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City of Stockton h lotel/NlotP1 Permit to Operate Ap>lication _ ._ 'arc e 3 <br />6. Are you currently on probation or parole? ❑ Yes 0 No <br />>- If so, are you required to register each year: ❑ Yes [] No <br />7. The Pen -nit to Operate Application must include contact information for all manager(s) and/or <br />other person(s) connected to the management of the business (SNIC §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 <br />Pest Control Certification (must be dated riot 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 />[I Request for variance for required Common Indoor Space (if applicable) <br />EI Signed statement that the Residential Flotel/Motel shall not operate without an on-site Manager <br />or designee in charge: of the premises at all times. <br />I hereby certify under penalty of perjury that that above information is true and <br />correct to the best of my knowledge and belief. <br />AUTHORIZED SIGNATURE <br />—Foos we effective from 07/0112019 •- 06/30/2020 <br />