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Home My WebLink AboutMassage Establishment Renewal - L&L Bodywork LLC1316 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 February 11, 2025 Ms. Jiangan Lyu L&L Bodywork LLC 3524 Mishawaka Avenue South Bend, IN 46615 liyingri45 09164,gmail. com RE: Approval — License Renewal of Massage Establishment Dear Ms. Lyu: At its February 11, 2025 meeting, the Board of Public Works approved your request for the Massage Establishment at 3524 Mishawaka Avenue, South Bend, IN 46615. If you have any further questions, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Hefner Theresa Heffner, Clerk Enclosures TH/hh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou INTEROFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE: 1/13/2025 TO: Brad Rohrscheib, Police Department St. Joseph County Health Department - see attached Derek Erquhart, Fire Department Kari Myers, Zoning Department FROM: Theresa Heffner, Clerk SUBJECT: RENEWAL - MASSAGE ESTABLISHMENT LICENSE RECOMMENDATION BUSINESS NAME: L & L BODYWORK LLC ADDRESS: 3524 MISHAWAKA AVENUE 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 Recommendation — Passed fire inspection COMMUNITY INVESTMENT: A massage establishment is a permitted primary use in the OF Urban Flex district. For all municipal business license questions, contact: City of south Bend • Department of Community Investment 227 West Jefferson Blvd + Suite 140D 5 •South Bend, Indiana 466D1 • 574.235.5 2 • F: 574 235 9021 cc . ICq05,°° LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 I. APPLICATION TYPE Check One II. BUSINESS DATA A. Business Name: 1:_� B. Business Address: New Renewal C. Mailing Address (If different from above): City: D. Business Telephone Number: E. Business Fax Number: 1e 2 p: b 15 e: Zip: F.E-Mail Address: IIN'0A14.1%�-��f j66Cj3 (kZ1(, r."qm G. Zoning of Business L'ocatlbn: H. Have you ever had a Massage Establishment license, or similar license, suspended or revoked by any governing municipality within three (3) years prior to the date of thisapplication: YES NO V I. If yes, what was the reason: Z. If yes, what was the business occupation following the suspension/revocation: I. Describe the nature and scope of the business: R LL M'qs G g1' For Office Use Only Application Filed JAKI4 ,i Public Safety Approval Application Fee PaidJ AN U 9 2021: License Fee Paid Sent to Dept. License Number zoniija Not Approved tRL4-6 `A500 I S7 Reason CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS V'a(4 Elizabeth A. Maradik, President Joseph R. Molnar, Vice President --.v Gfs�+itet Gary A. Gilm, Member 77'Lwy Breana Micou, Member �4 Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: Fehruary 11, 9095 For all munIdpal business license questons, mntaot: City of South Bend • Department of Community Investment 227 West Jefferson BIM • Suite 1400 S -South Bend, Indiana G6601 •5)A235.5912 • F: 574335.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 III. OWNERSHIP A. Type of ownership (check one(: ✓ Sole Proprietorship (If sole proprietorship, proceed tol). Partnership (If partnership, proceed to 2(. Corporation (If corporation, proceed to 3). 1. Sole Proprietor Name: S i 0.n L_u Residential Address: City: State: Zip: 2. Partnership (List at least two (2( partners( Name #1: Residential Address: City: State: Zip: Name N2: Residential Address: City: State: Zip: 3. Corporation Legal name of corporation: Date and state of incorporation: List officers and directors who own 15% or more of stock: Name Rl: Title: Business Address: City: State: Zip: Residential Address: City: State: Zip: Name#2: Tile: Business Address: City' state: Zip'. Residential Address: City: State: Zip: 2 For all municipal business IIcents questions, contact; City of Sound Bend • oeFanmemt nl Communny In"Stmem 327West Jefferson BlvE•Suite 1400 S•5cxth Send, Indiana 46WI- 594.1355912 IF: 5]d.=P.9021 o)tas�i 9105.°0 LICENSE APPLICATION FOR- MASSAGEESTABLISHMENToASN MUNICIPAL CODE SECTION -4-35 III. OWNERSHIP (Continued) 3. Corporation (Continued) Name #3: Title: Business Address: City: State: Zip: Residential Address: City: State: Zip: IV. PERSONAL DATA A. Applicant's Legal Na e: 1' a.r 7--- w B. Residential Address: City: State: - .Zip: C.Residential Telephone Number. (o2.(P -7Z D. Residential Fax Number: E. Cellphone Number: F.E-Mail Address: Li4'no a7 4509ILr 0 01mgf1I, Coven G. Position with business: rs+.: n e I— H. Please list all criminal convictions (if any), excluding traffcviolations: 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 2o22Zo 2bS (Attach additional sheets if necessary) J 3 For all munldpal buslness Ilcense quewons, contact: OW&South send • 0epartaneMMeommunitp Investment 222 Wastleeerson BIM • suite14005 -South Bend, Indlam "601 •574.25.5912 • F: 574.235.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 IV. PERSONAL DATA (Continued) O. Please list all previous employment for three (3) years prior to the date of this application: Company Address City, State, ZIP g6L4_ Dates L' FL floc B., cF'4wo-rfL 3524 Mi3ha.ua4 Sa W4 Ra wj3N .Ta..ZY-Tri-I LS $'e• CL[- ZSIZZSIZ C.1� 011,.54dout&a ZN 4/LSwu to 21-2-0 L2 (Attach additional sheets if necessary) V. INCLUDE WITH APPLICATION: Three (3) passport photos taken within 6 months of application. VI. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION VIL INCLUDE A LIST OF ALL MASSAGE THERAPIST EMPLOYED BY ESTABLISHMENT Vill. INCLUDE A LIST OF SERVICES AVAILABLE AND THE COST OF SUCH SERVICES IX. AFFIRMATION I, hereby, certify and affirm that all of the information I have given in this application is true and accurate to the best of my knowledge. I further certify that I have in no way attempted to mislead the City in this application by omitting facts known to me. I agree to cooperate with any review conducted pursuant to the licensing procedures, including permission to enter and inspect the place of business and facilities in conjunction with such review. I certify that I will not allow massage therapy to be performed at this establishment by any person who does not possess a current massage therapist license. I have read and understand the regulations of the Massage Establishment and/or Therapist license found in the City of South Bend Municipal Code, Section 4-35. )jam LVIA 01 J912025" C Signature Date St. Joseph County Department of Health ,�IQLL.,. I " 1 'To promote health and wellnes with compassion and integrity V through partnerships, education, protection, and advocacy for all who reside in and visit St Joseph County. " ST. jOSEPH COUNTY DEPARTMENT OF HEALTH Permit For: Operation of a Massage Establishment Issued To: L & L BODYWORK LLC Owner: IIANGAN LYU Expires: 2/28/2026 SR/Permit No: 2500187 The St. Joseph County Health authorizes Massage Therapy to be performed at the facility identified above in accordance with St. Joseph County Code 113. Any person performing a massage must have a Massage Therapist Permit. This permit must be posted in view of the public Michelle Migliore, DO St. Joseph County Health Officer