HomeMy WebLinkAboutLicense - New Massage Establishment - A Healing Oasis1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
October 24, 2023
Ms. Deborah Barton
A Healing Oasis
714 E. Jefferson Blvd.
South Bend, IN 46628
ahealingoasisSB&gmail.com
RE: Approval — License Application for New Massage Establishment
Dear Ms. Barton:
At its October 24, 2023 meeting, the Board of Public Works approved your request for
the New Massage Establishment at 714 E. Jefferson Blvd.
If you have any further questions, please call this office at (574) 235-9251.
Sincerely,
Is/ Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT ALEXANDRA DOLZ-LANE MURRAY L. MILLER
INTEROFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE: 08/23/2023
TO: Brad Rohrscheib, Police Department
St. Joseph County Health Department
Gerald Ellis, Fire Department
Angela Smith, Zoning Department
FROM: Theresa Heffner, Clerk
SUBJECT: NEW - MASSAGE ESTABLISHMENT LICENSE
RECOMMENDATION
BUSINESS NAME: A HEALING OASIS
ADDRESS: 714 E. JEFFERSON BLVD.
DATE DUE: OCTOBER 3, 2023
PLEASE INSERT YOUR RECOMMENDATIONS IN THE APPROPRIATE FIELD BELOW,
BASED ON THE FOLLOWING CRITERIA FROM MUNICIPAL CODE SEC. 4-35:
1. The applicant and his/her partners have not been convicted of any crime involving unlawful
deviate conduct, deviate sexual conduct, or unlawful sexual conduct within three (3) years
prior to the date of application. (Verified by PD).
2. The applicant is a minimum of 18 years of age. (Verified by PD)
3. The applicant has passed an inspection from the St. Joseph County Health Department.
4. The massage establishment as proposed by the applicant would comply with all applicable
laws, including but not limited to the City's building, zoning, health, fire and safety
regulations. (Fire and Zoning, please verify)
5. A recognizable and legible sign shall be posted at the main entrance identifying the
establishment as a massage establishment. (PW — please verify)
POLICE: Favorable recommendation
FIRE: Favorable
COMMUNITY INVESTMENT: Massage establishment is an allowed use in this district.
No issues at this time.
For a II mu n I c I p a I business I icense qu es tI❑n a, contact' City of South Bend • Department of Community Investment
227 West Jcfferson Blvd • Suite 1400 5 ■South Bend, Indiana 45501 • 574.235.5912 • F. S74.235.W2� � � � i l $5(r
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION -4-35
I. APPLICATION TYPE Check One
II. BUSINESS DATA
A. Business Name:
New Renewal
r 1j f
ea(tat, 00SL5
B, BuslnessAddress: 9I'f ( - J t �-P C5a(\ ) Lj,)fQ
City: 5 4u{-k �e a —state; -S J Zip; (2 (k _
C. Mailing Address (If different from above): a5 a ty LQ GU f Da d
City: sf}uf le state: r 1�j Zip:
D. Business Telephone Number: 5 7 LI
Business Fax Nu
E-M ail Address:
G. Zoning of Business Location: IV(-'
H. Have you ever had a Massage Establishment license, or similar license, suspended or revoked
by any governing munlcipa' within three (3) years prior to the date of this application:
YES NO
1. If yes, what was the reason: &)/a
2. if yes, what was the lousiness occupation following the suspension/revocation;
!A
I, Describe the nature and scope of the business:, W eV 5 � w Dll` `�
c en4 e r -HhvNol I ra Lbij m e r co n _ 0 Ira C-H( e
1. Include a list of massage herap€st employed at this location- {include a se crate sheet if nec sa j
qo `�j g s Cf G1 P `}"� V f CA 0 I'S+ 0. �` Vllif - L��� iLltVl � i , t,
For Office Use Only h - 1 TO I
Application Filed AQl$ 9 2 Z07 3 _ _ Public Safety Approval
Application Fee Paid RUiJ G 4 ZUZJ License Fee Paid
Sent to Dept. Al IG 2 2 -2Q-2�3 License Number j -D l a,
Police Fire Zoning Health
Not Approved_ CITY OF SOUTH BEND, INDIANA
Reason BOARD OF PUBLIC WORKS
t1a �k
Elizabeth A. Maradik, President
Gary A. Gilot, Member
7,z,, ,. a
Joseph R. Molnar, Vice President
ao,
Alexandra Dolz-Lane, Member
Murray L. Miller, Member
Attest: Theresa M. Heffner, Clerk
Date: October 24, 2023
For all munidpal business Incense quarters, contaseeny of South Bend • Department of community InWebeem
237W6t10eerson BW • 5uIW 140Q5 •South BeM. Indiana 46601 • 574.2356912 • 2:514.135.9012
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
III. OWNERSHIP
A. Type ofownershl checkone):
Sole Pmprietorshlp (If sole proprietorship, proceed tol).
Partnership (If partnership, proceed to 2).
Corporation (If corporation, proceed to3).
1. Sole Proprietor D60O_r�CCA K Iar-FD N
AYys
Name: �L �OVJE:,Vj4(-�'q(1AV5c
2 Wa.
Residential Address: Rt5a C u J ' DR
cRy:6rj I-jLeVA6 State: T N let Liu LA I
2. Pa ership (List at least two (2) partners)
Name #1:
Name#2:
Residential Address:
3. C oration
Legal name of corporation:_
Date and state of Incorporation:
List officers and directors who own 15%or more of stock:
Business Address:
City: State: Zip:
Residential Address:
For all municipal budnee sovoe queroom, coned: [ay MSouth Bend • UgprtmeM of Cemmunlly InveslmeM
2r WeNlenenon am • Sulte lmo5 -South Bend, Indiana 46601 • 574.235.5912 • F. 574.235.9021
LICENSE APPLICATION FOR -MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
III. OWNERSHIP (Continued
3. Co ration (Continued)
Business Address:
City: State: Zip:
Residential Address:
IV. PERSONAL DATA T
A. Applicant's Legal Name: L eb Ora V\
Du'Hn 13P✓ d ca'ae. =0
C. Residential Telephone Number: 7 f `t — OL6'1 — C;j l z:5 O
D. Residential Fax Number: tI4' Z/�=
E. Cellphone Number... rJ1
F.E-Mall Address: _T Q i'rDh 00. (@
G. Position with business: UlAinor
H. Please list all criminal convictions (if any), excluding trafficviolations:
Nature of Conviction City State Date
(Attach additional sheets if necessary)
I. Please list all addresses for three (3) years prior to application date:
Street Address City State Dates
F25r'�1a Locus+'oad 50t '*ACA .N Iqq-7— prrStom
(Attach addition
J. Date of
K. Gender:
L. Social Se ur' N
M. Race:
3
plea amieuSIS
`3 �r M WWI roT
'SE-6 uollaaS'apo0ledlolunVg puag g1noS to A110
041 ul puno; asumll 4sldeJa41 JO/pue luawysilgels3 aSessevq 841;o suolleln9w aq1 puelsiapun
Pup peal ane4I -maleaA Bons gllm uopounfuw w sallnpe; pue ssaulsnq;o aoeld aglloadsul
pue Aalua of uolsslwuad Bulpnpul'sampaaad Hulsuaall aql of iuensmd palonpum malnaL
Rue gllm alwadom of aMe 1'aw of umouq sUe; aullilwo Aq uoneolldde s14I ul AllJ aql pealslw
of paldwalle Aem ou ul aney I legl A11Lao Aa4gin; l'aepalmou4 Aw;o lsaq aylof aiemooe
pue awl sl uopenlldde Slyi ul uanle aney I uopeuuo;ul ayl;o Ile leyl wa;}e pue A;ILa3'Agaia4'I
N011MU130'11A
NOI1VJIlddtl HIIM 33A ONISS300W 00'S$ 3om:)Nl'IA
-uolieolldde W sgluow 9 ul4llm uagel soaogd yodssed (E) amyl
:NOI1tl71lddV H11M 3anl0N1'A
(Nessaoau;l sl9a4s leuollippe gmjV)
P4?5ar -S bi r`l2Pv� v Mul?IW -\A 0al -1JnoS--f5T
saM3 10'MIhdlValeiS'Ai6D sswppv Auedwo3
:uolleopdde slgilo aiep aql oliopd SJeaA(E) aajgl Lo; luawAoldwv------"---- — -
l►��,,�
L i sir':;, lr. F{ l ;l
SII
(panuliuo0) V1tl0 IVNOSU3d'Al
SE-b- N01103S 3000IVdDINf1W
1N3 W HSIl8V1S3 39VSSV W - UOd NOI1V01IddV 3SN3011
%IW SEC'0L5 r4 • iT6S'SEZILS. Tn930 eugpul puae 410oq SWOT alms • umE uovaMrV( M 62
Tui lmuI Allunwtujiowmvsda .Dua9 WnosioA1 ;"ouwmnsanb mamimunnq Wplunw Ileaua
M
u
1316 COUNTY -CITY BUILDING
227 W. JEFFERSGN BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
October 16, 2023
Ms. Deborah Barton
A Healing Oasis
714 E. Jefferson Blvd.
South Bend, IN 46628
ahealinaoasis SB n, gmail. com
RE: Public Hearing — License Application for Massage Establishment
Dear Ms. Barton:
The Board of Public Works is in receipt of your license application for a massage
establishment at 714 E. Jefferson Blvd.
Pursuant to the City of South Bend license ordinance requirements, a Public Hearing on
the application must be conducted by the Board of Public Works.
The Board of Public Works has set the Public Hearing for 9:30 a.m., October 24, 2023
in the Board of Public Works Conference Room, 227 W. Jefferson Blvd., Suite 1308, South
Bend, Indiana. You can also attend the meeting virtually at
https://tinyurl.com/2023BPWHybrid. You, or your designee, must be present to answer
questions with regard to the proposed business activity.
If you have any further questions, please call this office at (574) 235-9251.
Sincerely,
Is/ Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT ALEXANDRA DOLZ-LANE MURRAY L. MILLER
1316 COUNTY -CITY BUILDING
227 W. JEFFERSGN BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
NOTICE OF PUBLIC HEARING
ON
APPLICATION FOR
MASSAGE ESTABLISHMENT LICENSE
Notice is hereby given to all interested individuals that the Board of Public Works of the City
of South Bend, Indiana, will conduct a Public Hearing at 9:30 a.m., October 24, 2023 in the
Board of Public Works Conference Room, 227 W Jefferson Blvd., Suite 1308, South Bend,
Indiana, on the application for a new license application for a massage establishment, A
Healing Oasis, 714 E. Jefferson Blvd., South Bend, IN 46628.
You can also attend the meeting virtually at https://tipyurl.com/2023BPWHybrid.
Interested persons may be heard on this matter at the Public Hearing or may file with the Board
of Public Works a memorandum in support of or in opposition to the issuance of such license.
BOARD OF PUBLIC WORKS
Theresa M. Heffiier, Clerk
Publish one (1) time: October 20, 2023
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT ALEXANDRA DOLZ-LANE MURRAY L. MILLER