HomeMy WebLinkAboutAgenda Report - December 7, 1994 (12)OF
CITY OF LODI
COUNCIL COMMUNICATION
AGE`tDA TITLE: Communications (November 10, 1994 through November 30, 1994)
MEETING DATE: December 7, 1994
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) Paul K. Tsampis to Tanna H. Broussard, Central Valley Hofbrau, 28 North School Street,
Lodi, On Sale Beer and Wine. Person to Person Transfer.
28 North School Street is zoned C-2, General Commercial. This is an appropriate zoning for this type of
Alcoholic Beverage Control license.
FUNDING: None required.
nifer M. errin
City Clerk
A!M
Attachments
A
APPROVED --_--- _ _ _ --__. _--- ----- i,
THOMAS A. PETERSON ,OCYLIw p&pet
City Manager
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C411/0ANIA n
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RPPLICRTION FOR RLCOHOL BEUERRGE LICENSES)
Department of Alcoholic Beverage Control File Number ............302413
31 East Channel Street, Room 168 Receipt Number ......... 1009719
P.O. Drawer 150 Geographical Code ........ 3902
Stockton, CA 95201
(209) 948-7739 Copies Mailed Date
Issued Date
DISTRICT SERVING LOCATION
Name of Business:
Location of Business:
Number and Street
28 N SCHOOL ST
City. State Zip Code
LODI CA 95240
County
SAN JOAQUIN
Is premise inside city limits?
NOV 07,1994
Mailing Address: .
2.
(If different from
28 N SCHOOL ST
premise address)
LODI CA 95240
If premise licensed:
0
Type of license
$205.00 :
Transferor's namesfliccnse:
TSA;IIPIS PAUL K 257193
License 11.,ne Transaction
gee Fee Tyne Master 2= L'Ate FSt
1.
41
011 -SALE BITER AND
W PERSON TO PERSON TRANS
NA
YES
0
NOV 07,1994
$150.00 :
2.
41
ON -SALE BEER AND
W ANNUAL FEE
NA
YES
0
NOV 07,1994
$205.00 :
3.
30
TEMPORARY RETAIL
P TEMPORARY PERMIT
NA
YES
0
NOV 07,1994
$100.00 :
4.
NA
NO LICENSE TYPE
STATE FINGERPRINTS
NA
YES
0
NOV 07,1994
S39.00 :
TOTAL
$494.00
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 peraining to the Act? NO
Explain any 'Yee' amwer to the above q%wstions on an attachment which shall be deerned 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 NOV 07.1994
Under penalty of perjury. each person whore si4naturc appear below, ccruries 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. July authorized to make this application on its behalf. (2) that he has lead the foregoing and knows the
contents thereof and that each of the above uatcments therein mak arc trio. (3) that no person otter than the applicant at applicants has any direct or indirect interest in
the applicant or applicants business to be conducted under the licensels) for which this application is made: (4) that the transfer application a
or proposed transfer is ri
made to utisfy the payment of a loan or to fulfil an agreement entered into more than ninety t9U1 days preceding the day on which the transfer application is filled with
the Dcpanmcni or to gain or establish a preference to or for any creditor or uamfcror or to defraud or injure any creditor of transferor: (S) that the transfer applintion may
be withdrawn by either the applicant or the licensee with no resulting liability to the Department.
Applicant Name(s) Applicant Signature(s)
13R U SARD TANNA H j aY,)trr U
AIW 211 (9/93)
JICENSE AC"r'1C�"EMEST ^:-r►Crftcao,Wall.,:�
). wore Paul K. Tsampis
Central Valley Hofbrau
torn
s ff V'_,!8 oto St., Lodi, CA art "liO aP
a LJCitvst ATTACHED C1 Yes ❑ No
APPLICATION TO TRANSFER LICENSE
t. ffswld9r q; Tanna Broussard
I. ndeir pees► of pepry. each is@ seer wrserlere aepran t-ere..a.ebs and rte t 11 He N Sr bosses, r as esaeaeti e111M of rae earpvtts Iscosis rr. Oeard r nr lat{ae8 vrnofir
empasm Adz waen»e a Mae tors Twila Awiciew or its eons. 1:0 dw Ile eoey Wer' wk sisi s a lrrleader ad rarer r Y etRaebd penance► awnlad lirloer ass r salulee
.ase n dr 4POKast mow tocaeloa rdKsd as dir epprr patial al we eeplKesaes tarw if slcf ererls a erpo.etl b lee Dawcsor 11s tftias end tresrfw appl.caew Beast
rot Mats is uhet7 dM pyalees of r las a 1s IWRB as eetaars Wary ter telae &M Pray dew ptetatdr/ 4 day N rllteb tae eerier epphceoos is Rbd .60 dtit
a seunluA a ptebreacs r s far ey avow of raMaor a to drftw v rliee my aa4w a Aelow. IH dies doe OWAIM aRp6eaeot• esu! be .uIsdrewe h erdar the applKrw or the
IKrsees .soh no taWeat had" is as nrperteeaa
Noenfd of Liree"%) �eprlorZls�if Licedssefsl Newts) of Liensr+{s) Sipetarefs) of Liicraseefs)
a Paul K. Tsa '
a
I
C.
L
CANCELLATION ❑ Immediat* ,❑ Upon Issuance (70ther.
I voluntarily cancel my license because 1 am no longer in business. I understand my license cannot be
reactivated or reinstated.
a. DATE CLOSED19 SIGNATURE to. DATE I �1. NOME TELEPHONE NUMBER
i x
SURRENDER - Rule 65 ❑ Immediately ❑ Upon Issuance ❑ Other.
I voluntarily surrender my license for a period of not more than one year. I intend to ❑ Transfer ❑ Reactivate the license.
I understand that the license must be renewed at the ume renewal fees are due cc the license will be autornatieally revolted. 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.
REQUEST FOR SURRENDER OF RETAIL LICENSE FOR TEMPORARY PERMIT
UNDER SECTION 24045.5(b) OF THE ALCOHOLIC BEVERAGE CONTROL ACT
17 SURRENDER DATE 18. TEMPORARY PERMrr NUMBER19 EFFECnVE DATE 20. EXPIRATION DATE
11-1-`1 /0097/R //-/.7 . I 1
I21 TRANSFEREE
T� 4.,
Important Notice to Licensee
all hcemee wneaAened -dl be ateameno87 rtwoeed it dr misewal fees air m pad. Any cbanle of maltef address %Atoll be mponed to the Diunct Office T%c neneasered I.cenw -.R be
moms w'Ally cancelled WRs eeafer 10 res etysnry, tr<rmtac- If toe aansfa aWicacon is drmd or watitinwe
war If tK transferor inteada to totter aps>dm d Ne lied business he mtrw raquat we ttmrn of the simis icil 1KcAse and establish tM1 Nae Ma been oto tMafe -n tie o-nenn-p or ire
4"Ifiicanohs of Otis lices sst prebltreL
�bt If the transferor does we intend to teats operwas of the Imcased business and does not niquat teslas of the trnendeaud hceeaw then the Depstaoeut *ill proceed to hoW the Meme
under tete pro..sions of Rub 63. The elficu.e dote of Ruk 67 wmea er will be the due of Viii.eanon. dn-al. of withdra.a!
APPLICATION FOR:
N. Temporary Retail Permit ❑ Duplicate License: -(-j Manager
C1 Caterers Permit ❑ 09 Importers License NAME:
❑ Controil essLabinet ❑ 12 Importers License ❑ Food Lessee
❑ Port -Bar nse ❑ Private Warehouse NAME:
122. uw is. -ft- esd a rnerteot* NUega" 24 CATE j I
SIGNATUR 'X -
1
t
n MAlLIW, anon �—}
I FOR DEPARTMENT USE ONLY a Premiscs Abandoned El1_ acr Attached Requesting ❑ Cyber.
Surrender or Cancellation
Aecni OVU