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05c. ABC Wang Tofu House City Hall 10300 Torre Avenue _ . ' Cupertino, CA 95014 (408)777-3212 CITY Of Fax: (408) 777-3366 CUPEl~T1N4 OFFICE OF THE CITY MANAGER SUMMARY AGENDA ITEM NUMBER J~C. AGENDA DATE SUBJECT AND ISSUE Application for Alcoholic Beverage License. BACKGROUND 1. Name of Business: Wang Tofii House Location: 10789 South Blaney Avenue Type of Business: Restaurant Type of License: On Sale Beer &Wine---Eating Place (41) Reason for Application: Person to Person Transfer REC~MMENDATI4N 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 3u , Sen Planner David Knapp, City Manager G:planning/misc/wangtofuhouse 5c-1 Prinlcvf nn AarvrJa~1 Paror Department of Alcoholic Beverage Control State of California APPLICATION TOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 2] E (6/99) TO: Department. of Alcoholic Beverage Control File Number: 47169'1 100 Paseo de San Antonio Receipt Number: 1682723 Rm. 119 ~ Geographical Code: 4303 San Jose, CA 95113 Copies Mailed Date: S~~M{3~ 1Rt (408)277-1200 Issued Date: DISTRICT SERVWG LOCATION: SAN .TOSE First Owner: Y00 HYUNSOOK Name of Business: WANG TOFU HOUSE Location of Business: 10789 S BLANEY AVE CUPERTINO, CA 95014-4500 County: SANTA CLARA Is premise inside city limits? Yes Census -Tract 5080.01 Mailing Address: (If different from premises address} Type of license(s): 41 Tl•ansferor's license/name: 466361 / YT ERIC Dropping Partner: Yes No ~ ' License Type Transaction Tvne ~g~-T,Xi~g Master Dup ~ Fee 41 ON-SALE BEER AND PERSON TO PERSON TRANSF NA Y 0 0 9 / 18 / 0 8 $150.00 4 I ON-SALE BEER AND ANNUAL FEE NA Y 0 0 9 / 18 / 0 8 $304.00 41 ON-SALE BEER AND FEDERAL FINGERPRINTS NA N 2 0 9 / 18 / 0 8 $48.00 41 ON-SALE BEER AND STATE FINGERPRINTS NA N 2 0 9 / 1 8 / 0 8 $78.00 30 TEMPORARY PERMI' DUPLICATE NA Y 1 0 9/ 1 8/ 0 8 $100.00 Total $680.00 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 auy "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 ol• cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act. STATE OF CALIFORNIA County flf SANTA CLARA Date: September 18, 2008 Under penalty of perjury, each person whose signature appears below, certifies and says: He is au 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 bus read the Cotegoing and knows the contwits thereof and that each of the above statements therein made are true; (3) that no person other than the applicant or applictmts 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 Fled witi~ 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 Dither the applicant or the licensee with na resulting liability to the Department. Applicant Name{s) Applicant Signa refs) Y00 HYUNSOOK ~ - 5c-2