HomeMy WebLinkAboutAgenda Report - October 18, 1995 (70)OF
4` o' CITY OF LODI COUNCIL COMMUNICATION
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AGENDA TITLE: Communications (September 28, 1995 - October 11, 1995)
MEETING DATE: October 18. 1995
PREPARED BY: City Clerk
RECOMMENDED 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) Debra Sequeira to Prestige Stations Inc., AM/PM Mini Market, 501 West Kettleman Lane,
Lodi, Off -Sale Beer and Wine, Person to Person Transfer
501 West Kettleman Lane is zoned C-2, General Commercial. This zoning is appropriate for this type of
Alcoholic Beverage Control license.
FUNDING: None required.
Attachments
APPROVED:
J nifer M. rrin
City Clerk
THOMAS A. PETERSON
City Manager
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CALI10HNIA
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RPPLICRTION FOR RLCOHOL BEUERRGE LICENSES)
TO: . .
Department of Alcoholic Beverage Control File Number ............ 312823
31 East Channel Street, Room 168 Receipt Number ......... 1054399
P.O. Drawer 150 Geographical Code ........ 3902
Stockton, CA 95201 Copies Mailed Date
(209) 948-7739 Issued Date t /
DISTRICT SERVING LOCATION: STOCKTON
Name of Business: ARCO AMIPM MINI MARKET
Location of Business:
Number and Street 501 W KETTLEMAN LN
City, State Zip Code LODI CA 95240
County SAN JOAQUIN
Is premise inside city limits?
Mailing Address:
(If different from P O BOX 6225
premise address) ARTESIA CA 90702
If premise licensed:
Type of license
Transferor's names/license: SEQUEIRA DEBRA D 215522
License 7 n? Transaction Tyre Fee Tvre zas^e_ Dun Date
20 OFF -GALE BEER AND PERSON TO PERSON TP -'-.NS NA ES 0 SEP 21,1995 $50.00
2. 20 OFF -SALE BEER AND ANNU.;L FEE NA YES 0 SEP 21,1955 $34.00
TOTAL $84.00
Have you ever been Have you ever violated any provisions of the Alcoholic Beverage Control
convicted of a felony? NO Control Act, or regulations of the department pertaining to the Act? YES
Explain any "Yes" answer to the above questions on an atinchmcnt which shall be deemed pan of this anplication.
Npplic. a rees (a) that am' mana_er employed in on -sale licensed premise will have all the qualifications of a licensee, anJ {b) that
tic 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 SEP 21,1995
Under penalty of perjury, each person whose signature appears below, certifies and says: (I) 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) .Applicant Signature(s)
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ABC 211 (9/93)