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C] New ❑ Renewal <br /> CITY OF STOCKTON <br /> HOTEL, MOTEL AND/OR RESIDENTIAL HOTELIMOTEL <br /> MANAGER'S PERMIT APPLICATION <br /> Applicant's Name:_ t` +1 � V l� <br /> Mailing Address: 6 I_ :(_ 0fl/s,&A ,r..t <br /> r <br /> Phone #; �cl�`7 - 1 ! "' ��a Fax#; <br /> Name of Hotel/Motel: <br /> Location Address: 3 <br /> Phone #: Ze)?-! ,3 -e-9 �2/1--,2 Fax#: <br /> 1. Are you currently or have you ever owned/operated, managed or worked at a hotel, motel <br /> and/or residential hotel/motel?,KYes ❑ No <br /> If so, please provide the following information and answer the following questions separately <br /> for each facility (attach an additional sheet of paper if necessary): <br /> Name of facility(s); TL—hw <br /> Address of facility(s): <br /> How Ion did you own, operate or work at the facility(s)? <br /> g Y p s veCxQ <br /> What was your capacity at the facility(s) (i,e., Manager, desk clerk, etc.;)? %✓ ``lr.. <br /> Was the facility(s) you listed above ever cited for health, safety, fire and/or building code <br /> violation(s)? ❑Yes 2949 <br /> If so, were all corrections and/or repairs of those violations completed and approved within <br /> the time required on the citation? ❑Yes []No <br /> During your involvement with the facility(s), have there been repeat citations for health, safety <br /> and/or building code violations? ❑Yes o. <br /> In the past five years, has the facility(s) ever been cited for violations, and subsequently <br /> vacated due to corrections/repairs not being completed? ❑Yes 5NQ <br /> Page <br /> -Fees are effective from 07/01/2019—06/30/2020 <br />