HomeMy WebLinkAboutAgenda Report - January 21, 1987 (76)A&evsw Tide tlwr-Ir 1bedQlar►Irs OIKsI Owty
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APFLWAt10w 0X'A1C0Hi+se� P�� •...:• •uzwwS1 .. - .L. TYPES} OF,UCENSE(S} FILE _:
RECEIPT NO
To- Department of Alcoholic ttr veroge Coalrob
1901 Broadway .; "= StAt GtOT3ON SAIs BEM 5 WL, : GEOGRAPHICAL
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CODE 39(32
Sacratiento, Cohf.95818r
` ': : ... fON1TMLT 1LIViN9 LOC�TiOM)
Eating Placa
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Fhe undersigned hereby applies for Issued -
licertses de=rbed as fdlowr ^ yra Temp. Pmt
2: NAME(S) OF AppL1CANT(S)
Appy wader Sec, 24044 ❑
O C./Charles E./I � f?_ Effect- Date:: OSSSI1 Effective Dote
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GIUFFRAr
3. TYPES) OF TRANSACTION(S) F.. TYPE .'
$1o0_o0 , 41
Prem to Prem .'
..
4. Name of Business
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5. Location of Business—Number and Street
623 E. Oak StTaEit #G
S 160.00
City and 2;p Code County TOTAL
' - Isodi CA 95240 - 7. Are Premises Inside' . `
6. K Premises licensed. City Limits? Yes
Show Type of License !tanpt.f►er nl
8. Molting Address Gf different -from 5)—Number and Street gayer i
' c �10ave yon ever niokted any of the proviseons of the Alcoholic--
.9. Have you ever been convicted of o felony? 7 Beverage Control Act �or CnOotioris of the Deportment per,
ti
taining to the Act?, %
items 9 10 on on aBochment which shall be deemed, part of this opphcatNan '?
Explain o "YES' onswer to or
GSettsee and
,. m .sok licensed prQ(nises will -have all taro quafiElcoiwnt of o
(a) (hot any manager employed a Conho) Act
the Alcoholic 8everog
12. '- wlicont agrees
(b) (lila( he will not viable w cause or permit to be violated any of (Fie prorisioM of
1 12;87_
Dote ----
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