HomeMy WebLinkAboutAgenda Report - May 7, 1986 (62)N IT
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; AP►LlCATIOM ALCOMOM 3IVERAf3[ UCEMSE(S)
1: TYPE(S) OF LICENSE(S) - ,
FILE NO. ,.
,FOR
To: psportmenr of /Jcoho is 8everoprr.tCaelrcf f
RECEIPT NO
190 1 Broodvray ,
29Q740
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Sacramento, Calif 95818.
Q"i SALE 13SR & 58I:it
GEOGRI�PHICAL
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c Thi und+naianedllerebr apprfes fair
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Date
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rrcmus describ.d as (oltowsr
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Temp Permit ~a
2. NAMES) OF APPUCANT(S)- k
Appfi..'d aider Sec. 24011
46214 #
:PAZ y Albino C L
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tifecNro Dat.fnglen 'iY£L C:.
Effective Date 4 2$ ;.86
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3. TYPE(5). OF -TRANSACTION(S)
FEE
UC _
1;=
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TYPE
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Per .to Per
: 15*7 L`0 .,
42
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4 Narrle of Business
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Rlhino's t).hne-e hges >
.5. location of Business—Number and Street
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111 N. Sacramnto Street
City and Zip Code Cray
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150 (W
Lodi,: CA 55240: Sar: J
TOTAL
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Q If Premises Licensed. 7. Are Premises Inside
42-165833 -`
`Show Type of License Gty Limits?' Yes
8.'Mailing Address (if different from 5) -Number and Street t►eatp) (hrw)
0 ID 'lox 1421 ' Lodi, 'CA 95241
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9 Have you ever been convicted of a felony? 10. Have you ever violated any of the provisions of the Alcoholic
J Beverage Department
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Xf Control Act or regulationsf the per
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s
1Y
toining to the Act?
11. Explain a "YES" answer to items 9 or 10 on an attachment which shall be deemed port of this application.
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12.'Applicani ogrees (a) that any monager,empioyed in on=sale ticerised- premises w4Vhave all the qualifications of a licensees and
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,?
(b)that he will not violate or muse or permit to be violated any of the provisions of the 'Alcoholic Beverage Control Ait..'.
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13. STATE OF CALIFORNIA County •ofSa
Nttettea- ttpp.w.'b.lor, iartirw. etd
—t etM -h..a Nr•i'(1) H. i• th. opplKanr. « Om of th. aWi—t•.
.Ved.r pstany oi psiwy. Po
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ofgc. of th. aWk.M cerp«atitm.-wend in 11to foroee(ee applkotiM. duly wth«i.ttd to meta this opplketiee M it• btrhe1f;:(2): th t M Vw -od IIM f«t•
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going oppikation .ad k --M1• tentMn th.r.ef and that tach and aV of th. sloe.twm• 1lttraE.� mode en m,.: M thot w. ptalett ether than 0. appiKM1
4-51-0 int«attb f«
- «. eppik.Ms hies My 4"d « ie " oppliwnr'sor opplkMti •i w to be cMdac»d and« tM ika 4) - wMch Ilii• oWkatien k mod.
.-...(4) %a? iM konif«. OppikotiOn. M pIOpM.d FMIr« { w01 modsb wri.fr.-1M porm.M of O IOM « b fvifll M Opr.aeMM Mt�md iM0 111«a.IMo -11M«r (rot
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Md:with the D.pw?~t or M « ..titblith 6 pr.f.nnr. to « f« My e..dit« of trots rot s N
der• pr«.dhtp, lM der on. whkh th. lry For applkkm ati. r.9e e
. (S) that the trontf« epplkot.r b. withdrowt by .ith« th. eppU-M w th. lk-- with ' w ".06.9Ito�.hy M .
afrd r i4— My n.d 1« of %r f«sen me
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14. APPLICANT r
SIGN HERE !�
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APPLICATION BY TRANSFEROR
15. STATE OF CALIFORNIA County of Sai3 Jo�auin - �_�'Date---`)'�
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.en •aaafvfae
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VOMr p.naltr a/ p.rywrr .0011 per— wfb NOwhrO aPP-. b.M., -69- and:•%'•t (il n. i• dM IkMMa._or Of— of 114 carps«. iKMIM ;.
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wte.d in iiia for•p•inY tram(« ep0k tiM. duly wthoritod to. met. IM. tran.l« opp1k.6— M it. b.Mna (2) dial It. b.r.by toot.% aoplkoti.n to .wdar L=
all inrorett'in-tM of had licees.(t) dotenbed Mlaw end to trentf« cam.: to the owlkeet and: «.lacetien ittd;cet.d an-lM apps p«tiew of=dti.epplkaeioe: ""
form. it, Writ 1ron.f« i. appro..d by, ih. Dkacls: (1). Met' tM MOMf«: opplkatiM « pmpot.d Ir.n•f.r i. wt mado to toti.fy th. pay—M Of alert.:« 10 NMI
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eqr«mMt-tt vd-tort teem thM nimtr days procrrda0 the der'est .rh:clt rlr..!rMtf« appika:ian i• tl.d-..:tA tM DcierttmM'. w:a spin. -et:. «taW th e
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:-pr.f«Mr. to or fey:. My s.dit«,ef tron•f«w w to dethwd or,;':nj«a r sodic« of ft— l.r«: (4) shot tho W—for tspp"Iion mar b. v,1hd rty, sth« th.
atwlkoM « ilia Ik— —ith w -461 .y G*%4ty to,*,o'Depo w t t
+, 7Q Z-6) of Liamse.(s) A 17. &gnature(s) of Licen2.ee(0 18 'License Numberis)
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19. location Number and Street City and Zip Code " County
Sante -
, Do Not Write Below This Line; For Department Use Only
Attoched:] Recorded notic_,
a' ❑ Fiduciary popem
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