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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: 643643 <br /> 31 E CHANNEL ST Receipt Number: 2758951 <br /> ROOM 168 Geographical Code: 3902 <br /> STOCKTON, CA 95202 Copies Mailed Date: October 27,2022 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: MALHI,AMARJIT SINGH <br /> Name of Business: TEQUILA SHOP <br /> Location of Business: 608 S CENTRAL AVE <br /> LODI,CA 95240 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0044.04 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 21 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 544025 / MALHI,DAVINDER SINGH <br /> License Type Transaction Type Master Secondary LT And Count <br /> 21-Off-Sale General PER Y <br /> License Type Transaction Description Fee Code Dun Date Fee <br /> Application Fee STATE FINGERPRINTS NA 2 10/27/22 $78.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 10/27/22 $1,305.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 10/27/22 $48.00 <br /> 21-Off-Sale General ANNUALFEE NA 0 10/27/22 $849.00 <br /> Total $2,280.00 <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 27,2022 <br /> Applicant Name(s) <br /> MALHI,AMARJIT SINGH <br /> RECEIVED <br /> Nov 0 2 2022 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />