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City of Stockton Hotel/Motel Permit to Operate Application Page 2 <br /> 1. Are you currently or have you ever owned/operated, managed or worked at a hotel, motel <br /> and/or residential hotel/motel? W) Yes ❑ No <br /> • If so, please provide the following information and answer the following questions <br /> separately for each facility (you may attach an additional sheet of paper if necessary): <br /> Name of facility(s): H O L I Dnp 100 <br /> Address of facility(s): 1'375 r• FI F111 STIPEFT <br /> PENICIA CA q-1510 <br /> • How long did you own/operate or work at the facility(s)? c9 <br /> • What was your capacity at the facility(s) (i.e., Manager, desk clerk, etc.,)? N1 <br /> • Was the facility(s) you listed above ever cited for health, safety, fire and/or building code <br /> violation(s)? ❑Yes VNo <br /> If so, were all corrections and/or repairs of those violations completed and approved <br /> within the time required on the citation? ❑Yes [:]No <br /> • During your involvement with the facility(s), has there been repeat citations for health, <br /> safety and/or building code violations? ❑Yes WNo <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 [NNo <br /> 2. How many managers do you employ at your facility? -5 <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 [D(No <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 [<' No <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 with the property while violations, as cited in a Notice of Violation, Notice and <br /> Order, Administrative Citation, etc., were still outstanding? <br /> ❑ Yes &� No <br /> If so, please describe: <br /> *"Fens are effective from 07!0112020—06/30/2021 <br />