HomeMy WebLinkAboutAgenda Report - November 5, 1986 (119)215 E. Lodi Ave_
City and Zip Code County
Lodi 95240 San Joaquin
a 6. if Premises licenied, pff—Sale General
ShowType of License
-; B. Mailing Address (if different from 5)—Number and Street
TOTAL %1274
7. Are Premises Inside -
City limits?Yes
4th &.Jackson Streets, Oakland, CA 94660 Perm,
9. Have you ever been convicted of a felony? 10. Have you ever violated any of the provision; of the Alcoholic
Beverage Control Act or regulations of the Deportment per-
. - NO twining to the Ad? NO -
11. Explain a "YES" answer to items 9 or 10 on on attachment which shod be deemed part of this oprfication.
N/A
12. Applicant agrees (a) that any manager employed in on -sale licensed premises will have oil the qualifications of a licensee, and
(b) that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act.
13. STATE OF CALIFORNIA County of __elameCa________Dote�_�Ql2f__3�_�58fi__
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abl•wd w injwe Md:.or- of t n.f..w. 131 .Aar 1M 1 ro1w oppl.ce.:on w•er W .irhdro.•r. by ..eMr M. a Pl.r w 1M I...n... with f '
r» ael.rw.n1. SAF�W.AY STORES HOLD JGS CORPORATION
'
14., APPLICANT
SIGN HERE
..,$ .---- , >._ ,.-i-.J_-1a-�-• = ------- ------------------------- -------------------
-` _�----_-__- ---- J_____--_______________________..
APPLICATION BY TRANSFEROR
15. STATE OF CALIFORNIA County of__________________________Dare_��Q�2L'S_
_ uwM• O.ne11y 1r W.i.•... .orh P.•.w �M.. .:9noM. 1 a b.te_ .rif... e:.d .e 411 H. is 0- i:c n n 11rc.r Pl fM r1r1w1r. I.r.....
wsrr..d :n rM /wpe.w9 .. n.i.r eOPi•eel:en,'d.ir o.lhw.f.d romokerh:. . nefw oppleo•.on on . bewoN •'(7;fhee MMnbr ,.oke. epd.ror.on re. .•
ell ir.Nnn i11 IM e1ro.M4of..ro I.) d... d b.ie- and f ren.fer 1,1M.-pf:renl and w`r lwo.•o- i-d•ror.d tM 1.PD.r f>wr.on of Ib.. 1001%e o-
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ey.e .n...ed iw Men 1Mti dlri ww.d:ry rb.dor -S;,. th. r ...1.. ePP(:roi.e.. o C.d ..eh f Depen,.nr w 1 pom er earebl.b -
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-I...- w rM l:ce••..e -:1h ne r...1en9 I.ob•1:1r 1e M. D.PerNn.n1.
of :f:e,-.;zo;c) 17. Sionature(s) of Licensees)18. License Number(%)
SafewayStores, Incornorated - -r ..`_ 21- 059676 1
Bernat Rosner 1
1
i
19. Location Number and Street City and Zip Code County
215 E. Lodi Avenue L•odi 95240 San Joaquin j
Do Not Write Below This Line, For Department Use Only
Attached: (1 Recorded notice,
.i1 Fiduciary papers p
❑ -----= - ---------------- —COPIES MAILED �------------r n--'�-- e ---- -
----- ------
❑, Renewal: Fee of -------- Paid o1----------------------------- Office on---------------- Receipt No. -- --------'
�... -. - _ .- ,.> . • ' -. ... -�i. ,ter ,-:
F_ C0Py
D...t dNar rrn of/ t+opi•r " De KN Wriro Aborta M. Lino—For Moo4f4fers Office Onty
APPUCATION FOR ALCONOUC BEVERAGE LICENSE(S) L TYPE(S) OF LICENSE(5) FILE NO. `
To: Department of Alcoholic Beverage Control :ECEIPT NO
3 1901 Broadway f�"f
- Sacramento Calif. 95818 � GFOGt APt�f.�Al . .
fofsrercrsxwvincioc..nora - CODE
The undersigned hereby appGas for Dote
Fcrnses'descnbed as follow: Issued
i. Temp. Perm -
2. NAMES) OF AM CANT(S)
Applied under Sec 24044 ❑
ftivf.§fi:YyeF AR Effective Date ' ry Effective Dote:
l
t 3. TYPE(S) OF TRANSACTION(S) FEE TL`IIC.
{!
4. Name of Business _
! 5. Location of Business Number and Street
t i . i2 2a
City and Zip Code County S
Lo TOTAL
6. if Premises Licensed, 7, Are Premises Inside
Show Type of License 'ail City Limits?
8. Moiling Address (if different from 5)—Number and Street (r p) "N'.)
� 9. Have you ever been convicted of o felony? 10. Hove you ever violated any of the provisions of the Alcoholic �
i f Beverage Control Act or regulations of the Department per-
taining to the Act?
k 11. Explain a "YES" answer to items 9 or 10 on an attochment which shall be deemed part of this application. J
. f
1 "a 12. Applicant agrees a) that an manager employed'in on-scle licensed' remises will have all the uoliflcat;ons of, licensee, and i
,., PP� g ( Y 9P 9 e
I (b) that he -will not violate or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act.
-i 13. STATF, OF CALIFORNIA County of ____ ---___ -__---.----_ _--__--Dote_______ ______.___
U+.d•f p•rsaN1 perW Y' _ h person ..nes• s•9rso Nie oppeon belo•-. <rr: f.<, and ao .1 N •s •be _p w on< of n opphcon: n ea< on e
l ofFc•e of IA•. eppik-t o.poro r named rhe for•go•n9 Dol •cor�on, d.rlr u'nor•zed Y+ Dke +hr=aD••<dwn .h. beholl, �2 rhnt he lion cod +he <for<
oppl:< and know •h-� n rher<of and that o<h and all of •he nra there.n mode r ni ]: flwr pe.aon arh.r inapt me appli<onr
f *Mlkanh rhes onr direct w : !;-t .net• • +hco• oppl.w oppik.—1 b.,zoneinie+o be'co!duc«d wider r+he 1--1 for -hich.rh;, ppple—li.. i mode:--
_."] _ f•) tnof Nr• Ironsler oppl:<o � :'p+opoaed s� n+far mode + t:rfr rhe poymene of. o loan w ro bulfirl o eDteem<nl'•nre+rd info m a ikon n err. 90! �
dov, prec•d.ry rhr dor Ann he' f 'ppl.<aiion i. rRled lh. Deeor•me . ro rya : errobl. h p ler< fw d'ro ( faro. wt.
• ! �F defraud w :..i.,r• onr c,.d;,- ef.rro sfrror, i3i lbar the r nater by e•rk•z. *tx appbwnf o .ne li • -i,h h wlr.ny. habrl•ry r
:i "f fh• pepa.fm.nf.
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14 APPLICANT
e-
SIGN HERE .'_-------------- -------------------------' ---------------------------------------------------------'
i
_______ - __________________________ __ __________________- S
APPLICATION BY TRANSFEROR
( 15. STATE OF CALIFORNIA County of ----------------- -- - ------------ Date ---__ ___-___ -----------_
- Under- pe<wlrr of perjwY cath Ow h s s•pno .e Dppeor+ belo.- f o d 1. N a � •.• o{i•;tt of rn pw 1 e
l pan .d Mr (wrgo:ny
«� }a11tm, feifresua ch:. < tions/w : •opoDmro�••r d bPPr1;rMf;De.r.defO•,t]: rhory he onabe. noph<ar•cn o posed • nafe+o2; orn rhebuy ppmer ke< on lmf • hn poJ:<onbdoe
the nhd lc—WO j;bd bJo. nd.cad fc n
•w mode r .o •af♦ rhepa rnf of. 1 . o I..Ihlr
i on aD.e•m�nt nferM of mw Than n:n<•r day wecedlna that. dor en _.h:<h 'rhe r naf e+ , rn . •- "ped oo twit DeDo.r or p ! :yah a
pre(N • b p (w anY credrtw of rr nahtw a ea defro�d w e v r •.d.ew of r.ovabe•w; o rM.r nater .<o . n ma be Mdro..n bra ez h rhe
pppu_- w fM 1's<r.ssrr w:fA ..o resulnnp l:abii.rrrro Me Deporfinen+: ..
r
i 16. Names) of Licensees} - 17. Signature(s) of licensees) 18. License Numbers)
i
City
and l Code County
19. iocotion
Number and Street P
Do Not Write Below This Line; For Department Use Only
t i
Attached: ❑ Recorded notice,
❑ Fiduciary papers.
..,t;- `.a ❑ COPIESMAILED - ---------
V
---
�- ----- .-/-✓-
i
-- -- --- - - -
i
``l Officr on � "' Rempt No
es east
ABC 211 tf-e21 Ftr Y!
s
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LICE W-REIMCHE ,
CITY -CLERK
W
CITE`
cur.De wet dvroc rw eft teams Do NM +lbor� rAis Uwe -{sr HitodgwrNrs OIFre oefy...
ApPUCATION FOR ALCOHOLIC. BEVERAGE. UCENSE(S) 1_:7YPE(S) OF LICENSES) FILE NO,
€To: Department of Alcoholic Beverage Control RECEIPT NO: a
1901 Broodwoy
J t Socromento C,x
95818
GEOGRAPHICAL,
tjj /otsr+lcr seevlNa couno+l 1 a��a< CODE( j
The urtdersiyned Hereby applies for Date j+
licenses describedas foIto ' ' issued
Tem Permit:
#
1 p;
2. NAME(S) OF APPLICANT(S) i
i. Applied under Sec. 24044
i
{ rrciit iqr 3iP . .i./P«ary jo Effective Dote: cS.,- Effective Dote: _
t 3_ TYPE(S) OF TRANSACTIONS} FEE EIC.
! TYPE
I -
tql.. _ +
I 4. Name of Business
5. Location of Business -Number and Street j
521
1
City and Zip Code County $
ioA, 9523: ._+ 111 _ TOTAL
6. If Premises Licensed, 7. Are Premises Inside
Show Type of License ;17 City Limits?
t 8. Mailing Address (if different from 5) -Number and Street (r•mn, rr.rm)
1 9. Have you ever been convicted of a felony? •- 10. Have you ever violatedany of the provisions of the Alcoholic t
ht' ` + - Beverage Control Act or regulations. of the Department per -
Y. tit, }a toining to the Act?
( 11. Explain a "YES" answer to items 9 or 10 on on attachment which shall be dee:oed Par' Of this application.
t
12- Applicant. agrees (a) that any manager employed in on -sale licensed pr6mises will have all the qualifications of o licensee, and i
(b) that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act.-
);..I 13_ STATE OF CALIFORNIA County of
Under pMol Y 1 aerie ewh p . vl,o. p opwer+ b<Io.. ( r d 7 M . oPpl.< of rh 1 -
IS— of the rwrr.e
opph<nron, wporot:' d r y:n
rhe fo•ep ePPI.<or�o del, a..rh.r d to moi,. .h.+
rqd.
uop .<vr.on ^ brholf; .t rher hrn M: •eed rhe torr
2orappli—i.. p dArw.es IM n thereof and thot ro<h end all ..1. ne +roremen• rhrre.n m. rd. -11 11- .3'thor . 'hao rhe -14.—
t J
ppl:<onrt_; w oppli<enr. he. ony d owrr, ind r. M pal n < oPPh<o r W+.near rc br <o^de<'eA .+^dr. rhe h< t h h h' pppt d
I (4y thot the f- tremPolk, • or prop d. 1-0.1 a .d.o fo r
ro .+Iyn rhe car of o loo• ,N eo Iv1r.;: on og n d ' 1, y 90 l
1 dap •ec
ped -•q the doy oir.., hith fM f oppl Dr
fid h he porrmrnr I, to porn or I, t , d rw of "-f
f orto
- � d.f-.d w miw�,ony -ds- of tron.ferw, ',S hot the t n<fe• oppi;< i n moy br ...r3.A.a..n by < w* -61-o e 14-11 —1h n wlr.nq I•ob:hty r
;
14, APPLICANT
SIGN HERE
} - —------- - — ------ -'
r
APPLICATIONF BY TRANSFEROR
15. STATE OF CALIFORNIA County of ____ ____ _ _____ -------- ---------- Dote ______
i. under. penetty of ,p.•ie,y, .och p.r.en .,how wpnobre oppeon 1—i0 r••!q and ,. Jlj N. a 1•<.^.... o ,. ofra of .M <e•p-a 1
i rwm.d i rM fwepoinp t. n.fer oPPlicotion, dilly pWhwiY.d r moAe rhe+ t• �rler pppls<or:on on .. •b.Mtl- ;]? ehot M* herby mole+ oPpt:<ot on..t a der
oil in vet tA, ~ed 6-1 f,) d. ib.d Mloe, and torooster m o rhe op 14< 1 sod. w r.1w 1; n Ind.<ored n th. up r •t. -11-6-
f—
of 11,4 1 <onen
fwm R . h Iron.fe• --.d by IM G:•.elw; i3) EMI 'h. r n.f..00 14 -.on or'wo .-Insf.r •. mods r 14fy rhe poym 1 of o leon o felfll
I. ow..rr..r+t •.d mt • than dop wec.d:np rl.• day ..h.<h rh. 1-0- 4. D.Pe.tmenr porn tabl.+h I
i prefer w to, ony creditor of t n.f.r w to defreed w • y <r.d: of r oo+i..w:. ;t! rwor rw. rron.irr ePph<o r:eo or b. ..,rhdro, ob, ..r M: Ih. f
ppl .4 or rM ti<.nwe :,h n eel eq ipbd:ry ro 1h. D+poi en eo _ ..n
are .. r-
�..i 16. Nome(s) of Licensee(s) 17. Signature(s) oflicensee(s) 18. License Number(s)
19. location Number and Street City and Zip Code County
Do Not Write Below This Line; For Department Use Only
r
Attached; ❑ Recorded notice,
El Fiduciary papers,,
{ ----- ---- - - -------------- COPi.. - MAILED --- --- ----- ----- ------
------ - - -
RertewoF Fee of -Po d at _ _ _--- Office on _ YJtecelp. No. --
.. 85