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Slate of California <br />RECEIV u_lJDISTRICT SERVING LOCATION: LODI <br />First Owner:CHIPOTLE MEXICAN GRILL INC <br />OCT 2 0 2025Name of Business:CHIPOTLE MEXICAN GRILL STORE # 4881 <br />Location of Business: <br />Census Tract:0038.04 <br />Dropping Partner:Yes No41 <br />Secondary LT And Count <br />SI.655.00Total <br />October 16, 2025Date:County of SAN JOAQUINSTATE OF CALIFORNIA <br />Applicant Name(s) <br />CHIPOTLE MEXICAN GRILL INC <br />County <br />Is Premises inside city limits <br />Mailing Address:(If different <br />from <br />premises address) <br />Type of liccnse(s): <br />Transferor's license/name: <br />Transaction Description <br />ADD PRIMARY LICENSE TYPE <br />ANNUAL FEE <br />743 CAROLYN WESTON BLVD <br />STOCKTON, CA 95206-5106 <br />PO BOX 182566 <br />COLUMBUS, OH 43218-2566 <br />Pup <br />o <br />0 <br />Date <br />10/16/25 <br />10/16/25 <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />Fee <br />$1,105.00 <br />$550.00 <br />License Type <br />Application Fee <br />41 - On-Sale Beer And Wine - Ea <br />Department of Alcoholic Beverage Control <br />* APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br />ABC 211 (6/99) <br />TO: Department of Alcoholic Beverage Control <br />3021 REYNOLDS RANCH PKWY <br />STE 150 <br />LODI, CA 95240 <br />(209)371-6761 <br />SAN JOAQUIN <br />Yes <br />Master <br />Y <br />Fee Code <br />NA <br />NA <br />License Type Transaction Type <br />41 - On-Sale Beer And Wine - Eating ORI <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: 674202 <br />Receipt Number: 3051454 <br />Geographical Code: 3905 <br />Copies Mailed Date: October 16, 2025 <br />Issued Date: