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ih e Commonwealth of Massaeh usetts <br /> A leoh olive Beverages Control Commission <br /> 95 Fourth street,► uite 3, Chelsea,AL4 021.50-2 3.5 " <br /> www.mass.govlabee <br /> RETAIL ALCOHOLIC BEVERAGES LICENSE E APPLICATION <br /> MONETARY TRANSMITTAL FORM <br /> APPLICATION FOR A NEW LICENSE <br /> APPLICATION SHOULD BE COMPLETEDON-LINE,, PRINTED,SIGNED,AND SUBMITTED TO THE LOCAL <br /> LICENSING AUTHORITY, <br /> EC RT CODE: RETA <br /> Please make$200.00 payment here:ABCC PAYMENT�I' EBS�ITE <br /> ........... <br /> PAYMENT MUST DENOTE THE NAME OF THE LICENSEE CORPORATION,LLC,PARTNERSHIP,CAR INDIVIDUAL AND INCLUDE THE <br /> PAYMENT RECEIPT <br /> ABCC LICENSE NUMBER(IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CITY <br /> ENTITY/LICENSEE NAME ,Morrison Marketplace LLC <br /> ADDRESS 259 Shore Drive, Unit 1 <br /> CITY/TOWN Mashpee STATE MA ZIP CDDE 02649 <br /> For the following transactions (Check all that apply): <br /> 0 New License E] Change of Location E] Change of Class(i.e.Annual/Seasonal) Change Corporate Structure(i.e.Carp t LLQ <br /> El Transfer of License © Alteration of Licensed Premises E] Change of License Type(l.e.club/restaurant) 0 Pledge of Collateral(i.e.License/Stock) <br /> Change of Manager Change Corporate flame � Change of Category(i.e.All Alcohol/wine,Malt) 0 Management/operating Agreement <br /> Change of Officers/ Change of Ownership Interest issuancelTransferdf Stock/New Stockholder E] Change of Hours <br /> Directors/LLC Managers El (LLC Members/LLP Partners, <br /> Trustees) E]Other El Change of DBA <br /> THE LOCAL LICENSING I AUTHORITY MUST MAIL THIS <br /> TRANSMITTAL FORM ALONG WITH <br /> COMPLETED APPLICATION, AND SUPPORTING DOCUMENT TO <br /> Alcoholic Beverages Control Commission <br /> 5 Fourth Street,Suite 3 <br /> Chelsea,MA 02150-235 <br />