04. ABC license
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AGENDA ITEM NUMBER
SUBJECT AND ISSUE
City Hall
10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
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OFFICE OF THE CITY MANAGER
SUMMARY
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AGENDA DATE November 1. 2005
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
RECOMMENDATION
Fusion Korea
20956 Homestead Road, Suite A-I (existing restaurant)
Restaurant
On-Sale Beer and Wine for Bona Fide Public Eating Place
Person-to-Person Transfer
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:
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Ciddy Wordell, City Planner
Submitted by:
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David W. Knapp
City Manager
G: IPlanning\MISCELL IABClabcfusionkorea. doc
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Printed on Recycled Paper
Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
State of California
TO: Department of Alcoholic Beverage Control
100 Paseo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
File Number: 432382
Receipt Number: 1536868
Geographical Code: 4303
Copies Mailed Date: September 30, 2005
Issued Date:
First Owner:
Name of Business:
SAN .JOSE
KIM,KUMAN
FUSION KOREA
Location of Business:
20956 HOMESTEAD RD STE Al
CUPERTINO, CA 95014
SANTA CLARA
County:
Is premise inside city limits?
Mai ling Address:
(If different from
premises address)
Yes
Census Tract 5078.06
Type of licensees): 41
Transferor's license/name:
390010 / KIM SE YONG
Dropping Partner:
Yes_
No ..A--
License Tvpe Transaction Tvpe Fee TYDe Master DUD Date Fee
41 ON-SALE BEER AND PERSON TO PERSON TRANSF NA y 0 09/30/05 $150.00
41 ON-SALE BEER AND ANNUAL FEE NA Y 0 09/30/05 $304.00
41 ON-SALE BEER AND STATE FINGERPRINTS NA N 2 09/30/05 $78.00
Total $532.00
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
Explain any "Yes" answer to the above questions on an attachment which shall be deemed part 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: September 30, 2005
Un.der penalty of perjury, each person whose signature appears below, certifies and says: (I) He is an applicant. or one of the appJicants, 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 are true; (3) that no person other
than the applicant or applicants has any direct or indirect interest in the applicant or applicant's business to be conducted under the Hcense(s) for
which this application is made; (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an
agreement entered into more than ninety (90) days preceding the day on which the transfer application is filed with the Department or to gain or
establish a preference to or for any creditor or transferor or to defraud or injure any creditor of transferor; (5) that the transfer application may
be withdrawn by either the applicant or the licensee with no resulting liability to the Department.
Applicant Name(s)
Applicant Signature(s)
KI KUMAN
KIM HAE KYONG
v____ 1<
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