07. Loree LiquorCity Hall
10300 Torre Avenue
Cupertino, CA 95014
{408)777-3212
Fax: (408) 777-3366
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM N UMBER
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
RECOMI~~NDATION
AGENDA DATE,.~I~t~ ~j a0~?c~
Loree Liquor
19050 Stevens Creek Boulevard
Liquox Store
Off-Sale General {21)
Person-to-Person & Annual Fee
There are no use permit restrictions or zoning restrictions that would prohibit this use and staff
has no objection to the issuance of the license.
Prepared by:
. ~~
Ciddy Wor 1, City Planner
G:pl anning/mi sc/abcLoreeLiquor
Submitted by:
David W. Knapp, City Manager
7-1
Printed on Recycled Paper
Department of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ,
ABC 211 (G/99)
TO: Department of Alcoholic Beverage Control File Number: 462342
I00 Paseo de San Antonio Receipt Numbel': 1644607
Rm. 119 Geographical Code: 4303
San Jose, CA 95113 Copies Mailed Date: December 13, 2007
(408)277-1200 Issued Date:
DISTRICT SERVING LOCATION: SAN .TOSE
First Owner:
Name of Business:
Location of Business:
County:
is premise inside city limits?
Mailing Address:
(If different from
premises address)
Type of license(s): 21
NGAR ARONG SAMMIE
LOREE LIQUOR
19050 STEVENS CREEK BLVD
CUP)rRTINO, CA 95014-2522
SANTA CLARA
Yes
Census Tract 5080.02
Transferor's license/name: 390067 /KIM MYOUNG Si. Dropping Partner: Yes No ~
License Tvoe Transaction Tvve Fee T}rp~ Mas Dun Date Fee
21 OFF-SALE GENERAL PERSON TO PERSON TRANSF NA Y 0 12 / 1 3 / 0 7 $1,274.00
21 OFF-SALE GENERAL ANNUAL FEE NA Y 0 12 / 13 / 0 7 $507.00
2l OFF-SALE GENERAL STATE FINGERPRINTS NA N 2 12 / 13 / 0 7 $78.00
21 OFF-SALE GENERAL FEDERAL FINGERPRINTS NA N 2 1 2 / 1 3 / 0 7 ~ $48.00
Total $1,907.00
Have you ever been convicted of a felony? N o
Have yotl evet• 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 about: questions on an attachment which shall he deemed part of this application.
Applicant agrees (a) that any manager employed in an on-sale licensed premise will have ail 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: December 13, 2007
Under penalty of pctjm•y, each person whose signature appears below, certifies and says: (1) 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 arc true; (3) that no person other
th:m the applicant or applicants has any direct or indirect interest in dre applicant or applicant's business to be conducted under the license(s) for
which this application is made; (d) drat the transfer application or proposed transfer is not made to satisfy the payment o(a loan or to fulfill an
agreement entered into mare than ninety (9Q) days preceding the day at which the transfer application is filed with the Department or to gain or
establish a preference to or for any creditor or h~ansferor or to defraud or injure any creditor of transferor; (5) that the transfer application may
be withdruivn by either the applicant or the licensee with no resulting liability to the Department.
Applicant Name(s) Applicant Signatures}
NGAR ARONG SAMMIE
NGAR BUNLY
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