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Fingerprint Appointment: Bus . U0 r b CURRENT YEAR <br /> CITY OF STOCKTON <br /> HOTEL, MOTEL AND/OR RESIDENTIAL HOTEL/MOTEL <br /> PERMIT TO OPERATE APPLICATION <br /> AResidential Hotel/Motel ❑ Hotel / Motel ❑ New KRenewal <br /> Name of Hotel/ Motel : d � ►� ' 4r� r�VAJ N r <br /> Location Address : A ° j fa <br /> Mailing Address : �i �" • 1� . c� "�le b�� c3 � e� <br /> Phone # c C, r �. - 6 �• ? Fax # •-�- -°` �T <br /> Business License Halder : / Z;Alq E, H f?, ePr1R ) Phone # a � L141 a T ) <br /> Mailing Address : <br /> Property Owner: 0-afN � Phone # fie, ? Lt I <br /> Mailing Address :_` <br /> Lease Holder : Phone# <br /> Mailing Address : <br /> Please list all Managers employed at this facility (attach additionalpaper if necessar <br /> Y) m � <br /> Manager : ( -f •� S �'�" }� 12W P44 Phone# A0 Ll 3: 1 <br /> Mailing Address : V� F Y r{� �- 1� Tq y� � 9 T\tq &- l <br /> Manager: i a Phone# c <br /> Mailing Address : / 7, i ry , A4 L4,-< , SDI R<r r }act jj'~ <br /> Manager: GZ�� 7`� �W Phone# Lj, 1�6 7 ��{ <br /> Mailing Address : 3E . Lfw< B^1' 4 <br /> Manager : Phone# <br /> Mailing Address : <br /> Page 1 <br /> I <br /> i <br /> " Fees are effective from 07/0112019 06/30/2020 <br /> I <br />