08. ABC Kikusushi
City Hall
10300 Torre Avenue
Cupertino. CA 95014
(408) 777-3212
Fax: (408) 777-3366
~ CUPEIQ"INO
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBERJ'
AGENDADATE odl-b- I~ 1(J()]
.
SUBJECT AND ISSUE
Application. for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Kikusushi Japanese Restaurant
1655 S. De Anza Blvd, Ste. 6
(Coach House Shopping Center)
Restaurant .
On-Sale Beer and Wintr-Eating Place (41)
On Sale General-Eating Place (47)
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:
~~~
Ciddy Wordell, City Planner
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David W. Knapp, City Manager
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Primed on Recycled Paper
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
Rm. 119
San Jose, CA 95113
(408)277-1200
DISTRICT SERVING LOCATION:
Control
File Number: 448459
Receipt Number: 1610123
Geographical Code: 4303
Copies Mailed Date: April 19, 2007
Issued Date:
..J
First Owner:
Name of Business:
SAN JOSE
FUJIOKA MASAYOSHI
KIKUSUsm JAPANESE RESTAURANT
Location of Business:
1655 S DE ANZA BLVD
8TE6
CUPERTINO, CA 95014-5319
SANTA CLARA
Coun ty:
Is premise inside city limits?
Mailing Address:
(If different from
. premises address)
Type of licensees): 41,47
Transferor's license/name:
Yes
Census Tract 5078.08
330774 /FUJIOKA MASAYI Dropping Partner: Yes_ No
License Type Transaction Type Fee .Type
47 ON-SALEGENBRALJ PRBMISBTOPREMISE'mANS P40
Mas teT .D..ll.Il
Y 0
~
04/18/07
Total
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$100.00
$100.00
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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 'Vcs' answcr 10 the. above questions on an attachment which shall be deemed part of this appUcadon.
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
provisfons of the Alcoholic Beverage Control Act.
STATE OF CALIFORNIA County of SANTA CLARA Date: April 18, 2007
Under penolly of perjury, each pcnoo whose signature appcm below, certifies Iud says: (I) He is an applicant, or one of the appllcmts, or an
executive orficcr of the applicant corporation, named in the fOl'llgolns applicatiOn. duly authOrized to DlIIkc this applicatiDD on Its behalf; (2) that
he has read the fore&oing and knOWl the contCDU thereof and that each of the above stal.cmcntI thcn:in made are trull; (3) that no penon. other
than the applicanl or applicaDts has any dil'llct or indirect intCl'llSt in the appllcmt or applicant's business to be conduetcd under thll lIccnsc(s) for
which this appllcatioQ is made; (4) thlt the transfer application or proposed tralllfer is not made 10 satisfy the payment of a loan or to fulfill an
agrccmcat entcred inlo mol'll .than nincty (90) days precllding the day on which the transfer application is flied with the Department or to glin or
establish a pl'llfcn:ncll to or for any creditor or transferor or to defraud or injun: any creditor of tt'lUU;feror; (5) that the transfer application may
be witbdrawn by either the applicant or the Ilccnscc with no resulting liability to the Department.
Applicant Naine(s) Applica, Signature(s)
FUJIOKAMASAYOSm ///44'
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