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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 648227 <br /> 31 E CHANNEL ST Receipt Number: 2797582 <br /> ROOM 168 Geographical Code: 3907 <br /> STOCKTON,CA 95202 Copies Mailed Date: May 8,2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: MANTHEY ROAD BEVERAGE LLC <br /> Name of Business: FAIRFIELD INN LATHROP <br /> Location of Business: 17401 S MANTHEY RD <br /> LATHROP,CA 95330 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0051.19 <br /> Mailing Address:(If different 4120 DALE RD <br /> from STE J-8#235 <br /> piemises address) MODESTO,CA 95356 <br /> Type of license(s): 70 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: <br /> License Type Transaction Type Master SecondaU LT And Count <br /> 70-On-Sale General Restrictive Servic ORI Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 05/08/23 $6,570.00 <br /> Application Fee STATE FINGERPRINTS NA 4 05/08/23 $156.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 4 05/08/23 $96.00 <br /> 70-On-Sale General Restrictive: ANNUAL FEE P20 0 05/08/23 $1,100.00 <br /> Total $7,922.00 <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 8, 2023 <br /> Applicant Name(s) <br /> MANTHEY ROAD BEVERAGE LLC <br /> C1 <br /> Ni <br /> E ' <br /> MAY 10 2023 <br /> ENVIKOW.IENTAL HEALTH <br /> RERN11T/SERVICES <br /> S <br />