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10b. Huchiang Dumpling House I F CUPEIQ1NO City Hall 10300 Torre Avenue Cupertino, CA 95014 (408) 777-3212 F~y· ~A.OR~ 777_,:\1(\1'\ OFFICE OF THE CITY MANAGER SUMMARY AGENDA ITEM NUMBER lob SUBJECT AND ISSUE AGENDA DATE December 6. 2005 Application for Alcoholic Beverage License. BACKGROUND I. Name of Business: Location: Type of Business: Type of License: Reason for Application: RECOMMENDATION Huchiang Dumpling House 10877 N. Wolfe Road (Formally Taipei Stonehouse Chinese Restaurant) Restaurant On-Sale Beer and Wine for Bona Fide Public Eating Place 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 of the license. Prepared by: -- {;/ðÚ/ ¿U~ Ciddy Wordell, City Planner Submitted by: ~ David W. Knapp City Manager G: IPlanningIMISCELL IABClabchuchiangdumplinghouse. doc Printed on Recycled Paper lob~1 Department of Alcoholic Beverage Control APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 2]] (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: 433707 Receipt Number: 1542542 Geographical Code: 4303 Copies Mailed Date: November 10, 2005 Issued Date: First Owner: Name of Business: SAN JOSE HUCH1ANG DUMPLING HOUSE CORP HUCHIANG DUMPLING HOUSE Location of Business: 10877 N WOLFE RD CUPERTINO, CA 95014 SANTA CLARA County: Is premise inside city limits? Mailing Address: (If different from premises address) Yes Census Tract 5081.02 Type of license(s): 41 Transferor's license/name: 368710 1 TAIPEI STONE H( Dropping Partner: Yes No License Type Transaction Tv De Fee Tv De Master Dup Date 41 ON-SALE BEER AND PERSON TO PERSON TRANSF NA Y 0 11/10105 41 ON-SALE BEER AND ANNUAL FEE NA Y 0 11/10105 41 ON-SALE BEER AND STATE FINGERPRINTS NA N 7 11/10105 41 ON-SALE BEER AND FEDERAL FINGERPRINTS NA N 4 11/10105 Total Fee $150.00 $304.00 $273.00 $96.00 $823.00 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 10,2005 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 ils 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 payment of a loan or to fulfill an agreement entered inlo 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) HUCHIANG DUMPLING HOUSE CORP \ I\. Yva-ç 9A' t-- I i\S\Q~ ,5C-uv'~7 (iiJ fD ~ --2 ~