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90-1138 O K I � i �t� � Council File � d ' d IY Green Sheet # 10582 RESOLUTION � CI OF SAINT PAUL, MINNESOTA ,� ,�'� � Presented By Referred To Committee: Date RESOLVED: That Application (I.D. ��44003) for a Massage Therapist License applied for by Julie A. Potthoff DBA Sister Rosalind Gefre's Professional Massage Center at 1999 Ford Parkway, be and the same is hereby approved. =-�'eas Nays Absent Requeeted by Department of: to �osw o � � License & Permit Division cca ee e ma �sne �` i son _� � BY� Adopted by Council: Date JUL 5 1990 Form Approved by City Attorney Adoption Certified by Council Secretary • sy: � � G -7-9� By' �Ji��itG�r1�� APProved by Mayor for Submission to J� s jgy� Council Approved by or: Date g �n�.,�,�./�� By: Y• p�g�� U L 141990 . . , , . ��a`��nN I['�'� DEPARTMENT/OFFICE/COUNCIL DATE INITIATED Finance/License GREEN SHEET N° _10582 CONTACT PERSON 8 PHONE IN�TIAWATE INITIAL/DATE �DEPARTMENT DIRECTOR �CITY COUNCIL Kris Van Horn/298-5056 ASSIGN �CITYATTORNEY m CITYCLERK NUMBER FOR MUST BE ON COUNCIL AGEND BY DATE) ROUTING �BUDCiET DIRECTOR �FIN.8 MCiT.SERVICES DIR. Piust ber�ogCi y�cf uncil by: ORDER � �� R MAYOR(OR ASSISTAN'n TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Application (I.D. 4�44003) for a Massage Therapist License RECOMMENDATIONS:Approve(A)or Re)ect(R) PERSONAL SERVICE CONTRACT8 MUST ANSWER THE FOLLOWING CUESTIONB: _PLANNING COMMISSION _CIVIL 3ERVICE COMMISSION 1• Has this personlfirm ever worked under a contract for this department? _CIB COMMITTEE _ YES NO 2. Has this person/firm ever been a cfty employee? _8TAFF — YES NO _DISTRICT CoUR7 — 3. Does this rson/firm ossess a skill not normall pe P y possessed by any current city employeeT SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Explaln all yes answers on separate shaet and attach to grssn aheat INITIATIN(�PROBLEM,ISSUE,OPPORTUNITY(Who,Whet,When,Where,Why): Julie A. Potthoff DBA Sister Rosalind Gefre's Professional Ma.ssage Center at 1999 Ford Parkway requests Council approval of her application for a Massage Therapist License. All applications and fees of $83.50 have been submitted. Al1 required departments have reviewed and approved this application. ADVANTAQE3 IF APPROVED: DISADVANTA�ES IF APPROVED: OISADVANTAOES IF NOT APPROVED: RECEIVED �ouncil Research Cent�er. �� J�.J;:� �?�ly9U CITY CLERK w' TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDIN(i SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) t W lL NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL MANUAL AVAILABLE IN THE PURCHASING OFFICE (PHONE NO.298-4225). ROUTING ORDER: Below are correct routings for the five most frequent rypes of documents: CONTRACTS(assumes suthorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept.Grants) 1. Outside Agency 1. Department Director 2. Department Director 2. Ciry Attorney 3. City Attorney 3. Budget Director 4. Mayor(for contracts over$15,000) 4. Mayor/Assistant 5. Human Rights(for contracts over$50,000) 5. City Council 6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services 7. Finance Accounting AOMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others, and Ordinances) 1. Activity Manager 1. Department Director 2. Department Accountant 2. City Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. City Council 5. City Clerk 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDERS (all others) 1. Department Director 2. Ciry Attorney 3. Finance and Management Services Director 4. City Clerk TOTAL NUMBER OF SIGNATURE PAGES Indicate the�of pages on which signatures are required and paperclip or flag each of these pages. ACTION REQUESTED Describe what the project/request seeks to accomplish in either chronologi- cal order or order of importance,whichever is most appropriate for the issue. Do not write comptete sentences.Begin each item in your list with a verb. RECOMMENDATIONS Complete if the issue in question has been presented before any body, public or private. SUPPORTS WHICH COUNCIL OBJECTIVE? Indicate which Council objective(s)your projecVrequest supports by listing the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.) PERSONAL SERVICE CONTRACTS: This information will be used to determine the cirys liability for workers compensation claims,taxes and proper civil service hiring rules. INITIATING PROBLEM, ISSUE, OPPORTUNITY Explain the situation or conditions that created a need for your project or request. ADVANTAGES IF APPROVED Indicate whether this is simply an annual budget procedure required by law/ charter or whether there are specific ways in which the Ciry of Saint Paul and its citizens will benefit from this projecUaction. DISADVANTAGES IF APPROVED What negative effects or major changes to existing or past processes might this projecUrequest produce if it is passed(e.g.,traffic delays, noise, tax increases or assessments)?To Whom?When? For how long? DISADVANTAGES IF NOT APPROVED What will be the negative consequences if the promised action�i's not approved?Inability to deliver service?Continued high traffic, noise, accident rate?Loss of revenue? FINANCIAL IMPACT Although you must tailor the information you provide here to the issue you are addressing, in general you must answer two questions:How much is it going to cost?Who is going to pay? . . �j=9D�� DiVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �� / C.2 Cf INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant � � �� Home Address 1�5 lJ.�. �j . 1•S GQ U Ausiness Name ��r�� ,�[,��Q ��.p^�S�� Home Phone (Q3(g _ �0 3C.� rn�l35A GEY• r— Business Address ��cc.�� Type of License(s) ��{��Q� � o,.��- , Business Phone �cj � - � ( a,� Public Hearing Date � �5�(1 a License I.D. 4{ ��7Q 3 at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� aCr3�C11 (,Q llate Nutice Sent; ' I Dealer 4f '� �R to Applicant l.� (a� �Gl U Pederal Fi_rearms �� (� Public Hearing DATE II�'SPECTIUN REVIEW VEKFIED (COMPUTER) CUNIl�fENTS A roved Not A roved � Bldg I & D �Q l !j 1 � � Health Divn. ' � �1� , � �� , Fire Dept. � , � ��(k � �� -�i al'� C?� .� . I � Police Dept. ' f 111[ �S License Divn. � LQ l c-5 ' O City Attorney � �� d �, Date Received: Site Plan �� To Council Research Lease or Letter Date f rom Landlord "�l� CURRENT INFORMATION NEW INFOItMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: - - Workers Compensation: New Officers: Stockholders: � � ' CITY OF S'i. PAtTL l�+ 7O "//3� ' DEPARTMENT OF FINANCE AND MAAAGEI'�NT SERVICES LICENSE AND PERMIT DIVISION Please a.aswer a11 questions flilly and completely. This application is thorough� checked. � Any falsification will be cause for denial. natc �/3/ i9 -��D 1. Applicatioa Por rn��i� %��-a-�-� �License)�Permit) 2. Name o P appli c ant �►�-� �n/1 :.�;��'�5 — 3. If applicant is/has been a married female, Iist maiden name � �+. Date of birth G��' �G/YS`SAge i. 1 Place of birth �� L'�� 5. Are you a citizen of the United States�,Native Naturalized 6. Are you a registered voter t �S Where 7. Home Addre s s .`�`/� % � � � :�c'� V Home Telephone �3 •>-S ��3�/ 8. Present business address /� / �7- - ,�Cc`; Business Telephone �l- �Gl/�-3 � .�,...��, i�!'n1 � 9. Includir_g your present business/employment, What business/employment have you followed for the pa.st five years. ' Business/employment. Address '� . �• �„ /� � �i"�. �' SSt�n�l , � � ' .� �� yllv .� r�/ •�t S� �,, c/ C�`��'1�__�a_'_ __ 'G 1� ��. I0. Married ,�if ansver is "yes", list name and adc'.ress of spouse 11. If this application is for a M assage Thexapist License, Iist time so occupied. Ye�.rs � �' Months. 12. 3ave you ever been axreste��_If a.aswer is "yes", list dates oP arrests, where, charges convictions a.ad sentences. Date oF arrest 19 Where Charge Convictioa Sentence _ Date of arrest 19 Wfsere CYiarge Convi.ction Senteace _ ' . � . � U=9o-/r�� 13. Give names and addresses of two persons, residents of St. Paul, Minnesota �rho can give information concerning you. NAN� . ADDRESS �a�,�1� G-. .� � �� ,�%� �� P�,�/�i't�I .�ir� , Gr-c�� 2�-�a,,,�.�n �59�" k�. .1ha State of Minnesota ) 5S(� ) SS County of Ramsey ) being first duly sworn, deposes and says upon oath that he has read the foregoing state�ent beaxing his signature and knows the contents the�eof, and that �he same is true of his own knowledge except as to those matters - therein stated upon information and belief and as to those matters he believes them to be true. Subscribed and s��rorn to before me � � �� Signature of A�fp-Yi,cant this day of 19� � �� Notar ublic, Ramsey County, Minnesota �'-��''� RO$ERT W. KESSLER NOTA3Y VU9UC—A1!NNESOTA /� n RAMScY GOI:I�'TY Diy Commission expires � /( � `� a�ec+wir�ssw�+ctiP�acsieb. 14,1991