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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: 655802 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2862107 <br /> STE 150 Geographical Code: 3900 <br /> LODI,CA 95240 Copies Mailed Date: January 12,2024 <br /> (209)371-6761 Issued Date: <br /> DISTRICT SERVING LOCATION: LODI <br /> First Owner: MUSAFAR,SAHIBZAD K <br /> Name of Business: THE ACAMPO STORE <br /> Location of Business: 3085 E ACAMPO RD <br /> ACAMPO,CA 95220 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits No Census Tract: 0046.00 <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: 609935 / SINGH,HARBAKSH <br /> License Tyne Transaction Type Master Secondary LT And Count <br /> 21 -Off-Sale General PER Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee FEDERAL FINGERPRINTS NA 1 01/12/24 $24.00 <br /> Application Fee STATE FINGERPRINTS NA 1 01/12/24 $39.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 01/12/24 $1,470.00 <br /> 21-Off-Sale General ANNUAL FEE NA 0 01/12/24 $949.00 <br /> Total $2,482.00 <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: January 12,2024 <br /> Applicant Name(s) <br /> MUSAFAR,SAHIBZAD K <br />