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Ordinance No.
<br />Page 7
<br />B. Each applicant shall submit the following information in the application
<br />under penalty of perjury:
<br />1. The full, true name under which the business is to be conducted.
<br />conducted.
<br />2. The present or proposed address where the business is to be
<br />3. The applicant's full, true name, including all other names used
<br />presently or in the past, date of birth, valid California driver's license number or
<br />identification number, social security number, present residence address and telephone
<br />number, gender, height, weight, color of hair, and color of eyes.
<br />4. The applicant's two (2) most recent street addresses and the dates of
<br />residence at each address. Addresses from post office boxes and non-street mailboxes
<br />may not be used.
<br />5. The name, street address, and telephone number of each business in
<br />which the applicant has been employed within the past ten (10) years along with the
<br />dates of employment, positions held by the applicant, and a contact person at each
<br />location. Applicant shall provide proof that within the ten (10) years preceding
<br />submission of the application, the owner, operator, manager, and/or responsible
<br />managing officer/employee has not:
<br />a. Had a massage establishment, massage technician, offsite
<br />massage, special event, or other similar permit or license denied, suspended, or
<br />revoked by the City, or any other federal, state, or local agency;
<br />b. Engaged in, conducted, or operated a massage or similar
<br />establishment in a manner that would be grounds for denial, suspension, or revocation
<br />of a permit under this Chapter; or
<br />6. A statement of the permit history of the applicant by identifying
<br />whether or not such person has ever held a professional or vocational license or permit
<br />related to massage, other than is required under this Chapter, issued by any agency,
<br />board, city, county, territory, state, or other jurisdiction; the date of issuance of such
<br />permit or license; whether or not the permit or license is still in effect; if the permit or
<br />license is no longer in effect, whether or not it was revoked or suspended, and if so, the
<br />reason(s) therefor. The name and location of the jurisdiction or agency which
<br />suspended or revoked such license, certificate, permit, or other authorization shall also
<br />be included.
<br />7. The name and street address of any other massage establishment or
<br />similar business operated or managed by the applicant during the last ten (10) years.
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