HomeMy WebLinkAboutAlc licenseDepartment of Alcoholic Beverage Control Sta#e of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6199)
TO: Department of Alcoholic Beverage Control File Number; 520389
1900 CHURN CREEK RD Receipt Number: 2104312
STE 215 Geographical Code: 0400
BEDDING, CA 96002 Copies Mailed Date: March 29, 2012
(530} 224-4830 Issued Date:
'~C~y
!o~`J
DISTRICT SERVING LOCATION: REDOING
First Owner:
Name of Business:
SINGH, JASVIR
~~
Location of Business:
County:
Is 1'xemise inside city limits?
Mailing Address:
(If different from
premises address)
2269 NORD AVE
CHICO, CA 95926-3036
BUTTE
No
2~~~
ORQVILLE, CALl~0ii~lA
Census Tract 0005.01
Type of licenses}: 21
Transferor`s licenselname: 442824 / DAVALOS, BALDOMERO Dropping Partner: Yes No,~
HERNANDEZ
License Type Transaction Type Fee Tye Master ~ Date Fee
21 -Off-Sale Genera! ANNUAL FEE NA Y 0 03/29/12 $582A0
21 -Off-Sate Genera! PERSON TO-PERSON TRANSFER NA Y 0 03/29// 2 $1,254.00
NA FEDERAL FINGERPRINTS NA N 2 03/29/12 $48.00
NA STATE FINGERPRINTS NA N 2 03/29/12 $78.00
Total $1,958.00
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 Phis 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 ofthe provisions of the Alcoholic
Beverage Control Ac#.
STATE OF CALIFORNIA County of BUTTE Date: March 29, 20/2
Under penalty of perjury, each person whose signature appears below, certifies and says: (!) He is an applicant, or one of the applicants, or an executive officer
of lire applicant corporation, named in the foregoing application, duly authorized to make this application on its hehalf; (2) chat he has read the foregoing and
knows the contents thereofand that each of the above statements therein made are true; {3) that no person odter than ttte applicant or applicants has any direct
or indirect interest in the applicant ar applicant's business to be Conducted under the ticense(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 For any creditor or transferor or to defraud or injure any
creditor of vansferor; (5) that the transfer application may be withdrawn by either the applicant or rite licensee with na resulting Lability to the Department.
Applicant Name{s) Applicant Signature(s)
SINGH, .IASVIR ~~vV~V ~Tti/}~
SINGH, MOHAN ~d fit,,., ~,9,t/{