Cigarette Dealer Application Bestway

STATE OF CONNECTICUT ge Instructions: Ensure that thé “Applicant gectlah
DEPARTMENT OF REVENUE SERVICES “oe ie tow ras been completed and fhe information In
. 4 e "Business Information” section is correct.
Telephone: 860-297-4865 e a 3 ” When present to the town clerk of the municlpality
DRS Website: portal.cL.gov/DRS © f Piss ‘ where the business is {to ba) lacaled. Have the
myconneCT Portal portal.ct.gowDRS-myconneCT own clerk acknowledge receipt of this notification.
nce completed, retum to the myconneCT portal
Ind complate tha acknowledgement ratum.
NOTICE OF APPLICATION FOR A CIGARETTE DEALER/RETAILER LICENSE
Department of Revenue Services, 450 Columbus Blvd, Suite 1, Hartford, CT 06103-1837
License Case Number: 669905
Name of Applicant
Rlodu | seta an?
~ .
§ Residential Address _f 26 ? 5)
Hiss botreh RD cebllele
Residential City, State Zip
~~ 2)
= mn
Business information eo
BESTWAY 121 CORP. 
= AA
» |122 BOSTON POST RD NS
¥ WATERFORD CT 06385-2420 ~ Be
& fa)
5 U SR
a me oS
Ro P37
fan! Oo
Certification of Receipt by Town Clerk
This application has been received by the clerk of the municipality for the above listed business.
Naveen, Clot ; Deputy Town Cale o7/ 22/2025
Signature oF Town Clerk Date Received v
Darleen Celotto
Front Name
The above noted applicant has applied for a Cigarette Dealer/Retailer License by submitting a registration application to
the Connecticut Department of Revenue Services (DRS).
’
A copy of this notice must be provided to the clerk of the municipality where the business is to be located.
The clerk must post and maintain this notice on the website of the municipality for at laast a two-week period.
Not later than the day follawing the date an applicant provides notice to the clerk of the municipality, the applicant shail
afflx a copy of this notice, which shall be maintained in a legible condition, upon the outer door of the building where such
place of business is fo be iocated.
if an application is filed for a license for a building that has not yet been constructed, the applicant shail, not later than the
day following the date an applicant provides notice to the clerk of the municipality, erect and maintain in a legible
condition on the site where the business is to be located, a sign that:
(A) ls not less than six feet by four feet,
(B) contains the license applied for and the name of the proposed licensee, and
(C) is clearly visible from the public highway.
450 Columbus Bivd,, Suite. 1 File Your Taxes Electronically Hartford, CT 06103-1837
portal.ct.gowDRS
Affirmative Action / Equal Opportunity Employer 1