HomeMy WebLinkAboutAgenda Report - October 21, 1987 (52)2
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ABC LICENSE
APPLICATION City Clerk Reimche presented an Alcoholic Beverage License
Application which had been received for Excon, Inc. Jack
CC -7(f` Pot Mini Market, 401 South Cherokee Lane, Lodi, Off Sale
Beer and Wine, New License
2 COPY Dow* Aled-4Ww* nR ati.tDe MM wriA A,b.r* This il.►-mor li.of*w,f.rs olRe. p.►y G
t
FPUCw =s FOORA.:,'S."'.`.im smas�c�ecs �ictdj—es %
To: Departme/tt of Alcoholic Beverage Control
1901B"KKhvey Sacranaerao for
Sacramento, Calif. 95818 StxSton
. om.ni.et.n•vnee a.oewnowF -
The undersigned hereby applies for
licenses described as folk.-::
I- TYPES) OF LICENSE(S)
FILE NO.
Off Sale Beer & :rine
Applied under Sec. 24044 ❑
Effective Date. Tssu
RECEIPT NO.
369990
GEOGRAPHICAL
CODE-. 3902
Date
Issued
2. NAME(S) OF APPIKANf(S)
Temp. Permit
Effective Dote:
HUNTLE , Elizabeth Anne -Pres/Sec/
3. TYPE(S) OF TRANSACTION(S)
FEE:
LW -
TYPE
New
5100.00
20
Annual
28.00
20
4. Name of Business
5.location of Business -Number and Street
401 South.Cherokee Lane
City and Zip Code County,
TOTAI
S
128.00
2
4
6. If Premises Licensed, 7. Are Premises Inside
S Show Type of ;.__..se None City Limits? YES G
8. Mailing Address (if different from 5) -Number and Street
P. O. Sox 661888, Sacto_ CA 9SRSG
9. Have you ever been convicted of o felony? 10. Have you ever violated any of the: provisions of the Alcoholic
N/A Beverage Gonhol Act.w.regulotions,of the,Deportment.per
-. toining to the Act? v G`'a en fi7 rd 9 't S t37, s
11. Explain a "YES" answer to items 9 or 10 on on attachment which :holt be deemed part of this opphcohor ;
Reg -09984 25658(a) Dec vending ,
i 12. Applicant agrees (a) that any manager employed in on -sole licensed premises will move off the quolifitobals of o licensee -and
(b) that he Beve
W not violate or cause or permit to be violated any of the provisions of the Alcoholic tags Cont,ol Ad y
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14. APPLICANT } Y z.
SIGN HERE
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