§ 577-3. Establishment permit application requirements.

Any person desiring a massage and bodywork therapy establishment permit shall file a written application with the Board of Health upon a form to be furnished by the Health Department. The application form shall contain the following information:

A. 

The type of ownership of the business, i.e., whether individual, partnership, corporation or otherwise.

B. 

The name, style and designation under which the business is to be conducted.

C. 

The business address and all telephone numbers, including facsimile, where business is to be conducted.

D. 

A complete list of the names and residence addresses of all massage and bodywork therapists and employees of the business and the name and residence address of the manager or other person principally in charge of the operation of the business.

E. 

A sworn statement indicating that all massage and bodywork therapists employed or to be employed by the establishment or otherwise permitted to work at the establishment have been licensed by the State of New Jersey pursuant to the Massage and Bodywork Therapist Licensing Act, P.L. 1999, c. 19, and P.L. 2007, c. 337.

Editor's Note: See N.J.S.A. 45:11-53 et seq.

F. 

The following personal information concerning the applicant, if an individual; concerning each stockholder holding more than 10% of the stock of the corporation, each officer and each director, if the applicant is a corporation; concerning the partners, including limited partners, if the applicant is a partnership; and concerning the manager or other person principally in charge of the operation of the business shall be provided:

(1) 

The name, complete residence address and residence telephone number.

(2) 

The two previous addresses immediately prior to the present address of the applicant.

(3) 

Written proof of age.

(4) 

Height, weight, sex, color of hair and eyes.

(5) 

Two front-face portrait photographs taken within 30 days of the date of the application and at least two inches by two inches in size.

(6) 

The massage therapy or similar business history and experience, including but not limited to whether or not such person has previously operated, in this or another municipality or state, under a license or permit, or has had such license or permit denied, revoked or suspended and the reason therefor and the business activities or occupations subsequent to such action or denial, suspension or revocation.

(7) 

All criminal convictions, fully disclosing the jurisdiction in which convicted and the offense for which convicted and the circumstances thereof. The applicant shall execute a waiver and consent to allow a fingerprint and criminal background check by the Township Police Department. Fees associated with the criminal background check will be consistent with the fee schedule established by the State of New Jersey and payable to State of New Jersey SBI. Failure to execute such a waiver and consent shall result in a denial of a permit. An establishment permit shall be denied to any person who has been convicted of any crime or disorderly person's offense, other than traffic violations.

(8) 

The names and addresses of three adult residents of the State of New Jersey who will serve as character references. These references must be persons other than relatives and business associates.