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Home My WebLink AboutABC - Sushi CafeDepartment of Alcoholic Beverage Control APPLICATION FOR ALCOHOLIC B ABC 211 (6/99) TO: Department of Alcoholic Beverage Control 42-700 Bob Hope Dr. Ste. 317 Rancho Mirage, CA 92270 (760)568-0990 DISTRICT SERVING LOCATION: RANCHO MIRAGE First Owner: HIDAYAT ACHMAD Name of Business: SUSHI CAFE Location of Business: County: Is premise inside city limits? Mailing Address: (If different from premises address) Type of l icense(s): 41 State of California File Number: 464777 Receipt Number: 1654530 Geographical Code: 3318 Copies Mailed Date: March 6, 2008 Issued Date: 36901 COOK ST STE 6 PALM DESERT, CA 92211 RIVERSIDE Yes Census Tract 0449.14 Transferor's license/name: / Dropping Partner: Yes No License Type Transaction Tvoe Fee Tvae Master Dup Date Fee 41 ON-SALEBEERAND ORIGINALFEES NA Y 0 03/06/08 $300.00 41 ON-SALEBEERAND ANNUALFEE NA Y 0 03/06/08 $304.00 41 ON -SALE BEER AND STATE FINGERPRINTS NA N 2 03/06/08 $7 8.00 41 ON -SALE BEER AND FEDERAL FINGERPRINTS NA N 2 03/06/08 $48.00 Total $730.00 Have you ever been convicted of a felony? N o Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the Department pertaining to the Act? No Explain any "Yesanswer to the abovc 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 RIVERSIDE Date: March 20, 2008 F Under penalty of perjury, 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 hus 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 applicatt� may ') be withdrawn by either the applicant or the licensee with no resulting liability to the Department. o -p aD > r-- r- r+i ry O rn e-' 7° rn l7T Applicant Name(s) HIDAYAT ACHMAD MUNIR HERLINA �/i f9ECV101J . 2/ / Jf K o) Applicant Signature(s) a 2 w tt0 D � m ,'�C;�:i',��.D Ci1 Y CL��r^,�;'� OFFICE �'! M[��' �r i' �`'' CITY OF PALM DESERT ?"�� 3p.R 25 �M I 1 � I �OMMUNITY SERVICES DIVlSION CITY CLERK OPERATIONS INTEROFFICE MEMORANDUM RECE�V�� 24Zac� �.°cv�Kg��i�' TO: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, DIRECTOR OF COMMUNITY DEVELOPMENT, .� {��,��(�`�.�;"�L:�I�Ii��CCOVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT FROM DATE RACHELLE D. KLASSEN, CITY CLER�C�t`J MARCH 21, 2008 SUBJECT: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY t i 4�'t Gat�i;, �r�6�9Q� �#�.:� :��t:�- St��A�lS �a��a��s� 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 Monday. �Aa�rah �'l��. No response by this date will be considered a"No Comment." , t�(� - {� Responding Department: U1,1,�-i�� 3/L' Response: No comment - okay to present to City Council. ❑ Refer to (attach additional sheets, if necessary): Date: � / � � 1 �%�� — related comments O Other — Addiiional comments (attach additional sheets, if necessary): RACHELLE D. KLASSEN, CITY CLER�L� CITY OF PALM DESERT COMMUNITY SERVICES DIVISION CITY CLERK OPERATIONS INTEROFFICE MEMORANDUM TO: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, DIRECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBUC WORKS,��=��.,�,� �q�L, PALM DESERT POLICE DEPARTMENT FROM DATE MARCH 21, 2008 SUBJECT: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY �Su�hi Cafe� ��.�'�� w ��:'?�:E�,.� � 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 Monday. � 3i. � No response by this date will be considered a"No Comment." Responding Department: '� -T?�r.�f� � Response: � No comment - okay to present to City Council. �� 0 Refer to (attach additional sheets, if necessary): Date: �L2�� G u�' - related comments Other - Additional comments (attach additional sheets, if necessary): � _ �- Deparmlent of Alcoholic Beverage Control � = �� APPLICATION FOR ALCOHOLIC B � ` -� ABC 311 (G/99) � State of California TO: Department of Alcoholic Beverage Control File Number: 464777 42-700 Bob Hope Dr. Receipt Number: 1654530 Ste. 317 Rancho Mirage, CA 92270 (760)568-0990 DISTRICT SERVING LOCATION First Owner: Name of Business: Location of Business Counry: Is premise inside city limits? Mailing Address: (If different from premises address) Type of license(s): 41 Transferor's license/name: License Tvpe 41 ON-SALE BEER AND 4] ON-SALE BEER AND 41 ON-SALE BEER AND 4] ON-SALEBEERAND Geographical Code: 3318 Copies Mailed Date: March 6, 2008 Iss��e:COUNC�L, NCT:tv;v . RANCHO MIRAGE s APpROVED DENIEii HIDAYAT ACHMAD • �CBIVED��p OTHER SUSHI CAFE I+R�BTING DATF? L-(—� (;-� � - -- ' � 36901 COOK ST AYES ;�np�.� �� It�. �, 'n;��(�,L �,,� l+toss : �� .�T T� STE 6 AESENT : �N.f GUSc�(1 � PALM DESERT, CA 92211 ABSTATN: �\�� _ ' RIVERSIDE i�ERIFIED BY� �� Yes Original�onuFi�,let�r�t�dh�C��ty Clerk's Oii Transaction Tvoe ORIGINAL FEES ANNUAL FEE STATE FINGERPRINTS FEDERAL FINGERPRINTS / Fee Tvpe NA NA NA NA Dropping Partner: Yes No �_ Master Duo Date Fee Y 0 03/06/08 $300.00 Y 0 03/06/08 $304.00 N 2 03/06/08 $78.00 N 2 03/06/08 $48.00 Total $730.00 Have you ever been convicted of a felony? N o Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the Department pertaining to the Act? No Expl�in 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]icensee, 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 20, 2008 Under penalry� of perjury, each perso❑ whose s�gnature appears below, certifies and says: (I) He is an applican[, or one of [he applican[s. or an execuhve 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 conten[s thereof and d�at each oC 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 apphcanCs business [o be conducted under the license(s) for which this application is made; (4) [hat the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreemen� en�ered inm 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 ar transferor or ro defraud or injure any creditor of transferor; (5) that the transfer applicat� may � be withdrawn by either the applicai�t or the licensee with no resulting liability to the Department. � `L3:.� %'"" -*, Applicant Name(s) Applicant Signature(s) � r �• � r� ;,� HIDAYAT ACHMAD �� Cj/��(��` / � r_;a., iy C7 irs r"-. m ;r,x ;�r: MUNIR HERLINA �� / � vy �; _...° � . � w,.. �� . � _��'y _ �,. _ � .. t-� -�, t�J T�► c'y � r-n