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Fingerprint Appointment: Bus. Lic# 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 R Renewal <br /> Name of Hotel/Motel010 ) t- L- <br /> Location Address:�?��. i.�'i LCA,,ti l u LI 't�_" P_'Tc'i-` G3 93 <br /> Mailing Address: <br /> Phone # Fax# <br /> Business License Holder.- Phone# <br /> Mailing Address: `i 7 Sic,0/0 LtJrr v liL�'I/07� c)�Zi' i g L/ 5r7­2- <br /> �� � / Phone # �5�� - i <br /> Property Owner: �,� % ���, ,c;=-�� /— �. 7/ <br /> Mailing Address: <br /> Lease Holder: Phone# <br /> Mailing Address: <br /> Please list all Managers employed at this facility (attach additional paper if necessary): <br /> Manager: �',9 � l 7 �� Phone# <br /> Mailing Address: <' /A-Gi 2 <br /> Manager: L& Phone# <br /> Mailing Address: j.3�,,5 - `� l ,I L"S it! Cu"t cl 2c,s <br /> Manager: Phone# <br /> Mailing Address: <br /> Manager: Phone# <br /> Mailing Address: <br /> Page 1 <br /> **Fees are effective from 07101/2023—06/3012024 <br />