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Fingerprint Appointment : Bus . Liar I vo � / 1 ' / CURRENT YEAR <br /> CITY OF STOCKTON <br /> HOTEL , MOTEL AND/ OR RESIDENTIAL HOTEL/ MOTEL <br /> ID VO 6`7" P E; RATE APPLICAMON <br /> ❑ Residential Hotel / Motel Hotel / Motel ] ew Renewal <br /> Name of Hotel / Motel : <br /> Location Address : (A "I I I °bI t�ICYIOLt- 1 �+�C(< CSG a �D <br /> Mailing Address : y2nx 11 �G � � ti4 �� �DAg ioylC �ilrro r <br /> Phone #40±L Fax <br /> Business License Holder : l <br /> I ( "� I'U Pone <br /> cffkff frog <br /> Mailing Address : Q l � <br /> Property Owner : {�6QTY' LI.0 Phone # 6112 Ub <br /> Mailing Address : b ( � T �1 1 � <br /> Lease Holder : Phone# <br /> Mailing Address : <br /> Please list II Managers employed at this facility ( attach additional paper if necessary ) : <br /> Manager : Pak Phone# <br /> Mailing Address : 1Pkq"9t <br /> CO N C <br /> K 0j <br /> Manager : a Flet✓ Phone# <br /> Mailing Address : Co I (' C/ <br /> Manager : h v1 tr Ir V Phone# <br /> Mailing Address . ( 1 014 <br /> Manager : Phone# <br /> Mailing Address : <br /> Pagel <br /> 2 � <br />