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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 608622 <br /> 31 E CHANNEL ST Receipt Number: 2589481 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: August 7,2019 <br /> (209)948-7739 Issued Date: RECEIVED <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: HOGAN,RICHARD JOHN al Ir O 9 2019 <br /> Name of Business: TIKI GRILL& BAR <br /> Location of Business: 12988 W MCDONALD RD I:NVIRONAIENTAL HEALTH <br /> DEPARTMENTSTE A <br /> STOCKTON,CA 95206 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: <br /> Mailing Address:(If different 1691 FREWERT RD <br /> from LATHROP,CA 95330 <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes_ No <br /> Transferor's license/name: 582016 / TIKI LAGUN PARTNERS LLC <br /> License Type Transaction Type Master Secondary LT And Count <br /> 47-On-Sale General Eating Place PER Y <br /> License Type Transaction Description Fee Code Pup Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 08/07/19 $1,250.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 08/07/19 $100.00 <br /> 47-On-Sale General Eating Place ANNUAL FEE PO 0 08/07/19 $661.00 <br /> Total $2,011.00 <br /> Have you ever been convicted of a felony? No <br /> Have you ever violated any provisions of the Alcoholic Beverage Control Act,or regulations of the <br /> Department pertaining to the Act? No <br /> STATE OF CALIFORNIA County of SAN JOAQUIN Date: August 7,2019 <br /> Applicant Name(s) <br /> HOGAN,RICHAFL?t)HNCA <br /> t Zoct - � i5 , �b <br /> S� <br />