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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: 643041 <br />31 E CHANNEL ST Receipt Number: 2755446 <br />ROOM 168 Geographical Code: 3905 <br />STOCKTON, CA 95202 Copies Mailed Date: ecteberi0; 292-2-DZc- , j (p <br />(209) 948-7739 Issued Date: <br />DISTRICT SERVING LOCATION: STOCKTON <br />First Owner: <br />SAVE MART SUPERMARKETS LLC <br />Name of Business: <br />SAVE MART 39 <br />Location of Business: <br />4725 QUAIL LAKES DR <br />Transaction Description <br />STOCKTON, CA 95207-5243 <br />County: <br />SAN JOAQUIN <br />Is Premises inside city limits? <br />Yes Census Tract: 0031.12 <br />Mailing Address:(lf different <br />PO BOX 4664 <br />from <br />MODESTO, CA 953524664 <br />premises address) <br />Application Fee <br />Type of license(s): <br />21,86 Dropping Partner: Yes_ No_ <br />Transferor's license/name: <br />125153 / SAVE MART SUPERMARKETS <br />License Type <br />21 -Off -Sale General <br />86- Instructional Tasting License <br />Transaction W)e <br />PER <br />PER <br />Master <br />Y <br />Y <br />Secondary <br />LT And Count <br />License Type <br />Transaction Description <br />Fee Code <br />Diu <br />Date <br />Fee <br />Application Fee <br />PERSON TO PERSON TRF <br />NA <br />0 <br />10/10/22 <br />$1,305.00 <br />Application Fee <br />ISSUE TEMPORARY PERMrr <br />NA <br />2 <br />10/11/22 <br />$200.00 <br />86- Instructional Tasting License <br />ANNUALFEE <br />NA <br />0 <br />10/1022 <br />$405.00 <br />21 -Off -Sale General <br />ANNUALFEE <br />NA <br />0 <br />10/10/22 <br />$849.00 <br />Total <br />$2,759.00 <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 10, 2022 <br />Applicant Names) <br />SAVE MART SUPERMARKETS LLC <br />