10a. Lucy's Cafe
I F
CUPERJINO
City Hall
10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
p~v· V1r1S1.) 77'7-11';';
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER 10 <L
SUBJECT AND ISSUE
AGENDA DATE November 15.2005
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
RECOMMENDATION
Lucy's Café
21670 Stevens Creek Boulevard
(Formally Tory's Restaurant near the intersection of
Stevens Creek Boulevard and Imperial Avenue)
Restaurant
On-Sale Beer and Wine for Bona Fide Public Eating Place
Annual Fees
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:
~ 2<J~
Ciddy Worde I, City Planner
Submitted by:
~
David W. Knapp
City Manager
G: IPlanninglMJSCELL IABClabclucyscafe#2. doc
Printed on Recycled Paper
100...-1
Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
State of California
TO: Department of Alcoholic Beverage Control
100 Paseo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
File Number: 433422
Receipt Number: 1541524
Geographical Code: 4303
Copies Mailed Date: November 3, 2005
Issued Date:
First Owner:
Name of Business:
SAN JOSE
Ll TSUNG YI
LUCYSCAFE
County:
Is premise inside city limitsO
Mailing Address:
(If different from
premises address)
21670 STEVENS CREEK BLVD
CUPERTINO, CA 95014
SANTA CLARA
Location of Business:
Yes
Census Tract 5077.01
Type of license(s): 41
Transferor's license/name:
License Type
Transaction Tyoe
/ Dropping Partner: Yes_ No
Fee Tvpe Master Dup Date Fee
NA y 0 11/02/05 $300.00
NA y 0 11/02/05 $304.00
Total $604.00
41 ON-SALE BEER AND ORIGINAL FEES
41 ON·SALE BEER AND ANNUAL FEE
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 app\îcation.
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 2,2005
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
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 satisfy the paymertt 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 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)
Ll TSUNG YI
Applicant Si nature(s)
{ D ~- d...