HomeMy WebLinkAboutAgenda Report - January 20, 1988 (52)COPYnot dotnch—Raft. eoploe
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Do Nor Writ. A ,T M. Lino—for Nrodauort.rs Office Only
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES)
1. TYPE(S) OF LICENSE(S) T rrii't NO.
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9. Have you ever been convicted f a felony? 10. Have you ever violates any of the provisions of the Alcoholic -�'-
To: Deportm� : of Alcoholic ile+erage Control
RECEIPT NO. -
1901 Broadway ::k .C?:
tiF :>AU -1 F' ti
i iT0 toining to the Act? Aka
Sacramento, Calif. 95818 — _
GEOGRAPHICAL
to-TRICr sLRvtnc ouTloNt
CODE
The undersigned hereby applies for
Date
licenses described os follows:
I
Issued
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Temp. Permit
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2. NAME(S) OF APPLICANT(S)
Applied under Sec. 24044 Q
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,'irKc• s
Effective Dote:
Effective Dote:
going applimhpn and ►rro..c the content.- the,eof oral thor .uch nd all of - the .tolemenrs Ihwein adr tae 1 (1) _ Ihor i,pe .on rh .Ilion flit co
3. TYPE(S) OF TRANSACTION(S)
_ppl
{ -- or oppli—ft ho. _ y d;,-,. w. ;.dir-t :nler..t in rhr apoi000r. o - Wplicoa - b...nes... b. co.doc d -order th.--1 xc.) f - - hick eA s opptkot n rood
LICFEE
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TYPE
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1 - d.Frood or ii-. .t, -cf;.- of wnsf..w-- (3) that d., horsier opplaotia.. .nor be ..:dd hrwith,, the oppl ho 1 : h —11;-9 1 b l rr r
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14. APPLICANT J
3
a-.., "11 Fee
197.00
.-_. ..---- ------- 7--------------------------------- ----------- '-- --- -- — --
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Q Name of Basins:
5_ locaSon of Business—Number and Street
4000 f=. rt.u?I`ycr S2:2tts 1 & 3
and Zip Code County
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MCity
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LeA-i . Ca. - 95240 - San Jcecwi 1 -
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TOTAL
391.00
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i APPLICATION B7 TRANSFEROR
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j 15 STATE OF CALIFORNIA":' - County..of
_-:7 6.1 undw pNwFry"-oi pwlPrY -_each p.rsen _-baso s:tpwhn. anp.ati' w. eortif..s ..d sot (1) H.; .a .h t.cen..e w ecus . olrier o`f tM cap." 1 cosec -
_ ._ -... -
.- —.d -6i 1h. feeepoiny rroadu oPP1iCotiw.-'duly aothar...d=b..- took. -th:..r ansf.r.-oppl - r:on on :rs 6.holf, (2) rhaf M Il.r.by,Iwokes-appl:eof:on _rs- end.._
11 :nt r:R'-.th. n lied -tic l.) doscn'6.d-below-sod to tron.f — ro tM -pp•. ^f ondw 1« n- -:..d' and -ib app. ;peer oF_ef. oppl of.o..
-form, F .oeb Iromf ppro .d by - pR.eter ll) Neat iM-'.o F app/. t w.prop +.d tmnaf a ..wdr t w.fy the porR..M ( leo is folfiq
ay..IRwar .,* ..d ;M.: -tow. thole`-.u:Rrry dor.. p—.&.4 Ni.day ..h h rhr trap f opplicah filed th th - D.p, tm. t: w totab1.M-
-p.eferr .lo or fw y w &W of trrof. b. defro.d ry , nq y aedr f r.on.f lsj ih 1 theti-.f-
ppY-ot ntoY M thdtoc+n:by tMr IM F
-Co. w-111. r..;;i Ili.-tq Inlq .I.o6.Fty b rtl. DywhMnt -
16 Names) of Licensees) 17: Signoture(s) of Ltcensee(s) 18 Lkins
e Numbers) 1
_.,.
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f19 location g tJumbgr"and Street > e Gry and Ztp Code _<
Do Not Waste Below Thrs`Ltne For Department Use Only
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Aflached Q Recorded notice
Fiduciary papers h
' Q _ ` CGPIES MAILFC
Q Renewal Feed ...;__Paid_at _ Office on
7 6 if Premises Licensed, 7. Are Premises Inside
Show Type of license -- .- City limits? yes
s8. Mailing Address (if different from :—Number and Street (t P) (P rm)
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9. Have you ever been convicted f a felony? 10. Have you ever violates any of the provisions of the Alcoholic -�'-
Beverage Control Act or reoulations. of the .Deportment_: per-
i iT0 toining to the Act? Aka
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j11. Explain a "YES" onswer to items 9 or 10 on an attachment which shall be deemed pari of this opplicdfion
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12.: Applicant ogrees.(a) that anymanager employed =in on -sole licensedpremises wiil have all the juofificafions of o licensee and
(b) thot he will not violate of cause or permit to be.rlolated any of the provisions _ f the`Alcohaf(c Beverage-Controf'Act.-_
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j M. STATE OF CALIFORNIA - - County of?ri______ _ __ Dote�%12-3I- 8? _
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1 -- - - Under p..w11y of M I r h pr n ..hoc. .:pewhe. app.ws bel -;fie, d .ors' (t) rr, n the oppl or of rhe �'oPpl n -
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oM.- of the applicant -P .hon, no.ned ... A. fw.po:.q opp1 mt; n d..ly author.red to n.ok, thisapp k,,i n oo it, I holf (2) AM he hos, rwod th fw
1.
going applimhpn and ►rro..c the content.- the,eof oral thor .uch nd all of - the .tolemenrs Ihwein adr tae 1 (1) _ Ihor i,pe .on rh .Ilion flit co
t
f
_ppl
{ -- or oppli—ft ho. _ y d;,-,. w. ;.dir-t :nler..t in rhr apoi000r. o - Wplicoa - b...nes... b. co.doc d -order th.--1 xc.) f - - hick eA s opptkot n rood
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-'JQ Ihot tho to .f - pplicnion r� proposed Bonelet i. nor -R k to totisf,- h. p.,_. f o --loo i �(alfill g - t lewd": r n diol.
ooh.
-_.dors pr.c.d:nq e --dog on ..h:ch a dsr oppl4o fitd v:th rhe Dep ,--t or to gain e.tobhsh-o-p.ef<renc. la a for-- - d.ew wf n .feta or --
t
-
1 - d.Frood or ii-. .t, -cf;.- of wnsf..w-- (3) that d., horsier opplaotia.. .nor be ..:dd hrwith,, the oppl ho 1 : h —11;-9 1 b l rr r
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14. APPLICANT J
3
SIGN HERE �'-----------
..-
.-_. ..---- ------- 7--------------------------------- ----------- '-- --- -- — --
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i APPLICATION B7 TRANSFEROR
_.:
j 15 STATE OF CALIFORNIA":' - County..of
_-:7 6.1 undw pNwFry"-oi pwlPrY -_each p.rsen _-baso s:tpwhn. anp.ati' w. eortif..s ..d sot (1) H.; .a .h t.cen..e w ecus . olrier o`f tM cap." 1 cosec -
_ ._ -... -
.- —.d -6i 1h. feeepoiny rroadu oPP1iCotiw.-'duly aothar...d=b..- took. -th:..r ansf.r.-oppl - r:on on :rs 6.holf, (2) rhaf M Il.r.by,Iwokes-appl:eof:on _rs- end.._
11 :nt r:R'-.th. n lied -tic l.) doscn'6.d-below-sod to tron.f — ro tM -pp•. ^f ondw 1« n- -:..d' and -ib app. ;peer oF_ef. oppl of.o..
-form, F .oeb Iromf ppro .d by - pR.eter ll) Neat iM-'.o F app/. t w.prop +.d tmnaf a ..wdr t w.fy the porR..M ( leo is folfiq
ay..IRwar .,* ..d ;M.: -tow. thole`-.u:Rrry dor.. p—.&.4 Ni.day ..h h rhr trap f opplicah filed th th - D.p, tm. t: w totab1.M-
-p.eferr .lo or fw y w &W of trrof. b. defro.d ry , nq y aedr f r.on.f lsj ih 1 theti-.f-
ppY-ot ntoY M thdtoc+n:by tMr IM F
-Co. w-111. r..;;i Ili.-tq Inlq .I.o6.Fty b rtl. DywhMnt -
16 Names) of Licensees) 17: Signoture(s) of Ltcensee(s) 18 Lkins
e Numbers) 1
_.,.
-
f19 location g tJumbgr"and Street > e Gry and Ztp Code _<
Do Not Waste Below Thrs`Ltne For Department Use Only
-
Aflached Q Recorded notice
Fiduciary papers h
' Q _ ` CGPIES MAILFC
Q Renewal Feed ...;__Paid_at _ Office on
RECDVED
my CLERK
TTY OF LOM
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