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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: 651739 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2862258 <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: ORTIZ,VICTORIA KATHRYN <br /> Name of Business: HEIRLOOM KITCHEN <br /> Location of Business: 61 LINCOLN CTR <br /> STOCKTON,CA 95207-2606 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits No Census Tract: 0031.10 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes No <br /> Transferor's license/name: <br /> License Type Transaction Type Master Secondary LT And Count <br /> 47-On-Sale General Eating Place ORI Y <br /> License Type Transaction Description Fee Code Du <br /> p Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 09/14/23 $17,335.00 <br /> 47-On-Sale General Eating Plac ANNUAL FEE PO 0 01/12/24 $925.00 <br /> Total $18,260.00 <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: September 14,2023 <br /> Applicant Name(s) <br /> ORTIZ,VICTORIA KATHRYN <br /> �� �IWnn <br /> VV I <br />