HomeMy WebLinkAboutApp for Alcoholic License - Buckshot GrillDepartment of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage Control File Number: 487150
1900 Churn Creek Rd. Receipt Number: 1752871
Ste. 215 Geographical Code: 0401
Redding, CA 96002 Copies Mailed Date: February 23, 2010
(530)224-4830 Issued Date:
DISTRICT SERVING LOCATION: REDDING
First Owner: WHEELER DOUGLAS FRANK
Name of Business: BUCKSHOT GRILL -1OARD0FSBpERVIS0
RS
Location of Business:
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address)
490 B ST
BIGGS, CA 95917
BUTTE
Yes
3415 SMITH AVE
BIGGS, CA 95917-9749
OROVILLS ALIFORNIA
Census Tract 0036.
Type of license(s): 41
Transferor's license/name:
/
Dropping
Partner: Yes
No
License Tyne Transaction Tyne
Fee Tyne
Master Dun
Date
Fee
41 ON -SALE BEER AND ORIGINAL FEES
NA
Y
0
02/23/10
$300.00
41 ON -SALE BEER AND ANNUALFEE
NA
Y
0
02/23/10
$350.00
41 ON -SALE BEER AND STATE FINGERPRINTS
NA
N
2
02/23/10
$78.00
41 ON -SALE BEER AND FEDERAL FINGERPRINTS
NA
N
2
02/23/10
$48.00
Total
$776.00
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 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 BUTTE Date: February 23, 2010
Under penalty of perjury, each person whose signature appears below, certifies and says: (I) He 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 this application on its behalf; (2) that
he has read the foregoing and knows the contents thereof and that each of the above statements thercin 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 act made to satisfy the payment of a loan or to fulfill an
agrcemeat entered into more than ninety (90) 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- he Departmen.
Applicant Name(s) ( Aljcant S' natur�(s)
WHEELER DOUGLAS FRANK CM,
WHEELER KARI LEE
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