HomeMy WebLinkAboutAgenda Report - March 18, 1987 (52)1 i 3 f
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t ALE NO.
s APpUCATtON MR ALGGMOLlC UVERACE lKEW+E(5) t TYPE(S) OF LtCENSE(S)
.s 1
Ta ent of Alcoholic Bere+ope ConfYol t!(' Sale 1)49er y wzne RECEIPT NO.
' • D portm 6346326"
ace
1901 Broadway Stoc ion GEOGRAPHICAL.
Sacramento. Calif. 95818 CODE :. 3902 .
{{ppp{ -
i:Date
} ! The undersigned hereby appTtes%r Kt_. Issued it
l-cones described as follows.
.. Temp. Permit
1 2. NAME(S) OF APPUCANT(S)
i Applied under Sec. 240" 0
} Effective Dote
# Effective Date
f Strat fiat KestYiaraz:ts- I=- FEE LIC.
3. TYPE(S).OF..TRANSACTION(S) TYPE
D. J. McClure President r`, ?4�st*:er $ 100.00
Stock ,tranSft r
t d C. Johnson, Vice PrtS. ;r ret ---------------
045
4. Nem* of Business
,,_•i
S -Location of Business—Number and Street
Zj0 forth 1.1= Lxie
S 1J�,G°ii
Cny and Zip Code County TOTAL
Lodi 9}24 } San Joaaui-n
7. Are Premises Inside'
Q If Premises Licensed.' r�.� G Limits'? Yes
Show Type of. License Vie -Sale beer & e eating P1 ace
�` xr�x+re«.y
8. Mailing Address (if different from 5)—Number end.Street �
P. f). Eox _4Z8 Wichita KS ti7201 Atte: s,�Y38rtt�ilt
9. Have you ever been convicted of a felony? 10.-!fore,yw.eVer violated any of the provistorts of slit Alcoholic
Beverage .,Control Ac or regvbtrons of the fkpertment pK-
itamirig,ttia(+eAct?
t T. Explain o "YES" answer Io items 9 w10 on on' attochmeM' which'aholl be deemed p tiQflQ :=�rlEr °fife ABC Ulllz
S4uce .1/15/87, the transfer date
'. W! .iia+ IIs`' it0'n�k[ x
12:' Applicant agrees (a)' that any manager eei+Played in on sole t%emed
premisesawti hwe oU` tilt=gvohficafiorts of 0, licensee and
(b) that he wHl not viobte or. cause or Permit. to be�viototed �—y of:tbe prm tsians of tho-AfcohoYtc Beve►o9e C°nrrot.Acf l h
77
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