10.2. SR 01-04-2016 - Laserfiche WebLink

Home Browse Search

Page 3 (a) Therapeutic Massage Establishment Application (1) All applicants, whether they be an individual, corporation, partnership, or other form of organization, must provide, at a minimum, the following: a. The full names, addresses, telephone numbers, dates and place of birth of the owners and operators, including the designated on-site manager or agent of the applicant. b. The address of the premises where the Therapeutic Massage Establishment is to be located. c. Information as to conviction of any crime or offense committed by anyone listed on the application. d. A description of services to be provided. e. The applicant’s proof of identification, which may be established only by one of the following: 1. A valid driver's license or identification card issued by Minnesota, another state, or a province of Canada, and including the photograph and date of birth of the licensed person; 2. A valid military identification card issued by the United States Department of Defense; 3. A valid passport issued by the United States: or 4. In the case of a foreign national, by a valid passport. 5. For purposes of proof of identification, the “applicant” shall mean the on- site manager or agent for a Therapeutic Massage Establishment filling an application and all owners who are natural persons. f. The application shall identify the full name, address, date and place of birth, and telephone number of the natural person, designated by the applicant as the Therapeutic Massage Establishments on-site manager or agent, who shall reside within 75 miles of the licensed business. The required residency must be established by the time the license is issued and maintained throughout the existence of the license and all renewals. This designated person shall submit notarized written consent to: (1) take full responsibility for the conduct of the licensed premises and operation; and (2) serve as agent for service of notices and other process relating to the license. The licensee shall promptly notify the Office of the City Clerk of any change in management. g. Proof of Workers’ Compensation insurance as required by Minnesota law. h. Whether all real estate, personal property taxes, utility bills, assessments, or other financial claims of the City that are due and payable for the premises to be licensed have been paid, and if not paid, the years and amounts that are unpaid. i. The name and address of the business if it is to be conducted under a designation, name, or style other than the name of the applicant, and a certified copy of the certificate as required by MN §333.01 and 333.02. j. The application shall be signed and sworn to. If the applicant is a natural person, it shall be signed and sworn to by such person. If the applicant is a corporation, an incorporated association, or a limited liability company (LLC), the application shall