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Clty 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 hotel/motel ? 9 Yes ❑ 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) : <br /> Name of facility(s ) : 144 T�� 6 <br /> Address of facility(s ) : 265k 4J MAgcH 441rj5T- Kvbrl <br /> IIJA/FeR" 6 fA m Z Toe 19WON r14— Z2/ 0 � MA ^1 TP44rY � 6d44< �6 . ( <br /> q§:ZO6 <br /> • How long did you own/operate or work at the facility(s ) ?_ /. xAx , 2 0 ym lep 30 �y / <br /> • What was your capacity at the facility(s ) (i . e . , Manager, desk clerk , etc. , )? 00,1 6 >. <br /> • Was the facility(s) you listed above ever cited for health , safety, fire and/or building code <br /> violation (s ) ? ( Yes ❑ No <br /> v If so , were all corrections and/or repairs of those violations completed and approved <br /> within the time required on the citation ? F]Yes ❑ No <br /> • During your involvement with the facility(s ) , has there been repeat citations for health , <br /> safety and/or building code violations? © Yes ❑ No <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 [Ac No <br /> i <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 <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 /> ❑ Yes N No <br /> If so , please describe : <br /> "Fees are effective from 07/01 /2019 — 06/30/2020 <br />