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05a. ABC HuChiang Dumpling House City Hall f 10300 Torre Avenue Cupertino, CA 95014 C~~ Fax: (408) 777-3366 CUPE~TlNO OFFICE OF THE CITY MANAGER SUMMARY AGENDA ITEM NUMBER ~(.t. AGENDA DATE SUBJECT AND ISSUE Application for Alcoholic Beverage License. BACKGROUND. 1. Name of Business: HuChiang Dumpling House Location: 10877 North Wolfe Road Type of Business: Restaurant Type of License: No.41, On Sale Beer and Wine Reason for Application: Person to Person Transfer 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: C' •~'^•-1 Colin Jun , eni anner David Knapp, ity Manager 5a-1 G:planning/misc/huclziangdumplinghouse Printed on Recvcted Paper Department of Alcoholic Beverage Control ~ State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S). ABC 2ll (G/99) TO: Department of Alcoholic Beverage Control File Number: 433707 100 Paseo de San Antonio Receipt Number: 1542542 Rm. 119 Geographical Code: 4303 San 3ose, CA 95113 Copies Mailed Date: September 17, 2008 (408)277-1200 Issued Date: DISTRICT SERVING LOCATION: SAN JOSE First Owner: HUCHIANG DUMPLING HOUSE CORD Name of Business: HUCHIANG DUMPLING HOUSE Location of Business: 10877 N WOLFS RD CUPERTINO, CA 95014-0614 County: SANTA CLARA Is premise inside city limits? Yes Census Tract 5081.01 . Mailing Address: (If different from premises address) Type of license(s): 41 Transferor's license/name: 433707 /HUCHIANG DUM: Dropping Partner: Yes No License Tvae Transaction TvDe Fee Tv>ae Master jzi~ Date ~ 4 i ON-SALE BEER AND STOCK TRANSFER 24071.1 NA • Y 0 0 9 / 17 / O S $150.00 Total $150.00 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 Explssitt arty "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: September 17, 2(?08 Under penalty of perjury, each person whose signature appears below, certifies and says: (I) He is alt applicant, or one of the applicants, or an executive officer of rite applicant corporation, named in the foregoing application, duly authorized to trtnke this application oa its behalf; (2) that ire has read the foregoing. and knows ttte contents thereof and that each of the above statements therein. made are true; (3). that no person odter lltatt the applicattl or applicants has any direct or indirect interest in the applicant or applicant's business to be conducted under the license{a) for which this application is made; (4) that rite transfer application or proposed transfer is not trade 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 arty creditor or transferor or to defraud or injure any creditor of transferor; (5) that rite transfer application may be tvitltdrawn by eillter cite applicant or the licensee with no resulting liability to rite Department. Applicant Name{s) AppIi ant Signature(s). _ HUCHIANG DUMPLING HOUSE CORD ~ X r ` ~ • ,~?~5~~ - ~ Sly • ~°I~Do 5a-2