HomeMy WebLinkAboutAgenda Report - March 18, 1981torbo'Abo" "As tkw� xoaft�'*—
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1. TIMS) nF UaNMS)
Fill NO,
A66allc lievero" C*nW
FEE NO.
DONot WrAr &I&w Th4 Lhte; For De1wrtment Uke Only
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[I Recorded r-olke,
GEOGRAPHICAL
b4sy*KV 96"".6 LOC..
Cot*
N14*4 40- Fee
Def®
*enewot fee of paid of
'ADC
hw.
Tewtfs� P"I
2, "AmEM OF APAXANM
Applited undw S&— 240" El
John (I.
Effective Datot 1wroance
Dote,
3, TYPE(S) OF TRANSACTIONS)
FEE
Ir—
TYPE
Nu Ll=m
00
2D
AMAL Fu
26L -40
-'kNON106 Of $W*., ss
aA%WS TVACO
W5 V. LockWord 9t.
V
U0 C o"nRECEIF17
NO. TOTAL
7. Are Nwnisft InsWo
of License City Limits? y"
-;A
Address (it diffamn? from 5) -Number and Street oww
av you ever been c6prvicled of a Felony?
10. Have you ever violtiled any of " provistom of the Ak*holk
Severoge Control Act or rMplafions of the Department per.
Coining to the Act? 50
No
`"11:'- wo;n o IVES" oo~ so items 9 or 10 on on attachment wh;cb shot] be deemed pork of this opplk-afiock.
F,
ismpfoyed in on -sole licensed Premises will have alt
kpptkoo* OW— (0) Phot cmy manoge qw44o:xtkw4 of a keno, and
JbI that 11* -110 not violate or cause w p --nit so be viclated any of the provisions of the Alcoholic bovera" Control Act.
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'13 STATE OF CALWORMA County of San i0awin
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0- 1-9-66 -Ok.6.-, -4. 11J, -Wk-l- o. th 6A-0. (21 th-9 1,. V- road 14 f-
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14. A
APPLICATION BY TRANSFEROR
11 STATE OF CAUFORMA County of Dow. .... .. ....
P�r J vwt". -Ch W.—. -,An- —4 (1)
for q.%g wa.wfw sWk,Me Jv47 .W -A -d .-f. oPplkoti.. on N. b'half, (2) Mone M I -W -LOD Polk'ti" to
1: odt bo"o 1. rer. o"&A4 R—co 4-Qj W- .00;k- -A"w M -f- 6&-,o4 - tt. PVw pw&- or W. Pako-
W-00. k'%P,-W 67 she pr.p -d r .F. 4 meso mob. ro -o t' FA. p-,awM .4 a S.- . so fvtiN
1~,. Moa. 4tf c6ya p—%day o. «61,4, t6e —#m oou,-Soa ;s GW w[Th *0 5,9 -w -m w ft 9,4. w -F.W"
proFM..ea r. w foe -y -4- d —4- 4,4." -dit- .1 —f--; (41 14o1 th. wanJa PP%'"- rhghd— b, 44- 04
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I& Mof licensee(j) 17. Slgnoture(+) of Lkensee(sj 18. License Number(s)
City and Zip Code
COPIES MAILED . ......... ............
Office on Receipt No. — ...... --
MAR 1 I"M
W. Locafl*" Number and Street
DONot WrAr &I&w Th4 Lhte; For De1wrtment Uke Only
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[I Recorded r-olke,
El FWL'ClOry Popes,
El......
*enewot fee of paid of
'ADC
211
City and Zip Code
COPIES MAILED . ......... ............
Office on Receipt No. — ...... --
MAR 1 I"M