HomeMy WebLinkAboutABC - Sushi CafeE
Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
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:
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):
41
Transferor' s license/name:
License Type
41 ON -SALE BEER AND
41 ON -SALE BEER AND
41 ON -SALE BEER AND
41 ON -SALE BEER AND
RANCHO MIRAGE`'
HIDAYAT ACHMALJ EETING DATE ,"j-,2.7-60
SUSHI CAFE AYES : � >Cineriy, 1 eI y, 4iee /l /'rLscn
State o a ilornla
File Number: 464777
Receipt Number: 1654530
Geographical Code: 3318
Copies Mailed Date: M�arch 6, 2008
CITI�' cs)mcIL ACT.UN
36901 COOK ST ABSENT: /s/t�/!
STE 106 ABSTAIN: /\I V C�
.L)K,
PALM DESERT, CA� FIED BY: kJ Kt
Original on File with)City Clerk's Office
APPROVED DENIED
CEIVED C r�i /� OTHER.
RIVERSIDE
NOES: ne
Yes Census Tract 0449.14
Transaction Tvne
ORIGINAL FEES
ANNUAL FEE
STATE FINGERPRINTS
FEDERAL FINGERPRINTS
Dropping Partner: Yes No /
Fee Type Master Dup
NA Y 0
NA Y 0
NA N 2
NA N 2
Date Fee
03/06/08
03/06/08
03/06/08
03/06/08
Total
$300.00
$304.00
$78.00
$48.00
$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 "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 RIVERSIDE Date: March 6, 2008
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 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 license(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,..t Ifil1 an c.)
agreement entered into more than ninety (90) days preceding the day on which the transfer application is filed with the Department or gainvizi
establish .t preference to or for any creditor or transferor or to defraud or injure any creditor of transferor; (5) that the transfer applicatam
be withdrawn by either the applicant or the licensee with no resulting liability to the Department. = r--
Applicant Name(s) Applicant Signature(s)r- I
I Cam','(
HIDA1'AT ACHMAD \ �� m 73
MUNIR HERLINA �� „
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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 PUBLIC WORKS, COVE COMMUNITIES FIRE MARSHAL,
PALM DESERT POLICE DEPARTMENT
FROM: RACHELLE D. KLASSEN, CITY CLERK j\S1(
DATE: MARCH 10, 2008
SUBJECT: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Sushi Cafe. 36-901 Cook Street. Suite 106. 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 .
March 20. 2008. No response by this date will be ered a "No Comment."
Responding De artmenL BneSLC2, Date: 03-
I 0 P)
Response:
No comment - okay to present to City Council.
❑ Refer to — related comments
(attach additional sheets, if necessary):
0 Other — Additional comments (attach additional sheets, if necessary):