HomeMy WebLinkAboutAgenda Report - October 19, 1983 (51)� •�, , 4 1 ; .4
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„",Dii NN Wrhe Above Twit umd4” H"dq"rtors Qm,c* OnIr
UVIRAGE UUNSICSY I. TYPE(S) OF LICENSE(S). - FILE NO
pe Control RECEIPTtocton 'HOU
0N' lt' SAM B R & WINE pp
PUBL1C4'PPXM1S_PS GEMIZAMIM, S
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CODE,:�N`11,� 390
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Address_ (if difFetent front clod Sir
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ov ever been "co"cled of a felony? K 10. Hove yaq,ever violated a" of the " -Al,
4_ provisions "Of...1W.
beverage Con"
Ad or; r
44uta�n:Lo!the epo"n
D taininy to
V 6,MS inswer-lossenti9orlTano octIftchinen, which shall be deemedd W -of. due 'opplfcoficin�
in-ci
, nmsole licensed'a., c"
it hil will, noi itkilate or C"O"u", or pe,rm*it to be violated cloy of the l:iiovktini:of1th* Alcohorti Boveriiji Aco
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and rift Code C Ou
�;5240 Saar ;V
Moev This Mne; For Depara7 Do Not Write lmewVae "if
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AttocMds Rocarded notice,':
F;dvclory papers.
.. . ..... . .. ...
. COPIES MAILEO
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.... ......... .. .......
❑ Renewal: Fee of 'Poid of
Office on
Receipt No. . ...... q ......
.8c 211 41-"
IU 2-W2—ST PT C
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^�''' ti Do Wr:» Above This tfee--ter Needawr►ers OIFe. Owly e r
3 g� APlLICAT{ION fO�R ALCOHOLIC UVERAGE UCEPtSE(S) F 1 TYPES) CF LICENSE FILE NO.
,�s REQ NO.'..
a Tor Deporlmenof Aicohoik beverope Control* ; c e
A--." Igo r
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3
?lkIN `�SilJ
sadamerib calif 93818 [h Y 1 c
b. `����,� r;,dy?� �'TafSa.rnes suvrro aoewsw«/� s�3x •� � r e ':�• � .�. ; C 'J � a � w
' rt. and". j, d tl...br pPpfi�s ra< z ? t 'Igt�ri.rt� M„SSu ALICE H.
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Ceniff descr bed Oi ol)owu_T�A t y �,.1 1
sex+ Yy x ct tY+r r r c ea CiI Y- Permlf .� jP F �r
�y2NAME(Sj bFAAPtICAPtT(S)E�rrwct r s ^�. tN,t �f'r x rt
�,;.,� .0 ,yam .. ,?y+ N •-° 4,:, t 'a , Applied under $ee. i401A'S cf, <❑yi01
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Eflectiv'e DatEAective Dove•
6 FEE LIC TYPE "r•° y x
TYPES) OF TRANSACYION(S)
t } 3t $¢T, t/� is 12 S
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4 :Not11/finess;+spa? 4 7 Ti € ytix a,< 4t a a tx a r } ..
Nib.•, FA, 1�''� iFzl.t t ,�.'ksa 'S rs _ � ,d
S lototan of 6•wnesrNwnba and Street �wr r xr '
} ��'r��w .�GbOO�:ani':• - - z _• .v
k> and Zi Cyo►de County $
G;y a;ate,, 2A
M�iE.t...'3'=.i"""'rt1�' £ F:` r } ,,. f, f ..i• ,�i st t x: TCJT
` if Premisei licensed ¢ " +1eY�?'* t a tt vT'
1Px1 7-;A,Are Premises Ins;di yrs t:s�;
:Sf10Ni`Type:of, License: tey*./. �":,e •'...G. L t t:."" s * .S<», ,:x.i.'� y„'t.". ?'(•ity LlmihTt''t'Ek�R k"i 9+' j"'•',,pr 1,
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8 Modula Address of dulerent from 3)- Number and Street _ z s (►••w) t►w.v h
9 Mone yob ever been convicted of o felonre 10 Hove you ever violated any of the proirnions of the Alcoholic
r #r:6erero9r.Gontro) Act orlotlom of the D]eporM»M per•
k�bY;jt. `nti.x 'r'w >• „.'` 'E �+%, r_ +.. y . loti! ng t0
IEaiptwrt o "YES antwa to nmt e 9 or 10 on an attachment ch. shot! be errhised topplicahan
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X12 '`Appliconf;.ogrees (of !►ot any `mano9er% employed in on -sole 1aened pre�nii s wiN hove e11'the'quoGficationt'of o°licsrisee and
x c ::(b] that (ie':witl not violate or cc~ or permit to be violvted anv'of-the prov(siork`of:the'Akohotic 6evarotie Contiol.Act _ _ . :.
:".�►k�M- r«N!�!Miw' »�.� Iw;: rA.. taM�M�:' rytl.
rN�ewt IMn/ er.twlrw.►� i.M.•i �: w.' iM:'.e�ik.w•'�•:
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dMis V. . Mr. Mr .w .,Aid .M 'w..•M .optKeNM b - ..wA e,e D.y..rtw.wl r •. e.iw .t .••.MtA • .' ',
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.`���S ��' -•y ,i�:s".stt'* � , t.: t;..t,� � t' r R � .�+ F� S x�..�i-,
26 Nemefi) of.Licensee(s) iT Signoture(s) of Licensees) id License Number(s)E r
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29 1c1►risb°%3i^ s�rattatnaz+Gy and Jap Code: r°ic t 3 Coon } yi
Do Not :!'rite JWOI3 TAifs Lb+t; For DeparNntrit Use only
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` Attochedas �, Recorded notice.
❑ Fiduciary o
ppery,
` f ❑ ..- COPIES MAILED R AX
zn
t >
tr
t, ❑ Renewel: Fee of Paid of Office on Receipt No.dT+
-oz e.+*.e 104 a ra ao..r scvr c— OW /
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APPLICATION FOR ALCOHOLIC MYQAOE LICBMS)
Ta Doom AM. of Alcoholic tlerera0e Cot"
1901 Meodwry '` } r is
Soc►aNMrft Calif.93t ak:"GresOnte 1br:8
snewrlen,
E
1. TYPE(S) OF LICENSE(S)
FILE Na '
CIT SAIX GINEMAL
Applied under Sea 24044 p
EfFecNw Does, )}ssmatJMle
RECEI _ NO.
13 Si,
■ see ddrea�aslerr eN wr���... M Na W.N. Abe" This et..—s.. U.."_— s.» n -j.
APPLICATION FOR ALCOHOLIC MYQAOE LICBMS)
Ta Doom AM. of Alcoholic tlerera0e Cot"
1901 Meodwry '` } r is
Soc►aNMrft Calif.93t ak:"GresOnte 1br:8
snewrlen,
E
1. TYPE(S) OF LICENSE(S)
FILE Na '
CIT SAIX GINEMAL
Applied under Sea 24044 p
EfFecNw Does, )}ssmatJMle
RECEI _ NO.
13 Si,
GEOGRAPHICAL
CODE 39x2
I
2. NAME( OF AIVUCANT(S)
Effediw Ootee
Cnliforaia corporation
P-12 Camt*O Usf .f3IW2)
2. TYPE(S) OF TRANSACTION(S)
FEE
LIC.
TYPE
Permoa Transfer
1274.00
21
4. Nene of Artiness
Raley'
S. 1a 16,n Of snenes"Wertber and StreN
311 So. Lover Saarasento Rd.
City and Zip Cade San S uis
95240
TOTAL
$ 1_19ILL 2r►.0o
21
a N Pmmisa Licented. 21-045631 7. Are Promises Inside ?a.
Show Type Of Lke— City LWh?
R Moilt,,Addrow
of 4 tmt from S) �wn�.... and Sheet
a" 1515 20th at., &Wto. , CA 95514 Poste.
P. Maw you ever boon conrkW of O felon)? 10. Mow you ever violated any, of the provisions of tM Alcoholic
fiowropo Cor" Art or rogwIallons of tM Deporin»M per -
)IIA taininp to Nld Act? Y
z T' 11. Explain o "YES" Onswor b liens 9 Or 10 on on onochmem which shall be deenled'port of this applkallon.
�}
- 12, AppikonY oyreM (0). Nal eryr. narmYp en►pioped In on -sole licerned pre(nises willhe", ON #4 gVOlif{CONOn{ Of O KteMee end
(b) flat M will not violoN or tovse or pernsil wbe rielaNdany of the prowuom of tM Alcoholic flevoroq� Comm) Act.
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IS. STATE OF CALIFORNIA Couny of.___—SaarMeato------------------DoN_
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# y SIGN HEREden -------------------------------------
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Do Not Write aefpe M Ufner FOs Drpar "WM UM Onfy . .
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