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Department of Alcoholic Beverage Control <br />State of California <br />APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br />ABC 211(6/99) <br />TO:Department of Alcoholic Beverage Control File Number: 650159 <br />3021 REYNOLDS RANCH PKWY Receipt Number: 2819194 <br />STE 150 Geographical Code: 3902 <br />LODI, CA 95240 Copies Mailed Date: July 19, 2023 <br />(209) 948-7739 Issued Date: <br />DISTRICT SERVING LOCATION - STOCKTON <br />First Owner: TABISH, SARFRAZ AHMAD <br />Name of Business: ROUNDHOUSE LIQUOR AND MARKET <br />Location of Business: 104 E LODI AVE <br />STE A <br />LODI, CA 95240 <br />County SAN JOAQUIN <br />Is Premises inside city limits Yes Census Tract: 0044.03 <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: 425229 / KHAN, SHAKEELA <br />License Type Transaction Type Master Secondary LT And Count <br />21 - Off-Sale General PER/PRM <br />License Type Transaction Description Fee Code liJit Date Fee <br />Application Fee DBL TRF: PREMISES AND PERSON NA 0 07/18/23 $1,370.00 <br />Application Fee FEDERAL FINGERPRINTS NA 2 07/18/23 $48.00 <br />Application Fee STATE FINGERPRINTS NA 2 07/18/23 $78.00 <br />21 - Off-Sale General ANNUAL FEE NA 0 07/19/23 $884.00 <br />Total $2,380.00 <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: July 18, 2023 <br />Applicant Name(s) <br />TABISH, SARFRAZ AHMAD <br />RECEIVED <br />JUL 2 1 2023 <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES