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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546890
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/15/2023 3:05:49 PM
Creation date
9/22/2023 2:12:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0546890
PE
1623
FACILITY_ID
FA0026567
FACILITY_NAME
LAKE FRONT RESORT LLC
STREET_NUMBER
12
Direction
W
STREET_NAME
LORENZEN
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
12 W LORENZEN RD
P_LOCATION
01
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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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: 641057 <br /> 31 E CHANNEL ST Receipt Number: 2747338 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: September 9,2022 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: LAKE FRONT RESORT,LLC <br /> Name of Business: LAKE FRONT RESORT <br /> Location of Business: 12 W LORENZEN RD <br /> TRACY,CA 95304 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: 0055.03 <br /> Mailing Address:(If different 2445 N NAGLEE RD <br /> from #330 <br /> premises address) TRACY,CA 95304 <br /> Type of license(s): 57,58 Dropping Partner: Yes_ No <br /> Transferor's license/name: 548473 / EAGAL LAKES RESORT,LLC <br /> License TMe Transaction Tune Master Secondary LT And Count <br /> 57-Special On-Sale General PER Y 57[1],58[1] <br /> 57-Special On-Sale General PER N <br /> 58-Caterer Permit PER N <br /> License Tune Transaction Description Fee Code Pu <br /> p Date Fee <br /> Application Fee STATE FINGERPRINTS NA 1 09/09/22 $39.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 09/09/22 $1,305.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 1 09/09/22 $24.00 <br /> 58-Caterer Permit ANNUAL FEE NA 1 09/09/22 $240.00 <br /> 57-Special On-Sale General ANNUAL FEE PO 1 09/09/22 $1,300.00 <br /> Total $2,908.00 <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: September 9, 2022 <br /> Applicant Name(s) <br /> LAKE FRONT RESORT,LLC <br /> (_ 6A 03- 0 - 22 (2 - 2- v q - bit 0 - y 2 � 2 <br /> P � 7S '-1 (,:::36C1 <br /> r=P 00 '2 -7 <br /> �►/\I\ 1 \Z) • 2j 2 Z <br />
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