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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: 639972 <br /> 31 E CHANNEL ST Receipt Number: 2739015 <br /> ROOM 168 Geographical Code: 3906 <br /> STOCKTON, CA 95202 Copies Mailed Date: July 28, 2022 <br /> (209)948-7739 Issued Date: E r+E1v <br /> DISTRICT SERVING LOCATION: STOCKTON 4•/ <br /> First Owner: AMBRIZ GARCIA,LAURA PATRICIA Ault Q 3 2022 <br /> Name of Business: MUSASHI EALTN <br /> Location of Business: 2201-03 TRACY BLVD �1RpNh1ENTAL H <br /> TRACY, CA 95376 EN pERMjT1S�RVIGES <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0053.08 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes_ No <br /> Transferor's license/name: 505280 / LY, PHUONG MY <br /> License Type Transaction Tyne Master Secondary LT And Count <br /> 47-On-Sale General Eating Place PER Y <br /> License Tyne Transaction Description Fee Code Dun Date Fee <br /> Application Fee STATE FINGERPRINTS NA 2 07/28/22 $78.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 07/28/22 $1,305.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 07/28/22 $48.00 <br /> 47-On-Sale General Eating Plact ANNUAL FEE P40 0 07/28/22 $1,290.00 <br /> Total $2,721.00 <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: July 28,2022 <br /> Applicant Name(s) <br /> AMBRIZ GARCIA,LAURA PATRICIA <br /> AMBRIZ GARCIA,OCTAVIANO <br /> iq 0C) 2 <br /> 2_Z_ 20q - y 10 y b 11 <br /> 5 <br />