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10. ABC License The Red Crane & Super Bowl Restaurant City Hall 10300 Torre Avenue Cupertino, CA 95014 (408) 777-3212 Fax: (408) 777-3366 CITY OF CUPEIUINO OFFICE OF THE CITY MANAGER SUMMARY AGENDA ITEM NUMBER J D (L AGENDA DATE 5- ;).1-D-1 SUBJECT AND ISSUE Application for Alcoholic Beverage License. BACKGROUND 1. Name of Business: Location: The Red Crane 7335 Bollinger Road (Shopping center north side of Bollinger Road, west of De Anza Boulevard) Restaurant On Sale Beer & Wine-Eating Place (41) Person to Person Transfer and Annual Fee Type of Business: Type of License: Reason for Application: 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: ./(. WtPc.d~ Ciddy Wordell, City Planner ~ David W. Knapp, City Manager Printed on Recycled Paper Department of Alcoholic Beverage Control APPLICA TION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 211 (6/99) State of California TO: Department of Alcoholic Beverage 100 Paseo de San Antonio Rm. 119 San Jose, CA 95113 (408)277-1200 DISTRICT SER VING LOCATION: First Owner: Name of Business: Location of Business: County: Is premise inside city limits? Mailing Address: (If different from premises address) Type of licensees): 41 Transferor's license/name: Control File Number: 456016 Receipt Number: 1622304 Geographical Code: 4303 Copies Mailed Date: July 11, 2007 Issued Date: SAN JOSE RThIl\tIANAGEl\tIENT LLC RED CRANE THE 7335 BOLLINGER RD # Cl CUPERTINO, CA 95014-4328 SANTA CLARA Yes Census Tract 5078.07 4 HOMME WY MILPIT AS, CA 95035 438101 / MOTHERS TOFU Dropping Partner: Yes No -/::' Fee License Tvpe Transaction Type Fee Type Master Dup Date 41 ON-SALE BEER AND PERSON TO PERSON TRANSF NA Y 0 07/11/07 41 ON-SALE BEER AND ANNUAL FEE NA Y 0 07111/07 41 ON-SALE BEER AND STATE FINGERPRINTS NA N 4 07/11/07 Total $150.00 $304.00 $156.00 $610.00 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: July 11,2007 Under penalty of perjury, cach person whose signature appears below, certifies and says: (I) I-Ie is an applicant. or onc 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 Illade are tnle; (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 Illade; (4) that the transfer application or proposed transfer is not Illade to satisfy the payment of a loan or to fulfill an agreement entered into Illore than ninety (90) days preceding the day 011 which the transfer application is filed with the Department or to gain or establish a preferencc 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) RTM MANAGEMENT LLC City Hall 10300 Torre Avenue Cupertino, CA 95014 (408) 777-3212 Fax: (408) 777-3366 CITY F CUPEIQ"INO OFFICE OF THE CITY MANAGER SUMMARY AGENDA ITEM NUMBER / b b AGENDA DATE f- 2l-lfl SUBJECT AND ISSUE Application for Alcoholic Beverage License. BACKGROUND 1. Name of Business: Location: Type of Business: Type of License: Reason for Application: Super Bowl Restaurant 10971 Wolfe Road (in Cupertino Village Shopping Center) Restaurant On-Sale Beer and Wine (41) Request to serve beer and/or wine with food 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: cL&v- Colin Jung, Semor Planner Submitted by: ~ David W. Knapp, City Manager Printed on Recycled Paper Department of Alcoholic Beverage Control APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 211 (6/99) State of California TO: Department of Alcoholic Beverage 100 Paseo de San Antonio Rm. 119 San Jose, CA 95113 (408)277-1200 DISTRICT SERVING LOCATION: Control File Number: 456577 Receipt Number: 1623741 Geographical Code: 4303 Copies Mailed Date: July 23, 2007 Issued Date: First Owner: Name of Business: SAN JOSE PANDA COUNTRY KITCHEN LLC SUPER BOWL RESTAURANT Location of Business: 10971 WOLFE RD CUPERTINO, CA 95014-0617 SANTA CLARA County: Is premise inside city limits? Mailing Address: (If different from premises address) Yes Census Tract 5081.01 Type of licensees): 41 Transferor's license/name: / Dropping Partner: Yes_ y y Dup o o Date Fee License Type Transaction Type Fee Type NA NA Master 41 ON-SALE BEER AND ORIGINAL FEES 41 ON-SALE BEER AND ANNUAL FEE 07/23/07 07/23/07 Total $300.00 $304.00 $604.00 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: July 23,2007 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 licensees) 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) PANDA COUNTRY KITCHEN LLC See 211 Si~n3tllre Page State of California APPLICATION SIGNATURE SHEET ("SIGN ON'') Department of Alcoholic Beverage Control This form is to be used as the signature page for applications not signed in the brstrict Office. Read instructions on reverse before completing. All signatures must be notarized in accordance with laws of the State where signed. FILE NUMBER (II any) I J LICENSE TYPE I 41 D Sole Owner D Partnership o Husband & Wife D Partnership-Ltd 4 TRANSACTION TYPE G2]Original DExchange o Corporation gLimited Liability Company o Other o Person to Person Transfer DPremise to Premtse Transfer DOther APPLlCANT(S) NAME (La' I. '''',. mloole) Panda Country Kitchen, LLC 6 APPLlCANrs MAILING ADDRESS (Streel address/P.O box. city. .toto, Zip code) Same PREMtSES ADDRESS (S~eet aoore", CIty. Zip code) 10971 Wolfe Road, Cupertino, CA 95014 APPLICANT'S CERTlFICA TlON Under penalty of perjury, each person whose signature appears bela\"', certifies and says (I) He/She 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 tts behalf; (2) that he/she 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 SOLE OWNER B PRINTED NAME (Lasl. r'rsl. mloole) payment of a loan or to fulfill an agreement entered 1010 more than ninety (90) days preceding the day on which the transfer application is filed with the Department, (b) to gain or establish a preference to or for any creditor or transferor, or (c) 10 defraud or injure any creditor or transferor; (5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting liability to the Department. I understand that if I fail to qualify for the license or Withdraw this application there will be a service charge of one-fourth of the license fee paid, up to $100. DATE StGNED x PARTNERSHIP/LIMITED PARTNERSHIP (Signatures of general partners only) 9 PARTNER'S PRINTED NAME (Last. r"'t. mlddlo) SIGNATURE X PARTNER'S PRINTED NAME (La'l. firsl, m,ddte) IDA TE SIGNED I DATE SIGNED SIGNATURE X SIGNATURE X DA TE SIGNED PARTNER'S PRINTED NAME (Last. rlfst, middle) StGNATURE IDATE StGNED CORPORATION X 10 PRINTED NAME (LaS! first. mloolej TtTLE !lPresidenl IIVice President DChairman of the Board PRtNTEO NAME (Lasl. r"S!. m,oole) SIGNATURE X TITLE _!Secretary '~ASSI. Secretary DChief Financial Officer LIMITED LIABILITY COMPANY 11 The limited liability company is member-run ~Yes 12 NAME OF DESIGNATED MANAGER. MANAGING MEMBER OR..QESIGNATED OFFICER (Last, first, middle) ZOU, Suhua . : j MEMBER'S PRINTED NAME (La't. flfsl. middle) Zou, Suhua MEMBER'S PRINTED NAME (LaS!, rlfst. m,dole) ABC.211-SIG (2/03) DAsst. Treasurer DATE SIGNED ~ i 7-18-07 DATE SIGNED I i X "SIGN ON" Annotation Abc Street Names - CityBoundary Street Centerline CJ ParcelOutline Right-of-Way Parcels City of Cupertino N SCALE 1 : 5,043 ~ ~-~JOiiiU- ----uT- 200 0 200 400 FEET 600 http://mapguidesvr/cupertinoassessor/home/mapFile.aspx Thursday, July 26, 2007 3:27 PM