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THE CITY OF NEW YORKM A N H A T T A N COMMUNITY BOARD 359 East 4th Street - New York, NV 1 0 0 0 3P h o n e : (212) 5 3 3 - 5 3 0 0 - Fax: (212) 5 3 3 - 3 6 5 9www.cb3manhattan.org - info@cb3manhattan.orgGigi Li, Board ChairSusan Stetzer, District ManagerCommunity Board 3 Liquor License Application QuestionnairePlease bring the following items to the meeting:NOTE: ALL ITEMS MUST BE SUBMITTED FOR APPLICATION TO BE CONSIDERED.D Photographs of the inside and outside of the premise. Schematics, floor plans or architectural drawings of the inside of the premise.D A proposed food and or drink menu.D Petition in support of proposed business or change in business with signatures fromresidential tenants at location and in buildings adjacent to, across the street from and behindproposed location. Petition must give proposed hours and method of operation. For example:restaurant, sports bar, combination restaurant/bar. (petition provided) Notice of proposed business to block or tenant association if one exists. You can findcommunity groups and contact information on the CB 3 mmunity groups.shtmlD Photographs of proof of conspicuous posting of meeting with newspaper showing date.D If applicant has been or is licensed anywhere in City, letter from applicable community boardindicating history of complaints and other comments.eck which you are applying foinew liquor licenseQ lteration of an existing liquor license8D corporate changeCheck if either of these apply:Dlsale of assetsD upgrade (change of class) of an existing liquor licenseToday's Date:If applying for sale of assets, you must bring letter from current owner confirming that youare buying business or have the seller come with you to the meeting.Is location currently licensed? GTYes D No Type of license: R j l l Ltyjoy3 A*{ 2-At*If alteration, describe nature of alteration:Previous or current use of the location: MfcvfrA - Si* l-KS , SmvVsG fr/ A- fi4sA-quY« VCorporation and trade name of current license: iXNK)v\ toaLk N C ,APPLICANT:Premise address: [Q& TW'lA v e K W % , M Y lOOOlCross streets: \Ate\ s\k aC ?S Av \ L OLv\g 3. *- BIXName of applicant and all principals: SfrWV S- NCnyVCS-Sg-MTrade name (DBA):&W L\V l Yi— .&; ;«: ;Revised: February 2014Page 1 of 4

PREMISE:Type of building and number of floors: M \ Y l AfceSxA-OAV lr COVVNW* -OV\}"J- PLWill any outside area or sidewalk cafe be used for the sale or consumption of alcoholic beverages?(includes roof&yard) D Yes JETNo If Yes, describe and show on diagram:Does premise have a valid Certificate of Occupancy and all appropriate permits, including for anyback or side yard use? J2TYes D No What is maximum NUMBER of people permitted? 3 MrDo you plan to apply for Public Assembly permit? D YessJEfNoJWhat is the zoning designation (check zoning using map: http://gis.nvc.gov/doitt/nvcitvmap/ please give specific zoning designation, such as R8 or C2):Cb - 2-APROPOSED METHOD OF OPERATION:yWill any other business besides food or alcohol service be conducted at premise? D YesJEfNoIf yes, please describe what type:What are the proposed days/hours of operation? (Specify days and hours each day and hours ofoutdoor space) MovA - o wIQArA - H"AN*Number of tables? SONumber of seats at tables?3/3nO7How many stand-up bars/ bar seats are located on the premise?.(A stand up bar is any bar or counter (whether with seating or not) over which a patron can order,pay for and receive an alcoholic beverage) j(D "** *- s\ f ?*% S L P O *Describe all bars (length, shape and location) :(5) A ff /o"-* \&* (stco X PL)Does premise have a full kitchen0Yes D No?Does it have a food preparation area?J0Yes No (If any, show on diagram)Is food available for sale? JZI Yes D No If yes, describe type of food and submit a menuWhat are the hours kitchen will be open? * r 1 - / L AMWill a manager or principal always be on site? J2Tes D No If yes, which? *4 / to"'* Cj\w & IHow many employees will there be? 2 - QDo you have or plan to install D French doors D accordion doors or D windows?Will there be TVs/monitors? j0Tes No (If Yes, how many?) ty"Will premise have music? J3Yes NoRevised: February 2014page 2 of 4

Juke boxboxpTTapjIf Yes, what type of music? D Live musicianiJ2T)JJ2f DJ DQTapes/CDs/iPodIf othertype,please describeWhat will be the music volume? D Background (quiet) D Entertainment levelPlease describe your sound system: { Sj7*aU-lv . 2 . Mfcv\\t:oyi Will you host any promoted events, scheduled performances or any event at which a cover fee ischarged? If Yes, what type of events or performances are proposed and how often?NJUHow do you plan to manage vehicular traffic and crowds on the sidewalk caused by yourestablishment? Please attach plans. (Please do not answer "we do not anticipate congestion.")RYesOWill there be security personnel?/E3Tes No (If Yes, how many and when).T v5 k0AX A f Jgv Koiu, , .SOLWA&VAgL%Jfc K* -** keUyetu Obm -How do you plan to manage noise inside and outside your business so neighbors will not beaffected? Please attach plans.Do you/J2snave or D plan to install sound-proofing?APPLICANT HISTORY:,Has this corporation or any principal been licensed previously? JEfYes D NoIf yes, please indicate name of establishment: Tk-g- C-cVr-fc- L&-\-CAddress: IS E HOMSTOMCommunity Board #Dates of operation: "v w l- QjQ\.l - p r C S e v y V3If you answered "Yes" to the above question, please provide a letter from the communityboard indicating history of complaints or other comments.sHas any principal had work experience similar to the proposed business? J0Yes O No If Yes, pleaseattach explanation of experience or resume.yDoes any principal have other businesses in this area? JZlYes No If Yes, please give trade nameand describe type of business TVv*- LCKY LAJTZ,j/ O-V flW ) & bkUKflttliHas any principal had SLA reports or action within the past 3 years? D Yes J0No If Yes, attach listof violations and dates of violations and outcomes, if any.Attach a separate diagram that indicates the location (name and address) and total number ofestablishments selling/serving beer, wine (B/W) or liquor (OP) for 2 blocks in each direction.Please indicate whether establishments have On-Premise (OP) licenses. Please label streets andavenues and identify your location. Use letters to indicate Bar, Restaurant, etc The diagram mustbe submitted with the questionnaire to the Community Board before the meeting.Revised: February 2014"'.':,'',::'\,v' '*;?':Page 3 of 4H-Q.\A*

LOCATION:How many licensed establishments are within 1 block?. 10How many On-Premise (OP) liquor licenses are within 500 feet?.Is premise within 200 feet of any school or place of worship? D Yes CI NoCOMMUNITY OUTREACH:Please see the Community Board website tofindblock associations or tenant associations in theimmediate vicinity of your location for community outreach. Applicants are encouraged to reachout to community groups. Also use provided petitions, which clearly state the name, address,license for which you are applying and the hours and method of operation of your establishment atthe top of each page. (Attach additional sheets of paper as necessary).We are including the following questions to be able to prepare stipulations and have themeeting be faster and more efficient Please answer peryour business plan; do not plan tonegotiate at the meeting.1. pal agree to close any doors and windows at 10:00 P.M. every night?2. J3l will not have D DJs, D live music, D promoted events, J3any event at which a cover fee ischarged, scheduled performances, D more thanDJs/ promoted events per, D morethanprivate parties per3. J2fwill play ambient recorded background music only.4. DI will not apply for an alteration to the method of operation agreed to by this stipulationwithout first coming before CB 3.5. DI will not seek a change in class to a full on-premise liquor license. Or D my business plan isto seek an upgrade at a later date.6. 0 1 will not participate in pub crawls or have party buses come to my establishment7. D Iy/ill not have a happy hour. Or Happy hour will end by O p v w8. Zl will not have wait lines outside ja-There will be a staff person outside to monitor sidewalkcrowds and ensure no loitering.9. H Residents may contact the manager/owner at the following phone number. Any complaintswill be addressed immediately and I will revisit the above-stated method of operation ifnecessary in order to minimize my establishment's impact on my neighbors.Revised: February 2014 mmmvt -x'wPage 4 of 4

100 Third AveEstablishments selling/serving beer, wine (B/W) or Liquor (OP) for 2 blocks in eachdirection. Numbers below correspond to the 2425262728293031323334353637OP) Pourhouse, 64 3rd Ave, New York, NY 10003OP) Blockheads, 60 Third Avenue, New York, NY 10003OP) The Smith, 55 3rd Ave, New York, NY 10003OP) Amsterdam Billiards, 110 E 11th St, New York, NY 10003OP) Webster Hall, 125 E 11th St, New York, NY 10003B/W) Wayside, 139 E 12th St, New York, NY 10003OP) 12th Street Ale House, 192 2nd Ave, New York, NY 10003OP) Shoolbreds, 197 2nd Ave, New York, NY 10003OP) Durdens, 213 2nd Ave, New York, NY 10003(OP) Momofuku/Booker, 207 2nd Ave, New York, NY 10003(BA/V) Bruno, 204 E 13th St, New York, NY 10003(OP) Penny Farthing, 103 3rd Ave, New York, NY 10003(OP) Brazen Fox, 106 3rd Ave, New York, NY 10003(BA/V) CLC, 136 E 13th St, New York, NY 10003(OP) The Royal, 127 4th Ave, New York, NY 10003(OP) Singl, Hyatt Union Square New York, 80 E 13th St, New York, NY 10003(OP) Side Bar, 118 E 15th St, New York, NY 10003(OP) 5 Napkin Burger, 150 E 14th St, New York, NY 10003(OP) The Belfry, 222 E 14th St, New York, NY 10003(OP) Beauty Bar, 231 E 14th St, New York, NY 10003(OP) Blind Pig, 233 E 14th St, New York, NY 10003(OP) The Winslow, 243 E 14th St, New York, NY 10003(OP) Nowhere, 322 E 14th St, New York, NY 10003(OP) Crocodile Lounge, 325 E 14th St, New York, NY 10003(B/W) Artichoke Pizza, 328 E 14th St, New York, NY 10003(OP) O'Hanlons, 349 E 14th St, New York, NY 10003(OP) The Redhead, 349 E 13th St, New York, NY 10003(OP) Finnerty's, 221 2nd Ave, New York, NY 10003(OP) Professor Thorns, 219 2nd Ave, New York, NY 10003(B/W) Bar Veloce, 175 2nd Ave, New York, NY 10003(B/W) Cacio e Pepe, 182 2nd Ave, New York, NY 10003(OP) Ninth Ward, 180 2nd Ave, New York, NY 10003(OP) Juke Bar, 196 2nd Ave, New York, NY 10003(B/W) Feast, 102 3rd Ave, New York, NY 10003(OP) Bar None, 98 3rd Ave, New York, NY 10003(OP) Linen Hall, 101 3rd Ave, New York, NY 10003(OP) Bait and Hook, 231 2nd Ave, New York, NY 10003

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