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<br /> <br />CITY OF CENTERVILLE <br /> <br />APPLICATION FORM FOR SAUNA(S) OR MASSAGE PARLOR(S) LICENSE <br /> <br /> <br /> <br />TRADE NAME DATE OF APPLICATION <br /> <br /> <br />LICENSING PERIOD <br /> <br /> <br />FULL NAME OF APPLICANT PHONE NUMBER <br />OWNER IF INDIVIDUAL <br /> <br /> <br />ADDRESS CITY STATE <br /> <br /> <br />DATE OF BIRTH PLACE OF BIRTH <br /> <br />ADDRESS OF BUSINESS <br />LOCATION <br /> <br />LIST OWNERS OF BUILDING OR PREMISE TO BE LICENSED: <br /> <br />NAMES ADDRESSES DATE OF BIRTH <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />MANAGER’S NAME ADDRESS PHONE <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />OPERATOR’S NAME ADDRESS PHONE <br /> <br /> <br />