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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 617817 <br /> 31 E CHANNEL ST Receipt Number: 2639370 <br /> ROOM 168 Geographical Code: 3906 <br /> STOCKTON, CA 95202 Copies Mailed Date: July 6,2020 <br /> (209) 948-7739 Issued Date: RECEIVED <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: TAQUERIA& BIRRIERIA LA DONA,INC. JUL 0 8 2020 <br /> Name of Business: TAQUERIA& BIRRIERIA LA DONA ENVIRON'IJNILNTALIIEALTH <br /> Location of Business: 400 W 11TH ST D E P:A RTA 1 E N T <br /> TRACY,CA 95376 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0054.06 <br /> Mailing Address:(If different 455 PEERLESS WY <br /> from APT 10 <br /> premises address) TRACY,CA 95376 <br /> Type of license(s): 41 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: <br /> License Type Transaction Type Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eating P ORI Y <br /> License Type Transaction Description Fee Code Duri Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 07/06/20 $905.00 <br /> Application Fee STATE FINGERPRINTS NA 1 07/06/20 $39.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 1 07/06/20 $24.00 <br /> 41-On-Sale Beer And Wine-Eat ANNUALFEE NA 0 07/06/20 $455.00 <br /> Total $1,423.00 <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 6,2020 <br /> Applicant Name(s) <br /> TAQUERIA&BIRRIERIA LA DONA,INC. <br />