§ 111.103 APPLICATION FOR MASSEUR’S PERMIT.
   (A)   Any person desiring a masseur’s permit shall file a written application with the Police Chief on a form to be furnished by the Police Chief.
   (B)   The applicant shall tender with the application the correct permit fee as hereinafter provided and shall, in addition, furnish the following:
      (1)   Business address and all telephone numbers where the massage is to be practiced;
      (2)   The following personal information concerning the applicant:
         (a)   Name, complete residence address and residence telephone numbers;
         (b)   The two previous addresses immediately prior to the present address of the applicant;
         (c)   Written proof of age;
         (d)   Height, weight, color of hair and eyes and sex;
         (e)   Two front-face-portrait photographs taken within 30 days of the date of application and at least two inches by two inches in size;
         (f)   The massage or similar business history and experience, including, but not limited to, whether or not such person in previously operating in this or another city or state under license or permit has had such license or permit denied, revoked or suspended and the reason therefor, and the business activities or occupations subsequent to such action of denial, suspension or revocation;
         (g)   All criminal convictions other than misdemeanor traffic violations, fully disclosing the jurisdiction in which convicted and the cause number of the case in which convicted;
         (h)   A complete set of fingerprints taken and to be retained on file by the Police Chief or his or her authorized representatives;
         (i)   Diploma, certificate or other written proof of graduation from a recognized school where the theory, method, profession or work of massage is taught; and
         (j)   A statement is writing from a licensed physician in the state that he or she has examined the applicant and believes the applicant to be free of all communicable diseases.
      (3)   Such other information, identification and physical examination of the person deemed necessary by the Police Chief in order to discover the truth of the matters hereinbefore required to be set forth in the application;
      (4)   Authorization for the town, its agents and employees to seek information and conduct an investigation into the truth of the statements set forth in the application and the qualifications of the applicant for the permit; and
      (5)   Written declaration by the applicant, under penalty of perjury, that the foregoing information contained in the application is true and correct, said declaration being duly dated and signed in the town.
(1991 Draft Code, § 4-58) (Ord. 1981-2, passed 4-27-1981)