HomeMy WebLinkAboutAgenda Report - September 21, 1983 (44)Co�Y: tsr nes w.r�- .+►..�t... w Notw.+�. rpt.4'.—r« w«�....«. oake 0_81,
AIRICATIQ1j r= "ALC0M C-- W#Wk"l UCt1 MS) -
isr Doportlaent of Akohaic UvOr Ye Control
1901 ioodwaq . , Stockton
SeealaelMa: Cali. 93fitfi
Tf» amisnt�ned Iy opj" for
ticalret lMorl'6�d M feNell'et.'
1. TYPE(S) OF LICENSE(S)
FILE NO.
(ih SAL"_: BUIR A 11IM
1ATItiO PIACE
Appkod wider Sea 41011 ❑
Effodhm Dater
RECEIPT NO.
a-
GEOGRAPHICAL
CON !J
Don
- hmod
?. HAµE(S) OF ApKICMR(S)
Temp. hrinit
Effective Dal*.
�.
3. TYPE(S) OF TRANSACTIONS)
FEE
Lr_
Tym
Rtl:v.-LI�KtiSK )M c 14 1
`
4Z
ANNUAL r:'r' •
Service i,
0
L Nene of &Ano"
6. tfto*m of Swaom—No"W and Shoot
1A30 S. Hutchins
Lodi' CW%.n J."in Cam
TOTAL
S
= A. M flromlisa Licensed. 7. Are Prenwses inside
Sher Tyi►w pe'efake
Ci L'lnitts7 Yost _
�gy ft. Moilirq Addrou Gf difforeni from S) -Number and Stroot
9. Now you our been cwwk*d of o felony? 10. Hove you over violated arty of the provisions of IM Akohdic
levw"e Contra Amt or reowladont of tM,Deporhnent per•
/'Jy toininp to the Act? NO
P 1 Lc Eaptoim a YES!, answer to i1Nns 9 or 10 an on attachment which ,tiotl be doe/ned pert of this opptleotion
s
14:?Appiicwla,agroe�•(o) thos-anr..mweeON•omrployoi i4'- geeH!{caperis otb ticMNo end
}r (b) that M 4'01 not viobn or cauls a perlmN a bt violated any of tM proirisiolls of IM Ako�+o`ne Bovero Cashel:Ad z{
19. STATE OF CALIFORNIA County of
1 Iwd.r r.»m► w.. e�.W►, OetA MrM - .M.. wee ....«.. O.N+. wniM /0rn (j), N& h M or
'¢ Y eSllw 01 M wMMw." wOr�M M terotNy 0Mr4N+0. 41r ea�«IrM: NwOM IW, wM.el:Ow. �. 1.. MONY li{. Mr`M�MO rw�i`I �, t - > 'C-
i � e.Me dye ewe '+0.0 M..ewNwN MrMr 0e 01 M .N/.w.wb MrnM w0b en M.0/ 111" IwO. •0 _ r.r.00 eM. Mw M 0/e1i00�w6 �.
« MNtle+r iM eN And 0r I.MMr kA~ it A0 yeliae.l. er .sell.«/. b-lw.w N M. w.McW ...ir M riwNN ler;.�id IW .0erl/a4w M
4 - NI mM M'M«,Ir r e/elM0/lr M VM«M MWS« 4 M 4'.4 N MN.17 d,. eerww Tt iww w N S." M e 4'/ 0wM01 MN" wMo•:I�em �>•�b
ow
yy {TN M�e Myr M".�N. M Mew.M. eeea.e/40 A CI.� .we IM D.eer.1wM1 Y N e� « ..IeMlidl 0 /pVrMewl� to « Irrr ewe tl►M« e1:, Me0.10r« M N -t}y 1
? M.001 fyMe �► 01 /IeMSMrIIA Mr My MWtOr OeetM0N00 4'0► M .aAie.w b►: wiq M umll:q N {
i r
MT c T1. AMIICANT 't p
+`SIGN MHtEa:l.t»°LS.� ! _..S!_. _ * __ _ »»_ »____---- ------r
r
ry ---- -- --"- W
s
4c t9ssa ` APPU"" N air iRANSIEROR'" r
STAY OF`C
11. E ALIFORNIA CarMI ei_»»__.»»»_.«_ Dale _._.may
s
V_i or_ 0_6 1r%r. phiRti e.d; .erM Itl m1: M. M 1W...r .w ri.wMw .aur d' +M. "**MOOpawNM,
f." h -M: RnMMe. tirJft'. "►t4MMti id► wAAw:w�. y -&0 *ft I" wWw/4w: rr., tN MMMT til Mw M MIMr:.•4i, er�14M4w .►` wwewMr
/wrM�.�N..M..eell.0.r ewe;'« 4sMw l.�l.ad.MMr' ►«Ww'eI e1M .IseN'i�rlee -
'J� . raw* y ..J;we.rtsr •4': el«d h•.M OMs.Ny Ill •0i' 1M w«.rr'..M4s«i.+ « rr+..d w.w.h. N .w war N .eMll► M "W.0 r d, «
+" 4 ,.`Y eVeO�ul;e0ww1 tom, ewe Ar'wM./r MT ISM M M M �V_ M: bew.rM eeee.0N0w N-. �t.i aril► IM O/e0rrru « N edw M MI�{� t �,.
N •tet M/. aNwr e/ MMdMM. Y N �Iwd M 7+M� .4's..• w d, �r0..ra+p tN 1►e. ILS MOw.S.. ftv%* tOw war- M ..M�M�w M 0104'. Nre ,
i
r..+ly-. .Y l .. �.. ,: {f.�J-s. y.._...- - -. -..-L L ..-. .-. .-..- - '.:. °'-. A.«•. C �� tib'
�Y P" id. NolmK+?9t s 17 s) of lin+aoe(s3::.� 1R tieonio IUuinbf) ? s .
_ t7f
cv ,
19 locolfo� ' " Numbs and Sonet City and Zip Code • CovMjr�F-
?t �.....!{
Do Not Tirke >telote This Line] For Depe►twrewE
Use Only
Attexhod: ❑ Rfeorded notice.
❑ F'Iducixy popery,
r
❑ --209------------------------------------------COPIES MAILED ------------9-3------------
eTwOe.
❑ Ronewot:Fe* of -----------Paid at----------------------------- ORco on-------------____,Rocoipt No.
.---_--
----------------