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Department of Alcoholic Beverage C�R401 State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 211 (6/99) TO: Department of Alcoholic Beverage Control File Number: 445904 31 East Channel Street Receipt Number: 1596439 Room 168 Geographical Code: 3905 Stockton, CA 95202 Copies Mailed Date: i/3, (209) 948-7739 Issued Date: ' If�j MVED DISTRICT SERVING LOCATION: STOCKTON *MVED First Owner: PAPPAS ANDREW JAY JAN 0 4 2007 Name of Business: PAPAPAVLOS ENVIRONMENT HEALTH Location of Business: 501 N LINCOLN CTR PERMIT/SERVICES STOCKTON, CA 95207-2637 County: SAN JOAQUIN Is premise inside city limits? Yes Census ract -- —_— Mailing Address: 4840 BRIDGEWATER CIR (If different from STOCKTON, CA 95219 premises address) Type of license(s): 47 Transferor's license/name: / Dropping Partner: Yes_ No License Type Transaction Type Fee Type Master Duo Date Fee 47 ON-SALE GENERAL I ANNUALFEE P40 Y 0 01/03/07 $758.00 47 ON-SALE GENERAL STATE FINGERPRINTS NA N 1 01/03/07 $39.00 Total $797.00 Have you ever been convicted of a felony? No Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the Department pertaining to the Act? No Explain any "Yes" answer to the above questions on an attachment which shall be deemed part of this application. Applicant agrees (a) that any manager employed in an on-sale licensed premise will have all the qualifications of a licensee, and (b) that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act. STATE OF CALIFORNIA County of SAN JOAQUIN Date: January 3, 2007 Under penalty of perjury, each person whose signature appears below, certifies and says: (1) He is an applicant, or one of the applicants, or an executive officer of the applicant corporation, named in the foregoing application, duly authorized to make this application on its behalf; (2) that he has read the foregoing and knows the contents thereof and that each of the above statements therein made are true; (3) that no person other than the applicant or applicants has any direct or indirect interest in the applicant or applicant's business to be conducted under the license(s) for which this application is made; (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety (90) days preceding the day on which the transfer application is filed with the Department or to gain or establish a preference to or for any creditor or transferor or to defraud or injure any creditor of transferor; (5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting liability to the Department. Applicant Name(s) Applicant Signature(s) PAPPAS ANDREW JAY See 211 Signature Page