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Alcohol Beverage Control - Sam's Club #6609
Department of Alcoholic Beverage Control State of Californi APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)L ABC 211 (6/99) TO: Department of Alcoholic Beverage Control File Number: 434351 34-160 GATEWAY DR. Receipt Number: 2113131 STE 120 Geographical Code: 3318 PALM DESERT, CA 92211 Copies Mailed Date: May 18, 2012 (760) 324-2027 Issued Date: n ..s DISTRICT SERVING LOCATION: PALM DESERT ^e n.,c First Owner: SAMS WEST INC r � Name of Business: SAMS CLUB 6609 ... Location of Business: 34220 MONTEREY r", PALM DESERT, CA 92211 -400 County: RIVERSIDE � ��© r� P-e •d city Census Tract 0449.14 rJ ...,m1se inside cl� limits? Yes Mailing Address: 702 SW 8TH ST (If different from DEPT 8916 ATTN MARIBEL LA CHANCE premises address) BENTONVILLE, AR 72716-0500 Type of license(s): 86 Transferor's license/name: Dropping Partner: Yes No License Tyne Transaction Type Fee Type Master Dup Date Fee 86 - Instructional Tasting Lic ANNUAL FEE NA Y 0 05/18/12 $261.00 86 - Instructional Tasting Lic ORIGINAL FEES NA Y 0 05/18/12 $300.00 Total $561.00 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: May 18, 2012 Urda pziiallty ofperjury, each person whose signature appears below, ccdifws and says: (1) Ile is an applicant, or one ofthe applicants, or an executive officer ofthe 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 ofthe 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 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) SAMS WEST INC 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, ECONOMIC DEVELOPMENT MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: May 21, 2012 LLLLP��w I MIOF�ffi Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY Sam's Club, 34220 Monterey Avenue, 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. May 31, 2012. No response by this date will be considered a "No Comment." Responding Department: C6,0r, clqmpc, Date: S 3 -� 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 Community Development CITY OF PALM DESERT MAY 2 2 2012 CITY CLERK DEPARTMENT INTEROFFICE MEMORANDUM To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBLIC WORKS, ECONOMIC DEVELOPMENT MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: May 21, 2012 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY Sam's Club, 34220 Monterey Avenue, 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. May 31, 2012. No response by tbis-date will be considered a "No Comment." Responding Department: Date: 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, ECONOMIC DEVELOPMENT MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: May 21, 2012 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY Sam's Club, 34220 Monterey Avenue, 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. May 31, 2012. No response by this date will be considered a "No Comment." Responding Department: / L Date: `� 2'- Response: No comment — okay to present to City Council. ❑ Refer to - related comments (attach additional sheets, if necessary): ❑ 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, ECONOMIC DEVELOPMENT MANAGER, COVE COMMUNITIES ' FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: May 21, 2012 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY Sam's Club, 34220 Monterey Avenue, 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, May 31, 2012. No response by this date will be considered a "No Comment." Responding Department: � c.e- w�a � cZ — Date: 6Ly Response: y No comment - okay to present to City Council. ❑ Refer to - related comments (attach additional sheets, if necessary): ❑ 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, ECONOMIC DEVELOPMENT MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT From: RACHELLE D. KLASSEN, CITY CLERK Date: May 21, 2012 Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY Sam's Club, 34220 Monterey Avenue, 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. May 31, 2012. No response by this date will 40 considers as "No Comment." Responding Department: PDLlL , r-- Date: S� Response: A No comment — okay to present to City Council. L ❑ Refer to additional sheets, if necessary): - related comments (attach ❑ Other — Additional comments (attach additional sheets, if necessary): Department of Alcoholic Beverage Control State of APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 211 (6/99) TO: Department of Alcoholic Beverage Control 34-160 GATEWAY DR. STE 120 PALM DESERT, CA 92211 (760) 324-2027 DISTRICT SERVING LOCATION: PALM DESERT First Owner: SAMS WEST INC Name of Business: Location of Business: County: — n_ mise Is Pr inside city limits? Mailing Address: (If different from premises address) Type of license(s): 86 File Number: 434351 Receipt Number: 2113131 Geographical Code: 3318 Copies Mailed Date: May 18, 2012 Issued Date: SAMS CLUB 6609 34220 MONTEREY PALM DESERT, CA 92211 RIVERSIDE Yes 702 SW 8TH ST Census Tract 0449.14 DEPT 8916 ATTN MARIBEL LA CHANCE BENTONVILLE, AR 72716-0500 �s A v-�i r -t Sri �► 7�DNOC 41 >A t r" Transferor's license/name: Dropping Partner: Yes No License Type Transaction Type Fee Type Master Dup Date Fee 86 - Instructional Tasting Lic ANNUAL FEE NA Y 0 05/18/12 $261.00 86 - Instructional Tasting Lic ORIGINAL FEES NA Y 0 05/18/12 $300.00 Total $561.00 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: May 18, 2012 Urdrr pcnalq of perjury, each person whose signature appears below, cc:7ifis and says: (1) t/e is as applicant, or une 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 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) CITY COUNCILACTION See 211 Signature Page SAMS WEST INC APPROVED DENIED RECEIVED'+ OTHER MEETI G DATE - i -, L AYES: I -e - NOES: I) Lllr' ABSENT: L r C ABSTAIN: —N r'),) VERIFIED BY: l�K i -q— Original on File with City Clerk's Ofilce