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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: 643085 <br /> 31 E CHANNEL ST Receipt Number: 2755460 <br /> ROOM 168 Geographical Code: 3906 <br /> STOCKTON, CA 95202 Copies Mailed Date: C4toU4&44-,4422k <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON RECEIVED <br /> First Owner: SAVE MART SUPERMARKETS LLC <br /> Name of Business: FOOD MAXX#490 DEC 19 2022 <br /> Location of Business: 1950 W 11TH ST <br /> TRACY,CA 95376-3738 ENVIRONMENTAL HEALTH <br /> County: SAN JOAQUIN PERMIT/SERVICES <br /> Is Premises inside city limits? Yes Census Tract: 0054.03 <br /> Mailing Address:(If different PO BOX 4664 <br /> from MODESTO,CA 95352-4664 <br /> premises address) <br /> Type of license(s): 21 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 396721 / SAVE MART SUPERMARKETS <br /> License Type Transaction Type 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 PERSON TO PERSONTRF NA 0 10/11/22 $1,305.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 10/11/22 $100.00 <br /> 21-Orf-Sale General ANNUALFEE NA 0 10/11/22 $849.00 <br /> Total $2,254.00 <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-- - - -Dater-October 1-11 2022 <br /> Applicant Name(s) <br /> SAVE MART SUPERMARKETS LLC <br /> 01 \,� 3S2- 1 <br /> YU <br />