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Owner`s Application for License to Operate a Massage Business

Business Information

Nature of Ownership

Please select one

If you selected a Partnership or Corporation please let us know the name.

Applicant Information

Physical Description

Have you ever been convicted of a felony, a crime involving moral turpitude, a crime involving controlled dangerous substances, an offense involving sexual misconduct, or an offense involving the use of force or violence upon someone, or another crime that would amount to a felony? If your answer is yes to any of the above questions, explain in detail.

List all prior Massage Establishments or similar business history and experience for the last ten (10) years.

Have you ever had a prior license to operate a massage establishment in this or any other City or State denied, revoked, or suspended? If yes, state the reason.

Please list their names, addresses, and a good phone number to reach them at.

Is this business owned by an Individual, Corporation, or Partnership?

Complete this section if Owner is a Corporation

Complete This Section if Owner is a Partnership

First Partner

Second Partner

Have any of the partners listed above ever been convicted of a felony, a crime involving moral turpitude, a crime involving controlled dangerous substances, an offense involving sexual misconduct, or any offense involving the use of force or violence upon someone, or another crime that would amount to a felony? If your answer if yes to any of the above questions, explain in detail.

Authorization

I, the applicant, do hereby authorize the City of Moore, it`s agents, or anyone designated by the City of Moore to contact any source to verify the information supplied in this application.

Verification

I, the applicant, under penalty of perjury do hereby declare that I have examined this application and all statements contained herein and to the best of my knowledge and belief, they are true, correct, and complete.