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i City of Stockton Hotel/Motel Permit to Operate Application Page 2 1. Are you currently or have you ever owned/operated, managed or worked at a hotel, motel and/or residential hotel/motel?gYes ❑ No • If so, please provide the following information and answer the following questions separately for each facility (you may attach an additional sheet of paper if necessary): Name of facility(s): 1. La Quinta Stockton 2.Best Western Visalia i Address of facility(s): 1.2710 W March Ln Stockton, CA 95219 2.9300 W Airport Dr, Visalia,CA 93277 I • How long did you own/operate or work at the facility(s)? • What was your capacity at the facility(s) (i.e., Manager, desk clerk, etc.,)? Manager • Was the facility(s) you listed above ever cited for health, safety, fire and/or building code violation(s)? es ❑No Y if so, were all corrections and/or repairs f those violations completed and approved within the time required on the citatlon?gYes ❑No ' • During your involvement with the facility(s), has th re been repeat citations for health, safety and/or building code violations? ❑Yes JNo • In the past five years, has the facility(s) ever been cited for violations, and subsequently vacated due to corrections/repairs not being completed? ❑Yes V1No 2. How many managers do you employ at your facility? 1 i 3. In the past three years, have you ever had a Permit to Operate denied, revoked or suspended within the State of California? ❑ Yes V No ➢ If so, please provide the reason for denial, revocation and/or suspension and the location that the permit was denied, revoked and/or suspended: i i 4. Have you ever applied for a Permit to Operate using a different name? ❑ Yes Z No ➢ If so, please provide the other name: 5. As the property owner, operator, manager and/or lessee of a hotel/motel, within the last five years, have you terminated your lease, defaulted on your loan, or otherwise discontinued your association with the property while violations, as cited in a Notice of Violation, Notice and Order, Administrative Citation, etc., were still outstanding? r ❑Yes { No ➢ If so, please describe: t.' ..Fees are effective from 07101/2023—0813012024 1- .. _. .. � _ �..._.....- .. .............. ., ..a.,.:a ...sa;.,a{.:9^...�._:.,:.. ..._.....-. .._... .. ' .. ^-ten