90-1324 0 R ! G 1 N A L . : � �ouncil File � ' ,�
Green Sheet # 10603
RESOLUTION �—
/ ,�
ITY OF SAINT PAUL, MINNESOTA � � e�
�
Presented By -
Referred To � Committee: Date �
RESOLVED: That application ID��78023 for a Massage Therapist License by Judith
Ann Postiglione doing business at Sister Rosalind Gefre's Professional Massage
Center at 1999 Ford Parkway be and the same is hereby approved.
� Navs Absent Requested by Department of:
�no
osw v
on �—
acca ee �—
e ma �—
ane
so �— By:
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Adopted by Council: Date AU� 2 1990 gO� A oved by City Attorney
Adoptio Certified by Council Secretary By:
r,,
By� Approved by Mayor for Submission to
� / Council
Approved by Mayor: Date pW 1990
By: By�
PUBLISNEO AU G 1 1. 1990
. ' • rt f A �O'/� `�
/I/ ��
U
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� _10 6 3
Finance & Mana ement/License G R E EN S H E ET
CONTACT PERSON&PHONE INITIAL/DATE INITIAL/DATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/5056 ASSI6N �CITYATTORNEY �CITYCLERK
NUMBER FOR
MUST BE ON COUNCIL ACiENDA BY(DATE) ROUTtNG �BUDGET DIRECTOR �FIN.8 MOT.SERVICES DIR.
. ORDER �MAYOR(OFi ASSISTANn � ,��R
ti ldc�
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUE3TED:
Application ID��78023 for a Massage Therapist License.
RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWINO OUE3TION3:
_PLANNING COMMISSION _ CIVIL SERVICE COMMISSION 1. Has this personlfirm ever wOrked under a contract for this department?
_CIB COMMITTEE _ YES NO
_STAFF 2. Has this person/firm ever been a city employee?
— YES NO
_DiSrRiC7 CoURT _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OB,IECTIVEI YES NO
Explafn all yes answers on aeparate aheet and attach to gresn�hest
INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Judith Ann Postiglione requests Council approval of her application for a
Massage Therapist license at 1999 Ford Parkway doing business as Sister
Rosalind Gefre's Professional Massage Center. All applications and fees of
$83.50 have been submitted. All required departments have reviewed and
approved this application.
ADVANTACiES IF APPROVED:
DISADVANTAGES IF APPROVED:
DISADVANTAQE3 IF NOT APPHOVED:
RECEIVED
JUL251�0 ��r�'� ��'rch canfie�
� � CITY CLERK `���` ����
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��
, ���',��y
UIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ��(���t0 / �,P �a.l �Cl�
INTERDF.PARTMEhTAL KEVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant ��_�Q,;� �-Y,n �'C�.��ir�i onP Home Address �'� s -1+b�1.� ��c ,
v
Rusiness Name � ����j��cL�.,�Q ���,�'�-Y��. Home Phone �G�- (�aC.o� _ _ _
yh�,.�s�.s.�- C�.✓•
Business Address �qc:�U� �r-�.�1 � ,�, ��' Type of License(s)
^ -�-
Business Phone ���- � ra�
Public Hearing Date �Gl�j(� License I.D. �F `-'( uU�3
at 9:OQ a.m, in the Coun 1 Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4t o2�t;S1 3�f/
llate Nutice Sent; l Dealer �� �'1 �
to Applicant l�, ��(�(�
Pedera2 F3searms �� �/� �_
Public He.iring
DATE INSPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
I� ��}' ; �� .
Health Divn. '
�
i�) a� � � �
-- '
Fire Dept. i �
� n �� � �/1.�� �--�-� �,Q
i �
Police Dept. I
��� �
License Divn. i
l.� (a� � 0�
City Attorney �
� �� ' p�
Date Received:
Site Plan I(��.pt-
To Council Research
Lease or Letter Date
f rom Landlord � � �j
CURRENT INFORMATION NEW INFOI2MATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
i ... , '
Stockholders:
, • � ._.
. C����3��
' CITY QF Si. PAIIL ;
• DEPAR':MEI9T OF FIV�NCE AND MANAGEI'�NT SE.RVIC::S
LICrASE AND PERMIT DIVISION
Please aasuer all questions f�ll;� a.nd completely. This applicatioa is thorough� checked. �
Aqy falsificatioa �rill be cause Por denial.
Dat� f�-l� 19 9D
1�. Applicatioa Yor $s�}Q� T�/��iQ��/s T t Licease)(Permit)
2. Ya.me o f app li c ant L1 u �jT� /S//� �O S r/G L/D/If�
3. Zf applice.nt is/'�as been a married female, Iist ma.iden name��/Il L- �/�'� _
4. �ate of '�ir�:� Age�Q^Place of birth �iNA/�SeTR
5. Are you a citizen of the United States�iVative Naturalized
6. Are you a :egistered voter��Where Sr ���
7. .Home Acdress� � �c� /�D��� Horae Tele�aone ' a�
. . 1•. , , , . _
. . . � , . � • ; . �, � ; ' .
8. Present busi.^.ess ad3:ess1 q9� /�o,eo p,��� Busi��SS T°1°Dhone�° 9q_ 9ia �
�-
9. Includi^g fou: �res°nt business/employmeat, �rhat business/emplo;�ent !�ave fou
�o1loWed °or the �ast :ive yeaxs.
3usiness/employment, AdcLress
' - a s��es
�r, o�i �.i� �cNae� ��1�� �. yi�re�g
,.�.,a.,,,,�.•...a.:--'-?
,��,��A� ��� � . . �. . .�� � � :y�-
t.r• '
•�' : . ' . �: ' .
} �.K. .�� .��d .... , � • . ,...w+.. .
10. Married�i£ s.as�er is "yes" , list name and a.dc'.r°ss d�r.e�eetr3�"'�i'��'/�'/Q/7�l
.
. •
11. If this application is ior a Massage Therapist License, Zist time so occupied.
: Years
L����c.-' �G L��=�'-� `�onttts.
I2. �ave you ever beea a.rrested��Tt aasver is "yes", Iist dates of arr°sts, where,
charges cvavictioas aad seatences.
Date of arrest 19 Where
Charge
Coavictioa Sentence
Date of arrest 19 ��ere
Charge
Convi.ction _ Senteace
� ' . . � r I�---y��3��
13. Give names and addr�sses of two persons, resideats of St. Paul, Minnesota vho ce.n
give information conczrning you. �
�� . ADDRESS
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�� 1 •'�� �—. 1 ' 1� �, '.... �.1+�i �'.i f� � F
being °irst duly sworn, deooses �.nd says uoon oeth
t he '�as r°ad tr� oregoing state�ent bearing't,�'ri� signature and knoWS the content;
her=of, and �hat ` same is true oF his own knowledge except as to those matters
therein stated upo i.C1f0:',Z13t'_O:? and 'oe,Iie�'. a�d.as"to those idat.��rs h ieves thec�
to b�. true., ,.C , • . . ' , , �
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