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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: 656552 <br />3021 REYNOLDS RANCH PKWY Receipt Number: 2869328 <br />STE 150 Geographical Code: 3905 <br />LODI, CA 95240 Copies Mailed Date: February 14, 2024 <br />(209) 371-6761 Issued Date: <br />DISTRICT SERVING LOCATION. LODI <br />First Owner: MIMOSA SOCIAL CLUB INC <br />Name of Business: MIMOSA SOCIAL CLUB <br />Location of Business: 6002 PACIFIC AVE <br />STOCKTON, CA 95207-3708 <br />County SAN JOAQUIN <br />Is Premises inside city limits Yes Census Tract: 0033.07 <br />Mailing Address:(If different 5221 OLD TOWN LN <br />from SALIDA, CA 95368 <br />premises address) <br />Type of license(s): 47, 77 <br /> Dropping Partner: Yes No <br />Transferor's license/name: 514497 / MANNOR, ANTHONY WAYNE ALLEN <br />License Type Transaction Type Master Secondary LT And Count <br />47 - On-Sale General Eating Place <br />77 - Event Permit <br />PER <br />PER <br />Y <br />N <br />77[ 1] <br />License Type Transaction Description Fee Code 1-2. at Date Fee <br />Application Fee PERSON TO PERSON TRF NA 0 02/13/24 $1,470.00 <br />Application Fee FEDERAL FINGERPRINTS NA 1 02/13/24 $24.00 <br />Application Fee STATE FINGERPRINTS NA I 02/13/24 $39.00 <br />Application Fee ISSUE TEMPORARY PERMIT NA I 02/13/24 $100.00 <br />77 - Event Permit ANNUAL FEE NA 1 02/13/24 $265.00 <br />47 - On-Sale General Eating Plac ANNUAL FEE P40 o 02/13/24 $1,450.00 <br />Total $3,348.00 <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: February 13, 2024 <br />Applicant Name(s) <br />MIMOSA SOCIAL CLUB INC <br />RECEIVED <br />FFR 20 2024 <br />p:NVIRONMENTAL HEALTH <br />D E PA RTM ENT <br />04 et/ <br />folho *Pr/ 5 <br />FPO kr Ogly