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HomeMy WebLinkAboutapp for bev licenseDepartment of Alcoholic Beverage Control State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 2 ] 1 (6199) TO:Department ofAlcoholic Beverage Control File Number: 469277 1900 CHURN CREEK RD Receipt Number: 2167796 STE 215 Geographical Code: 0400 BEDDING, CA 96002 Copies Mailed Date: (830) 224-4830 Issued Date: DISTRICT SERVING LOCATION First Owner: Name of Business: Location of Business: County: Is Premise inside city limits? Mailing Address: (If different from premises address) Type of licenses}: 21 Transferor's license/name: BEDDING UGA ENTERPRISE RATA LIQUOR 7415 LINCOLN SLVD PALERMO, CA 95968-9638 BUTTE No License_Ty~e Transaction Tube Fee Type 21 - Dff--Sale Genera] STOCK TRANSFER NA ~- cal.I~olwla Dropping Partner: Yes No / ` Master Dup Date Fee 'Y 0 D4/30113 $800.00 Total $800.00 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? Yes Explain any "Yes" answer to the above questions on an attachment which shall be deemed part ofthis application, Applicant agrees (a) that any manager employed in an on-sale licensed premises wilE have all the qualifications of a licensee, and (b} that he will not violate or cause or permi# to be violated any of the provisions of the Alcoholic Beverage Control Act. STATE OF CALIFORNIA County of BUTTE Date: Apri130, 2013 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 ar 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 ar 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 ar 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. Effective duly 1, 2012, Revenue and Taxation Code Section 7057, authorizes the State Board of Egnaiization and the Franchise Tax Board #o share taxpayer information with Dcpartmenl of Aicoholic Beverage Control. The Department may suspend, revoke, aad refuse to issue a license if the licensee's name appears in the 500 largest tax delinquencies list. {Business and Professions Code Section 494.5.) Applicant Nalne(s} Applicant Signature{s} ' See 2I1 Signature Page UGA. ENTERPRISE X45 ~ ~ D ~ 213 a~~t;~9cn~.li~a'~t~ ~ OF SUPERVISORS Census Tract Ofl32.Ofl ~Y ~ r= ~. ~ _ .~