Application for a massage permit shall be made to the Town's Community Development Department accompanied by the annual nonrefundable massage permit fee in such amount as established by resolution of the Town Council. The application shall contain the following:
A. The name, business address and all telephone numbers of the massage establishments where the 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 (2) 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, color of hair and eyes and sex;
E. Written evidence that the applicant is at least eighteen (18) years of age;
F. A complete statement of all convictions of the applicant for any felonies, misdemeanors or violations of a local ordinance, except misdemeanor traffic violations, and full statement of disposition of all such actions;
G. Fingerprints of the applicant taken within thirty (30) days of the submittal by the Police Department;
H. Two (2) front face portrait photographs taken within thirty (30) days of the date of application and at least two inches by two inches (2" x 2") in size;
I. The name and address of the recognized school attended, the dates attended and a copy of the diploma or certificate of graduation awarded the applicant:
1. A person who is employed as a massagist in the Town on the day this chapter goes into effect or has been so employed for three (3) of the previous six (6) months and who has not graduated from a recognized school, may apply for a temporary permit which shall be valid for six (6) months from the day this chapter goes into effect. The temporary permit may be extended for an additional six (6) months upon a showing that the applicant is actively engaged, enrolled or participating in a course of study leading to graduation at a recognized school. In no event shall any temporary permit be valid after one (1) year after this chapter goes into effect; certification as a massage therapist (MST) or registered massage therapist (RMT) shall serve in lieu of education;
2. Employment shall be established by sworn affidavit from the employer. School enrollment shall be certified by an official of the recognized school;
J. The massage or similar business history and experience for the ten (10) years prior to the date of application, including, but not limited to, whether or not such person 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 reasons therefor, and the business activities or occupations subsequent to such action of denial, suspension or revocation;
K. The names, current addresses and written statements of at least five (5) bona fide permanent residents of the United States, other than relatives, that the applicant is of good moral character. If the applicant is able, the statement must first be furnished from residents of the Town, then the County, then the State, and lastly from the rest of the United States;
L. A medical certificate signed by a physician, licensed to practice in the State, within seven (7) days of the date of application. The certificate shall state that the applicant was examined by the certifying physician and that the applicant is free of communicable disease. The additional information required by this division shall be provided at the applicant's expense;
M. Such other information, identification and physical examination of the person deemed necessary by the Community Development Director in order to discover the truth of the matters herein required to be set forth in the application;
N. Authorization for the Town, its agents and employees and such other enforcement agencies as may be necessary 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.
The Town may request the San Bernardino County Department of Health to conduct some or all of the inspections or investigations required herein. The Department of Health is authorized to bill and collect from the applicant reasonable fees for such services and the applicant shall show evidence that such fees have been paid before a license or permit is issued hereunder;
O. Written declaration 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 Town. (Ord. 96, 11-5-1998)