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t <br /> 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 hoteVmotel? Ayes ❑ 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) : k <br /> Name of facility(s ) : �s % T `(Aa < ' ' Y` � /T1 0 �d��� / & ► ° )` I <br /> Address of facility( s ) ; <br /> • How long did you own/operate or work at the facility(s) ? cl elam, <br /> What was your capacity at the facility(s ) ( i . e . , Manager, desk clerk , etc . , ) ? , � <' dtv(4 <br /> • Was the facility( s ) you listed above ever cited for health , safety , fire and/or building code J <br /> violation (s ) ? { Yes ❑ No <br /> I. <br /> If so , were all corrections and/or repairs of those violations completed and approved <br /> within the time required on the citation ? [Ayes ❑ 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 j <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 UNo <br /> 2 . How many managers do you employ at your facility? <br /> 3 . In the past three years , have you ever had a Permit to Operate denied , revoked or suspended I <br /> within the State of California ? ❑ Yes � 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 /> E] Yes { Q No <br /> If so , please describe : <br /> "Fees are effective from 0710112019 — 0613 01202 0 <br />