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i <br /> i <br /> i <br /> City of Stockton Hotel/Motel Permit to Operate Application Page 3 i <br /> i <br /> 6. Are you currently on probation or parole? ❑ Yes dNo <br /> ➢ 1f so, are you required to register each year: ❑ Yes ❑ No <br /> 7. The Permit to Operate Application must include contact information for all manager(s) and/or <br /> other person(s) connected to the management of the business (SMC §7-111.5) <br /> ❑ Department of Justice Background Check Application <br /> ❑ Two passport-size identity prints of the applicant <br /> ❑ Written evidence that the applicant is 18 or older(i.e. copy of legal form of identification showing <br /> date of birth) <br /> ❑ Proposed Management Plan i <br /> ❑ Pest Control Certification (must be dated not more than 30 days prior to application date) <br /> ❑ Copy of Current Business License <br /> Residential Hotel/Motel Applications MUST also include the following <br /> (§7-111 .6) <br /> ❑ Request for variance for required Common Indoor Space (if applicable) <br /> ❑ Signed statement that the Residential Hotel/Motel shall not operate without an on-site Manager <br /> or designee in charge of the premises at all times. <br /> f <br /> i <br /> i <br /> i <br /> hereby certify under penalty of perjury that that above information is true and <br /> correct to the best of my knowledge and belief. <br /> — 'Qm I /'o I prep. 020 0 9J2 <br /> AUT RIZED SIGNATURE DATE <br /> **Fees are effective from 07/01/2023—06/30/2024 <br />