08. Alcoholic Beverage License
CITY OF
CUPEIUINO
City Hall
10300 Torre A venue
Cupertino, CA 95014
(408) 777-3212
Fax: (408) 777-3366
AGENDA ITEM NUMBER
SUBJECT AND ISSUE
OFFICE OF THE CITY MANAGER
SUMMARY
ta,
AGENDA DATE: December 5. 2006
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
RECOMMENDATION
Paul and Eddies Associates, Inc.
21619 Stevens Creek Blvd. (near Hwy 85)
Bar
On-Sale General for Public Premises (48)
Person-to-Person Transfer
There are no use permit restrictions or zoning restrictions which would prohibit this use and staff
has no objection to the issuance ofthe license.
Prepared by:
/71 L
L!c._~ .~A; 1~)(J-~~J7
Ciddy Worden: City Planner
Submitted by:
~
David W. Knapp
City Manager
G: \PlanningIMISCELL IABClabc paul&eddiesassociates. doc
Printed on Recycled Paper
o~ ~- (
State of California
Department of Alcoholic Beverage Control
APPLICA TION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC :!II l(lfl)9)
TO: Department of Alcoholic Beverage
100 Paseo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
First Owner:
Name of Business:
Locati on of B Llsi ness:
County:
Is premise inside city limits?
Mailing Address:
(If di fferent from
premises address)
Type of license(s): 48
Transferor's license/name:
Control
File Number: 447456
Receipt Number: 1590047
Geographical Code: 4303
Copies Mailed Date: Novemher 2, 2006
Issued Date:
SAN JOSE
PAUL AND EDDIES ASSOCIATES INC
PAUL & EDDIES MONTE VISTA INN
21619 STEVENS CREEK BLVD
CUPERTINO, CA 95014-1168
SANT A CLARA
Yes Census Tract 5078.05
21710 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
335412 / FREESOLO INC
Dropping Partner:
Yes
No
Fee
License Type Transaction Type Fee Tvpe Master Dup Date
48 ON-SALE GENERAL. PERSON TO PERSON TRAt\:SF P40 Y 0 11101106
48 ON-SALE GENERAL: ANNUAL FEE P40 y 0 11101106
30 TEMPORARY PERMI DUPLICATE NA y 1 11/01106
48 ON-SALE GENERAL STATE FINGERPRINTS NA N 2 11101106
Total
$1,250.00
$758.00
$100.00
$78.00
$2,186.00
Have YOLl 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 SANTA CLARA Date: November 1,2006
Under penally of pe,jury. 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 tllereof and that each of the above statements therein made are true; (3) that no person other
than the applicant or applicallls has any direct or indirect interest in the applicant Dr applicant's business to be conducted undcr the licensers) for
which this application is made: (4) thai 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 II preference to or for an)' creditor oJ' 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)
PAUL AND EDDIES ASSOCIATES INC
Applicant Signature(s)
~pp 211 ~ienHtllrP PHgP
(j l\ -1..
Department of Alcoholic Beverage Control
State of California
APPLICATION SIGNATURE SHEET ("S/GN ON")
. This form is to be used as the signature page for
applications not signed in the District Office.
. Read instructions on reverse before completing.
All signatures must be notarized in accordance with
laws of the State where signed.
2. FILE NUMBER (If any)
I ' uce",,,,,,
I
48
5. APPLlCANT(S) NAME (Last, first, middle)
Paul and Eddie's Associates Inc.
1. OWNERSHIP TYPE (Check one)
D Sole Owner
o Partnership
D Husband & Wife
: D Partnership-Ltd
1 4, TRANSACTION TYPE
I
i D Original
j D Exchange
~ Corporation
D Limited Liability Company
o Other
1iJ Person to Person Transfer
D Premise to Premise Transfer
D Other
6 APPLICANT'S MAILING ADDRESS (Slreel address/P.O. box, CilY, stale, zip code)
21710 Stevens Creek Blvd., Cupertino CA 95014 Suite 200
7. PREMISES ADDRESS (Street address, city, zip code)
21619 Stevens Creek Blvd. Cupertino CA 95014
APPLICANT'S CERTIFICA TlON
Under penalty of perjury, each person whose signature appears
below, certifies and says: (1) He/She is an applicant, or one of
the applicants, or an executive officer of the applicant
corporation, named in the foregoing ap,Elication, duly authorized
to make this application on its behalf; (2) that he/she 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 (a) satisfy the
SOLE OWNER
8. PRINTED NAME (Lasl, lir>l. middle) .1 ~GNATURE I DATE SiGNED
PARTNERSHIP/LIMITED PARTNERSHIP (Signatures of general partners only)
9 PARTNER'S PRINTED NAME (Lasl. flrsl. middle) SIGNATURE ! DATE SiGNED
X
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 filt::c.I with the Department, (b) to gain or establish a
preference to or for any creditor or transferor, or (c) to defraud or
mjure any creditor or transferor; (5) that the transfer application
may be withdrawn by either the applicant or the licensee with no
resulting liability to the Department.
I understand that if 1 fail to qualify for the license or withdraw thiS
application there will be a service charge of one-fourth of the
hcense fee paid, up to $100,
PARTNER'S PRINTED NAME (Last, first, middle)
SIGNATURE
X
SIGNATURE
PARTNER'S PRtNTED NAME (Last. first. middle)
X
CORPORATION
I DATE SIGNED
I
I
l-DATE SIGNED
, DATE SIGNED
I {olz.S,/ol.:.
10. PRINTED NAME (Lasl, 11r>t. middle)
.J
76-R-:5/ IV' /
TITLE
s.
~ President D Vice President
PRINTED NAME (Lasl, firsl, middle)
lIef!..:) l,j I, /v7M2-k f.
TITL E /
[;a Secretary D Asst. Secretary D Chief Financial Officer D Asst. Treasurer
LIMITED LIABILITY COMPANY
I DATE SIGNED
, 0 I 2-~ } 0 I",.
11. The limited liability company is member-run
(If no, complete Item #12 below)
ABC INITIALSIDA TE (ABC use only)
DYes DNo
12 NAME OF DESIGNATED MANAGER, MANAGING MEMBER OR DESIGNATED OFFICER (Last, firsl. middle)
DATE SIGNED
SIGNATURE
DATE SIGNED
13 MEMBER'S PRINTED NAME (Last. first, middle)
X
MEMBER'S PRINTED NAME (Last, firsl, middle)
SIGNATURE
X
ABC-211-SIG (2/03)
"SIGN ON"
JC(-J
State of ea I, ~~)I '" \ '"
Notary Acknowledgement
, County of SoY\""\~ L \~rL,
On I f) - L 'S -0(.,
--r ' . \' L VI/tV,::>
before me, Jt-nn\'\u J.,(lc,.;n /\I~~, personally appeared
K(nf'<1\.- S. Tc/...,'nl ersonally known to me OR - proved to
me on the basis of satisfactory evidence 0 e e person(s) whose name(s)
is/are subscribed to the within instrument and acknowledged to me that
~/she/they executed the same in~/her/their authorized capacity (ies), and
that byt1iTsVher/their signatures on the instrument the person(s), or the entity
upon b~lf of which their person(s) acted, executed the instrument.
WITNESS my hand and official seal.
NOTARY IMPRESSION HERE
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Notary Acknowledgement
State of (ai, 401' (I I '~j
On 10" L S-o(,
, County of Sa n1 Co e-lq rc,
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before me,Jenn,(i-,. J...l",;." rv~J..,-. , personally appeared
.J11ar ~ 6' 1('''~/:'i , personally known to me OR - proved to
me on the basis of satisfactory evidence 0 erson(s) whose name(s)
~are subscribed to the within instrument and acknowledged to me that
~she/they executed the same in@/her/their authorized capacity(ies), and that
by@/her/their signatures on the instrument the person(s), or the entity upon
behalf of which their person(s) acted, executed the instrument.
WITNESS my hand and official seal.
NOTARY IMPRESSION HERE
c.:-~J~=/ ~:2dG
/ I' NOT.t<Ry SIGNATURE
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CITY OF
CUPEIUINO
City Hall
10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
Fax: (408) 777-3366
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER ~ b
AGENDA DATE December 5. 2006
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
California Pizza Kitchen
19621 Stevens Creek Blvd (Val1co Fashion Park)
Restaurant
On-Sale General for Bona Fide Public Eating Place (47)
New Application
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:
Submitted by:
~,
Gf..-d:~.L . dCJ2&!L~/
Ciddy Wor ell, City Planner
J1K
David W. Knapp, City Manager
G: IPlanninglMISCELL \A BClabc CaliforniaPizzaKitchen. doc
J h--I
Printed on Recycled Paper
Department of Alcoholic Beverage Control
APPLICA TION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
State of California
TO: Department of Alcoholic Beverage
100 Paseo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
Control
File Number: 445766
Receipt Number: 1590656
Geographical Code: 4303
Copies Mailed Date: November 7, 2006
Issued Date:
First Owner:
Name of Business:
SAN JOSE
CALIFORNIA PIZZA KITCHEN INC
CALIFORNIA PIZZA KITCHEN
Location of Business:
19621 STEVENS CREEK BLVD
CUPERTINO, CA 95014-2422
SANTA CLARA
County:
Is premise inside city limits?
Mailing Address:
(If different from
premi ses address)
Yes
Census Tract 5081.01
6053 W CENTURY BLVD 11TH FLR
COMPLIANCE & LICENSING
LOS ANGELES, CA 90045
Type of license(s): 47
Transferor's license/name:
Dropping Partner:
Yes
No
y
Dup
o
Date
Fee
License Type
Transaction Type
Fee Type
P40
Master
47 ON-SALE GENERAL] ANNUAL FEE
11/07/06
Total
$758.00
$758.00
Have YOLl ever been convicted of a felony? No
Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the
Department pertai ni ng 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 SANTA CLARA Date: November 7,2006
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 therein made are true; (3) that no person other
thall the applicant or applicants has any direct or indirect interest in the applicant or applicant's business to be coi1ducted under the licensees) for
which tillS 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
agreemcnt 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 ur 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)
CALIFORNIA PIZZA KITCHEN INC
Applicant Signature(s)
Spp 211 Sien~tllrp PHep
6b--2-
State of California
APPLICATION SIGNATURE SHEET ("SIGN ON")
Department of Alcoholic Beverage Control
This form is to be used as the signature page for
applications not signed in the District Office.
Read instructions on reverse before completing.
All signatures must be notarized in accordance with
laws of the State where signed.
1 OWNERSHIP TYPE (Clleck one)
o Sole Owner
o Partnership
o Husband & Wife
o Partnership-Ltd
12] Corporation
o Limited I .iability Company
o Other
2 FILE NUMBER (If any)
3 LICENSE TYPE 4. TRANSACTION TYPE
~ 0 Oliginal 0 Person to Person Transfer
o Exchange 0 Premise to Premise Transfer
,47 [2] Other 2000 PRIORITY WINNER
445766
G APPLlCANTIS) NAME (Last. IlfSI, middle)
CALIFORNIA PIZZA KITCHEN INC (P-I2)
6 APPLICANT'S MAILING ADDRESS (SlIeel address/P 0 box. cily. slale. zip code)
6053 W Century I3Ivd, II Ih Fl., Los Angeles, CA 90045
7 PREMISES ADDRESS IStreet address. city. Zip code)
,C(lJ,'ZI 5 teve nc:.> Cr~f,k B\Vd, 1 CUPERTlINO, CA 95014
APPLICANT'S CERT/FICA T/ON
Under penalty of pelJury, each pcrson whose signature appears
below, certiftes and says: (I) He/She is an applicant, or one of
the applicants, or an executive officer of the appltcant
corporation. namcd In thc foregolllg application, duly authorized
10 make thiS application on its behalf: (2) that he/she has read
tlte foregoing and knows [he contents thereof and that each of the
abovc statcments therell1 made are tl'ue; (3) that no person other
than the applicant or a!)plicants has any direct or indirect interest
in the applicant or ap\) ieant's bUSiness to bc conducted under the
lieense(s) for which t liS application IS made; (4) that the transfer
application or proposed transfer is not made to (a) satisfy the
payment ofa loan or to fulfill an [Igreement entered Into more than
ninety (90) days preceding tbe day on which thc transfer
application is filed with the Department, (b) to gain UI' eSlablish a
preferencc to or for any creditor or transfcror, or (c) to defraud or
IIljure any creditor or transferor; (5) that the transfer appliealton
may be wIthdrawn by either the applicant or the licensee with no
resulling liabilitv to the Department.
lundcrstand that if I fail to qualify for the license or wllhdraw this
application there will be a service charge of onc-foul.th of the
license fee paid, up to $100.
SOLE OWNER
PARTNERSHIP/LIMITED PARTNERSHIP
I ~GNATURE
(Signatures of general partners
SIGNATURE
8 PRINTED NAME [Last. first. ITIiddle)
9. PARTNER'S PRINTED NAME (Lasl. firSt. ITIlddle)
'X
I DATE SIGNED
only)
I DATE SIGNED
I
I
I DATE SIGNED
DATE SIGNED
PARTNER'S PRINTED NAME (Lasl. first. middle)
SIGNATURE
x
PARTNER'S PRINTED NAME (Last. first. middle)
SIGNATURE
IX
CORPO RATION
10 PRINTED NAME (Lasl. flfst. middle)
COLLYNS, SUSAN MARGARETTA
I DATE SIGNED
i /o/zz/ob
r /
") V TITLE .r
IV 0 President I 12] ice President
~RINTED NAME (Lasl. firsl. mi die
1.v CaLL Y!!..S, SUSAN MARGARETTA
I TITLE '..\
C~ecretary 0 As~t Secretary
LIMITED LIABILITY COMPANY
I ~~ SI;~~
11. The limited liability company is member-run
o Yes DNa
(If no, complete Item #12 below)
12 NAME OF DESIGNATED MANAGER, MANAGING MEMBER OR DESIGNATED OFFICER (Lasl, first. middle)
i ABC INITIALSIDA TE (ABC use onlyl
I .
i_______
I DATE SIGNED
DATE SIGNED
13 MEMBER'S PRINTED NAME (Last. flfsl. middle)
SIGNATURE
X
MEMBER'S PRINTED NAME (Last. flfsl. IllIddle)
SIGNATURE
ABC-21 T 12/0
X
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CALlFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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subscribed to the within instrument, and I
J -. - - - - - - - -. -. -. ~ J acknowledged to me that-l:le/she/#ley exticuted I
~ MARLA Y. CHUSAC the same in ~er/t~ authorized
Commission # 1597151 capacity(ies), and that by ~/her/t~
~ ..... Notmy ,"bUc . Catllomlo f ,igoal",e(,) 00 Ihe ,,,Ice me" Ihe pe",oo( ,), DC ~
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~ Description of Attached Document ~
I TilleocTypeofDoccmeot ;9BG -(1 ~
~ Document Date: Number of Pages: I ~
~. Signer(s) Other Than Named Above: ~
i Capacity(ies) Claimed by Signer I
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@ 1999 National Notary Association' 9350 De Solo Ave., P.O. Box 2402 . Chatswor1h, CA 9131:3"2402' www.NationaINotary.org
Prod. No 5907
Reorder" Call Toll-Free 1-AOO-876-6827
6b.-y
City Hall
10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
Fax: (408) 777-3366
CITY OF
CUPEIUINO
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER
Dc'
AGENDA DATE December 5. 2006
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
Homestead FFC Inc.
20990 Homestead Road
Bowling Alley
On-Sale General for Bona Fide Public Eating Place (47)
Person-to-Person Transfer and Annual Fee
RECOMMENDATION
There are no use permit restrictions or zoning restrictions which would prohibit this use and staff
has no objection to the issuance ofthe license.
Prepared by:
Submitted by:
fI'
L~ t;ll
~
David W. Knapp, City Manager
G: IPlanninglMISCELL \ABClabc HomesteadBowlInc. doc
gc -/
Printed on Recycled Paper
c.S~
1
State of California
Department of Alcuhulic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage
100 Paseo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
First Owner:
Name of Business:
Location of Business:
County:
Is premise inside city limits?
Mailing Address:
(If different frum
premi ses address)
Type of licensees):
47
Transferor's license/name:
Control
File Number: 447926
Receipt Number: 1591866
Geographical Code: 4303
Copies Mailed Date: November 17, 2006
Issued Date:
SAN lOSE
HOMESTEAD FFC INC
HOMESTEAD LANES
20990 HOMESTEAD RD
CUPERTINO, CA 95014-0355
SANTA CLARA
Yes
Census Tract 5078.05
21997 VERNON RIDGE DR
MUNDELEIN, IL 60060
443066 / MALLEY GREGOR Dropping Partner:
Yes
No --:t-
Fee
License Type Transaction Type Fee Type Master Dup Date
47 ON-SALE GENERAL] PERSON TO PERSON TRANSF P40 y 0 11117/06
47 ON-SALE GENERAL] ANNUAL FEE P40 Y 0 11117/06
30 TEMPORARY PERMI DUPLICATE NA y I 11117/06
47 ON-SALE GENERAL] STATE FINGERPRINTS NA N 2 11117/06
47 ON-SALE GENERAL] FEDERAL FrNGERPRINTS NA N 2 11117/06
Total
$1,250.00
$758.00
$100.00
$78.00
$48.00
$2,234.00
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 SANTA CLARA Date: November 17, 2006
Under penalty of perjury, each person whose signature appears below, certifies and says: (I) He is an applicant, 01' 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 tlHIl cacll of the above statements therein made are true; (3) that no person other
than tile applicant or applicants has any direct or indirect interest in the applicant 01' applicant's business to be conducted under tile Iicense(s) for
which thiS application is made: (4) that tile transfer application or proposed lransfer 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 1I preferellce to 01 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)
HOMESTEAD FFe INC
If).~~
~-~/
2'Y'~ g- (- ;;L
cJ~~
Department of Alcoholic Beverage Control
APPLICA TION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (CI/99)
State of California
TO: Department of Alcoholic Beverage
100 Pas eo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
Control
File Number: 447926
Receipt Number: 1591866
Geographical Code: 4303
Copies Mailed Date: November 17, 2006
Issued Date:
First Owner:
Name of Business:
SAN JOSE
HOMESTEAD FFC INC
HOMESTEAD LANES
Location of Business:
20990 HOMESTEAD RD
CUPERTINO, CA 95014-0355
SANTA CLARA
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address)
Yes
Census Tract 5078.05
21997 VERNON RIDGE DR
MUNDELEIN, IL 60060
Type of license(s): 47
Transferor's license/name:
443066 / MALLEY GREGO~ Dropping Partner:
Yes
No -X-
License TVDe Transaction Type Fee Type Master Dup Date
47 ON-SALE GENERAL J PERSON TO PERSON TRANSF P40 Y 0 11/17/06
47 ON-SALE GENERAL) ANNUAL FEE P40 y 0 11/17/06
30 TEMPORARY PERMI DUPLICATE NA y I 11/17/06
47 ON-SALE GENERAL I STATE FINGERPRINTS NA N 2 11/17/06
47 ON-SALE GENERAL I FEDERAL FINGERPRINTS NA N 2 11/17/06
Total
Fee
$1,250.00
$758.00
$100.00
$78.00
$48.00
$2,234.00
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 allY "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 SANTA CLARA Date: November 17,2006
Under penalty of perjury, each person whose signature appears below, certifies and says: (I) He is an applicant, or one of the applIcants, ur an
executive officer of the applicant corporation, named in the foregoing applIcation, duly authorized to make this application on its behalf; (2) thai
he has read the foregoing and knows the contents thcrcof and that each of the above statements therein made are true; (3) that no person other
than thc applicant or applicants has any direct or indirect interest in the applicant or applicant's husiness 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 ti,e 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
cswblish a rreference to or for 'lilY creditor or transferor or to defraud or injure any creditor of transferor; (5) that the transfer application may
be withdrawn b)' either the applicant or the licensee with no resulling liability to the Department.
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Applicant Name(s)
HOMESTEAD FFC INC
HECEIVED NOV 2 02.006 tc.-J