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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br /> ABC 211(6199) <br /> TO:Department of Alcoholic Beverage Control File Number: 670606 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 3021284 <br /> STE 150 Geographical Code: 3907 <br /> LODI, CA 95240 Copies Mailed Date: July 15,2025 <br /> (209)371-6761 Issued Date: <br /> DISTRICT SERVING LOCATION: LODI <br /> First Owner: FIRESIDE INN AND LOUNGE INC:. <br /> Name of Business: <br /> Location of Business: 854 LATHROP RD <br /> LATHROP,CA 95330-9036 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0051.30 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 48 Dropping Partner: Yes_ _ No� <br /> Transferor's license/name: 615878 / MOORE, SHIRLEY PATRICIA <br /> License Type Transaction Tvpe Master Secgndary LT And Couni <br /> 4S-On-Sale General Public Premises PER Y <br /> License Typ Transaction Description Fee Code ply Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 07/15/25 $1,525.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 07/15/25 $48.00 <br /> Application Fee STATE FINGERPRINTS NA 2 07/15/25 $78.00 <br /> 48-On-Sale General Public Pre ANNUAL FEE P20 0 07/15/25 $1,230.00 <br /> Total $2.881.00 <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: July 15, 2025 <br /> Applicant Name(s) <br /> FIRESIDE INN AND LOUNGE INC. <br /> %01 O Jb O <br />