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Date Submitted:
May 22, 1989
Please return this memo to the City Clerk's Office as
soon as possible.
SHAUNA CLARK
City Clerk
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By: Cindy' Buechter
Application of
General Amusement Corp.
23801 Calabasas Rd. #1020
Calabasas, CA 91302
Games of Amusement located at Central City 4 Theatres
To
the Honorable Mayor
I , '00 f' It ( 1\
and Common Council:
-..
T. f~:.)(I..N>:: \
, Chief of Police
of the City of San Bernardino, have heretofore made a thorough
investigation. I hereby recommend that your honorable body
/::
, "', r' ,-"'.~. said application.
(grant/deny)
.,~/y-/j
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/) J ~,~ rf~,Q:t!1
Chief of police of the
City of San Bernardino
Date granted/denied
The above foregoing application was
(granted/denied)
by the City Council on the
day of
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May 16, 1989
Cindy Buechter
CITY OF SAN BERNARDINO
BUSINESS LICENSE DEPARTMENT
300 North '0' Street
San Bernardino, CA 92418
Dear Cindy:
The individual listed on the enclosed Application for
Business License (for the Police investigation) is our
corporate President and CEO, as we are a public corporation,
having no area manager or representative in San Bernardino.
All service is performed by independent contractors in the
various local areas.
Our operations are conducted from our corporate headquarters
in Calabasas. As a corporation, we feel that the items
asking for RESIDENCES, EMPLOYMENT AND REFERENCES do not
apply to a corporation.
We trllst
undert'lke
$250.00.
thilt the i,,[ormilt,on providl'r'I is sufficient to
the invl'stiY'ltiio". Enclosed is our check for
Thank YOll, ____/_
-n1 aA.:CltL ~~---
Martha Hageman,
Accounting/Tax and License
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enc
I \/I/MI/UflT i'l GEMINEX Industries Inc.
~,~,""jjl (.i1.d),!..,;t... j{(Lld ....llitc IO.m . (:;11.111;1";1.-;. (:;dilorr)l;: 1)15(12
Inside (;1111111111:1 ,',IHl:; I" l)l,(l'J . (1111",idv L;tlilor1lU ,'"\()(J_12-;.!()()I) . 1"\'\ ,~l,,",--I().(jql)()
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CITY OF SAN
BE~ARD~O
'J
OFFICE USE ONL Y
APPLICATION FOR BUSINESS LICENSE OR PERMIT
(CHECK ONE: I
- l
1-'] Theater
i:J Armored Car
0 Guard Service
D De.. Agency
0 Private Patrol
Dine and Dance
, _ J Massage Parlor
Pi'
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[]
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Gamesl Amusement
Live Entertain
Poolroom
Other
Parade Permit (Location)
GENERAL lNFOR:\IIATION (Type Of pfint in ink)
Name /
6E-NER/.i-J /+1YIU5E.(Y}Et{J &JkP /.()8
Address
~~ig, :hJ /
Occupation
PRE'."iI/JENT
ifJ/ tJl3/J5!15 R V #>10::< U
1M/)
CEo
Address
/VOOOU!#iJ HluS
Sex
Color of Eyes
u......
F
CII
Next of Kin
/'I1f/-
(FACE PAGE)
LJ Solicitation [J Special Officer
l~] City Mall 0 School Employee
0 Burglar Alarm 0 Taxi Driver
0 Police App. [] Ambulance Oriver
0 Police Reserve 0 Valley College
I] Security Guard [J Massage Tech.
U Weapon Permit
~hon. ----.
f GI..E.z.eM1Mi cS, ,f/f-7/(..-7707
City Zip
q/~,;L
C/J/t+i3/fSIl5
,!II-
Employer
C/blERIIi-
mnll.,EdlBAlr t!.O~P,
Phone
'fIR - 9ft - !f7t
Zip
CIt Q/;,i/7
POLICE OEPARTMENT
Date
I.D.Na.
Print/Photo Fee: $
Other Fee:
$-
$
Total Fees:
.Receipt No.
By:
CITY HALL
Date Submined:
o New 0 R.......'
Business Lie. Fee: $
Invest. Fee: $
Total: $
Receipt No.
By:
No
Complexion
Length of Residence in /Y I
CountY CitY
N.tionelitY .
~
~.
Address
/VIII
(if yes ple.se explein . Exclude Minor Traffic Offan....
Have You Ever Been Found Guilty Or Plead Guilty To Any Crime?
~ No
LJ V.,
If Yes . Please list the names
Have you ever used another name?
QQ No 0 V..
PLEASE READ AND SIGN,
I CERTIFV THAT ALL STATEMENTS IN THIS APPLICATION ARE TRUE, ACCURATE AND COMPLETE, FALSIFICATION OF ANV STATEMENT MAV
RESULT IN THE CANCELLATION OF THIS APPLICATION
S;gnatu,., '-771 rJA;t:It... ~CV><-
Chlte:
:;; -/0- f'1
REFERENCES (Business License Applicants Only)
Name Address
BusinesslProfe$sion Address
Name Add"",
Business/Profession Address
Name Address
Business/Profession Add...,
Years Known
Vean Known
Vun Known
-
-
-
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CIT-O SAN BEORDINO
BUSINESS LICENSE/PERMIT SUPPLEMENT
--2----r~-Pe_ ~i 6usin;~ or Pe';-';;l---
:; u)t=tJ '-f.tl///E- <;;
4. Address
,3:lJ'U/Y/I.A6fhll'i f(~ ~ 10:>'0
~
Date
;;;,-/O-J'1
5. Phone tio.
jlY- 7/';--7707
1': r":ame 01 Applic-;nt
:;LIJ!::l<tJ/ JI/iiJ.->/.::/liLNT !/JPt/.
3. Proposed Name ot Busmess (DBAl
6. I Plan to start Business on IDate)
!/KKNO .1 ~71Ier T~ r#5Ii'Te~
Between the hours 01 Wry I and . ManagedSupervlsor Name
7. Have you e....er had a Business License revoke<::. s..~ndad or cancelled for any reason?
If yes please explaIn: IUse additional pages.1 :,,!C~rvl
//l!(fJ&J'I/r{';.
I will be operatlOg IDays 01 (he Weekl
7
I!I!HrR"^
o Yes
CaY Mpl/~ TlfM7RE
-:$ No
8. Are you now or halle you ever been engagec _~ a-... 3'.Jsiness as. a Partner or Corporate Owner
If yes please list firm/s name/s and officerS 0' ~~-: corporatIOn, IUse additional pages if necessary~
Yes
No
CEIIER/U !#rillsetnEl'd tvfP
Detailed OescrlQt>on of the Ent
Admission Fee
S
9. Live Entertainment
A licants anI :
LOCItion of the Entertainment
RESIDENCES (List Addresses for the last five years with current at the top)
1. From To AoC"!SS
Z;p
Phon. No.
Landlord ' ':"dd-eu
I
Zip
2. From
To
Aoc'@'Ss
Pl'lone No.
Landlord
':"d.c~:!'!.s
Zip
3 From
I To
Acc'e-ss
Phone No.
Landlord
I Adr;~~$
!
Zoo
4. From
To
Add~eu
Phone No.
-~-
Ad-::'eu
Landlord
S. Frum
Zip
A::::,e:ss
Phone No_
Landlord
Ajc-ns
EMPLOYMENT OR BUSINESS HISTO RY (List Employers for t:,e last five years with current at the top)
1. From To ':".::::~e-ss Suoervi$Or
2. From To :"::::~ess Suoervi50r
3. From To ':":::"~s I :supervisor
- - SupervIsor
4. From To :'::::"'!SS
-----~- ---- --- SUOel"Vi50r
5. from To .....::,:::.~S
I cenif that the above mformatlon IS true ,no .::;--ect. 5, ned
Investigated By Oate
I Recommend this License'Permi, bt ...-1 Granted n Denied