HomeMy WebLinkAboutApplication for Alcoholic Beverage LicenseDepartment of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage Control
1900 CHURN CREEK RD
STE 215
REDDING, CA 96002
(530)224-4830
DISTRICT SERVING LOCATION: REDDING
State of California
6
File Number: 549582 SEP 2 :9 2014
Receipt Number: 2253779
Geographical Code: 0400 SAE, CA Oft
Copies Mailed Date: September 17, 2014
Issued Date:
First Owner:
CANYON CREEK ROADHOUSE LLC
BUTTE COUNTY
Name of Business:
09/17/14
ADMINISTRATION
Location of Business:
9607 OROVILLE QUINCY HWY
SEP 2 9 2014
0
BERRY CREEK, CA 95916
$150.00
County:
BUTTE
OROVILLE, CALIFORNIA
Is Premise inside city limits?
No Census Tract
0024.00
Mailing Address:
1083 VINE ST
N
(If different from
#152
$39.00
premises address)
HEALDSBURG, CA 95448-4830
N
Type of license(s): 41 u
Transferor's license/name: 409142 / ALBRIGHT, JACOB EVANS Dropping Partner: Yes_ No !\
License Tvoe Transaction Tyne Fee Tyne Master Dun Date Fee
41 -On -Sale Beer And Win, ANNUAL FEE
NA
Y
0
09/17/14
$350.00
41 -On -Sale Beer And Wim PERSON-TO-PERSON TRANSFER
NA
Y
0
09/17/14
$150.00
NA FEDERAL FINGERPRINTS
NA
N
1
09/17/14
$24.00
NA STATE FINGERPRINTS
NA
N
1
09/17/14
$39.00
NA ISSUE TEMPORARY PERMIT
NA
N
1
09/17/14
$100.00
Total
$663.00
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 premises 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: September 17, 2014
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.
Effective July 1, 2012, Revenue and Taxation Code Section 7057, authorizes the State Board of Equalization and the Franchise Tax Board to
share taxpayer information with Department of Alcoholic Beverage Control. The Department may suspend, revoke, and 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 Name(s) Applicant Signature(s)
See 211 Signature Page
CANYON CREEK ROADHOUSE LLC
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