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Fingerprint Appointment: Bus. Lic# 2 �)3 6 LLQ CURRENT YEAR 7ZL <br />CITY OF STOCKTON <br />HOTEL, MOTEL AND/OR RESIDENTIAL HOTEL/MOTEL <br />PERMIT TO OPERATE APPLICATION <br />❑ Residential Hotel/Motel ❑ Hotel/Motel ❑ New U/16enewal <br />Name of Hotel/Motel: <br />D10 <br />Location Address: 150) _5 v �Z( -)rlatdo Cat e'l52e_)6 <br />Mailing Address: °"' <br />Phone # 2-09 9146Z d 01 Fax # <br />Business License Holder: ��x>G)":� M010 Phone # 20'7 RUR JW1 ) <br />Mailing Address: 1591 5 <Z i dWadc) S�yoctivyl ('may 9s406 <br />Property Owner: ect W Phone # 2017- 9(4,-), <br />Mailing Address: 1 l IGQweek 5 y- - ';'ba m Cby 9 5d C) <br />Lease Holder: Phone# <br />Mailing Address: <br />Please list all Managers employed <br />r,a'tthis facility (attach additional paper if necessary): <br />� <br />Manager: U I k's h rb �1 Phone# 20c/ ct �,:)? <br />Mailing Address: )!50) 5 i 1dW,46'C Co g5�?_06 <br />Manager: VA fh <br />fCj <br />Phone# <br />2' `l <br />914a a l 9 1{ <br />Mailing Address: per) <br />5 �,lclraf(C) <br />C4 <br />5�?c,G <br />Manager: <br />Mailing Address: <br />Phone# <br />Manager: Phone# <br />Mailing Address: <br />Page 1 <br />"Fees are effective from 0710112022 — 06/30/2023 <br />