09. Gumbas
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CUPEIQ"INO
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AGENDA ITEM NUMBER
SUBJECT AND ISSUE
City Hall
t 0300 Torre Avenue
Cupertino, CA 95014
(408) n7-3212
Fax: (408) n7-3366
OFFICE OF THE CITY MANAGER
SUMMARY
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AGENDADATEO~u-l~l~1
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
RECOMMENDATION
Gumbas
21678 Stevens Creek Boulevard
(Stanley Square)
Restaurant
On Sale Beer & Wine-Eating Place (41)
Person to Person Transfer and Annual Fee
There are no use permit restrictions or zoning restrictions which would prohibit tbis use and staff
has no objection to the issuance of the license.
Prepared by:
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Ciddy W6rd ll, City Planner
G:planning/misclabcA1bertsons
Submitted by:
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David W. Knapp, City Manager
Printed on Recycled Paper
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Department of Alcoholic Beverage Control.
APPLICA nON FOR ALCOHOLIC BEVERAGE LICENSE(S) ;
ABC 211 (6199)
State of California
TO: . Department of Alcoholic Beverage Control
100 Paseo de San Antonio
Rm. 119
San Jose, CA 95113
(408)277 -1200. .
DISTRICT SERVING LOCATION: . SAN JOSE .
First Owner: 3CHIVES LLC
Name of Business: GUMBAS
File Number: 459907
Receipt Number: 1634061
Geographical Code: 4303
Copies Mailed Date: September 25~ 2007
Issued Date:
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Location of Business:
21678 STEVENS CREEK BLVD
CUP:ER~O, CA 95014-1149.
SANTA CLARA
County:
Is premise inside city limits? Yes
Mailing Address:
(If different from
premises address)
Type of license(s): . 41
Transferor's license/name:.
Census Tract 5077.01
326984 / DUNN DEAN WE~ Dropping Partner:
Yes_
No
-0
License Type
41 ON-SALE BEER AND
41 ON-SALE BEER AND
41 ON-SALE BEER AND
41 ON-SALE BEER AND
Transaction Type Fee Type
PERSON TO PERSON TRANSF NA
ANNUALPEB NA
STATE FINGERPRINTS NA
PBDBRAI,.FINGBRPRINTS NA
Master llU ~
y 0 09/25/07
y 0 09/25/07
N 6 09125/07
N 6 09/25107.
Total
m
S150.00
$304.00
$234.00
$144.00
$832.00
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Have you ever been convicted of a felony? N ~ .
Have you ever violated any provisions of the Alcoholic Beverage COntrol Act, or regulations of the
Department pertaining to the Act? No.
Explain Iny. .Yes' IUlJwer to the above que.dons on an attacblllllllt wbich shall be ~ put of tbil application.
Applicant agrees (a) that any manager employed in anon-sale licensed premise will have a11 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 <::LARA Date: September 25, 7007
. Under penalty of perjury, each pe1'lIon whOSll sipature appelln below. cerllfjes and says: (1) He iJ. 111 applicant, or one or the applicants. or an
executive officer of the applicant Corpontlon, I1III1Ied in the fGreJOfng applloatioa. duly an!horlzed to make tbil application GO Its bebalf; (2) that
be bas read the foregoing and bows !he contents thereof aDd !hat each of the above statemcllts therein made IIJ'C true; (3) that no person other .
tban tbe appliCllnt. or applicants ba. any direct or indirect interest in the applicant or applicant's business to be conducted. under the lIceDSe(s) for
wblch this application is made; (4) that.the tl'llllSfcr application or propoaed trBDSfer ia DOl made to satisfy the pSymcDt of a loan or to fulfill an
agreemenl eDlered inlo more than ninety (90) days prellClding tbe day on which the trBDSfer application is nJed with the Department. or to gain or
IIIlablish I preference to or for any creditor or. tnnsferor or to defraud or injure any c:reditor of trBDSferor; .(5) that the trJIDSfer application may
be withdrawn by. either the appllclDt 01' the licensee with no resuliing liability to the DepartmenL . .
Applicant Name(s) )( ..~ic~nt Signature(s)
3ClflVES lLC I ~
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