09. ABC Fortune GardenOFFICE OF THE C1T`f MANAGER
CUPERTIN[O
CITY HALL
10300 TORRE AVENIJE - CUPERTiNO, CA 95014-3255
TELEPHONE: (408) 777-3212 • FAX: (408) 777-3366
SUM=MARY
AGENDA ITEM 1~II]1VIBER
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
I . Name of Business: Fortune Garden
AGENDA DATE ~ Yr{ ~ 7~ a o a 9
Location: 21670 Stevens Creek Boulevard
Type of Business: Restaurant
Type of License: On-Sale Beer and Wine for Bona Fide Public Eating Place (41)
Temporary Retail P'ern>it (Only in conjunction w/a Person-to-Person transfer) (30)
Reason for Application: Person to Person Transfer, Annual Fee, State and Federal
Fingerprints and Duplicate
RECOMMENDATION
There are no use permit restrictions or zoning restrictions which would prohibit this use and staff
has no objection to the issuance of the license.
Prepared by:
~~
o, City Planner
G:Planning/ASISCELLABC/ebc Fortune Gazden
Submitted by:
~~
Dav'.id W. Knapp, City Manager
9 - 1
Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
AEC 211 (6/99) ~-
TO: Department of Alcoholic Beverage Control
100 Paseo de San Antonio
Rm. 119
San Jose, CA 95113
(408)277-1200
DISTRICT SERVING LOCATION: SAN JOSE
First Owner: M 8~ C FOODS LLC
Name of Business: FORTUNE GARDEN
Location of Business:
County:
Is premise inside -city limits?
Mailing Address:
(If different from
premises address)
Type of license(s): 41
Transferor's Iicense/name:
File Number: 476569
Receipt Number: 1705687
Geographical Code: 4303
Copies Mailed Date: March
Issued Date:
21670 STEVENS CREEK BLVD
CUPERTINO, CA 95014
SANTA CLARA
Yes
433422 / LI TSUNG YI
State .of California
13, 2009
Census Tract 5077.01
Dropping Partner: Yes No
License Tvne Transaction Tvne Fee Tvne Master Dun Date Fee
41 ON-SACS BEER AND PERSON TO PERSON TRANSF NA Y O O 3 / 13 / O 9 $150.00
41 ON-SALE BEER AND ANNUAL FEE NA - - Y O O 3 / ? 3 / O 9 $339.00
41 ON-SALE BEER AND STATE FINGERPRINTS NA_ - N 4 ~ O 3 J 1 3 /O 9 - $156.00
41 ON-SALE BEER AND FFAERAL FTNGBRPRINTS NA N 4 O 3 / 1 3 / O 9 - $96.00
30 TEMPORARY PERMI- DUPLICATE NA Y 1 0 3/ 1 3/ 0 9 $ 100.00
Total $841.00
Have you ever been convicted of a felony? N o
Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the
Department pertaining to the Act? No
F~cpfain any 'Yes' answer to the above questions on an attachment which shal l 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 SANTA CLARA Date: March 13, 2009
Under penalty of perjury, each person whose signature appears below, certifies and says: (l) He is an applicant. or one of the applicants, or an
executive office of [he applicant corporation, named in the foregoing application, duly authorized to make this application on its behalf; {2) the(
he has read the foregoing and knows [he contents thereof and that each of the above statements therein made are true; (3) [hat no person other
than the applicant or applicants has any direct or iodireet interest in the applicant or applicant's business to be conducted under the license(s) far
which [his application is made; (4) that the transfer application or proposed transfer is no[ made to satisfy the payment of a loan or to fulfill an
agreement entered into more Lhan ninety (90) days preceding the day on which the transfer application is filed with the Department or to gain or
establish a preference [o or for any credi [or or transferor or to defraud or injure any creditor of transferor, (5) that the transfer application may
be withdrawn by either the applicant or [he licensee with no resulting liability to the Dcpartment_ ~ _
Applicant Name(s) Appl" t Signature
M 8z C FOODS LLC /~ {~~vd~
l
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