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Home My WebLink AboutAgenda Report - February 15, 1995 (65)4OF Q CITY OF LODI COUNCIL COMMUNICATION cgt,Foa�P AGENDA TITLE: Communications (January 26, 1995 through February 8, 1995) MEETING DATE: February 15, 1995 PREPARED BY: City Clerk RECOMMENDED ACTION: No action - information only. BACKGROUND INFORMATION: Copies of applications for Alcoholic Beverage Control Licenses have been received from the State of California Department of Alcoholic Beverage Control for the following: a) Aksarben Pizza Corporation (John Chisholm, President/Director; Vincent Morrissey, Vice President/Director; and Pat L. Kelley, Secretary/Treasurer), Godfather's Pizza, 1413 South Church Street, Lodi, On Sale Beer and Wine Eating Place, Original License b) Anupam Sidhu, EI Tokay Market, 10 East Tokay Street, Lodi, Off Sale General, Person to Person Transfer 1413 South Church Street is zoned C -S, Commercial Shopping, and 10 East Tokay Street is zoned M-2, Heavy Industrial. These are appropriate zonings for these types of Alcoholic Beverage Control licenses. FUNDING: imp Attachments None required. J fer M. Ptin City Clerk t APPROVED: • THOMAS A. PETERSON %1J recycled paper City Manager 0 cc -1 COPy Do not detoch_Rotern all copies Do ntot Write Ahevo This Line—for Neadgaarters Office Only APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) 1. TYPE(S) OF LICENSE(S) FILE NO. On Sale Plet.r & lKlint: ixitln( To: Department of Alcoholic Beverage Control RECEIPT. NO, 1901 Broadway Plact'_ GEOGRAPHICAL _ Sacramento, Calif. 95818 (DISTRICT SERVING LOCATIO ECE}1.1tJ1 Ilya»p-c CODE 3902 Date The undersigned hereby applies for licenses described as follows: PM 3: 47 Issued Temp. Permit 2. NAME(S) OF APPLICANT(S) { �lp�fb�` rider k Aicsark>en Pizza Corooration _ t'_12 j�) Sec. 24044 ❑ iBfettive Date. Issuance Effective Date: 3. TYPE(S) OF TRANSACTION(S) FEE LIC. TYPE John A. Chisholm, President/Director original 41 S ;x.00 41 Vinomt J. il4orrissey, Vice� Pres./Director Annual. Few 205.00 Pat L. Kelley, Sec./Tre-as. 4.(Ma o Busj s sizza 5. Location of Business -Number and Street 1413 Se Church St. City and Zip Code County $ Lodi, CA 95241 San Joaquin . TOTAL 5[15.00 6. If Premises Licensed, 7. Are Premises Inside Show Type of License City limits? yeS S. Mailing Address (if different from 5) -Number and Street (Temp) (Perm) 1125 S. 103rd St., Suite 580, anaha, NF 68124 Purr., 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 - A Corporation taining to the Act? r-- - 11. Explain a "YES" answer to ltgms 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. 13. STATE OF CALIFORNIA Counter -of----------------San J_:c3gu n ------- Date ------ it2_Vn----------- - Under penalty of perjury, each person whose signature appears below, certifies and says: (1) Ne is the 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 fore• going application and knows the contents thereof and that each and oil of the statements therein made are true; (3) that no person other than the applicant oI applicants has any direct or indirect interest in the applicant's a, applicants' business to be conducted under the licenses) for which this application is made; (4) that the transfer application or proposed transfer is not mode 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 filed with the Deportment or to gain at establish a preference to or for an•,- creditor of 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 Deportment. i 14. APPLICANT i �t- L �� 1; -----�-e- t ) r SIGN HERE .X--- i----- ------------------r ---------------=--L--------------�----------------------r ------------------------------------------------------•---------------------------- --------------------------------- 15. STATE OF CALIFORNIA APPLICATION BY TRANSFEROR County of Under penalty of perjury, each person whose signature appears below, certifies and says: (1) Hr 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 license(s) described below and to transfer some to the applicant and,'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 I,onsfer is net made to satisfy the payment of a lean or to fulfill an agreement entered into more than ninety days preceding the day on which the Ironsfer application is riled with the Deportment or to gain or establish is preference to or For any creditor of transferor or to defraud or injure coy creditor of transferor; (41 that the transfer application may be withdrawn by either the applicant or the licensee with no resulting liability to she Department. RPPL I CRTI ON TO: Department of Alcoholic Beverage Control 31 East Channel Street, Room 168 P.O. Drawer 150 Stockton, CA 95201 (209)948-7739 DISTRICT SERVING LOCATION: Name of Business: Location of Business: Number and Street City, State Zip Code County Is premise inside city limits? Mailing Address: (If different from premise address) If premise licensed: Type of license Transferor's names/license: / CALffORN1A + = fn FOR ALCOHOL MENU L I CENS��S File Number ............ 302987 Receipt Number ......... 1011300,1018612 Geographical Code........ 3902 Copies Mailed Date I�A4,615 Issued Date `11/1-,1I. 1 l,.5�.'11 10 E TOKAY ST LODI CA 95240 SAN JOAQUIN YES 10 E TOKAY ST LODI CA SIDHU ANUPAM K 289246 1. 21 OFF -SALE GENERAL RENEWAL FEE NA YES 0 JAN 24,1995 $446.00 t Have you ever been Have you ever violated any provisions of the Alcoholic Beverage Control convicted of a felony? Control Act, or regulations of the department pertaining to the Act? 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 JAN 24,1995 Under penalty of perjury, each person whose signature appears 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 with the 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 Name(s) SIDHU ANUPAM K ABC 211 (9/93) Applicant Signature(s) LICENSE ACTa1N REQUEST im Keith Cool; Timothy McCormick; Patr 15. PREMISES ADDRESS CITY AND ZIP 1 305 S Mt. Shasta Blvd_. Mount Shaste A. APPLICATION TO TRANSFER LICENS 0"Aft'n,0 r OF ALCoIicui A9E ER t EfCAN 2. ABC LICENSE 11-1)(1101711, ti. LICENSE ATTACHED ❑ Yes ❑ No 7. Tremfer to: Under penalry of per)ury. each person whose signature appears below. Certifies and says: (1) He is the licensee, or an executive officer of the corporate licenses named in die foregoing as application, duly authorized to make this transfer application on its behalf: 12) that he hereby makes application to surrender all interest in the attached licensors) deunbed below and to tra same to the applicant andfor location indicated on the upper porttoo of this application form. if such transfer is approved by the Director. (3) this the transfer application or proposed trasw not made to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety, days preceding Ntransfer e day on which the application is filed with the Department or to or establish a preference to or for any creditor of tansferor or to defraud or injure any creditor of transferor. ii) that the transfer application may be withdrawn by either the applicant a. licensee with no resulting liability to the Department. Xame(s) of Licensee(s) Sigiptt(s) of Licenseelsl Name(s) of Licensees) Signature(s) of Licensees) !a -COOL, Keith d GIM � !b -McCormick, Timoth I C. McCormick, Patrick Xn ff I / p � I B. CANCELLATION a Immediately C Upon issuance C1 Other: I voluntarily cancel my license because I am no longer in business. I understand my license cannot be reactivate or reinstated. 8. DATE CLOSED 9. SIGNATURE 10. DATE 11. HOME TELEPHONE NUMBED !X Important Notice to Licensee All licenses surrendered will be automatically revoked if the renewal fees are not paid. Any change of mailing address shall be reported to the District Office. The surrendered license will be automatically canceled upon transfer to the temporary permittee. If the transfer application is denied or withdrawn: I at If the transferor intends to resume operation of the licensed business he must request the return of the surrendered licel156 and establish that there has been no change in the ownership or the qualifications of the licensed premises. bt If the transferor does not intend to resume operation of the licensed business and does not request return of the surrendered license Nen the Department will proceed to hold the license under the provisions of Rule 65. The effective date of Rule 65 surrender will be the date of application. denial, or withdrawal. C. SURRENDER - Rule 65 E immediately ; Upon Issuance ❑ Other: I voluntarily surrender my license for a period of not more than one year. I intend to El Transfer ❑ Reactivate the license. I understand that the license must be renewed at the time renewal fees are due or the license will be automatically revoked. I further understand that the Department will proceed to automatically cancel my license at the expiration of the one-year period if not transferred or reactivated. 12. DATE CLOSED , 13. SIGNATURE ; 14. DATE IS. NOME TELEPHONE N'UMdER FOR DEPARTMENT USE ONLY ❑ Premises Abandoned ❑ Letter Attached Requesting ❑ Other Surrender or Cancellation D. REQUEST FOR SURRENDER OF RETAIL LICENSE FOR TEMPORARY PERMIT UNDER SECTION 24045.5(b) OF THE ALCOHOLIC BEVERAGE CONTROL ACT 17. TRANSFEREE 118. SURRENDER DATE 19. EFFECTIVE DATE 120. EXPIRATION DATE 21. TRANSFEROR'S SIGNATURE 22• DATE X E. REQUEST FOR SURRENDER OF PRIVILEGES ON A PORTION OF THE PREMISES UNDER RULE 53. I/we hereby surrender the privileges or my/our alcoholic beverage license in my/our banquet room, dining room, etc. on between the hours of and 23, floe have read the foregoing and know the contents thereof. 2f4. TEU19�e NUMBER � ss DATE SIGNATURE Y 26. MAILING ADDRESS AW 231 1394) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of County ofv-z- f On -5 _r before me, DATE NAME, TITLE OF OFFICER - E.G., "J DOE, NOTARY LIC" personally appeared /ee. c, -f-/-.- lq- , NAME(S) OF SIGNER(S) g personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/a-Fe subscribed to the within instrument and ac- knowledged to me that he/she/tbet executed the same in his/rTer/their authorized capacity(4te4s), and that by his/he-r/thei PATREESE D. MARKEY signature( on the instrument the person(O, CD:?:A. #991147 �.�:...ri � or the entity upon behalf of which the NOTARY PUBLIC — CALIFORNIA slsr,lYCU COUidTY person(s) acted, executed the instrument. My Commission Expires April 11, 1997 •e�e��s��s��eeeeeeeeeeeee• �— V74TNESS y hand and official seal. Lx U� / SIGNATURE OF NOTARY OPTIONAL No. 5907 Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) L►_I PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) V�'\0-rCos\,:.'s ..�1�o r Ick' DESCRIPTION OF ATTACHED DOCUMENT TITLE ORYYPE OF DOCUMENT NUMBER OF PAGES /_p_ r- s __/ DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION -8236 Remmet Ave., P.O. Box 7184 •Canoga Park, CA 91309-7184 State of Ot'egon County of Jackson On December 21, 1994 before me, Gwendolyn Seifer, Notary Public for the State of Oregon, personally appeared Timothy McCormick personally known to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity and that by his signature on the instrument the person or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. 61 AL Signature of Kotary is