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08. Curry House ABC .ii)i l' t/ ~\~,,-:) -:~_'I " City Hall 10300 Torre Avenue Cupertino, CA 95014 (408) 777-3212 Fax: (408) 777-3366 \....., CUPEIUINO OFFICBOF THE CITY MANAGER SUMMARY. AGENDA ITEM NUMBER 8 AGENDADATE Q/,e/07 SUBJECT AND ISSUE Application for Alcoholic Beverage License. BACKGROUND 1. Name of Business: Location: Type of Business: Type of License: Reason for Application: Cuny House 10350 S. De Anza Blvd. (Villagio mixed-use project) Restaurant On Sale Beer & Wino-Eating Place (41) Original Fees and Annual Fee . ~ 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: ~G~~ ~ David W. Knapp, City Manager L 8-1 PrfntIId on RecyoIrJd PtIper .... Depmtmenl 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 Antoni 0 Rm. 119 San Jose. CA 95113 (408)277-1200 DISTRICf SERVING LOCATION: Control File Number: 457665 Receipt Number: 1627993 Geographical Code:. 4303 Copies Mailed Date: August 28, Z007 Issued Date: ----- Location of Business: SAN JOSE HOUSE FOODS AMERICA CORPORATION CURRY HOUSE 10350 S DE ANZA BLVD CUPERTINO, CA 95014-3020 SANTA CLARA First Owner: Name of Business: County: Is premise inside city limits? Mailing Address: '-_.'--'-(lTaifferenrfj'om premises address) Yes Census Tract 5080.01 7351 ORANGEWOOD AVE GAlW"EN"-GROVE;CA""92"8~l Type of license(s): 41 Transferor's license/name: License Type Transaction Type / Dropping Partner: Yes - NO~ Fee Type Master ~ ~ m NA y 0 08/23/07 $300.00 NA .Y 0 08/23/07 $304.00 Total $604.00 41 ON-SALE BEER AND ORIGINAL JIBSS 41 ON-SALE BEER AND. ANNOALP.F.E Have you ever been convicted of a felony? No Have you ever violated an)' provisions of the Alcoholic Beverage Control Act, or regulations of the Department pertaining to the Act? No Explain any 'Yei" aIlSWI:T 10 thl: WOVI: qu!:stions on In 11I8chm!:DI which aball bl: d8elDlld plln of Ihis applicaliOll. 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: August 28, 2007 Undl:l' Jll:nalty of pl:l'jury, I:lIch peRon whose sigDature appears below. Cl:l'tifies. Ind I8Ys: (I) He ill an appllcanl, or one of Ihl: applicanla. or aa e.xl:CUtive officer of the applicant corporalion. oamod in the foregoing application. duly authorized 10 make Ihis application 00 its bdlalf; (2) thai he has read Ihe fore!oiog and knows Ihe conlenlS thereof IIDd lhal each of the above slalemeuls Ib!:n:in made are lrUe; (3) thai aD perSOIl olhl:l' than lbe applicanl or appllcanls has liD)' dil'l:c1 or indirecl inlel'l:SI in 1I1e applicanl or applicant's business to be conducled under thl: license(.) for which this appliCSlion is made; (4) that the lronsfl:r. application or proposl:d transfer is nol mBde to &lItisf)' the paymiml of II loan or to fuIriIl an agrel:1llenl enlerl:d inlo more than ninet)' (90) dBYS preceding the day OIl which the lransr!:r application is filed wilh the Departmenl or 10 gain or establish a preferellCl: to or fOT any credilor or Iransfl:l"OT or to dl:fraud or injure any cl'I:ditOT of transferor; (5) Ihll the lrRlllfl:l' application may be withdrawn by eilher lhe applicant 01' Ihe Iicens!:e with no I'I:sulting liability to the DepartmenL Applicant Name(s) Applicant Signature(s) HOUSE FOODS AMERICA CORPORATION ~ee 211 Signatnrp PREe: -J 8-2 state of Calilomia APPLICATION -SIGNATURE SHEET ('tSIGN ON"). Department of AlcohoHc Beverage Control L · .This form is to be used as the signature page tor applications not signed in the District Office. · Read Instructions on reverse before completing. . All signatures must be notarized in accordance with laws of the State where signed. 2. ALE NUMeER 'aIll') 3. UCENSE TVPE I. OWNERSHIP TYPE IChDCk 1lIIIt) B Sole Owner Partnership o Husband & Wife o Partnership-Ltd o Corporation o Limited Liability Company D Other 4. TRANSACTION TYPE 41 o Original. 0 Person to Person Transfer o Exchange .0 Premise to Premise Transfer o Other 5. APPUCANT(S) NAME ILa.~ 1iII1. middle) HOUSE FOODS AMERICA CORPORATJON (P-12) .6. APPLICANT'S MAILING ADDRESS (SI....lICIdresrIP.O. bOx. ChJ'. &1818, zip COIle) 7351 ORANGEWOOD AVE., GARDEN GROVE, CA 92841 7. PReMISES ADDRESS 151....__. cIly. zlpcocle) 10350 S DEANZA BLVD., CUPERTINO, CA 95014 - Z> b~D APPLICANT'S CERTIFICA TJON ."ayment .of-a -loan-or to-(uliliT:.aii::a~eni.:eiiieie(HiiIo more.than .--.---..--. .-.. .... ninelY (90) days preceding the day on which the transfer application is liled with Ille Department, (b) to gain or establish a preference to or for any credilor or transferor. or (c) to defraud or mjure 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 DeparuneDI. . J uDoerstand tbal if] fail to qualify for the license or withdraw tbis application there will be a Service charge of one-fourth of tbe license fee paid. up to S100. . ........ . .UDdcr.penalty-ofpeljofy;-e-ichJ)enon:Whose:sigDature.'ap~rs'..' below, cenifies and says: (1) HclShe is an applicant. or one of the applicants, or an executive officer of the applicant corporation, named in Ihe foregoing 8~IiCation, duly authorized 10 make this application on its behalf: 2) that hclshc bas read the foregoing and knows the contents ereaf and that each of the above statements therein made are !rue; (3) that no ~son other than the applicant or applicants has aay direcl or indirect interesl in the applicant or applicant's businw to be conducted under the Iicense{s) for which. this llPplication is made; (4) that the transfer application or proposed transfer is 1101 made to (a) satisfy the SOL.E OWNER PARTNER'S PAlNTEO NAME (lalli, tim, mldlle) 8. PRlNTED NAME (LalIL .aI, m1ddle) I ;NATURE. PARTNERSHIP/LIMITED PARTNERSHIP (Signatures of ganer L 9. PARTNER'S PRINTED NAME (Las~ 11IlI1, rnIdcIe) I P....RTNER'S PRINTED NAME (Last. firsl.lIllddIl!I) SIGNATURE DATE SIGNED x I CORPORATJON 10. PRMED NAME (Last. rnt, middle) / 1;lG.fRtJ NA1AKt:. TITLE ~~;i)~ 1~~773 /D 7 .. ~ President 0 Vice President PRINTED NAME (LaIL 1lnI,1I1IcIdIII) KAMEDA, TAKASHI TinE !.aSecretary 0 Asst. Secretary 0 Chief FmanciaJ Officer 0 Asst. Treasurer LIMITED LIABILITY COMPANY 11. The limited Uability company Is member-run 0 Yes 0 No 1.2. NAME OF DESIGNATED MANAGER. MANAGING M.EMBER OR DESIGNATED OfFICER (LasL 01$1, mIdde) (If no, pomplate Item 112 below) ABC INITIALSlDATE (ABC UN only) 13. MEM8ER'S PRIHTEO NAME (LasI,III$I, m1dc1lt) SIGNATURE DATE SIGNED "- MEMBER'S PRlNTEO NAME (Lasl. 1/lSI, middle) [ w~~) ABC-211-SIG (2103) ( r-' ~}Ir ?.J'~r LJ. {A.. V C1 -0 X u ,,,"-,, ,........, 1'- -.-J