Application for a massager's permit shall be made to the Building Department in the same manner as provided for a massage establishment license in Section 749.04, accompanied by the annual nonrefundable massager's permit fee of one hundred dollars ($100.00) per year, or part thereof. The application shall contain, but not be limited to, the following:
(a) The business address and all telephone numbers where massage is to be practiced;
(b) Name and residence address, and all names, nicknames and aliases by which the applicant has been known, including the two previous addresses immediately prior to the present address of the applicant;
(c) Social security number, driver's license number, if any, and date of birth;
(d) Applicant's weight, height, sex and color of hair and eyes;
(e) Written evidence that the applicant is at least eighteen years of age;
(f) A complete statement of all convictions of the applicant for any felony or misdemeanor or violation of a local ordinance, except misdemeanor traffic violations;
(g) Fingerprints of the applicant taken by the Police Department;
(h) Two portrait photographs, two by two inches in size, taken by the Police Department within thirty days of the date of application;
(i) The name and address of the accredited school recognized by the State of Ohio, the dates attended, and a copy of the diploma or certificate of graduation awarded the applicant showing the applicant has completed a course of instruction for a period of not less than one (1) year and a minimum of six hundred (600) clock hours at an approved school of massage therapy or a copy of a current license issued by the State of Ohio;
(j) The massage or similar business history and experience, ten years prior to the date of application, 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; the reasons therefor; and the business activities or occupations subsequent to such action of denial, suspension or revocation;
(k) A medical certificate signed, within seven days of the date of the application, by a physician licensed to practice in the State of Ohio. The certificate shall state that the applicant was examined by the certifying physician and that the applicant is free of communicable disease. This information shall be provided at the applicant's expense;
(l) Such other information, identification and physical examination of the person deemed necessary by the Chief of Police in order to discover the truth of the matters hereinbefore required to be set forth in the application;
(m) Authorization for the City, its agents and employees to seek information and conduct an investigation into the truth of the statements set forth in the application with regard to the qualifications of the applicant for the permit; and
(n) Written declaration, sworn to by the applicant under penalty of perjury, that the foregoing information contained in the application is true and correct, such declaration being duly dated and signed in the City.
(Ord. 2012-66. Passed 10-22-12.)