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APPLICATION FOR RETAIL ALCOHOLIC BEVERAGE LICENSE <br /> City/Town Lexington <br /> 1. LICENSEE INFORMATION: <br /> A. Legal Name/Entity of AppIicant:(corporation,LLC or Individual) Lexington Mexican Restaurant Group, Inc. <br /> B. Business Name(if different) : Tio Juans Margaritas Mexican Resta '"rC. Manager of Record: Gregory Yeager <br /> D.ABCC License Number(for existing licenses only) : F061200034 <br /> E.Address of Licensed Premises 438 Bedford St City/Town: Lexington State: MA Zip: 02420 <br /> F. Business Phone: 339 970-2250 G. Cell Phone: (617)513-4424 —� <br /> H. Email: mmancini@margs.com I.Website: margs.com <br /> J.Mailing address(If different from E.): 200 Griffin Rd Suite 1 City/Town: Portsmouth State: FE::] <br /> Zip: 03801 <br /> 2.TRANSACTION: <br /> 7 New License ❑X New Officer/Director F-] Transfer of Stock © Issuance of Stock Q Pledge of Stock <br /> © Transfer of License 0 New Stockholder E] Management/Operating Agreement © Pledge of License <br /> The following transactions must be processed as new licenses: <br /> ❑ Seasonal to Annual F (6)Day to(7)-Day License 0 Wine&Malt to All Alcohol <br /> IMPORTANT ATTACHMENTS(1): The applicant must attach a vote of the entity authorizing all requested transactions,including the <br /> appointment of a Manager of Record or principal representative. <br /> 3. TYPE OF LICENSE: <br /> ❑X §12 Restaurant ❑ §12 Hotel 0 §12 Club 0 §12 Veterans Club © §12 Continuing Care Retirement Community <br /> 0 §12 General On-Premises © §12 Tavern (No Sundays) F� §15 Package Store <br /> 4. LICENSE CATEGORY: <br /> ©X All Alcoholic Beverages © Wines&Malt Beverages © Wines © Malt <br /> © Wine&Malt Beverages with Cordials/Liqueurs Permit <br /> 5. LICENSE CLASS: <br /> ©X Annual 7 Seasonal <br />