HomeMy WebLinkAboutAgenda Report - November 19, 1986 (80)ApPlied under. Sec. 24044End
'
Effective Dare
y Effective Date:
9. TYPE(S) OF TRANSACTION(S) F� LIC-
,) .rL ... TYPE
-'T
4.
Noma of Business
i i;.r:
5. Location of Business—Number and Street
I Gty and Zip Code County S
Sar7 TOTAL
_61f Premises Licensed, 7. Are Premises Inside
} j Show Type of License City Limits? _
' 8. Mailing Address (if different from 5)—Number and Street
1 _
9. Have you ever been convicted of o felon
1 y. 10. Have you ever violated any of the provisions of the Alcoholic
Beverage Control Act or regulations of the Department per -
4, - - raining to the Act? a
r,. 11. Explain a "YES" answer to items 9 or 10 on an attachment which shall be deemed part of this application.
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1 12. Applicant agrees (a) !hot any manager employed in on -sale licensed premises will have all 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 Conlrol Act.
l ) 13. STATE Of CALIFORNIA County 'of -----------------, --- - ----__Date__ -----------------
U-d-
_c__---_ - ----'Uncle. p.rrolly 01 periWy, recti pe who:. irgnarur. appears bel.—. <er+.hes and so 1'
1 opDh+onr .he app.
ofrM Df rhe ppplKon! <Orpora'ren, named �n fM fd.pwng oPDI•<o'on. duly ou'hor.ied yro mote this oDOr�rot.on brho rr; 1' rho. henrhos trod rhe elate
1. a poinq pppli< 1;.. and mors rM cont. th.rwf and rfror eo<h and all of rhe statement rherr:n mod. a '1 that no pct son other than rhe oDol<Dnr
1:. d oppli<anls hps any drre<I.d end infrr.at ire rM opph<onrr appbcnn business roe be condur'ed ..oder rth I- se.s� fd wh.<h eh;r opplicarion mads;
(e). that th, r of ppl tion pop sed h de 1. lhp nr f I o fulfil o p d eh y 90
do Ys pr ed q he day —'k'
f ( ppl aria FI d w h M -1p 1 ro g s: bl sh 'o peel 1 d f
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p 't jt defraud I O Y edit- f naftr , IS} rho, rM -f r oppir<orron -y b. wrthd.own by I•ab441, <rrhr Fe oDPbro r or hr ! r .-:rh ne r sulr.ny
14. APPLICANT
SIGN HERE_-- ------�---------------`----`-------------
-
---- --- - - -- -- - r
1 --- ------------------ ---
APPLICATfON BY TRANSFEROR
• 15. STATE OF CAuroRNiA County of -------- _--- -— --------- Date ------------
y of periwr..«h Dpeors: baa r„res ane . 0; re t „ ;.. D.:<rr of •he < d e r.<.n,.e.
-j named m fhr far.gornp. transfer opplimr:.n,, d0,y ovlhori,ed r make ,hn rr nsfer opplic .r s b<h ^f- ; ,hoe hr hereby modes oPpl.co eo v wrrrnder
rh. ..ached lie --W deurib.d: be, w ani to transfer tame to the apph<onr and d Iota .o md�<otrd n .M uppe. par . o of 'his eavph<oe,on
fpr ^rif •{v<h rr 0.1 i oppro+.d by rhe DrrKror, ,3) -'hot th. rr 0., oppli—,i. or proposed Transfer mode a rnfy +he payment of o Zoon o o fulf.tt
- n opre.m.d entered mlo mo h nirr.,y deys wqe &r rhed., on which -'M rr nsfer appl.<er:en t.s (led wins 'I.r D,--- oro q.;. or ..bhsh o
prefer c d ler any c•.di'd of bonsfmd d b defrertd rniure y —da -of --f--a rhar +M 'rooster eaplicerion y be trFd.o by e•+Mr rh.
apDliconl'dorh. lic.nsee with no wlrinq :;.b;1;1, ' rh. Deporm.ent
1 -'+. ,
• 16. Name(:) of Licensee(:) 17. Signature(:) of Licensee(:) 18License Numberts)
1 _ i
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a ' 1
`19. Location Number and Street . City and Zip Code ` County
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Do Not Write Below This Line; For Department Use Only
Attached: Q• Recorded notice,
' Fiduriary pope's
----------------=--------------------- -----.COPIES MAILED ----- ---------------
Fee
--------- --- Fee of ” -Paid at'- — ------ --------=Office on =� _r ----Receipt No.
V":�wec 21, n -ea ''= cs