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j na Commonwealth of Massachusetts
<br /> ett
<br /> Alcoholic Beverages Control+ ornrrrission
<br /> 9 .Fourth Street, `rate. , Chelsea,MA 0 15D-� 35
<br /> www.mass.govlabcc
<br /> APPLICATION FOR MULTIPLE AMENDMENTS
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<br /> 1. BUSINESS ENTITY INFORMATION
<br /> Entity Name Municipality ABCC License Number
<br /> NEW SEA►BURY RESOURCES MANAGEMENT,K
<br /> MA�SNPEE 06700332E
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<br /> provide a narrative overview of the transaction(s)being applied for.On-premises applicants should also provide description
<br /> Please rc� . � � 9 �'�'� � pp� p of
<br /> the intended theme or concept of the business�►°aeration.Attach additional Y��a��� ,if necessar ,
<br /> APPLICATION CONTACT
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<br /> The application contact is the person who should be contacted with any questions regarding this application.
<br /> Lame Title Email Phone
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<br /> LYS _ 7...........
<br /> ANA ADMINISTRATOR 5 85 9- 536
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<br /> 12. A►MENDM NT, ha LicenseCI,,,a',S,,s1fi'cation
<br /> F� 4nq e cif,Licens+e Cate gar°
<br /> Last-Approved License Category
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<br /> All Alcohol,Wine and Malty
<br /> Wine halt and Cordials Requested New License Category1
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<br /> Last-Approved License Class n +of License 'iris pp
<br /> ........� ...........
<br /> Seasonal or Annual
<br /> Requested New License Class . .......................................
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<br /> Cha , a.cf Licen_--_s..e T Last-Approved License Type
<br /> ...................... .........................................................................................
<br /> i.e. Restaurant toClub
<br /> *Certain License Types Requested New License Type
<br /> CANNOT change once issued*
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<br /> AMN[ MEiT +khan of Business En t informati rn
<br /> khan a c►f+ cry ,crate Name Last-Approved Corporate Name:
<br /> Requested New Corporate Name:
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<br /> Last-A p p roved DBA:
<br /> Requested New D BA►:
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<br /> Last-Approved{Corporate Structure
<br /> LLCr � 1 Cor oration Sole �,,, .....
<br /> Proprietor,eta Requested New Corporate Structure
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<br /> ����'� `" Information
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<br /> dof-,License P ee...�. _ � To whom is the
<br /> t pledge being made:
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<br /> 4,�gg of Stock
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