HomeMy WebLinkAboutApp for Alcoholic License - Discount Beer & CigaretteDepartment of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage Control File Number: 484738
1900 Churn Creek Rd. Receipt Number: 1743891
Ste. 215 Geographical Code: 0400
Redding, CA 96002 Copies Mailed Date:
(530)224-4830 Issued Date:
DISTRICT SERVING LOCATION: REDDING
First Owner: OMARYARFARBIA
Name of Business: DISCOUNT BEER & CIGARETTE
Location of Business: 3454 STATE HIGHWAY 70
OROVILLE, CA 95965-9698
County: BUTTE
Is premise inside city limits? No Census Tract 0033.
Mailing Address: 711 E BIDWELL ST
(If different from FOLSOM, CA 95630
premises address)
Type of license(s): 20
Transferor's license/name: 477109 /MADDERRA DON Dropping Partner: Yes
No
License Type Transaction Type Fee Tyne Master Duo Date
Fee
20 OFF -SALE BEER AM PERSON TO PERSON TRANSF NA Y 0 12/10/09
$50.00
20 OFF -SALE BEER AM ANNUALFEE NA Y 0 12/10/09
$254.00
20 OFF -SALE BEER ANr STATE FINGERPRINTS NA N 2 12/10/09
$78.00
20 OFF -SALE BEER ANI FEDERAL FINGERPRINTS NA N 2 12/10/09
$48.00
30 TEMPORARY FERMIDUPLICATE NA Y I 12/10/09
$100.00
Total
$530.00
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: December 10, 2009
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 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 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 (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 the Department.
Applicant Name(s) Applicant Signature(s)
OMARYARFARBIA Cur 211 Signature Page