HomeMy WebLinkAbout2016 Aug 29 - Transfer of Alcohol Package Store License Sign Off Sheet .o�''�`��.�
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Telephone (508) 398-2231, Ext. 268 - Fax (508) 398-0836
TRANSFER OF ALL ALCOHOL PACKAGE STORE LICENSE
DATE: August 29, 2016
APPLICATION FOR: New Yarmouth Corp.
DBA: Yarmouth Port Village Store �
ADDxEss: 330 Route 6A, Yarmouth Port
Vishal Shukla, manager
Contact person: Matthew S. Porter Esq. 508-238-2510
Transfer of license from Blue Marlin Beverage Corp. dba Yarmouth Port Village Store, Viktor J.
Zukauskas, manager. There are no changes being proposed to the building or floor plan.
NAME OF PROPERT'Y OWNER: New Yarmouth Realty LLC
Date of Selectmen Hearing: Tuesday, September 13, 2016 '
Health Dept. Comments:
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Downstairs for food and liquor storage only. (No food Prep) �
Must submit Food application with ServSafe,Allergen Certificates and Worker's Comp. Affadavit. '
Inspection must be conducted prior to new ownership.
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Signature: �' J �, '
Date:
Need Completed form by WEDNESDAY, SEPTEMBER 7,2016
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