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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: 648202 <br /> 31 E CHANNEL ST Receipt Number: 2797255 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: May 10,2023 <br /> (209)948-7739 Issued Date: <br /> RECEIVED <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: PROVIDENT HORIZONS,LLC MAY 15 2023 <br /> Name of Business: SQUEEZE BURGER <br /> Location of Business: 856 W BENJAMIN HOLT DR1.N` IItON11ENTAL tICALTH <br /> STOCKTON,CA 95207 I)I,-p,�IZThIENT <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: 0031.10 <br /> Mailing Address:(If different 3013 EDGEVIEW DR <br /> from MODESTO,CA 95355 <br /> premises address) <br /> Type of license(s): 41 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 550278 / TD&B RESTAURANTS,INC. <br /> License Type Transaction Tyne Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eating P PER Y <br /> License Type Transaction Description Fee Code DLip Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 05/05/23 $365.00 <br /> Application Fee STATE FINGERPRINTS NA 2 05/05/23 $78.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 05/05/23 $48.00 <br /> 41-On-Sale Beer And Wine-Eat ANNUAL FEE NA 0 05/05/23 $495.00 <br /> Total $986.00 <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: May 5,2023 <br /> Applicant Name(s) <br /> PROVIDENT HORIZONS,LLC <br />