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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: 642222 <br /> 31 E CHANNEL ST Receipt Number: 2768488 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: December 21,2022 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: FREEMAN,LISA M <br /> Name of Business: GRATEFUL GYPSY BISTRO <br /> Location of Business: 12562 LOCKE RD <br /> LOCKEFORD, CA 95237 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: 0047.01 <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: <br /> License Type Transaction Tune Master Secondary LT And Count <br /> 47-On-Sale General Eating Place ORI Y <br /> License Tyne Transaction Description Fee Code Dun Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 10/03/22 $16,560.00 <br /> 47-On-Sale General Eating Placa ANNUAL FEE PO 0 12/21/22 $825.00 <br /> Total $17,385.00 <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: October 3,2022 <br /> Applicant Name(s) <br /> FREEMAN,LISA M <br /> FREEMAN,JAMIE L <br />