Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Loading PDF...
Tags:
Department of Alcoholic Beverage Control PERMIT FOR TEMPORARY CONTINUATION OF RETAIL BUSINESS State of California ARNOLD SCHWARZENEGGER, Governor Instructions: Pursuant to Section 23102 of the Alcoholic Beverage Control Act and Section 79(a) of the California Code of Regulations, you are hereby permitted to sell alcoholic beverages under authority of the license described below. If an application to transfer the license is to be filed, it should be submitted as soon as possible in order that the transfer may be completed on or before the expiration date described below. This permit must be posted on the premises. PERMIT EXPIRATION DATE NAME OF PERSON ACTING ON BEHALF OF DECEASED OR IMCOMPETENT LICENSEE OR HIS/HER ESTATE TITLE OR CAPACITY LICENSEE NAME (Last, first, middle) DOING BUSINESS AS (DBA) PREMISES ADDRESS (Street number and name, city, zip code) FOR ABC USE ONLY DISTRICT ADMINISTRATOR/DISTRICT SUPERVISOR SIGNATURE DATE SIGNED DISTRICT OR BRANCH OFFICE Distribution: Original - To Person Acting on Behalf of Licensee or Licensee's Estate Copy - To District Office Copy - To Headquarters ABC-238 (12/03) American LegalNet, Inc. www.FormsWorkflow.com