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Fingerprint Appointment: Bus. Uc# CURRENT YEAR <br /> CITY OF STOCKTON <br /> HOTEL, MOTEL AND/OR RESIDENTIAL HOTEL/MOTEL <br /> PERMIT TO OPERATE APPLICATION <br /> ❑ Residential Hotel/Motel ❑ Hotel/Motel ❑ New F<Renewal <br /> Name of Hotel/Motel: 09091- MOTS <br /> Location Address: 6MI N Wl&- nVl! Vj t/ 5TD6WJy1V 09 1�'LO_s`� <br /> Mailing Address: 633 'j W)LS DIV U)tTJ e C �S7•DS� <br /> Phone# Fax <br /> Business License Holder: SyA3)1 e3R9) PATa Phone# 207-46b -?-4,5) <br /> Mailing Address: 639 ,! W 46 ON tn1#V S-Tofr-7-0/v <br /> i <br /> Property Owner: 5V90H 13M#1 pff)-EL Phone # 2499 <br /> Mailing Address: 63q 1v Wl is 6tv w14 S"Tpl� f G9- 9s- Ps- <br /> Lease Holder: Phone# <br /> Mailing Address: <br /> Please list all Managers employed at this facility(attach additional paper if necessary): <br /> Manager: Phone# <br /> Mailing Address: 639 N W ILs on1 0,4-9 S'7oC1-,Pv^l Co- <br /> Manager: <br /> Manager: Pyr)K Kvmt+n PR&Q- Phone# 207 <br /> Mailing Address: 639 N W1 LSen/ WAY !:!�Mcgy-&/V c,'� <br /> Manager: PJAAulk PfT7EZ- Phone# 2-09 X19 — �"IGrCJ <br /> Mailing Address: 63y <br /> Manager: Phone# <br /> Mailing Address: <br /> Pagel <br /> *"Fees are effective from 07101/2023—06/30/2024 <br />