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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 ❑ Renewal <br /> Name of Hotel/Motel: �r 5- 1=n� <br /> Location Address: z2(y i"la� I� ey / �, Sfv�ftfv►� 6A 95-2-e)G <br /> Mailing Address: ti2iv AJ, 4-rclf feiq 6-A 6t�76'6 <br /> Phone # Fax# <br /> Business License Holder: Phone# <br /> Mailing Address: <br /> Property Owner: R L4i�Ej 144J4,vS, LLC Phone# <br /> Mailing Address: yoy$� mic25;vn &J, r4e�o-1 a <br /> Lease Holder: Phone# <br /> Mailing Address: <br /> Please list all Managers employed at this facility (attach additional paper if necessary): <br /> Manager: V W�rG Obct"QU4 Phone# KaS' `Iva' 63 �1 <br /> Mailing Address: ZZIc 44W Strc/( bk? GA q 5710 t. <br /> Manager: Phone# <br /> Mailing Address: <br /> Manager: Phone# <br /> Mailing Address: <br /> Manager: Phone# <br /> Mailing Address: <br /> Pagel <br /> "Fees are effective from 07/01/2015—06/30/2016 <br />