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rev12312021 OFFICE USE ONLY 0 Original O Amended Date 49 Standardized NOTICE FORM for Providing 30-Day Advance Notice to a Local Municipality or Community Board 1. Date Notice Sent:!L0_1_/_1_4_/2_0_2_6________, la. Delivered by: Icertified Mail Return Receipt Requested I 2, Select the type of Application that will be flied with the Authority for an On-Premises Alcohol!c Beverage license: For premises outside the City of New York: 0 New Application O Removal O Class Change For premises In the City of New York: 0 New Application O New Appllcation and Temporary Retail Permit O Temporary Retail Permit 0 Removal 0 Class Change O Method of Operation O Corporate Change 0Renewal O Alteration For New and Temporary Retail Permit appllcants, answer each question below ustng all information known to date For Renewal applicants, answer all questions For Alteration applicants, attach a complete written description and diagrams depleting the proposed alterat!on(s) For Corporate Change applicants, attach a list of the current and proposed corporate principals For Removal appllcants, attach a statement of your current and proposed addresses with the reason(s) for the relocation For Class Change applicants, attach a statement detalUng your current license type and your proposed license type For Method of Operation Change applicants, although not required, If you choose to submlt1 attach an explanation detailing those changes Please include all documents as noted above. Failure to do so may result In disapproval of the application. This 30-Day Advance Notice Is Being Provided to the Clerk of the Following Local Municipality or Community Board: 3. Name of Munlclpallty or Community Board: E_a_s_t_A_u_ro_r_a_N_Y_C_l_e_rk_s_O_ff_i_ce____________________, .._I Applicant/Licensee Information: 4. licensee Serial Number (If applicable): Expiration Date (If applicable): .--~======:::::.----~========; I 5. Applicant or Licensee Name: Varnished Nails, LLC c.:.;:;:.;;;=.:..::...;:::::====================: 6. Trade Name (If any): Varnished I 7. Street Address of Establishment: 134 Grey Street I 8. City, Town or Village:! East Aurora '-----------;====---~.:___ ___2::::::::::::::========;-' , NY Zip Code: I14052 I 9. Business Telephone Number of applicant~/::,:llc::,:e::,n::,se::,:e::,:_ _ _=17=1=6:: :·: :8: :0: :5: :7:::5:::3:::5::::::======================I~ • 10. Business E-mail of Applicant/Licensee: li.;V:..,V.:...,::ae.rn:..e,::is,,.h:.,:e:::d::@=g=m:..:a::i:..:l..::c.::o;:.m:,:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___,I 11. Type(s) of alcohol sold or to be sold: 0 Beer & cider 0 Wine, Beer & Cider 0 liquor, Wine, Beer & Cider 12. Extent of Food Service: 0 Full Food menu; full kitchen run by a chef/cook 0 Menu meets legal minimum food requirements; food prep area required 13. Type of Establishment: i.:IB"'a,,,r,.,,/.,,T-=a,..,vc.,eccr.:.nc.,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __, D Seasonal Establishment 0Juke Box ~ Disc Jockey l!:J Recorded Music [!l Karaoke 14. Method of Operation: (check all that apply) [!] Live Music (give details I.e., rock bands, acoustic, jazz, etc.): v_a_r_io_u_s....:::g_e_n_re_s_____________., LI D Patron Dancing D Employee Dancing D Exotic Dancing D Topless Entertainment 0 Video/Arcade Games O Third Party Promoters D Security Personnel [!l Other (specify): I Ne...:, \ s· c.... ~"' 0 15. licensed Outdoor Area: [Z] None D Patio or Deck D Rooftop D Garden/Grounds D Freestanding Covered Structure (check all that apply) 0 Sidewalk Cafe D Other (specify): Page 1 of 2