10. Mothers Tofu House
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City Hall
10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
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CUPEIQ1NO
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER 10
AGENDA DATE: Mav 2.2006
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
Mothers Tofu House
7335 Bollinger Road (cross street S. De Anza Blvd.)
Restaurant
On-Sale Beer and Wine for Bona Fide Public Eating Place (41)
Person-to-Person Transfer
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:
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David W. Knapp
City Manager
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Prínted on Recycled Paper
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Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6199)
State of California
TO: Department of Alcoholic Beverage
100 Paseo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCA nON:
Control
File Number: 4381 ° 1
Receipt Number: 1559061
Geographical Code: 4303
Copies Mailed Date: March
Issued Date:
30, 2006
First Owner:
Name of Business:
SAN JOSE
MOTHERS TOFU HOUSE INC
MOTHERS TOFU HOUSE
Location of Business:
7335 BOLLINGER RD CI
CUPERTINO, CA 95014
~~A CLARA
Census Tract 5080,01
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address)
Type of license(s): 41
Transferor's license/name:
309954 / ANEKMED INTER Dropping Partner:
Yes_
No A-
License Type Transaction Type Fee Tvpe Master DUD Date
4t ON-SALE BEER AND PERSON TO PERSON TRANSF NA Y 0 03/30/06
41 ON-SALE BEER AND ANNUAL FEE NA Y 0 03/30/06
41 ON-SALE BEER AND STATE FINGERPRINTS NA N 2 03/30/06
Total
Fee
$150.00
$304.00
$78.00
$532.00
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 atlachment 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: March 30, 2006
Under penalty of perjury, each person whose signature appears below, certifies and says: (1) He is an applicant, or one of the applicants, or an
executive officer of the applicant corporation. Darned in the foregoing application, duly authorized 10 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 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 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)
Applicant Signature(s) ,~
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MOTHERS TOFU HOUSE INC
Department of Alcoholic Beverage Control
APPLICA nON FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 21] (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: 4381 ° 1
Receipt Number: 1559061
Geographical Code: 4303
Copies Mailed Date: March
Issued Date:
30, 2006
First Owner:
Name of Business:
SAN JOSE
MOTHERS TOFU HOUSE INC
MOTHERS TOFU HOUSE
Location of Business:
7335 BOLLINGER RD C1
CUPERTINO, CA 95014
~~ACLARA
Census Tract 5080,01
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address)
Type of license(s): 41
Transferor's license/name:
309954 / ANEKMED INTER Dropping Partner:
Yes_
No A-
License Type Transaction Type Fee Tvpe Master !2J!..!2 Date
41 ON-SALE BEER AND PERSON TO PERSON TRANSF NA Y 0 03/30/06
41 ON-SALE BEER AND ANNUAL FEE NA Y 0 03/30/06
41 ON-SALE BEER AND STATE FINGERPRINTS NA N 2 03/30106
TOlal
Fee
$150,00
$304,00
$78,00
$532,00
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 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: March 30, 2006
Under penalty of perjury, each person whose signature appears below, certifies and says: (1) He is an applicant. or one of the applicants. or an
executive officer of the applicant corporation, named in the foregoing application, duly authorized 10 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 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 a preference to or for any creditor or transferor or 10 defraud or injure any creditor of transferor; (5) that the transfer application may
be withdrawn by either the applicant or Ihe licensee with no resulting liability to the Department.
Applicant Name(s)
MOTHERS TOFU HOUSE INC
Applicant Signature(s)
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