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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PLYMOUTH
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6717
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2400 - Hotel and Motel Program
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PR0240092
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COMPLIANCE INFO
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Last modified
10/9/2023 5:11:26 PM
Creation date
10/9/2023 3:27:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2400 - Hotel and Motel Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0240092
PE
2408
FACILITY_ID
FA0002506
FACILITY_NAME
MOTEL 6 #1323
STREET_NUMBER
6717
STREET_NAME
PLYMOUTH
STREET_TYPE
RD
City
STOCKTON
Zip
95207
APN
09760002
CURRENT_STATUS
01
SITE_LOCATION
6717 PLYMOUTH RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\gmartinez
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EHD - Public
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City of Stockton Hotel/Motel Permit to Operate Application _ pane 3 <br /> 6 . Are 'you currently on probation or parole ? ❑ Yes No <br /> 9 If so , are you required to register each year; ❑ Yes ❑ No <br /> 7 . The Permit to Operate Application must include contact information for all ' manager( s ) and/or <br /> other person ( s ) connected to the management of the business ( SIVIC § 7 = 1 'I1 , 5 ) <br /> ❑ Department of Justice Background Check Application <br /> ❑ Two passport-size identity prints of the applicant <br /> ❑ Written evidence that the applicant is 18 or older ( i . e . copy of legal form of identification showing <br /> date of birth ) <br /> [❑ Proposed Management Plan <br /> ❑ Pest Control Certification ( must be dated not more than 30 days prior to application date ) <br /> ❑ Copy of Current Business License <br /> Residential Hotel / Motel Applications MUST also include the following <br /> ( § 7 = 1 '11 . 6 ) � <br /> ❑ Request for variance for required Common Indoor Space ( if applicable ) <br /> ❑ Signed statement that the Residential Hotel/Motel shall not operate without' an on -slte Manager <br /> or designee in charge of the premises at all times . <br /> I <br /> t <br /> • f <br /> i <br /> I hereby certify under penalty of perjury that that above information is true and <br /> correct to the be t- o my knowledge and belief- <br /> AUTHORIZED SIGN URE DATE <br /> 30 <br />
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