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Ordinance No. 1727 <br />Page 6 <br /> <br /> 3. The applicant's ~ll, true name, including all other names used presently or <br /> in the past, date of birth, valid California driver's license number or <br /> identification number, social security number, present residence address <br /> and telephone number, gender, height, weight, color of hair, and color of <br /> eyes. <br /> <br /> 4. The applicant's two most recent street addresses and the dates of residence <br /> at each address. <br /> <br /> 5. The name, street address, and telephone number of each other business in <br /> which the applicant has been employed within the past seven (7) years <br /> along with the dates of employment, positions held by the applicant, and a <br /> contact person at each location. Applicant shall provide proof that within <br /> the seven (7) years preceding submission of the application, the owner, <br /> operator, manager, and/or responsible managing officer/employee has not: <br /> <br /> (i) had a massage establishment, massage technician, or other similar <br /> permit or license denied, suspended, or revoked by the City, or any <br /> other federal, state or local agency; <br /> <br /> (ii) engaged in conduct or operated a massage or similar establishment <br /> in a manner that would be grounds for denial, suspension, or <br /> revocation of a permit under this Chapter; or <br /> <br /> (iii) owned or managed a massage establishment or similar <br /> establishment where persons required to be licensed were allowed <br /> to work without the required license or permit. <br /> <br /> 6. A statement of the permit history of the applicant by identifying whether or <br /> not such person has ever held a professional or vocational license or <br /> permit, other than is required under this Chapter, issued by any agency, <br /> board, city, county, territory, or state; the date of issuance of such permit <br /> or license; whether or not the permit or license is still in effect; if the permit <br /> or license is no longer in effect, whether or not it was revoked or <br /> suspended, and if so, the reason(s) therefor. The name and location of the <br /> jurisdiction or agency which suspended or revoked such license, certificate, <br /> permit, or other authorization shall also be included. <br /> <br /> 7. The name and street address of any other massage business operated or <br /> managed by the applicant during the last seven (7) years. <br /> <br /> 8. A statement whether the applicant intends to personally provide massage <br /> services at the business. <br /> <br /> <br />