90-1493 � K �.� � � n � . Council File ,� �� ��
!1
Green Sheet � 10554
RESOLUTION �,�` �-,,
ITY SAINT PAUL, MINNESOTA ,' , fr
; ��,,�`
Presented y -
Referred T � Committee: �Date
RESOLVED: That pplication (I.D. ��24895) for a Massage Therapist License applied
for b Barbara M. Glomnen DBA Gwendolyn's Salon at 489 W. 7th Street
be an the same is hereby approved.
eas a s �s t_ Requeated by Department of:
w
_�
on � License & Permit Division
� ee
e an
—TFiuson — � BY�
Adopted by Counci : Date A�� 2 � 1990 Fo� Approved by City Attorney
Adoption Certifie by Council Secretary gy: . � g����
By° Approved by Mayor for Submissibn to
Approved by ayor Date
AUG 2 7 199Q counci�
?�,,� �i� BY'
By:
PUBIISHED S E P - 11990
. (,�y�-���3 �`
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� _10 5 5 4
Finance/License GREEN SHEET
CONTACT PERSON 8 PHONE INITIAUOATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298- 056 A��aN �CITYATTORNEY �CITYCLERK
NUMBERFOR
MUST BE ON COUNCIL AG DA BY( TE) ROUTING �BUDCiET DIRECTOR �FIN.8 MOT.SERVICES DIR.
For Hearing:���I� � 4� ORDER �MAYOR(OR ASSISTANT) ��
TOTAL#OF SIGNATURE P GES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�UESTED:
Application (I.D. 24895) for a Ma.ssage Therapist License
RECOMMENDATIONS:Approve(A)or R iect(R) pER30NAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING�UESTIONS:
_ PLANNING COMMISSION CIVIL SERVICE COMMISSION �• Has this person/firm ever wOrked under e contraCt for this depa►tment?
_CIB COMMITTEE YES NO
2. Has this person/firm ever been a city employee?
_STAFF
YES NO
_oiSTFliCT CouRT 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCII OBJECTI E? YES NO
Explsin all yes answsrs on separate sheet and attach to grssn shest
INITIATINO PROBLEM,ISSUE,OPPO NITY(Who.What,When,Where,Why):
Barbara M. Glomnen DBA Gwendolyn's Salon requests Council approval of her applicatian=��zsr=.a
Ma.ssage Therapist icense. Al1 required applications and fees $83.50 have been submitted.
Al1 required depar ments have reviewed and approved this application.
ADVANTAGE8 IF APPROVED:
DISADVANTAGES IF APPROVED:
DISADVANTA(iES IF NOT APPROVED:
���D
AUG141�,q0 Council Research Center,
�';UG }�1y�U
ClTlt C�ERK -- - -
TOTAL AMOUNT OF TRANSACTIO S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDIN(i SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ,J�
��
. �ya-���
DiVISION OF LICEN E AND PERMIT ADMINISTRATION DATE /
INTERDF.PARTMFI�TTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant r ' �� - l(� � Home Address ��(9� F'l��ti�(Its�-Q',�U�� 3
Rusiness Name (,���C�I� 1S ��,� Home Phone ��i�( b "5 5 L9�1
Business Address `�r� � . �.�=1- JE , Type of License(s) �G{_j�(:t_�� � r�'���J�S`�
Business Phone -] -� pl,j��,
Public Hearing D te License I.D. 4� pZ���'(`�
at 9:00 a.m. in he Council Chambers,
3rd floor City H 11 and Courthouse State Tax I.D. IC �Cj �1[�)( oG
llate Nutice Sent Dealer �i � � �}
to Applicant � �
Pederal Fi_rearms ��
Public He�.iring
DATE INSPECTIUN
REVIEW VERFIED (COMPUTER) COMMENTS
A roved Not A roved
�
Bldg I & D �
n I �,
YLV L c-� ��
Health Divn. �� ! .
� ' � o k i,��„ ,-�,�,d�� -� 1�a �ti�
,
Fire Dept. � �
i � � � I ,�G .
l�
I �
Yolice Dept. � I
� � � G�
License Divn. �
-� l l� ' O�
City Attorney I �
� I � � ��
Date Received:
Site Plan `n
To Council Research
Lease or Letter Date
from Landlord fC
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
� � �9o-/yy�
� ` ' CITY OF S'i. PAUL ,
DEPART:�E�ti T OF r IVA,NCE aND MANAGEI'�:iT S�tVIC:.S
LIGENSE AND P�tMIT DIVISION
Please aaswer a11 que tions fully artd completely. This application is thoroughly checked.
Any Pa.lsification �ril be cause for denial.
�
� Date J�1 ?.9,�(1
1. Application for �i� ,S :� a � �� J S��"��� '�S �License)(Permit)
2. rr�e o f appli c ant � '�('u�Cl t��--- �t r� �- (S/C�1 �'�l 'C� ✓�
3. If applicant '�s�h s been a married female, list maiden name �i( �i j� ���� ``�
4. Date of birth ��� S�Age .� -� Place of birth �/%��S : �Z���
5. Are you a citizen of the United States�Native Naturalized
6. Are you a registe ed voter Where
� � %,�.5 S ./_ �
7, xome Address L� � /� ��Q ' ���� Sf C'Gt Home Telephone t� �
�-,��) /"' /��G;,f r��/ /L C,- �LI i J�Business Telephone ����'�.� �} �
8. Present business ddres= .�
9. Including your pr sent business/employznent, what business/employment have you
followed for the ast five yeaxs. �
Business/emp oyment. Address
��-� l�-c.; c.. �Z'L-= r��'�.5. .� j 2�., S S ����� ��l��f-f���'��
��l� � )�,v j ivl. �G�C, �j,u. �GLC� �lC�L �� G�L�N�J �G�ti-c�'f� /�'I6ZJ
,�s �'' i�/� _, ��� �— ��� �� �'�'1�--.�U c-� ,��/�t���; �2>�
�
10. Married ��5 if sWer is "yes", list name and adc'.ress oY spouse
.S�v-i �U : �/C' �n 1''I l�'t�-2c'� ���; ,S 7' �"�ci ,.�('� /�ii�
11. IP this applicat on is for a Massage Therapist License, list time so occupied.
�j � � ve� Months.
I2. Have you ever be a arrested ,�� � L • IF aasver is "yes", list dates of arrests, ��rhere,
charges coavicti ns a.nd seatences. �
Date of arrest i9 Where
Charge
Conviction Sentence
Date of arrest 19 �ere
Charge
Conviction Sentence
, , � - �G�a��y3
13. Give aames a�d d3resses of vuo �ersans, r�si3ents of St. ?�t:l, M.in�esots ��o ca.n � �
give infor�a.tio conceraing �ou.
�1�� . ADDRESS
�---� 1 � � �
f � `'1 / l �'�,.,"S �G' �.,� �. � ,�� `C� ! ��G' 2.t-�o t , �ti�1�ti,`�� �
/ ) 1 �,Y��r �_
�� C�/1 Gt w �'� " ) 1�.� ,�—�'r� L �i / �/� �c�
State of i+linnesota )
) SS
County of Ra.msey )
being °?rst duly sworn, deposes a.nd says upon oath
t'r.at he ras read t�e ioregoing statement bearing his signature and ?sno*�rs the content;
the:eof, and that th sasne is true of his own !�nowledge except as to those matters
therein stated upon nformation and belief and as to tr.ose matters he believes �he�
Zo be true.
. �
Subscribed 2.nd s�Norn to before ne ���L"" �� ����Z���
Signatu�re of Applicant
this � � day of J��....? ,, 19 '�'^)
�
� - C
, , ■ tiv.,�.,�,:,,,.�
' �""� KRISTINA L.VAN HORtJ "
`Ictasy Public , ' County, Minnesota � NOTARY PUBLIC—MIVNE�OTa ;
�� �— DAKOTA COUNTY
�iy Co�ission e�ire i,..� o� � My Commission Expires Jan. 2, i99:: �
vvVwwvvww ��>