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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> ABC 211 (6199) <br /> TO:Department of Alcoholic Beverage Control File Number: 630383 <br /> 31 E CHANNEL ST Receipt Number: 2684411 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: September 20, 2021 <br /> (209) 948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: TIKI LAGOON RESORT AND MARINA,INC <br /> Name of Business: } <br /> Location of Business: 12988 W MCDONALD RD <br /> STE B <br /> STOCKTON,CA 95206 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: 0039.00 <br /> Mailing Address:(If different 4075 NEWPORT LN <br /> from DISCOVERY BAY, CA 94505 <br /> premises address) <br /> Type of license(s): 20 Dropping Partner: Yes_ No <br /> Transferor's license/name: 581560 1 TIKI LAGUN PARTNERS LLC <br /> License Tyne Transaction Type Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine PER Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 09/17/21 $335.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 09/17/21 $100.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 09/17/21 $400.00 <br /> Total 5835,00 <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 /> i xh— <br /> STATE OF CALIFORNIA. , County of SAN JuAQUIN Date: $eptember 17,2021 <br /> Applicant Name(s) <br /> TIKI LAGOON RESORT AND MARINA,INC <br />