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HomeMy WebLinkAboutAgenda Report - December 17, 1986 (74)AOL Do Not Write Above this Live -for Heodgverters Office oofy F LICENSE(S) FILE NO. APPLICATION FOR ALCOHOLIC BEVERAGE UCENSE(S) 1, TYPE(S) O Tai Deportment of Aicoho;ic Beveroge Contral RECEIPT NO. 1901 Broadway Sacramento, Calif. 95818 Stockton 33 .: - GEOGRAPHICAL 9reTercr e[RvlR9 LOCw,t9r a CODE3'9 d The undersigned hereby applies for Date . licenses described as follows - 2. NAME(S) OF APPLICANT(S) Temp. Permit Temp. Applied under Sec. 25044 ❑ siiC�32 ATd 3S1P , iilV:n G./Janice E. Effective Date_ Effective Date: ±2—IO-86 Tnr tees for Ute Sugar Foot Family 3. TYPE(S) OF TRANSACTION(S) FEE TYPE 'tate 'Trust S 4. Name of Business T33U(sfir3LE BL 14'N 5. Location of Business—Number and Street — 20 N. Train Street — — -- City and Zip Code County City T 5 240 --- TOTAL 6. If Premises Licensed, 7. Are Premises Inside Show Type of License. 4b-246693 City Limits? yez 8. Mailing Address (if different from 5) -Number and Street !TemP1 tP.,,) porn 40 'v i•131ri 7Lr2t=t iQil iii `6_740 9. Have you ever been convicted of a felony? 10. Have you ever violated any of the provisions of the Alcoholic /�t Beverage Control Act or regulptions of the Deportment per- k taining to the Act? f�L 11. Explain a "YES" answer to items 9 or 10 on on attachment which shall be deemed part of this application. t 12. Applicant agrees (a) that any manager employed in on -sole licensed premises will have oil the quol:fcations 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 .__ 3 -`t _-______Date___-1-5- ___ Under gnolty of peri.,Y. .—h person ..hone aigna r oPPror beta.. <r. r,f e. and --- i M1r , rhe appl;<enr, or n of rhe applicants. or -n e. r (... •Y� o♦<er of the oDDlic or r r om<d rn rhe'loVetroinq oppl�<or:on. dint o,.ha.,<edyo mc4e rhiv Pi.. <-t,or- en behalf; �2 •hot a hua .eod •he <fo.,. ! gorn9 oppli—i n —d k—, +he <onren a rher<of and rhaa a<h ane o,i . a o emenra rhr.e.n made re .rue. 1 eaencr no Per.en ower •hon rha appi,<onr applicants hos any direct i,.d,re<t r.n rn rhe opplicon r Ppl <o.• .v b..a .r be <oW��r�d under •M cenae.a for ..h:<h rh,. nPGI•<or.o� made, FI /41 - that the r infer appl•co+io r prop sed ir. nater , n mad<oro aria . rnr ,.a. rn o a Zoon o 0 Zvif.il n loq•ermenr en re -d int or than nm 90. i• 1 d y p—d;,, a+he day on a+hrch orh< r safer o 01 tion .or,,led ...,h ,ne Depa•'m<^r or •o qa .. ebl;sF a p.elerenc< ra for o .edl cr of r nareroryor1. < ] ; defroad o any credit- of eronifeo, 151 rhar ohe rronafe• oppl.<or;on ar be-.rhdra..n brore'rher a app:,canr or rhe oh<ens<rn.. 'h no .,nq liob,hry o 8 tM Deportm S. APPLICANT SIGN HERE,/ r-- 1 y -- - - --- .. - - - - - -- A_. + APPLICATION BY TRANSFEROR 15, STATE OF CALIFORNIA County of ----------- ___.__Dare___.._.-_._-..._____-__-____ Vnder prnoi+y of prrj each person •--hos ai0no u. app<ara beta.., --r- o a r r+ t `*r .a a l:<en.ee. n r. u .. o4<e. o! •he co <•n.ee the forego,ngy t. na/er apps:<or,on,e dal, ou rhor red o +•ole rn a r nr•r• Pp' <o• a. ..n b<no:f, '2 o•har ne rhe.ebr mo4e< ata ar. polro -.rend,, all r rhe o<hedah<ena<a deuribed Selo and r .analr. .,m a.hr av Pi.<a ,n ra, .nd"—d n rhr upper p—r.an,,<,.( �n,a upPl,r arias !. ff- if< en R­if.,r ,n pp, ­d by fh< Di...... .3 rno, o•Ie ean+l e,on`. ..,h< r' .ac v... e� ,- 4 ay ee ente.ed than nery days r'r d•nq rhor dar -d •ho •ne Decarrmenr m a ah p �fer w for any coed:rar o! :. safe•- o. rn drf-d or u r . ...o..... �. ions r•c, a -.. r.r r.n .a rr a<ar,ra.•an or b. .. �.ha Dy r••.ner '.n I opplicont<-orhe lice.... ..i.h no rrw(r.nq ,obilitr o rhr G•porrmenr r_ 16- Nome(s) of Licensee(s) ll. Signature(si o° _Icensee(s? 18. License Number(sl r ; t I I , 19. location Number and Street Cir, e -,d Zip Code County ' Sat:ae Do Not Write Below This Line; For Department Use Only i Attached: U Recorded notice, - - l I { - 0 Fiduciary papers, i2-- -o ------------ ------------------------------------- COPIES MAILED -------------------------------------- -- - Renewal- Fee of--��'oid of -`-__ AGR -_Office on__! - _��Receipt No. ���- n --------- ------------ r.t• .�.t_-..- - - &a 53451