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1. Registration Information This section is complete This section is incomplete
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Registration Information

Registration Type*
1. New Registration
2. Account Update
Existing Permit Number*
Effective Date*
Effective Date
Certificate Type*
1. Hotel/Motel – Commercial Location
2. Vacation Rental/Short-Term Rental (Airbnb, Vrbo) – Residential Location
3. Internet Company
4. Management Company
5. Other
Explanation*
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Operator Information

Operator Name*
Contact Name*
Phone Number*
Email Address*
Mailing Address*
City*
State*
Zip Code*
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Property Information

Property Ownership Status*
1. Leased
2. Owned
Property Name (DBA)*
Contact Name*
Email Address*
Street Address*
City*
State*
Zip Code*
Number of Rooms*
Number of Rentable Rooms*
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Acknowledgements and Submit

Municipal Code Reference
Modesto Municipal Code Title 8, Chapter 2, Article 6
Municipal Code Ackowledgment*
1. I have read and understand the provisions of Modesto Municipal Code Title 8, Chapter 2, Article 6.
Declaration*
1. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Preparer's Name*
Preparer's Title*
Today's Date*

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Address 1010 10th Street Modesto, CA 95354
P.O. Box 642 Modesto, CA 95353
Phone 209-577-5200

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