HomeMy WebLinkAboutAgenda Report - August 18, 1999 G-02CITY OF LODI COUNCIL COMMUNICATION
AGENDA TITLE: Communications
Alcoholic Beverage Control License Applications
MEETING DATE: August 18, 1999
PREPARED BY: City Clerk
ACTION: No action - information only.
BACKGROUND INFORMATION: A copy of an application for Alcoholic Beverage Control License has been
received from the State of California Department of Alcoholic Beverage Control
for the following:
a) Khou Moua to Mohammad Usman and Mohammad Waheed, EI Mexicana Market, 10 East Tokay Street,
Lodi, Off -Sale Beer and Wine, Person to Person and Premise to Premise Transfer. This is zoned M-2,
Heavy Industrial.
The zoning for this license is appropriate for this type of business.
FUNDING: None required.
Attachment
Alice M. Reimche
City Clerk
APPROVED:
H. D' on Aynn -- City Manager
C A L f 1 O A N i A DROPPING PARTNER .
! 1 t, t = '� YES_—_ NO
( e : t o: i
# . p ` CATION FOR ALCOHOL BEUERRGE LICENSE(S)
YrTF
Department of Alcoholic Beverage Control File Number..............356261
31 East Channel Street, Room 168 Receipt Number ......... 1244136
Stockton, CA 95201 Geographical Code........ 3902
(209) 948-7739 Copies Mailed Date 7/27/99
Issued Date
DISTRICT SERVING LOCATION:
Name of Business:
EL MEXICANA MARKET
Location of Business:
Number and Street
10 E TOKAY ST
City, State Zip Code
LODI CA 95240
County
SAN JOAQUIIV
Is premise inside city limits?
YES
Mailing Address:
(If different from
19317 N PERRYMAN RD
premise address)
LODI CA 95242
If premise licensed:
Type of license
Transferor's names/license:
MOUA KHOU 348154
I understand that if I fail to qualify for the license or withdraw this application there will be a service charge of one-fourth of the license
fee paid, up to $100.
License Type Transaction Tyne Fee Tyne Master D= Date Zag
1. 20 OFF -SALE BEER AND PERSON TO PERSON TRANS NA YES 0 27-JUL-1999 $50.00
2. 20 OFF -SALE BEER AND ANNUAL FEE NA YES 0 27-JUL-1999 $34.00
3. 20 OFF -SALE BEER AND PREMISE TO PREMISE TRA NA YES 0 27-JUL-1999 $100.00
4. 20 OFF -SALE BEER AND STATE FINGERPRINTS NA NO 2 27-JUL-1999 $78.00
TOTAL $262.00
Have you ever been Have you ever violated any provisions of the Alcoholic Beverage Control
convicted of a felony? NO Act, or regulations of the Department pertaining to the Act? NO
Explain any "Yes" answer to the above questions on an attachment which shall be deemed part of this application.
Applicant agrees (a) that any manager employed in on -sale licensed premise 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.
STATE OF CALIFORNIA County of SAN JOAQUIN Date JUL 27,1999
Under penalty of perjury, each person whose signatureappears below, certifies and says: (1) He is an applicant, or one of the applicants, or an executive officer of the applicant
corporation, named in the foregoing application, duly authorized to make this application on its behalf; (2) that he has read the foregoing and knows the contents thereof and that
each of the above statements therein made are true; (3) that no person other than the applicant or applicants has any direct or indirect interest in the applicant or applicant's business to
be conducted under the license(s) for which this application is made; (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an
agreement entered into more than ninety (90) days preceding the day on which the transfer application is filled withthe Department or to gain or establish a preference to or for any
creditor or transferor or to defraud or injure any creditor of transferor, (5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting
liability to the Department.
Applicant Names) Applicant Signature(s)
USMAN MOHAMMAD
WAHEED MOHAMMAD r X4 R9i, , (,� bra A e4
ABC 211 (2199)