(a) The application for a license to operate a bathhouse, massage parlor, massage school, massage therapy clinic, massage therapy school, adult bookstore, adult museum, or adult theater shall be made on forms prescribed by the clerk-treasurer, which shall contain the following information and should be individually signed by the applicant:
(1) Name of applicant;
(2) Resident address of the applicant and former addresses for the past three years;
(3) Business address of applicant;
(4) If the applicant is a corporation, a certificate from the Secretary of State of Indiana certifying that the applicant is a corporation in good standing under the laws of the state and is certified to do business in the state;
(5) Number of massage tables, showers, stalls or other such individual units if applicable;
(6) The age, date of birth and citizenship of the applicant, in the case of individuals, and of the manager and officers in the case of a corporation;
(7) The names, addresses, ages, citizenship and designations of each person connected with the applicant’s establishment;
(8) The location and inclusive dates where the applicant or its managers or officers have ever previously engaged in operating a bathhouse, massage parlor, massage school, massage therapy clinic, massage therapy school, adult bookstore, adult museum or adult theater and whether a license to operate such establishment was revoked;
(9) Whether the applicant, or in the case of a corporation, its managers, officers, directors or stockholders have ever been convicted of any act of violence, moral turpitude, sex offense or prior violation of this chapter, and, if so, the time and place of such conviction and the penalty imposed;
(10) Whether the applicant, or in the case of a corporation, its managers, officers, directors or shareholders, have ever been convicted of a felony in connection with the operation of a bathhouse, massage parlor, massage school, massage therapy clinic, massage therapy school, adult bookstore, adult museum or adult theater and, if so, the time and place of such conviction and the penalty imposed;
(11) An agreement by the applicant and operator permitting inspection of the establishment;
(12) Type of license being applied for by the applicant.
(b) Along with the operator’s application for a license there shall be filed with the clerk-treasurer a verified application for a massage therapist license by each individual who is employed in a bathhouse, massage parlor, massage school, massage therapy clinic, or massage therapy school. The application shall be made on forms prescribed by the clerk-treasurer which shall request the following information:
(1) Name of applicant;
(2) Resident address of applicant and former addresses for the past three years;
(3) Age and date of birth of applicant;
(4) Citizenship of applicant;
(5) Whether the applicant has ever been convicted of any public offense concerning an act of violence, moral turpitude, sex offense or prior violation of this chapter and, if so, the time and place of such conviction and the penalty imposed;
(6) Nature of work performed by applicant.
(c) Along with the application filed pursuant to subsection (b) of this section, the applicant shall file a certificate from a duly licensed medical practitioner on a form prescribed by the health and hospital corporation of the county, certifying that the applicant is free from communicable diseases and that the examination has been made within thirty days prior to the application for the license herein sought. (Ord. 590 § 3, 1978).