HomeMy WebLinkAboutAlc beverage license appDepartment of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES}
ABC 211 (6199}
TO: Department of Alcoholic Beverage Control File Number: Sl$226
1900 CHURN CREEK RD Receipt Number:, 2092574
STE 215 Geographical Code: 0400
BEDDING, CA 96002 Copies Mailed Date: .Ianualt'y 12, 2012
(534) 224-4830 Issued Date:
DISTRICT SERVING LOCATION: BEDDING OF ~p~1SGRS
First Owner: CHASE, THOMAS A 13QA~~
Name of Business: STRAW HOUSE CELLARS 1AN Z ~ ~~~ r~
Location of Business: 4378 MYVALLI DR lFOR~1~
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BUTTE VALLEY, CA 95965-9162 pR i
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County: BU
TTE
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Is Premise inside city limits? ~. Census Tract 0023.00
Mailing Address:
(If different from
premises address)
Type of license{s): 02
Transferor's license/name: Dropping Partner: Yes No~
License Type Transaction Ty pe Fee Type Master ~ Date Fee
02 -Winegrower ANNUAL FEE GL5K Y D 01/12/12 $69.00
t]2-Winegrower ORiGINALFEES GL5K Y 0 01/12/12 $100.00
NA FEDERAL FFi~IGEFtP1tINTS NA N 2 01/12/12 $48.00
NA STATE FINGERPRINTS NA. N 2 01/12/12 $78.00
Total $295.00
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
Deparment 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 Aicoholic
Beverage Control Act.
STATI/ OF CALIFORNIA County of BUTTE Date: January 12, 20I2
Under penally of perjury, each person whose signature appears below, certifies and says: (7) i-Ie 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 Ehis 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 tnie; (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) far 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 fled with the Department or to gain or establish a preference to or far any creditor or transferor or to defraud ar injure any
creditor of transferor, (5} that the transfer application may be withdrawn by either tha applicant or the licensee with no resulting liability to the Department.
Applicant Name(s) Applicant Signature(s)
CHASE, THOMAS A //~faftiz~l~ ~ L~l~~f .,....... ._.,._.
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