Rental Agreement for Cosmetology/Massage Therapists/Tattoo Artists This serves to notify the Norfolk Department of Public Health that the following renter has permission to operate out of my permitted establishment:Renter's Information Name of Renter PhoneOccupationDPOR or Board of Nursing Certification #Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date MM slash DD slash YYYY Permitted Establishment's InformationName of EstablishmentPhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code DPOR Shop Certification #Owner Name Full Name Date MM slash DD slash YYYY Last Updated: April 24, 2025