HomeMy WebLinkAboutAgenda Report - March 20, 1985 (38)a
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AA UCATION FOR ALCO14OUC BEVERAGE UCENSE(S)
To: Department of Alcoholic Beverage Control
1901 Broadway
Socramento, Calif. 95818 '`,.
IDI/TAICT 99OVING LOCATION/
The undersigned hereby applies for
licenses described as follows.
1. TYPE(S) OF LICENSE(S)
FILE NO.
:i':' SAF.` '-i`Y'ri%:° i
Applied under Sec. 24044 0
Effective Dow.!;- ';*r,(,
REgIP"O�v:
i 6,
GEOGRAPHICAL
ODE 39,22
Date
Issued
2. NAME(S) OF APPLICANT(S)
Temp. Permit
I Effective Date:
16 �. -J"
3. TYPE(S) OF TRANSACTION(S)
FEE
LIC.
TYPE
S
i
t
l•
4. Name of Business
5. Location of Business—Number and Street
City and Zip Code County
6. If Premises Licensed, 7. Are Premises Inside
Show Type of License i City Limits? Y-mr
8. Mailing Address (if different from 5)—Number and Street (Temp) (Form)
9. Have you ever been convicted of o felony? 10. Hove yoo ever violated any of the provisions of the Alcoholic
Beverage Control Act or regulations of the Deportment per-
toining to the Act? sJr.,
11. Explain a "YES" answer to items 9 or 10 on an attachment W;!, : I s:tall be deemed part of this application.
12. Applicant agrees (a) that any monager employed' in o,t-saOr ::::-nsed premises will have all the qualifications of a licensee, and
(b) that he will not violate or cause or permit to be violot,-r any of the provisions of the Air -cholic Beverage -Control Act.
13. STATE OF CALIFORNIA County of ------ +h- ------------------Date---.3�;,c�-.-----------------
Under penalty of perjury, each person whore signature appears below, certifies and son: il) He is the opplic—t. or one of theapplicanIs. or on exewlive
of&ora
er of the applicant corporation, named in the foregoing application, duly outhorired to make this opplkotio.r onits behalf; (2) that he has read the fore•
going op�bcotion and knows the contents thereof and that each and al: of the statements the- -i, mode are true -,0) that no person other than the opplic"i
or opplic�nts has any din t or indirect interest in the oPolicent's or oppli,o ,' business to %:, conducted under +he li<ense;t) for which this opplimtion is mado;
W that the transfer application or proposed transfer is ot .node to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety 1901
days preceding the day on wh ch the transfer op{ licotion a Filed with he Dep ,.l or 1. pair, or establish a preference to or for on-.- creditor of transferor or to
defraud or injure any ,edit., of transferor, (5) that the tronsier application may be w;Ihdro. by cuter the applicant or •h, licensee with no resulting liability to
the Deportment.
14. APPLICANT
SIGNHERE ------------------------------------ -----------------------------------------------------------
------------------- ----------------- ------------ -------------------------------------------------------------
s•.-;way
w _
61
qr
IN' W"XI'a
APPLICATION BY TRANSFEROR
kin ):::<;l,in ,_;.
15. STATE OF CALIFORNIA County of ------ 110 __=______:_________________.
Under penalty of perryry. each person whose signotwe appear, blow, unites and says: 0! Me q he licensee, ar on executive officer of the corporate license
named in the foregoing transfer application, duly authorised to real this transfer application ars its behalf; (2) that he hereby motes-OppliWHgn 19 Wftf f►„
all interest m the attached license(%) described below and to tronsfer some to the applicant and: or . location indicated on the trppK portion 7this epplltelian.;z.W
tam, it such transfer is approved by IM Director; (]) that the tronder application or proposed transfer is nor mode to �eridy'�M PevmeM ref a lee. nr to fu1C11 3
.... ..w......... ........r ....... ..,.... .,.... ....
.
17 Signature(%) of LicenseeiN. (icensr Numuer{%)
16. Name(s) of licensee(%) (%)
- - -- ._..
----------- -- --- - Cit _ and Xi Code County
19. location Number and Street Y p
r
Do Not Write Below 7'his Line, For pepaill Use Only
Attached: [ Recorded notice,
(-1 Fiduciary papers,
COPIES MAILED
[] Renewal: Fee of _ . Paid at
Office on Receipt Na. --
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Oe Not Write A6eve'Als Use—/err Nes49rortiors OAlee Only
APPLICATION FOR ALCOHOUC UV RAGE UCENSE(S)
San Bernardino
Tor Department of Alcoholic Beverage Control
1901 Broodway :=••�.••••s=
Sacramento, Calif. 95818
I DISTRICT SERVING LOCATION I
The undersigned hereby applies for
licenses described as follows.
1. TYPE(S) OF LICENSE(S)
FILE NO.
OFF SALE B"R & WINE
Applied under Sec. 24044 ❑
Effective Dow Issuance
RECET NO.
v�'G% �.Z Z 1
GEOGRAPHICAL
CODE 3902
Date
Issued
2. NAME(S) OF APPLICANT(S)
Temp. Permit
Effective Dote:
f`I
Y
t L14a -' Y, L-CVVF1MNC& S'1 IES 1"c.
3. TYPE(S) OF TRANSACTION(S)
FEE
LIC.
TYPE
s
100
00
4. Nome of Business
dC2.i .1\ FCX)) SiCRLI
S. location of Business—Number and Street
3:1U iv. tient Lcu:C
City and Zip Code County
iodi 94240 :iwI Joa 11151
_
TOTAL
$
100
00
6. If Premises Licensed, 7. Are Premises Inside
Show Type of License s-)U—U.L3u69 City Limits? Vmw PQURW
8. Mailing Address (if different from 5)—Number and Street (Temp) (Perm)
Pe O. box 2023u, PU)enix, Ri: 6.5030
9. Have you ever been convicted of a felony? 10. Have you ever violated any of the provisions of the Alcoholic
Beverage Control Act or regulations of the Department per -
1. 0 taining to the Act? Aa S_Y-j m Of reC'OU;d.
1}. Explain a "YES" answer to items 9 or 10 on an attachment which shall be deemed part of this application.
f 12. Applicant agrees (a) that an manager employed in on -sale licensed remises will have all the qualifications of a licensee, and
PP� 9 Y 9P
1 (b) that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act.
13. STATE OF C>6LIEQ ARIZ" County -of ____
1.cY7�r1_______-- Dote_ __1!
Under penalty of penury, each person whose signature appears below, urtifea and toys IU He it the applicant, or one of the applicants, or on executive
officer of the applicant corporation, named in the foregoing application, duly authorized to moi* this application on its behalf: (2) that he has read the fora•
going application and knows the contents thereof and that each and all of the statements therein mode are nue; (3) that no person oih*r than the applicant
oropp�-telt= ony direct or indirect interest in the applicant's or applicants' busincts to be conducted under the license(*) for which this application is made;
(4) W transfer oppljcation or proposed transfer is not mad* to satisfy the payment of o loon or to fulfill on ogreem*nt enter*d into more than ninety (90)
da edino the day ori which the transfer application is filed with the Deportment or to gain ar establish a preference to or for an;- creditor of tronsf*ror or to
_dAilid or injo pny creditor -of transf*ror, (3) that the non,fer application may be withdrawn by either the applicant or the li<enses with no resulting liability, to
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HERE A'
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-==---------=--•--9I__�s1Zt� a�L-rpt a, j;
------------------------------------------------ _ -:yff-
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' APPLICATION BY TRANSFEROR 1 ` y y g
15. STATE OF t ARI1LCM County of---Milit 7c�a------------------------Dolts----1----------- a,
Und., p.n.lry d P.11 -Y. «ch Perroiicotion, n -has. signalu/e oPpear$ below, c./tiri.s and soy.: (1) N. is the licensee, or an o*#tutiv. officer of the corporal# Ilcon"o. -
named in rhe foregoing Ironsfu oppduly ourhwi..d to make his transfer application on its behalf; (2) that he hereby mak#► application to surrender
oil interne in the onocMd lions•(.) described below and to transfer some : or to the applicant andlocation indicated on the upper pwtian of this application
form. if .u,h t:c In it approved by the Director, (7) that the transfer application or proposed transfer is not mode to satisfy the payment of o loon or to fu1611
a ogr«men, entered into more than ninety days preceding the day on which the Iran$(*, application is filed with the Department or to gain or establish a
P .(..... 1. a for any creditor of Ironsf#ror or to defraud or injure any creditor of transferor; N) that the trance., application may be withdrawn by either the
opplkont or the ik*ntoe with no resulting liability to the Department. -
16. Norne(s) of Licensee(%) 17. Sionoture(s) of Licensee(s) 18. License Numbers)
ux, K awkRATTag
.Rel A. Sterrett Sete
Fit
19. to-gation ���-"``Number and Street City and Zip Code County
301. isi_ Liam, iaYLlk- T _ _ 95240 '�,an TnaYnrin
�ra�eenre�. an
Do Not Write Below This Line; For Department Use Only
Attached: ❑ Recorded notice,
❑ Fiduciary papers,/'d✓ S�
❑-------------------------------------------------- _COPIES MAILED t _To-
------------
IOTMeIrr
Renewol: Fee of_________._ Poid at ----------------------------- Office on ------------------ Receipt No.
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