90-1608 0 R i G� N A L - _ j� �oun��� F��e � �� ���
� Green Sheet � 10553
RESOLUTION
C SAINT UL, MINNESOTA
Presented By
Referred To � Committee: Date
RESOLVED: That A plication (I.D. ��21221) for a Ma.ssage Therapist License applied
for by Karen K. Carrier DBA Posh Hair Design at 14 E. 4th Street be and
the sa e is hereby approved.
Ye Navs Absent Requeated by Department of:
zmon
� w'� License & Permit Division
on -..,
acca e
et ma
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z son SY�
Adopted by Council Date SEP 6 1g90 Form Approved by City Attorney
Adoption Certified by Council Secretary gY: � �.�• qU
BY� Approved by Mayor for Submission to
Approved b ayor: Date P
7 1990 Council
By. � By:
PUBIISNED S t P � 5 1990_
. � .
� 9�-/�o�
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� _10 5 5 3
Finance/License GREEN SH�ET
CONTACT PERSON 8 PHONE INITIALj'DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-50 6 A��aN �CITYATfORNEY �CITYCLERK
NUMBER FOR
�'ST B N C04NCIL �I A (DATE) ROUTINQ �BUDdET DIRECTOR �FIN.8 MaT.SERVICES DIR.
or �earing:�j��(O ORDER �MAYOR(OR ASSISTANn Lt] Council Research
Must be to Cit Cler B :� r1,U
TOTAL#OF SIGNATURE PAGE (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUE3TED:
Application (I.D. 4� 1221) for a Massage Therapist LIcense
RECOMMENDA710NS:Approve(A)or Reject R) PERSONAL SERVICE CONTRACT8 MUST ANSWER THE FOLLOWING QUESTIONB:
_PLANNING COMMISSION _ VIL SERVICE COMMISSION �• Has this person/firm ever worked under a cantract for this departmeM7
_CIB COMMITfEE _ YES NO
_S7AFF _ 2• Has this person/firm ever been a city emplo�ee?
YES NO
_DISTRICT COURr _ 3. Does this person/firm possess a skill not normall
y possessed by any current city employee?
3UPPORTS WHICH COUNCIL OBJECTIVE7 YES NO
Explaln all yss answers on separats ahest qnd attach to grssn sheet
INITIATING PHOBLEM,ISSUE,OPPORTU (Who,Whet,When,Where,Why):
Karen K. Carrier DB Posh Hair Design requests Council approva�l of her application for a
Massage Therapist L'cense at 14 E. 4th Street. All applicatinas and fees of $83.50 have
been submitted. A1 required departments have reviewed and approved this application.
ADVANTAGES IF APPROVED: '
DISADVANTACiES IFAPPROVED:
DISADVANTAQES IF NOT APPROVED:
RECEIVED
AUG�01990 iI Counci� �esearch Center
.�![Y CLE�tK �El� 2 7����
m��
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGE7fEp(CIRCLE ONE) YES NO
FUNDINO SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN)
dw
. s .
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DIVISION OF LICENS ANn P�;RMIT ADMINISTRATION DATE /
INTERDF.PARTMEhTAL EVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicaut= � _ Home Address_Z'�`�i� 1��. �;�,
. r't;�.�
� • ��� -
Business hame , �✓�
. � �( Home Phone ��y- 1 ��(:.��
� �
Business Address � . �� �� - Type of License(s) "����t�� l�'��� 1�f .:L+ ��L`
Business Phone - � �
Public Hearing Da e � License I.D. �f ,� �;�:� 1
at 9:00 a.m. in t e �ou i1�Ch mbers, _
3rd floor City Ha 1 and Courthouse State Tax I.D. �� •���( 1"°���% 1(_�
llate Nutice Sent; Dealer �� Y � IFi
to Applicant .a"� �ld
rederal Fi_rearms �� Y" ) � �.,
Public Hearing
DATE INSPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
A proved Not A roved
�
Bldg I & D � ` � � „ _
, n�1 11�1 c_ - `��Q,
�
�
Health Divn. '
!��5� n ' .
o � � - .��
�
Fire Dept. j �
i �
i I°� I
� f
Police Dept. `
���� � �
License Divn. �
���� ;
' b�i
City Attorney � i� �
I � ��
Date Received:
Site Plan ;-1
To Council P.esearch
Lease or Letter Date
f rom Landlord -"�
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
, . � ' �'o -/� ��
CITY OF S'i. PAUL •
�iPAR�:tT OF �'I^tANCL AND :KAPIAG�NT SERVIC�'�.S �
LIC�..`NSE AND P�tMIT DIVISION
Please a.nswer all quest ons fu11y and completely. This appl.ication is thorough� checked.
Any falsification will e cause for denial.
Date �o �S � 19 Y°
l. Application for ss� a (,��'z %�T �c.� s c �License)�Permit)
2. Name of applicant r' ' f'
3. If applicant is/has been a married female, list maiden name jc� �verl��n
4, Date of birth /'� Age�_Place of birth �'(p�S �N.
;. Are ycu a citizea o the United StatesleS Native Naturalized
6. Are you a regi stere voter ►/c,5 Where /�o�e d;/�a �A
,�/-T-- ss/�3
7. Home Address � /(�. i�c�or,a oseu' fe �• Home Telephone ��f�-/S6✓�
8. Present business a dress��j72.c Business Telephone /1/e� �
9. Including ;�our pre ent business/employment, what business/employment have you --
followed for the p st five years. �� �
Business/empl yment. Address -- . .
,• ;ur, s � C��r. ,3� (n roln e� .¢-✓e �'`.- /c3�/ 'I'�')e-r�s/o z.._
..., •
10. Married(/��if an Wer is "yes", list name and adc'.ress of spouse�i-C_-�a,rc� � �arr;c.r
�—�/�
c�0,�P /l�• . ��r. o �u.'/lc i!• ��/�.�
11. Zf this applicatio is for a Massage Therapist License, Iist time so occupied.
Years � Moaths.
12. �ave you ever bee arrested�a .. If ans�rer is "yes", list dates of arrests, where,
charges convictio s and sentences. `_-:-� -
�=
Date of axrest 19 Where -
Charge - .
Coaviction Sentence
Date of arrest 19 �ere ,. -
�
Clzarge
Conviction Sentence
. . ' , q4�1 Co��
i3• Give names ar.d a dresses of tWO persons, residents of St. Paul, Minnesota uho can
give infor�etion concerni�g fou.
NAP�L . ADDRESS
�,� f � �.3-y � - �
�' .�� 73S' ��---� � �'���'� �� ���
State of P+finnesota )
) S
County of Ramsey )
being first duly sworn, deposes and says upon oath
that he has read the foregoing statement bearing his signature and kno*�rs the contents
thereof, and that the 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 -G �
� Signat e of Applicant
this �� day of '$�,�� 19 q'o
No ary Pub 'c , Rams ty, Minnesota
P•ty Commission expire io -- ''� '�3 '