�hc�llltVlne,Malt) <br /> Change of Officers/ Change of Ownership Interest issuance/Transfer of Stock/New Stockholder r7 Change of Hours <br /> Directors/LLC Managers (LLC Members/LLP Partners, <br /> Trustees) Other E] Change of DBA <br /> THE LOCAL LICENSING AUTHORITY MUST MAIL THIS <br /> TRANSMITTAL FORM ALONG WITH <br /> COMPLETED APPLICATION, AND SUPPORTING DOCUMENTS TO: <br /> Alcoholic Beverages Control C ommissi*on <br /> 95 Fourth Street, Su to <br /> Chelsea,M.A.02150-2358 <br />