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Forall muniCipal business &arise questions, coritKt C'FW of 5oukh Bernd - @epartrnent at Commurftf Investment <br />227 West leTferson Blvd ■ Suite 1400 5 -South Bend, Indana 46601 - 574.235591.2 - F: 574.235.9022 <br />LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT <br />MUNICIPAL CODE SECTION - 4-35 <br />I. APPLICATION TYPE Check One: <br />ll. BUSINESS DATA <br />A. Business Name: A Healing Oasis <br />New x Renewal <br />B. Business Address: 714 E. Jefferson 13W. <br />City: South Bend State: IN Zip: 46614 <br />C. Mailing Address (If different from above): <br />City: State, - <br />Zip-D. Business Telephone Number: 574-286r2M <br />E. Business Fax Number; NIA <br />F. E-Mail Address: AHeaiing4asis$B@gma€i.com <br />G. Zoning of Business Location: <br />NEIGHBORHGGD CENTER <br />H. Have you ever had a Massage Establishment license, or similar license, suspended or revoked <br />by any governing municipality within three (3) years prior to the date of this application; <br />YES NO X <br />I. if yes, what wasthe reason: <br />2. If yes, what was the business occupation following the suspension/revocation: <br />I- Describe the nature and scope of the business: A Healing Oasis rents out space to <br />different precticlioners so they can have indiWidual sessions as wall as group <br />meetops, classes or e►rerits. This includes massage therapists. <br />- a o <br />For Office Use Only <br />Application Filed APR 2 2 2025 Public Safety Approval <br />Application Fee Paid License Fee Paid <br />Sent to Dept. License Number P ISC b - 1 <br />Not Approved <br />Reason <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />P2wy /' -;- + <br />",�2_ 7rt <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />Murray L. Miller, Member Attest: Hillary R. Horvath, Clerk <br />Date: August 12, 2025 <br />