HomeMy WebLinkAboutAgenda Report - January 20, 1982 (26)ABC LICENSE City Clerk Reirche presented an application for
Alcoholic Beverage License which had been received
frram Mmenno and Linda DeBernard, the Cm*10t, 101
Lakewood Mall, Lodi. On Sale Beer and Wine Eating
Place.
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AtrltICAT1pN lOR ALCOHOLIC iEVEAfiE ti10ENSD(3) = .1. TYPE(S), OF, UCENSE(S) FILE NO.
Tor-. of Ak bpe e DereroControl FEE NO.
1215 O StreM
�� Sogamrantq, Calif 93814 s
ON Buz 1M 4 MLS GEOGRAPHICAL
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7M w�dirs�ned h�ebr eppTier tw y Dote
ageaer dam6ed o3 foilow3r: Issued
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sw �� 4. Nom► of lvsiness ,-. `. ; � .. - _
ioeoKols. of lusmess-Nwn1»r and
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CourNy RECEIPT NO. _ j {� ;r TOTAL
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F s� 4 Mmi e: Liciiaedr- 7. An Premises Inside:
r ShowType of LIcense%�'�2i City Units? YK
t3 & Mailing Address [f different tram 5)—NumbeF andStreet _ R«RN ��«.) ;
k 9 IFove yosr ever been cenv:ctesl o(o felony? 10. Hove you ever violoted any of the provlslon$ of the A ak
} h r - Beverage ControlAd or reyutotioai' of tM Deportment- pen s
toinhV to the Act?
3 �1 tx .Explain at MS" answer to, items 9 or 10 on on attachment which shell be deemed port of this oppPKotion.:_
1 Appficont ogrees.(a) thoR oft monoper smptDyed fa »ersaPi licensed.premses wi0 haw oq. thr quoGRcahons of o Geense� end
y (b) thot.lis wilt not violateor rause or permit to tae vioTotei# any of the provisions of th6 Altbhoiic I3everege Control Act.
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14:APPLICANT .r illj/
SIGN MERE 't -••---5
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t_ APPLICATION BY TRANSFEROR
15 STATE OF CALIFORNIA. Ceunty of __--
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16 Nomgs) of ticentee(s) s 17. Sipnohire j'of Lkeissee(s) = 1IL tieense Nu:nber(s)
_19. location Number and Street
City and Zip Code
County:a
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Do Not Write Below This Line, For Department Use Only
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Attached::: ❑ Recorded notice,
Fiduciary
❑ __......_..... .- .. . ..__. ..-..-... -----
-----COPIES MAILED .:..._
._I? j0.81 ..................... ...... ------
>-
❑ Renewal: Fee of...... ............ ..Fold at.._ ..... _- ......-._...
Clefiee on.._... _
-_ _--.Receipt No _........---.......... _ .._._._
.,ec 210 ,..,.;
QEC 31