HomeMy WebLinkAboutAgenda Report - September 4, 1985 (76)��- CITY COUNCIL MEETING
5FPTaMM 4, 1985
C UTiICATIONS
(City Clerk) 1 k P.eimche presented the following
C.iyCer
application for Alcoholic Beverage License wnich
had been received:
ABC LICENSE Logsdon
APPLICATION a) Denise C. Log
Pioneer Club
8 South Main Street, Lodi
On Sale Beer and Wine
Public Premises.
co PY
P Do Not detacA--kipt rn all copies
Do Nst Wriro'Abov* This Lin*--Oor Hoadawortors office only
APPLICATION! FOR ALCOHOLIC UVERAGE LICENSE(S)
I. TYPE(S) OF LICENSE(S)
FILE NO.
To: Department of Alcoholic Beverage Control
RECEIPT NO.
1901 Broadway
Sacramento, Calif. 93818
3'110 L00- & :- I r
GEOGRAPHICAL --
(DISTRICT SERVING IOCATIOM)
CODE 311(ti'
The undersigned hereby applies for
"')1 '`"'"1''{'~'
Date
licenses described as follows:
I
Issued
Temp. Permit
2. NAME(S) OF APPLICANT(S)
Applied under Sec. 24044
) ,_-
Effective Date: .. +�=_i i
Effective Date: i —_26-E,5
3. TYPE(S) OF TRANSACTION(S)
FEE
LIC.
TYPE
4. Name of Business
5. location of Business—Number and Street
- it
---
City and Zip Code County
rT
is :l , CA J :L i
TOTAL
d. If Premises Licensed, 7. Are Premises Inside
Show Type of License " -�-
City Limits?
8, Mailing Address (if different from 5)—Number and Street (Temp) (Perm)
1iCv L ;J,!'i'✓r�L'":i
9. Have you ever been convicted of a felony? 10. Have you ever violated any of the provisions of the Alcoholic
Ro.,e.,,.,a r.,,.r..,i A-
12.
,
12. Applicaht agrees (a) that any manager employed in on -sale licensed premises will have all the qualifications of a licensee, and
nt,,....violated anv of the_.arovisinas of the r�lcoyolicRBtrveca ?• o is ctu r
t .� �� 4p„A"sI'ni'�„t yr. _ ��4 �• Cin">Y=�zyr' � �
'" ss S ;'v F'-� � -� X '- �'r..
�.
___
--------------------
Under penalty of .perjury, each person whose signature app.." below, certifies and toys: 111 He is he oPplicone_ or ane of the applicants, or ---_--.-
Uncle,
of the oppl iceaf '-'Porotic,-, named m the foregoing oPPlication, duty authorized to make this upplimfion on its behalf; ;2; that he.n thecfar.-
going application and knows the contents thereof and that each and all of the statements therein t'h `sod the for. -
made ore true; (]: sitar Person otter "[I, the oP —ad.;
or applicants has any direct or indirect interest in the applicant's or applicants" business to be conducted under the lice-,.; s; for which this oppli<ofion is mode;
a d.;
(4) that the transfer application or proposed transfer is not mode to satisfy the payment of a loon o to fulfill on agreement entered info more than ninety t90)
days preceding the day on which the lions,.' application is filed with the Department or to gain or establish o preference o or for o creditor of rron,ferer or to
defraud or injure any creditor of transferor; (5) that the transfer application may be withdrawn by either the applicant or rhe licensee -with resulting liability to
the Department• no
14. APPLICANT
SIGN HERE
APPLICATION BY TRANSFEROR
15. STATE OF CALIFORNIA County of _______� `L.._;_________________ pate -__---' -'
Under penalty of perjury, each person whose signature apPeors below, certifies and says: ill He is the licensee, or an executive oRice, of he corporate licenser,
nomad in the foregoing transfer opplicotion, duly authorized tr, make this transfer application on its behalf; (2) 'hot he hereby makes opplic ;_ to sutrrmder
els interest in the attached license(,) describod below and to transfer same ro the applicant and'or location indicated on the upper portion of this application
form, if such transfer is oppro.ed by the Director, (]) that the transfer application or proposed transfer is not made to satisfy the payment of a loon or to fulfill
on agreement ont.red into more than ninety days preceding the day on which the transfer opplicotion is Fled with the Deportment or to gain or estoblish
We ference to or for any creditor of tran,feror or to defraud or injure any credito, of tro feror; i4) that the transfer opplicotion m,y be withdrawn by either the
apPlicorH or rho I:cen+ee with no r.+ulting liability to the Oeportmanr,
16. Name(s) of Licensee(s) 17. Signature(s) of Licensee(s) 18, License Nurnber(s)
19. Location Number and Street City and Zip Code County
Do Not Write Below This Line; For Department Use Only
Attached: o Recorded notice,
E] Fiduciary papers,
math Certiticat;1-------------------------- _COPIES MAILED --------
- -------------------------------
(OTNCR)
E] Renewal: Fee of. ----------- Paid at.--_____
ABC 211 (1-82)
---------------------- Office on ------------------ Receipt No. -----------------'--
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