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City of Stockton Hotel/Motel Permit to Operate Application Page 2 <br /> 1. Are you currently or have you ev r own��/gperated, managed or worked at a hotel, motel <br /> and/or residential hotel/motel? Yes �� <br /> • If so, please provide the following information and answer the following questions <br /> separately for each facility (you may attach n additional sheet of pa r if necessary): <br /> Name of facility(s): <br /> Address of facility(s): <br /> • How long did you own/operate or work at the facility(s)? <br /> -� <br /> • What was your capacity at the facility(s) (i.e., Manager, desk clerk, etc.,)?t ��,Gtc <br /> • Was the facilfty(§kyou listed above ever cited for health, safety, fire and/or building code <br /> violation(s)? LKes ❑No <br /> If so, were all corrections and/or repairs of ase violations completed and approved <br /> within the time required on the citation? Eg>fes ❑No ! <br /> • During your involvement with the facility(s), has there been repeat citations for health, <br /> safety and/or building code violations? ❑Yes [JPdo— <br /> • In the past five years, has the facility(s) ever been cited for violatioD5,,and subsequently <br /> vacated due to corrections/repairs not being completed? ❑Yes E5o <br /> 2. How many managers do you employ at your facility? <br /> I <br /> 3. In the past three years, have you ever had a Permit to Operate denied, revoked or suspended <br /> within the State of California? ❑ Yes o <br /> If so, please provide the reason for denial, revocation and/or suspension and the location <br /> that the permit was denied, revoked and/or suspended: ! <br /> 4. Have you ever applied for a Permit to Operate using a different name? ❑ Yes <br /> ➢ If so, please provide the other name: <br /> 5. As the property owner, operator, manager and/or lessee of a hotel/motel, within the last five <br /> years, have you terminated your lease, defaulted on your loan, or otherwise discontinued your <br /> association wit the property while violations, as cited in a Notice of Violation, Notice and <br /> Order, Admi ' rative Citation, etc., were still outstanding? <br /> ❑ Yes U4o <br /> If so, please describe: <br /> **Fees are effective from 07/0112019—0613012020 <br />