05b. ABC Sushi Ya Restaurant City Hall
` - 10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
Ci.~ OF Fax; {408} 777-3366
CUPERTI~10
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER ~ ~ AGENDA DATE
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUI~TD
1. Name of Business: Sushi Ya Restaurant
Location: 21265 Stevens Creek Boulevard, Suite 205
Type of Business: Restaurant
Type of License: On Sale Beer &Wine-Eating Place (41)
Reason for Application: Original & Annual Fees
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:
Colin Jun e 'or anner David Knapp, City Manager
G:planning/misc/Sushiya 5b - t
Prinfarf nn Aar:v~:lr~rf Panar
Department of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE{S)
ABC 211 (6199)
TO: Department of Alcoholic Beverage Control File Number: 471935
100 Paseo de San Antonio Receipt Number: 1683128
Rm. 119 Geographical. Code: 4303
San Jose, CA 95113 Copies Mailed Date: September 19, 2008
(408)277-1200 Issued pate:
DISTRICT SERVING LOCATION: 5AN ,LOSE
First Ownel•: SUSHI YA INC
Name of Business: SUSHI YA RE,STAURANT
Location of Business: 21265 STEVENS CREEK BLVD
#205
CUPERTINO, CA 95014-5715
County: SANTA CLARA
Is premise inside city limits? Yes Census Tract 5078.05
Mailing Address:
(If different from
premises address)
Type of license(s): 41
Transferor's license/name: / Dropping Partner: Yes No
License Ty.~e TransactiQlL Tyke Fee Tvne .Master p.~p Date ~
4l ON-SALE BEER AND ORIGINAL PEES NA Y 0 0 9 / 19 / 0 8 $300.00
41 ON-SALE BEER AND ANNUAL FEE NA Y 0 09/19/08 $304.00
41 ON-SALE BEER AND FEDERAL FINGERPRINTS NA N 1 0 9 / 19 / 0 8 $24.00
41 ON-SALE BEER AND STATE FWGERPRINTS NA N I 0 9 / 19 / 0 8 $39.00
Total $667.00
Have you ever been convicted of a felony? N o
Have you ever violated any provisions of the Alcoholic Beverage •Control Act, or regulations of the
Department pertaining to the Act? No
Explain any "Yes" answer to the above questions on an attachment which shall be deemed pazt of this application.
Applicant agl•ees. (a) that any manager employed in an on-sale licensed premise will have all the
qualifications of a licensee, and (b) that he will not violate or cause or permit to be violated any of the
provisions of the Alcoholic Beverage Control Act. •
STATE OF CALIFORNIA County of SANTA CLARA Date: September 19, 200$
Under penalty of perjury, each person whose signature appears below, certifies and says: (1) He is an applicant, or- one of the applicants, or au
executive officer of the applicant corporation, named in the foregoing. application, duly authorized to make this application on its behatf; (2) that
he has read the foregoing and knows the contents thereof and thnt each of the above statements therein made are true; (3) that no person other
than the applicstnl or applicants has any • direct or indirect interest in the applicttnl or applicant's business to be conducted under the license(s) • for
which this application is tnade; (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an
agreement entered iuio more than ninety (90) days preceding the day ea which the transfer application is filed with the Department or .to gain or
establish a preference to ar For any creditor or transferor or to defirud or injure any creditor of transferor; (5) that Ute transfer application may
be ~vithdrawn by either the .applicant or the licensee with na resulting liability to the Department.
Applicant Name(s) Applicant S' re(s
c__-._~
SUSHI YA INC ~ ~rj
5b-2