HomeMy WebLinkAboutAgenda Report - January 19, 1983 (37)nag, Anr
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A►►LICA7 FOR: ALCONOf.IC`9EVIMAGE LICENSE(S).
1. TYPE(S) OF UCENSE(S)
FILE NO.
Tor Deportment of Akohdio; Bewrog�. Control
O.
r�12130Str..t ,, Y -
RE
31M6 -
Soaom•rMq, Calif 95814
OWN "18 GRIM"
GEOGRAPHI Al'
y _ -
JAN
QPM
14..E 2 4 ,.•.
The und•rsign•d Mr•by opploss for
MIT= U=
Date
V licenses described os ioilowu
`
� �is
ALICE
�+
mit
NAMES) Of APPUCANT(S) :
NO= PLUM
OF Laot
Applied under Sec. 240"
Cir
D
Eflectivo Dotes
Effective Date:
3. TYPE(S) OF TRANSACTION(S)
FEE
LIC.
TYPE
4 Nome of Business
A Location of Business—Number and Street
M.
City and Tip Code County
$
TOTAL
6 If Premises Licensed. 7. Are Premises Inside
` Show Type of License City Limits?
It! Moilirp Address (if different from S) -Number and Strom
x
j 9. Have you ever been convicted of o felony? 10. Have you ever violated any of-Ihe provisions of .:the Akoholk Nor
Rev"o Control Act or regulations of the Depgthnent pea � �
loining to the Act?
it Explain "o "YES" onawer b items 9 or 10 on on attachment which shall be deemed part of this application.
.402., Appiitont agrees (o) thot;ony monage► employed in on -sale licensed promises will how oU the'quofificafione of o•:)keMee andr,
that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic Bev'eroq• Conhoi'Aet "
13 STATE OF CALIFORNIA County ofDow-.-
.
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11:. ,APPUCANT,(
SIGN HERE _ '......... ... _ ...... ... _... a a
.: ..... ._ ......... ._ T.. .... .. -
f ti gy
a APPLICATION dY TRANSFEROR
r'?. STATE' OF CALIFORNIA County of ....fain iMtrfla `. OaN..
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ti 111►t Nome(a) of Lice»eee(s) a-: 17 Sipnoh+fe(s)'of L)censee(s) z ` t&`UcemiYNv n
by9 d
I I
19: Letolloa M. . .Number aril Street City and Zip Code
s
`h
no Not,Wte Befoo TttLinercii Dvtie Ont(i
A"od" .. D . Recorded notice.
D .._.--COPIES MAILED
❑ -------_... ...............
❑ Renu ah Fee of..*: .......... ....Paid at.. - .... ..... Office on _..Receipt No.
.ea .n pitL
0.1Pq.1(.IInI YYA Sf t•T (:AM WOSF '
M Aieve iAi• Uwe -Der Mealf�eerfer• 011ke Ow1y
A►rL1CAT10N FOR AtCOfiOUC StVERAEiE., S)
1. TYPE(S) OF LICENSE(Sy
FILE NO.
73
is Depart -0 of Aicow;c leverage
ItECEI NO.
?
,12T3 0, Street = {
■ �' s"
f a
GEOGRA HtCAL
Soaan»nfo, CapF 9381!
C" 3.fT.E Ili AM MM
ittiw 1u 1 tNeTwiCT eewelw* r.01T10e
CODE
urtdenigned Mnbr oppMnt far''`'';
I /icwtses descrr6ed.ot. foflowa A _ r
Applied under Sea 24044.
Effective Doth
Dote
Issued
yMAME(S) OF APPLLCANT(S)'.
4?:
Temp. Permit
Effective Datet
'
r
ei►, ffffA� afBRj11l V.
3. TYPE(S) OF TRANSACTiON(S)
FEE
LI
.-
TYPE
1>� LIU= (
_ %.W
20
Ift
.
,.
ocoHon of Business—Number and Sheet
AU 16 loft lbs.
e ;jlp
TOTAL
7"
6. If Premises Licensed, 7. Are Premises Inside'
_Show Type of License City Limits?
Q Mailing Address (if different from S)—Number and Street (L.,y1 (►Nta! .
lVRIR
t 9 Haw you ever been convicted of a Felony? 10. How you ever violated any. of the provisions of the Alcoholk z'J
Beverage Control Act or r lotions of the Deportment per
f r taining to the Act?
t
MTl Explain o "YES" onswer to items 9 or 10 on oar attachment which shall be deemed part of this ' cation.
3,"l1P�DkoM: agrees (o),thol .any morwger omptoyed in on -safe licensed premises will how oN the �ualifkationt of a R r an(�k
u
(Is)V1 he will not violate' or cause'or permit to bi violated anr..of the provisions of tie Akolsohc bas e►oge Control Ac
13. t<TATE OF.
County of .. �� Dote
_ .. _ 1c.
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dw
14 APPLICANT.-�r
x SIGN, HERE ...._....:� .,. _ ^.:_. c' R, .. _.:, ...
4 ..,
APPLICATION BY TRANSFEROR
STATE OF' CALIFORNIA .. County of : _ .. _ Date
.,_.
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17.` SionofJ�Cs) of Lfti
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Will
�Y19 leeoNon Numbe/ and Street City and Zip Code
:,Do 1Vot Writs Belo.o This Lhw. For Departmeva Use Only
Aftochedt ❑ Recorded notice.
❑ FiduciorY Papers.
❑ .........._.. ............. ......... .. ... ... ... ........ ....... ...... ... COPIES MAILED
❑ Renewal: Fee of _ .._ Paid at. Office on
.ec TT, u.tq
x 3'.
County '
Receipt No.
83
101.104 1 lot
t Pat 5rr1 cAm w O$p