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HomeMy WebLinkAboutABC - Island Boba Sushi PokeDepartment of Alcoholic Beverage Control State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 211 (6/99) TO: Department of Alcoholic Beverage Control File Number: 604351 34-160 GATEWAY DR. Receipt Number: 2560144 STE 120 Geographical Code: 3318 PALM DESERT. CA 92211 Copies Mailed Date: March 14, 2019 (760) 324-2027 Issued Date: DISTRICT SERVING LOCATION: PALM DESERT First Owner: Name of Business: Location of Business: County: Is Premise inside city limits? GUO, DUNG NGUYEN ISLAND BOBA SUSHI POKE 36901 COOK ST STE 6 PALM DESERT, CA 92211 RIVERSIDE Yes Census Tract 0449.22 CC -77 - v n `o > -� p 3r-IT C7 m n Co rn rn rr" 7 T n c Mailing Address: 82303 STRADIVARI RD (If different from INDIO, CA 92203-3825 premises address) Type of license(s): 41 Transferor's license/name: Dropping Partner: Yes_ No License Type Transaction Tvpe Fee Tvve Master pup Date Fee 41 - On -Sale Beer And \Vmt ANNUAL FFF NA Y 0 03/14/19 $406.00 41 - On -Sale Beer And Wun ORIGINAL FEES NA Y 0 03/ 14/19 $300.00 NA I EDERAL FINGERPRINTS NA N 2 03/14/19 $48.00 NA SEGUE FINGERPRINTS NA N 2 03/14/19 S78.00 Total S832.00 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 premises 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 RIVERSIDE Date: March 14, 2019 hinder penalty of perjury. each person %%hose signature appears below, certifies and says ( I ) Ile is an applicant. or one of the applicants, or an executive officer of the applicant corporation, named in the foregoing application, duly authorved to make this application on its behalf. (2) that he has read the foregoing and kno%Ns the contents thereof and that each of the above statements therein made are true, (31 that no person other than the applicant or applicants has am direct or indirect interest in the applicant or applicant's business to be conducted under the license(s) for Hhich 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 nmety (901 days preceding the day on which the transfer application is filed with the Department or to gam or establish a preference to or for am creditor or transferor or to defraud or injure any creditor oftransferor. (5) that the transfer application may be µithdrawn by either the applicant or the licensee kith no resulting liability to the Department Effective July 1, 2012. Revenue and Taxation Code Section 7057, authorizes the State Board of Equalization and the Franchise Tax Board to share taxpayer information with Department of Alcoholic Beverage Control. The Department may suspend, revoke, and refuse to issue a license if the licenseeLs name appears in the 500 largest tax delinquencies list. (Business and Professions Code Section 494.5.) Applicant Name(s) GUO,DUNG NGUYEN GUO , SCOTT Applicant Signature(s) See 211 Signature Page CITY OF PALM DESERT CITY CLERK DEPARTMENT INTEROFFICE MEMORANDUM To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: March 18, 2019 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further action. Please mark the appropriate response below and return to me by Thursday. 3/28/2019. No response by this date will be considered a "No Comment." Responding Department: F3v%L-1C31'6'4--t`1 Response: No comment — okay to present to City Council. Refer to additional sheets, if necessary): Date: 3 J-z-z /19 - related comments (attach - Other — Additional comments (attach additional sheets, if necessary): CITY OF PALM DESERT CITY CLERK DEPARTMENT INTEROFFICE MEMORANDUM To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: March 18, 2019 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further action. Please mark the appropriate response below and return to me by Thursdav, 3/28/2019. No response by this date will be considered a "No Comment." Responding Department: C"D& Response: No comment — okay to present to City Council. Refer to additional sheets, if necessary): Date: 3- -2 �- /� - related comments (attach Other — Additional comments (attach additional sheets, if necessary): City of Palm Desert CITY OF PALM DESERT MAR 19 2019 CITY CLERK DEPARTMENT Community Development INTEROFFICE MEMORANDUM To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: March 18, 2019 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further action. Please mark the appropriate response below and return to me by Thursdav, 3/28/2019. No response by this date will be considered a "No Comment." Responding Department: cv�) Date: Response: 7ZNo comment — okay to present to City Council. Refer to additional sheets, if necessary): - related comments (attach Other — Additional comments (attach additional sheets, if necessary): CITY OF PALM DESERT CITY CLERK DEPARTMENT INTEROFFICE MEMORANDUM To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CL n04----- Date: March 18, 2019 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further action. Please mark the appropriate response below and return to me by Thursdav, 3/28/2019. No response by f is d to will be considered a "No Comme�t Respg Department: ondin D artment: '�+Ot�c. u✓�' Date: .3 FYI Response: No comment — okay to present to City Council. Refer to additional sheets, if necessary): - related comments (attach Other — Additional comments (attach additional sheets, if necessary): CITY OF PALM DESERT CITY CLERK DEPARTMENT INTEROFFICE MEMORANDUM To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK A22�� Date: March 18, 2019 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further action. Please mark the appropriate response below and return to me by Thursday. 3/28/2019. No response abthnis date will be considered a "No Comment.Responding DepartmentDate: Response: v No comment — okay to present to City Council. Refer to additional sheets, if necessary): - related comments (attach Other — Additional comments (attach additional sheets, if necessary):