LICENSE FOR PUBLIC EXHIBIT
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In consideration of the payment of the fee prescribed by
the License Ordinance of the Town of Lloyd, a license is hereby given to _________________________________
to give a public (exhibition, carnival, show) within the Town of Lloyd, Ulster
County, at _________________________________ and at no other place within
said Town, on the following date: _____
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This license is issued in accordance with the provisions
of § 221 of The Town Law of the State of New York and of the License
Ordinance of the Town of Lloyd and is issued and accepted subject to the provisions
of said statute and ordinance and in particular subject to the provision that
the Town of Lloyd and its officers and every peace officer of the State of
New York shall be allowed at all times free access to such (exhibition, carnival,
show), and every part thereof, and that this license may be revoked or annulled
at any time for any violation of law or for gambling on the premises or if,
in the opinion of the Town Board, such revocation or annulment will promote
public peace or the moral welfare of the community.
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The Town Board may assign Town peace officers as in its
opinion shall be required for policing the premises, at the expense of the
licensee.
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Dated _________________________ 19___________________.
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BY ORDER OF TOWN BOARD
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TO THE TOWN BOARD OF THE
TOWN OF LLOYD:
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The undersigned __________________________________________
makes application for a license for ____________________________________ and
represents as follows:
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1. The name of the applicant is ________________________________,
and residence and permanent address __________________________.
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2. The following is a general description of the show, exhibition
or carnival proposed to be given: _________________________________________
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3. The place of proposed __________________________________
will be as follows: _________________________________________.
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4. The dates desired are ___________________________________.
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5. The only concession, games, etc., which will be allowed
on the grounds will be as follows: ___________________________________________.
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6. These concessions, games, etc., are owned and operated
by the following persons whose permanent addresses and residences are as follows:
______________________________________________.
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7. The undersigned agrees to comply with all provisions
of statute of the State of New York affecting the operation of said and also
of the License Ordinance of the Town of Lloyd and the provisions of the license
when issued.
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8. The applicant will provide security as required by said
ordinance as follows: _______________________________________________________.
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9. The applicant represents that there are no lewd or obscene
features to said ______________________________________________ or connected
with any of the concessions or games and that there will be no gambling and
the public peace will not be disturbed thereby.
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10. The applicant hereby agrees that the decision of the
Town Board of the Town of Lloyd shall be final and binding as to all matters
regarding the revocations or annulments of the license, if granted, under
the provisions of the statute of the State of New York, the License Ordinance
of the Town of Lloyd and the conditions set forth in said license and that,
if it is issued, the applicant accepts and agrees to be bound by all terms
of the license.
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11. The applicant hereby designates the Town Clerk of the
Town of Lloyd as a person upon whom any service or other process or notice
or paper may be served upon him with like force and effect as if personal
service thereof were made for the period of 30 days after the last date designated
in the license.
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State of New York,
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County of Ulster, ss.:
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(The petition or application shall be acknowledged as provided
by law for instruments affecting real property to entitle them to be recorded.)
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