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City of Stockton h lotel/NlotP1 Permit to Q�erate/�pcation _ ---__— I'a„c 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 [M] 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 /> (� 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 AT <br /> —Foos we effective from 07/0112019•-05/30/2020 <br />