§ 8A-5. Permit application.

To obtain an annual permit to operate a boarding home facility, a person must submit an application to the director on a form provided for that purpose and pay the permit fee. The applicant must be the owner or operator of the boarding home facility. If the owner or operator is not an individual, an authorized officer or agent of the owner or operator must submit the form. The application must contain the following information before it is considered complete and subject to review:

(1)

The name, mailing address, email address, telephone number, a legible copy of the driver's license or other official state or federal identification card, and the date of birth of the applicant. The mailing address may not be the address of the boarding home facility unless the applicant actually resides full-time at the boarding home facility.

(2)

The name, form of business, mailing address, email address, telephone number, a legible copy of the driver's license or other official state or federal identification card, and position of the authorized officer or agent filing the form on behalf of the applicant, if the applicant is not an individual. If the applicant is a legal entity, such as a corporation, partnership, association or nonprofit, a copy of the documents establishing the entity. The mailing address may not be the address of the boarding home facility unless the authorized officer or agent actually resides full-time at the boarding home facility.

(3)

The names, mailing addresses, email addresses, telephone numbers, legible copies of the drivers' licenses or other official state or federal identification cards, and dates of birth of any owners, operators, or employees of the boarding home facility other than the applicant. The mailing address may not be the address of the boarding home facility unless the owner, operator, or employee actually resides full-time at the boarding home facility.

(4)

If the operator of the boarding home facility is renting or leasing the home or facility, then the operator must present a letter from the owner of the real property authorizing the use of the rental property to operate a boarding home facility and acknowledging the requirements for the property to be used as a boarding home facility set out within this chapter.

(5)

The street address and telephone number of the boarding home facility.

(6)

The name, mailing address, email address, and telephone number of a person(s) to contact in an emergency.

(7)

Completed state or federal request and release forms authorizing the city to obtain a criminal history report on each owner and operator of the boarding home facility. To the extent that the criminal history report does not provide information regarding the final disposition of a criminal case, then the owner and operator shall provide such information to the city upon request.

(8)

The maximum number of residents that will reside at the boarding home facility pursuant to section 8A-19 of this chapter.

(9)

The services to be offered or provided to the residents of the boarding home facility.

(10)

A verification from the city's planning department stating that the proposed use of the property is not prohibited under the city's zoning regulations.

(11)

If the boarding home facility has one (1) or more residents with a disability, a list of the general disabilities of the resident(s) and information as to whether the individuals with disabilities are ambulatory or suffer from a mobility impairment.

(12)

If the boarding home facility has one (1) or more residents who are recovering from an addiction to alcohol or a controlled substance but are not currently using alcohol or a controlled substance, a document that describes the applicant's, owner's, or operator's plan for ensuring that the residents continue to refrain from using alcohol or controlled substances, including all rules by which the residents must abide.

(13)

A statement that, by filing this application, the applicant swears or affirms under penalty of perjury that, to the best of the applicant's knowledge, all information contained in the application is true and correct and that the application is complete and includes all information required to be disclosed under this section.

(14)

Such additional information as the applicant desires to include or that the director deems necessary to aid in the determination of whether the requested permit should be granted.

(Ord. No. 2015-9654 , § 1, 1-15-15)