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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: 621894 <br /> 31 E CHANNEL ST Receipt Number: 2655487 <br /> ROOM 168 Geographical Code: 3906 <br /> STOCKTON,CA 95202 Copies Mailed Date: October 29,2020 <br /> (209)948-7739 Issued Date: RECEIVED <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: NORTH POLE GAS& FOOD INC NOV. 0 2 2020 <br /> Name of Business: NORTH POLE GAS& FOOD <br /> 1:NN'IRONI�IEN'TAL HEALTH <br /> Location of Business: 574 W,GRANT LINE RD DEI)A 2l'MENT <br /> TRACY,CA 95376 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0053.07 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 21 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 597391 / SINGH,BHUPINDER <br /> License Type Transaction Type Master Secondary LT And Count <br /> 21-Off-Sale General PER Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee STATE FINGERPRINTS NA 1 10/29/20 $39.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 10/29/20 $1,250.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 1 10/29/20 $24.00 <br /> 21-Off-Sale General ANNUAL FEE NA 0 10/29/20 $814.00 <br /> Total $2,127.00 <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: October 29, 2020 <br /> Applicant Name(s) <br /> NORTH POLE GAS&FOOD INC <br /> S'\ onh <br /> G2 S- -7 01 <br /> L.Y\A <br />