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HomeMy WebLinkAboutalcoholic beverage license applicationDepartment of Alcoholic Beverage Control State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 211 (6199) TO:Degartment ofAlcoholic Beverage Control 1900 CHURN CREEK RD STE 215 BEDDING, CA 96002 (530) 224-4834 DISTRICT SERVING LOCATION: BEDDING First Owner: DBI WINE Name of Business: DBI Vf1INE Location of Business: File Number: 509467 Receipt Number: 2046408 Geographical Code: 0400 Copies Mailed Date: March 25, 2011 Issued Date: 71 LOREN AVE CHICO, CA 95928-7343 SOAit©OF' StIAg'R1~SORS ~a~ Z ~ 2ar8 oRO~u~, CALIFD~NIa County: BUTTE Is Premise inside city limits? No Census Tract 0015.00 Mailing Address: (If different from premises address} Type of license(s): 09,17 Transferor's license/name: Dropping Partner: Yes No License Tvpe Transaction Tvpe Fee Tvpe Master Dua Date Fee 09-13eerMdWineImporlei DUPLICATE/SECONDARY NA N 1 03/25/I1 $74.00 I7 -Beer And Wine Whalest ANNUAI. FEE NA Y 0 03/25/( I $310.00 17-Beer And Wine Wholesr ORIGINAL FEES NA Y 0 03125/1I $100.40 Total $484.00 Have you ever been convicted of a felony? Na 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 an-sale licensed premises will have alI tlae qualif cations 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: March 25, 201 l Under penalty of perjury, each person whose signature appears below, certifies and says: (1) lie is an applicant, or one ofthe 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 [snows the contents thereof and that each of the above statements (herein made are Frue; (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 Ehis application is made; {4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfil! an agreement entered into more than ninety (9[l) days preceding the day on which the transfer applicaticn is filed with the Department or to gain or establish a preference to or far any creditor or transferor or to defraud or injure any creditor of transferor; (5) that the transfer application may be withdrawn 6y either the applicant ar the licensee with no resulting liability to the Department. Applicant Name(s) DBI WINE Applicant Signature{s) See 211 Signature Page s ~. X05