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OFFICE OF THE CITY CLERK
City Hall - Room 202 ashe
434-5090
CABARET APPLICATION
FINAL DETERMINATION FORM
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Carlo Fihioment- Division of Building and Regulatory Compliance
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Deputy Chief Toomey- Fire Department
1 Common Council Member: Richard Centi
From: Nala R Woodard —City Clerk
Cabaret Name: OH Bar
Cabaret Address: 304 Lark Street
Pleas tum this form tothe City Clerk in The Office ofthe City Cetk ASAP. Copies of these
2015 CABARET APPLICATIONs ae in our office, Please let us know if you need copy for
Yyour records. I you have any questions regarding this application please contact me or the
Applicant drei. If there are outstanding issues, which may delay your review, and you can not
proces his application within 30 days, please contact me,
FINAL DETERMINATION:
[1 ssvance
[D]_SsuANcE WrrH CONDITIONS (please explain & provide dacementation)
[DENIAL (lense explain & provide docomentation)
Explantation& Determinations:
Signature Date,
PLEASE PROVIDE ALL DOCUMENTATION IN
ACCORDANCE WITH § 111-69 (C) (2) and (D) (2)‘Annual Fee
Upto 80 penons $150.00
131300 eons = 20000
3011 30 pens = $300.00
50 mae pesens = $500.00
No Aol $50.00
INSTRUCTIONS: ‘his pplication must be completed in fll, either typed or printed
clearly, and submitted tothe City Clerk, City Hall, Room 202, by the owner ot tenast of the
property for which the cabaret license is being requested. Make all checks payable to the City
of Albany.
‘This form must be accompanied with copy of the maximum certificate of eccupancy, a
copy ofthe liquor license (if applicable) and documentation stating your Not-For-Profit
‘Status (if applicable). All ess for the license are to be collected withthe application and
‘are non-refundable, All licenses expire on December 31" of each calendar year.
Ifyou have any questions, please contact the Office of City Clenk at (518) 434-5090,
APPLICANT:
Name ot Appian _ALALED J. firmrang Fe
Name of Bstabtishment: C/A SV.
‘Telephone Number: WUS- G00 ___paman_ajtamiane @ Het. ccm
Address: ZY Cinch Sr Wi Ban yy N/ (2210
Ge ‘Gop cae)
Prineipal Offices i different from busines adress:
Applicant's Interest in Property (Check One): Owner £2] Tenant [] Other
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‘Please list a agent thet i authorize to act on your behalf
PROPERTY
Nameotite Owner ALFRED TS, Fitracnn, We
Peet 336-3765
Additional Owner’s Name(s) Phone
Atdrestes: YOQ. Sinfe $7 Mibmy Wi 12203‘Total interior square footage (Wxiy_30 KX VGC YE
‘Expected numberof stendees per ovei() (please check one):
Avpw1s0 0 istwo300 1 3010500 1D s01cemore
Number of events:
D1 D2 — B1yestongpemit 1D ticensed not-for-profit —up t0'10 events
1ENot-For Profit, please list the ten dates of use for this calendar year:
SS
‘ftemporary Hicenoe, please list he one or two dates of use
Willalcoholbeseved?