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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 654590 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2851357 <br /> STE 150 Geographical Code: 3907 <br /> LODI, CA 95240 Copies Mailed Date: November 21,2023 <br /> (209)371-6761 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON AEC E I V E D <br /> First Owner: OLIVE OIL PANTRY,LLC <br /> NOV Z 7 2023 <br /> Name of Business: THE ISLANDS MARKET <br /> Location of Business: 950 MANTHEY RD E'N V I RON NI E N TA I, HEALTH <br /> LATHROP,CA 95330 DEPA R NI 11:N T <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0051.02 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 20,41 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 548882 / DENISE'S FARMERS MARKET <br /> License Type Transaction Type Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine PER Y <br /> 41-On-Sale Beer And Wine-Eating PER Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 11/20/23 $365.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 11/17/23 $48.00 <br /> Application Fee STATE FINGERPRINTS NA 2 11/17/23 $78.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 11/20/23 $365.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 11/20/23 $100.00 <br /> 41 -On-Sale Beer And Wine-Ea ANNUAL FEE NA 0 11/20/23 $495.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 11/20/23 $435.00 <br /> Total $1,886.00 <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: November 17, 2023 <br /> Applicant Name(s) <br /> OLIVE OIL PANTRY,LLC 2 - 27 • 23 <br /> C6\(�3\ k C--Q <br /> 3 �e (Y-1 C/-^ <br /> ze .S /\_A o-, Jc�(0�\r\e A\-Q- 31 <br /> 45 <br />