Laserfiche WebLink
Department of Alcoholic Beverage Control State of California Ov <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 634020 <br /> 31 E CHANNEL ST Receipt Number: 2699200 <br /> ROOM 168 Geographical Code: 3902 <br /> STOCKTON95202 Copies Mailed Dat�It,—."eC:2p, t <br /> (209)948-773939 Issued Date: t�y <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: CY3 LLC DEC 2 2 2021 <br /> Name of Business: HOLIDAY INN EXPRESS <br /> ENVIRONMENTAL HEALTH <br /> Location of Business: 1337 E KETTLEMAN LN PERMIT/SERVICES <br /> LODI,CA 95240 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0044.04 <br /> Mailing Address:(If different 309 PROSPERITY BLVD <br /> from HOLIDAY INN EXPRESS <br /> premises address) CHOWCHILLA,CA 93610 <br /> Type of license(s): 70 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 509736 / LCS-MANAGEMENT,INC. <br /> License Type Transaction Type Master Secondary LT And Count <br /> 70-On-Sale General Restrictive Scrvie PER Y <br /> License Type Transaction Description Fee Code Duo Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 12/20/21 $1,250.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 12/20/21 $100.00 <br /> Application Fee STATE FINGERPRINTS NA 5 12/20/21 $195.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 5 12/20/21 $120.00 <br /> 70-On-Sale General Restrictive: ANNUALFEE P40 0 12/20/21 $1,235.00 <br /> Total $2,900.00 <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: December 20,2021 <br /> Applicant Name(s) <br /> CY3 LLC <br />