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Home My WebLink AboutAgenda Report - December 18, 1985 (73)c0Pyanot d.hle- 4t&twmepsepi.. De Wet Ate Abswe This Utse—ter Hoodeverters oAtce oeltr APPLICATION FOR ALCOHOLIC BEVERAGE UJCMSE(S) 1. TYPE(S) OF I K.ENSE(S) FILE NO. To: Department of Alcoholic Beverage Control RECEIPT NO. 1901 Broadway 2;, 3 v I ti Stockt Sac-amento, CcM. 95818 on; a4 SAL" '? }' 4aI°�� GEOGRAPHICAL (OI/TRICT {RRVING IOCAT10Nt ?ubI is Prts:is=s CODE 3902 Date The undersigned hereby applies for /icensts described as follows: Issued Temp. Permit 2. NAME(S) OF APPLICANTS) Applied under Sec. 24044 ' FcCri€LISTI;n, Suzanne- :1• Effective Date: Trf rk'. Effective Date:; 2—IU S`.i 3. TYPE(S) OF TRANSACTION(S) FEE LIC. TYPE t 4. Nome of Business Z :i 5. location of Business—Number and Street City and Zip Code County $ _ �i , '� c TOTAL :. ... 6. If Premises Licensed, 7. Are Premises Inside Show Type of License City Limits? Yr: 8. Mailing Address (if different from 5)—Number and Street (Temp) (Form) _act S •�'i_ ,.. 9. Have you ever been convicted of a felony? 10. Have you ever violated any of the provisions of the Alcoholic Beverage Control Act or regulations of the Department per- taining to the Act? 11. Explain a "YES" answer to items 9 or 10 on an ottachment which shall be deemed part of this application. 12. Applicant agrees (a) that any manager employed in on -sole 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 -Control Act. 13. STATE OF CALIFORNIA County .of .. , : Dare � - , . _. Under ponolty of pe,ju,y, each person whose signature appears below, certifies and says. 11) He it the applicant, or one of the applicants, ar on executive ti officer of the applicant corporation, named in the foregoing application, duly authorized to make this oppliwon on its behalf; (2) that he has read the fora• going application and knows the contents thereof and that each and all of the stotem—ts therein mode ore true; (3) that no person other than the opplicont or opphconts has any di—t or indirect interest in the applicant's or applicants' business to be conducted under the license(.) for which this application is mode; (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loon or to fulfill on ogreement entered into more than ninety (90) days preceding the day on which the transfer application is filed with the Deportment or to gain or establish o preference to at for on; creditor of ttansferw or to defraud or injure any creditor of transferor, (S) that the transfer application may be withdrown by either the applicant or the licensee with no resulting liability to the Department, 14. APPLICANT SIGN HERE ------------------------------------------r APPLICATION BY TRANSFEROR 15. STATE OF CALIFORNIA County of -------- �__:----------------- Dote ----- ---_---_--__-. Under penalty of perjury, each person whore signature oppeors below, certifies and says: (1) He is the licensee, or on executive officer of the corporate licensee, nomed in the foregoing transfer application, duly authorized to make this transfer application on its behalf; (2) that he hereby makes application to surrender all interest in the attached {4ense(s) described below and to transfer same to the applicant ond; or location indicated on the upper portion of this application form, if such transfer is approved by the Director; (3) that the transfer application or proposed transfer is not mode to satisfy the payment of a loon or to fulfill on ogreanent entered into more than ninety days preceding the day on which the trons(er application is filed with the Deportment or to gain or establish a preference tp or far any creditor of transferor ar to defroud or injure any creditor of tronsferor; f4) that the transfer application may be withdrawn by either the of Licensee(s) 18. license Number(s) —1; 1 19. Location Number and Street City and Zip Code County Do Not Write Below This Line; For Department Use Only Attached: GI Recorded notice, Fiduciary papers, ❑----------------------------------------------------- _COPIES MAILED ------==----`------------------------------ �orw[w� Renewal: Fee of ------------ at----------------------------- Office on ---------------__ Receipt No ------------------------ ensiam aM ai u ssar - osr ABC 211 0-6Z ima is A, ! i i I i :6 WV 6- 330 S861 93AGA as LUrTD*WWd0nWWn all aoee Oe IMA-.,Iri a Abevt. TLI! Uso—for I -Avwrtora 041he OMB APPUCATION FOR ALCOHOLIC UVERAGM UCENSE(S) 1. TYPES) OF LICENSE(S) FILE NO. To: Deportment of Alcoholic Beverage Control RECEIPT NO. 1901 Broadvroy J Sacramento, Calif. 95818 JIQI^:,,�;i: _. :> .v.: i�:'.:..: ::_ .:. •._ GEOGRAPHICAL --+- ' :DISTRICT SERVING LOCATIC K) - CODE Date The undersigned hereby applies for klifrssss described as follows: Issued Temp. Permit 2. NAM�S) OF APPLICANTS) Applied under Sec. 24044 fl Jti, Effective Date: :. - Effective Date: 3. TYPE(S) OF TRANSACTION(S) FEE LIC. Type, 41 . s 4. Nome of Business Yell Chi.;: Lj 5. Location of Business—Number and Street City and Zip Code County $ — A)d i, cj.'. 4 3 :' ); 7 TOTAL 4. .4(? 6. If Premises Licensed, _-� 7. Are Premises Inside Show Type of license City Limits? Yf 8. Mailing Address (if different from 5)—Number and Street (Temp) (Perm) 6511 9. Have you ever been convicted of a felony? 10. Have you ever violated any of the provisions of the Alcoholic Beverage Control Act or regulations of the Department per- taining to the Act? 11. Explain a "YES" answer to items 9 or 10 on an attachment which shall be deemed part of this application. 12. Applicant agrees (a) that 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 Control Act. ti 35- 13. STATE OF CALIFORNIA County 'of ___________ _________ -.-----------------Date-----------------------_---•. Under penalty of per'tury, each person whose signature appears below, corm Bos and says: (1) He is the applicant, or one of he applicants, or on eteesutis-s officer of the applicant corporation, named in the foregoing application, duly o0h.6-cl to make this application on its behalf; (2) That be has read the fore- going application and knows the contents thereof and that each and all of the statements therein made ore true; (3) ?hot no person other then the applicant or applicants has any direct Or (rrdireci interest in the opPIk—l's w oppliconts business to be conducted under the licen-is) for which this application is )node;_ (4) that the transfer opplicor:on or proposed transfer is not made to satisfy the payment of o loon or to fulfil( on agreement entered into more than ninety ft) days preceding the day on which the tronsfer application is fled with the Department ar, to gain or establish a preference to or fa on-,- creditor of tronsfo/or et -to defraud or injure any creditor of tronsferor; (5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting Nowlity to the Deportment. 14. APPLICANT SIGN HERE ------------•------------------------------ ------------------------------------------------------r --------------------------------------------------------------- APPLICATION BY TRANSFEROR 15. STATE OF CALIFORNIA County of--------------------------------------Date--------------__------ Under penalty of Psriury, each person who- signet— appears below, certifies and says: 0: He is the licensse, w an a—cuti— officer of the corporate licensee,. named in the foregoing tronsfer oi.plication, duly authorised to make this transfer application on its beholf; (2) that he hereby makes application to wnender .it interest in the ,"oched (icon -(s) described below and to transfer same to the applicant and.'*, location indicated on the upper portion of this oppikotian form, if such transfer is opwoeftd by the Director; (3) that the transfer application or proposed transfer is not made to satisfy the payment of a loon w to futftll on me agreent entered into more than ninety days preceding the day on which the #,�nsfer application is filed with the Department or to gain or, establish a preference to or fw any creditor of tronsf-or or to defraud or injure any creditor of tronsferor; (41 that the transfer application may be wiHr!rown by other the $�f)3�:...,«j}.h3�-x.-Z:�S.".£•�,... '�'„�"."aC� ,.. ....;.fit' ..�'!eM!t�^'R@�.as+.:::w:.-. ...,.:_c;....-. ,.. :.. .:r.. :.. .. , ... ..._... •c..yr....s„ 19. location Number and Street City and Zip Code County Do Not Write Below This Line; For Department Use Only Attached: ❑ Recorded notice, (� Fiduciary papers, ` ❑ ----------------------------------------------------.COPIES MAILED ------------------------------------------- fOtM[RI ❑ Renewah Fee of ----------- Paid at----------------------------- Office on -----------------Receipt No ------------------------ ffrju.am 6M 20 r sm — acr ABG 211 11.821 C .LIJ C0 U . CJ � Erf? w WF