08. Alcoholic Beverage License
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CUPEIQ1NO
City Hall
10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
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OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER t
SUBJECT AND ISSUE
AGENDA DATE: January 3,2006
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
RECOMMENDATION
Pot Sticker King
19634 Stevens Creek Blvd.
Restaurant
On-Sale Beer and Wine for Bona Fide Public Eating Place
Annual Renewal
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:
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Ciddy Word , City Planner -
David W. app
City Manager
G: IPlanning\MISCELL IABClabc potsticlœrking.doc
Printed on Recycled Paper
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Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LlCENSE(S)
ABC 211 (6/99)
State of California
TO: Department of Alcoholic Beverage
100 Paseo de San Antonio
Room 119
San Jose. CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
Control
File Number: 434533
Receipt Number: 1545603
Geographical Code: 4303
Copies Mailed Date: December 12, 2005
Issued Date:
First Owner:
Name of Business:
SAN JOSE
CHENHUEICIllAO
POT STICKER KING
Location of Business:
19634 STEVENS CREEK BLVD
CUPERTINO, CA 95014
SANTA CLARA
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address)
Yes
Census Tract 5080.01
Type of license(s): 41
Transferor's license/name:
License Type
Transaction Type
/ Dropping Partner: Yes - No --l-
Fee Type Master Dup Date Fee
NA y 0 12/09/05 $300,00
NA Y 0 12/09/05 $304,00
NA N 2 12/09/05 $78,00
Total $682.00
41 ON-SALE BEER AND ORIGINAL FEES
41 ON-SALE BEER AND ANNUAL FEE
41 ON-SALE BEER AND STATE FINGERPRINTS
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 10 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: December 9. 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 Ihereof 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 10 be conducted under the Jicense(s) for
which this applic¡¡tion 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 filed with the Department or to gain or
establish u preference to or for any creditor or Iransferor or 10 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 10 the Department.
Applicant Name(s)
CHEN HUEICHIAO
WEI CHIHHENG
Applic nt Signature(s)
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