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-N <br /> 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: 621935 <br /> 31 E CHANNEL ST Receipt Number: 2655682 <br /> ROOM 168' Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: November 1,2020 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: SHAIBI,MUTHANA MUCKBIL RECEIVED <br /> Name of Business: GOLDEN CITY MARKET NOV 0 4 2020 <br /> Location of Business: 8150 S EL DORADO ST <br /> FRENCH CAMP, CA 95231 <br /> ENVIRONMENTAL HEALTH <br /> County: SAN JOAQUIN PERMITISERVICES <br /> Is Premises inside city limits? No Census Tract: 0038.03 <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: 291841 / PHAN,NGUYEN <br /> License Type Transaction Tvpe Master Secondary LT And Count <br /> 21 -Off-Sale General PER Y <br /> License Type Transaction Description Fee Code Duo Date Fee <br /> Application Fee STATE FINGERPRINTS NA, 2 11/01/20 $78.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 11/01/20 $1,250.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 11/01/20 $48.00 <br /> 21-Off-Sale General ANNUAL FEE NA 0 11/01/20 $814.00 <br /> Total $2,190.00 <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: November 1, 2020 <br /> Applicant Name(s) <br /> SHAIBI,MUTHANA MUCKBIL <br /> 2-0 <br /> 1 b 12 `� a�f <br /> c2CCA) C 86 13-7 , pis - � � 3 -quiu <br /> Sh�� b� m�-A-�hCr\0\ 1@4� S - 5 --T,=\- 63y3 <br />