HomeMy WebLinkAboutAgenda Report - December 8, 1982 (55)I
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APPMATHM Mill ALCOMIX UVUACA UCENW(S)
1. TYPE(S) OF LICE ED
FILE NO.
To: Department of Alcoholic beverage Control
1982 ROY IS AN 0RECEIPT
NO. .
b
1215 O Street
Socromerao. Calif. 95811
OWi >11Aii y_
GEOGRAPHICAL
_
MI REIMC}{g
.[..rwICT ,[•.IMO IOCATIOMI
CITY CL
COD
The undersigned hereby applies for
CITY ERK
i0a1
Date
licenses described as follows:
Issued
Temp. Permit
2. NAME(5) O:- APPLICANT(S)
Applied under Sec. 21014
75
Effective Date:
Effective Dote:
9. TYPE(S) OF TRANSACTION(S)
FEE LIC.
TYPE
_
11111411 be PerS
/. Nome of business
---
5. Location of business—Number and Street
—
------
Ci and Zip Code county
-- -----
$
9yZA0 971 3a�gnin
--- — TOTAL
21
6 If Premises Licensed, 7. Are Premises Inside
Show Type of License 21-99*3 City Limih? Tas
8. Moiling Address (of different from 5)—Number and Street --- - --- --- (T.w.P) rp. )
9. How you ever been convicted of o felony? 10. Hove you ever violated any of the provisions oft e coholic
Beverage Control Act or regulations of the Deportment per-
` - raining to the Art? n0
11. Explain a "YES" answer to items 9 or 10 on on attachment which shall be deemed port of this application
12. Appl(cam agrees (a) that any manager employed in on -sole licensed premises will have a4jbe qualification-, 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.
12. STATE OF CALIFORNIA County of a" jftq"a Dote U-442
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1/. APPLICANT
SIGN HERE
APPLICATION BY TRANSFEROR
5. STATE OF CALIFORNIA County of ti" jeftqldw Dote Ilrl2—a2
ud•. p•we11r e/ _i.er. .ed. p.rsaw ..Iso•• •:gwoM. epp.er. b.b.. tsslfi.s o.d ler•_ (11 N. is Ili. 1k__.ttW:.• .IMw d Ili. te.pweN Ik.n
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iswk.. — n.• Ikomo..:M I.. -W" 16biln. b III. D•pwl...o^t.
16. Names) of Licensee(s) 17. Signoture(s) of Licensee(s) 18. License Number(s)
19. Location Number and Street City and Zip Code County
1Q1 1L >r�......oe.s B! liadie—Ct 9S7A0 y -- Do Not Not Write Before This Line. For Department Use Only
Attached: f] Recorded notice,
n Fiduciary papers,
M COPIES MAILED 1:•,12.$2
.OTMt R.
n Renewal: Fee of Paid at Office on Receipt No.
i Rec 3.1 tion wJ.0. .M 1.e. xw sfv' c~wosr