09. Green Valley Liquor ABC
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CUPEIUINO
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City Hall
10300 Torre Avenue
Cupertino. CA 95014.
(408) 777-3212
Fax: (408) 777-3366
OFFICE OF TIlE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER
,
AGENDADATE 'VI,fo,.
SUBJECf AND ISSUE .
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location: .
Type of Business:
Type of License: .
Reason 'for Application: '
Green Valley Liquor
10073 Saich Way
Liquor Store
Off Sale General (21)' .
Person 1'0 Person Transfer 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:
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CiddYWorde .City~
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David W. Knapp~ CityManager
Prtmd an Recycled PIIptIr
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Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LlCENSE(S)
ABC 211 (6199)
State of California
TO: Department of A.lcoholic Beverage
100 Paseo de San Antonio
Rm. 119
San Jose, CA 95113
(408)277-1200
DISTRICf SERVING LOCATION:
Con.trol
File Number: 457697
Receipt Number: 1628098
Geographical Code: 4303
Copies Mailed Date: August t~; i007
Issued Date:
-..-/
Location of Business:
S~ JOSE
PEREZ ROBERTO SERRANo
GREENVAILEYUQUOR
10073 SAICH WY
CUPERTINO, CA 95014-2124
SANTA CLARA
First Owner:
Name of Business:
County:
Is premise inside city limits?
.Mai1ing.._A.d4(~~.s:_ .____________ .
.:(If different from
premises. address)
Type of Iicense(s): 21
Transferor's license/name:
Yes
. Census Tract 5078.06
405872 I THACH KEVIN , Dropping Partner;
Ycs_
NX
License Type Transaction Type Fee 'rype Master Illu2 om', fu
21 OFF-SALE GENERAL PERSON TO PERSON TRANSF NA Y 0 08/23/07 $1,274.00
21 OFF-SALB GENERAL ANNUAL }lEE NA Y 0 08/23/07 $507.00 --J
21 OFF-SALE GENERAL STA TBPINGERPRINTS NA N 1 08/23/07 $39.00
21 OPF-SALB GENERAL FlIDERAL FINGERPRINTS NA N 1 08/23/07 $24.00
Total $1.844.00
Have you ever been convicted of a felony? No
Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the
Department pertaining to the Act? No
&pJaiu allY 'Ye,s' answer to the above questiOD$ 011 aD luachlDClllt which shan be deemed pan 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: August 23, 2007
Under pc:nalty of perjury, each pClfSOII wbose algnatllre appean below. certifies aDd IIIYS: (I) He is an applicmt. or ODe of the applicants, or all
executive officer of the applicant corporatiOll, Dlmed in the foregoing applleatiOll, duly authorized to make this application 011 its bl:ba1f; (2) that
he bas read the foregoing and kllows the contents thereof and thaI CllIeh of the above statemenla therein made are ltUe; (3) that DO persoll otha '
than tbe appliclnt or appllcallts hIlS allY direct or indirect interest III the applicant or Ipplicant's busincss to be collducted under the Iictlosc(s) for
which this application is made; (4) that the tralL\fer applicatioll or proposed trallsfer II not made to satisfy the pIIymcnt of a loall or to fulfill In
agreement entered into more thall ninety (90) days precedina the day on which the traMfer application is flied with the DeplU'tl1lent or to alin or
establish a preferellce to or for any creditor or transferor or to defraud or injure any creditor of trallsferor: (5) that the: transfer application may
he withdrawn by either the applicant. or the licensee with no resulting liability to the Department. .
Applicant Name(s) A plic
PEREZ ROBERTO SERRANO
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