HomeMy WebLinkAboutAlc Beverage Lic AppDepartment of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 21 I (6199}
TO: Department of Alcoholic Beverage Control File Number: 529191
1900 CHURN CREEK RD Receipt Number:
STE 21S Geographical Code: 0400 _", "_,,,~~
BEDDING, CA 9b002 Copies Mailed Date: :=.?f .~#;~:~~.3"" . ~ .''-_~`
(530) 224-4830 Issued Date: ~QARD ~ ~~
DISTRICT SERVING LOCATION: BEDDING JAN 1 ~ ZOi3
First Owner: AL NA3RAWI, SALEH
Name of Business: LAKE OROVILLE GOLF & EVENT CENTER ~OVILLE,C,~ALIF
Location of Business: 5131 ROYAL OAKS DR
OROVILLE, CA 95966-3823
County: BUTTE
Is Premise inside city limits? No Census Tract 0026.02
Mailing Address:
(If different from
premises address)
Type of licenses}: 47, 5$
Transferor's license/name: 479024 1 OROVILLE INVESTMENT
GROUP INC
License Type Transaction Type Fee Type
47 - On-sale General Eating PERSON-TO-PERSON TRANSFER PO
47 - On-Sale General Eating ANNUAL FEE PO
58 -Caterer Permit DUPLICATE/SECONDARY NA
58 -Caterer Permit PERSON-TO-PERSON TRANSFER NA
Dropping Partner: Yes_ No
Master Diu Date Fee
Y 2 O 1/l b/13 $1,45D.OD
Y 2 D1/16n3 $1,ls~.oo
N 1 01/16/13 $131.00
N 1 01/16/13 $O.DO
Total $2,737.00
Have you ever been convicted of a felony? No
Have you ever violated any provisions of the Alcoholic Beverage Control 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 an 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. _
STATE OF CALIFORNIA County of BUTTE Date: January 15, 2013
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 ollicer
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 (9D} days preceding the day
on which the transfer application is filed 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.
Effective July 1, 2012, Revenue and Taxation Code Section 7D57, authorizes the State Board of Equaliza#ion and the Franchise Tax Board to share
taxpayer information with Department of Alcoholic Beverage Control. The Department may suspend, revoke, and refuse to issue a license if the
licensee's name appears in the SOD largest tax delinquencies list. (Business and Professions Code Section 49A.5.}
Applicant Name(s) Applicant Signature{s} "' '
AL, NASRAWI SALEH "
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