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State of California <br />DISTRICT SERVING LOCATION: LODI <br />First Owner:FIRESIDE INN AND LOUNGE INC. <br />Name of Business: <br />Location of Business: <br />Census Tract:0051.30 <br />Dropping Partner:Yes48 <br />615878 / MOORE, SHIRLEY PATRICIA <br />Secondary LT And Count <br />$2,881.00Total <br />July 15, 2025County of SAN JOAQUIN Date:STATE OF CALIFORNIA <br />Applicant Name(s) <br />FIRESIDE INN AND LOUNGE INC. <br />^(2_O \'o\OJbO <br />County <br />Is Premises inside city limits <br />Mailing Address:(If different <br />from <br />premises address) <br />Type of license(s): <br />Transferor's license/name: <br />854 LATHROP RD <br />LATHROP, CA 95330-9036 <br />TO: Department of Alcoholic Beverage Control <br />3021 REYNOLDS RANCH PKWY <br />STE 150 <br />LODI, CA 95240 <br />(209)371-6761 <br />License Type <br />Application Fee <br />Application Fee <br />Application Fee <br />48 - On-Sale General Public Pre <br />Transaction Description <br />PERSON TO PERSON TRF <br />FEDERAL FINGERPRINTS <br />STATE FINGERPRINTS <br />ANNUAL FEE <br />Pup <br />0 <br />2 <br />2 <br />0 <br />Fee <br />$1,525.00 <br />$48.00 <br />$78.00 <br />$1,230.00 <br />Department of Alcoholic Beverage Control <br />APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br />ABC 211 (6/99) <br />SAN JOAQUIN <br />Yes <br />Date <br />117 15 25 <br />07/15/25 <br />07/15/25 <br />07/15/25 <br />Master <br />Y <br />Fee Code <br />NA <br />NA <br />NA <br />P20 <br />License Type Transaction Type <br />48 - On-Sale General Public Premises PER <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 />File Number: 670606 <br />Receipt Number: 3021284 <br />Geographical Code: 3907 <br />Copies Mailed Date: July 15, 2025 <br />Issued Date: <br />No