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i City of Stockton Hotel/Motel Permit to Operate Application Page 2 j I 1. Are you currently or have you ever owned/operated, managed or worked at a hotel, motel and/or residential hotel/motel? Yes ❑ No • If so, please provide the following information and answer the following questions separately for each facility (you may attach an additional sheet of paper if necessary): Name of facility(s): C 9637' M©Tce- Address of facility(s): 6-;y N w)t, oN W/i y 5TOCA770ry C} 9s-7--OS-- • s'zOS• How long did you own/operate or work at the facility(s)? Y C-#R� • What was your capacity at the facility(s) (i.e., Manager, desk clerk, etc.,)? D,✓N1� • Was the facility ) you listed above ever cited for health, safety, fire and/or building code violation(s)? (es ❑No If so, were all corrections and/or repairs of those violations completed and approved l within the time required on the citation? [�es ❑No • During your involvement with the facility(s), has there been repeat citations for health, safety and/or building code violations? []Yes &Ko • In the past five years, has the facility(s) ever been cited for violations, and subsequently vacated due to corrections/repairs not being completed? ❑Yes [?!o I 2. How many managers do you employ at your facility? 3. In the past three years, have you ever had P Permit to Operate denied, revoked or suspended within the State of California? ❑ Yes [eNo ➢ If so, please provide the reason for denial, revocation and/or suspension and the location that the permit was denied, revoked and/or suspended: 4. Have you ever applied for a Permit to Operate using a different name? ❑ Yes XNo �I ➢ If so, please provide the other name: I 5. As the property owner, operator, manager and/or lessee of a hotel/motel, within the last five years, have you terminated your lease, defaulted on your loan, or otherwise discontinued your association with the property while violations, as cited in a Notice of Violation, Notice and Order, AdInjinistrative Citation, etc., were still outstanding? ❑ Yes WNo ➢ If so, please describe: '"Fees are effective from 07101/2023—06/30/2024 I