90-1633�- ,--�
` ��3�j�7Cc�uncil File � Q� G �
0 � I G �N A L ��,,----� �
�reen Sheet # 11530
RESOWTION I
I F SAINT PAUL, MINNESOT�A
� Presented
.
Referred .To Comm�ttee: Date
I
RESOLVED: That application (ID ��43624) for a Massa e Therapist
License by Rebecca N. Montez DBA Maximil'ano Hair Galleria
at 937 Grand Avenue, be and the same is ereby approved.
I �
.
eas Navs Absent Requested by epartment of:
inron
�w�- �.
on License & Permit Division
_acca ee
!�e��ma
une �,
z son BY�
.-.—
Adopted by Council• Date � Q Form Approve� by City Attorney
.
Adoption Certified y Council Secretary gy: • � �i 2/�ld
BY� Approved by ayor for Submission to
Approved by Mayor: Date SEP � 2 1990 coun�i�
.
,
By: � � By� i
BUBUSMED S t� 2 `' 199Q '
I
, . �,��,33
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DEPAR ENT/O CE/COUNCIL DATE INITIATED �/' '
Finance L cense GREEN SHEE N� _11530
CONTACT PERSON&PHONE INIT�AUDATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris VanHorn/298- 056 ASS��N �CITYATfORNEY �CITYCLERK
MUST BE ON COUNCIL AGENDA BY(DATE) NUMBER FOR ❑BUDOET DIRECTOR �FIN.&MGT.SERVICES DIR.
Ci y Clerk ROUTIN6
B ORDER �MAYOR(ORASSISTANT) � Crnmri 1 jt
Hearin /q����c� G o
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Applicat on (ID��43624) for a Ma.ssage Therapist Lic nse.
FiECOMMENDA71oNS:Approve(A)or Rsject(R) pERSONAL SERVICE CONTRACTS MUST ANS R THE FOLLOWING QUESTIONB:
_PLANNINa COMMISSION _CIVIL ERVICE COMMI8310N �• Has this person/firm ever wOrked under a contra for this departmeM?
_CIB COMMITTEE _ YES NO
2. Has this person�rm ever been a city employee
_STAFF — YES NO
_DIS7RIC7 COUR7 — 3. Does this person/firm possess a skill not norma y possessed by any current city employee?
SUPPORT3 WHICH COUNCIL OBJECTIVE7 YES NO
Explain all yes answsrs on separate sheet and ttach to yroen shest
INITIATINO PROBLEM.ISSUE,OPPORTUNITY Who,Whet,When,Where,Why):
Rebecca . Montez request Council approval of her ssage Therapist
License t 937 Grand Ave. DBA Ma.ximiliano Hair Ga leria. All
applica ions and fee of $83.50 have been received Al1 required
departm nts have reviewed and approved this appli ation.
ADVANTACiES IF APPROVED:
DISADVANTAGES IF APPROVED:
OISADVANTA(iE3 IF NOT APPROVED: �
Co nci! Research Center
AUG �41�1i .
.�,�,.
TOTAL AMOUNT OF TRANSACTIO S COST/REVENUE BUDGE Ep(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN)
� ;►
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 types of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. City 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
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others,and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. City Attomey
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. City Attomey
3. Finance and Management Services Director
4. Ciry 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 projecUrequest seeks to accomplish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
issue. Do not write complete 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 wili be used to determine the city's 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 City of Saint Paul
and its citizens will benefit from this project/action.
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 Whom7 When?For how long?
DISADVANTAG�S IF NOTAPPROVED
What will be the negative consequences if the promised action is not
approved? Inability to tleliverservice?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?
� . ��c�o"��33
DIVISION OF LICENSE A1� ERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVI CHECKLIST Appn P ocessed/Received by
Lic Enf Aud
Applicant -z. Home Address �U- 1 1 O
Business Name �(ti.�C� 'c�,.-� � I�r�iome Phone la.� ��' Q-c�. (.�?S�t�.
,���-,.�/ �
Business Address � C� • Type of License(s) �
Business Phone '1 ( 1�(�L,�A�. •
Public Hearing Date License I.D. � �
at 9:00 a.m. in the Co ncil Chambers,
3rd floor City Hall a Courthouse State Tax I.D. �� $�
Date Notice Sent; Dealer �
to Applicant
Federal Firearms 4�
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COrIlKENTS
A roved Not A roved
Bldg I & D I
�l d� o, �,
Health Divn. I
Q� I
Fire Dept. �
�114 �
Police Dept.
��c��k � C�
License Divn. (
�� a � I a-k
City Attorney �
�I�.� � � �
Date Received:
Site Plan
To Council R earch
Lease or Letter Date
from Landlord
, � , CITY OF S'i. PAUL . �����3 3
' DEPART."�1VT OF FINAi�IC�' AND MANAG�LNT S VICES
LICENSE AND °ERMIT DIVISZON
Please answer a.11 qu stions fully and completely. This applic tion is thorough� checked.
Any falsification wi 1 be cause for denial.
' 19
Da e i•�� _:, �.. =�:
1. Application for ' -:-•� -.=,�-� n (License)(Permit)
2. Name of applican ?._ »;^�;- -•� � - • = � -
3. If applicant is/ as been a masried female, list ma.iden name ��__= --=...w:o
4. Date of birth�- - -- -�Age �- Place of birth ;�. ?= `_ - .�'
5. Are you a citize of the United States Native � Nat ali2ed �
6. Are you a regist red voter ;t=� Where ',;.�:,�, i';. _ - �
7. Home Address • - _ . :�'.;. �' - Hom Telephone ' � -
8. Present business address r� � _i-:a. S�.?•���_'_ "' Business Telephone - " r��� ''
9. Including your p esent business/employment, what business/ mployment have you
followed for the past five yeaxs..
Business/em loyment, ddress
.V,,
I. –
10. Married ��°' if nswer is "yes", list name and address of pouse
S�. r ,i' �`T
Je�s:. . i'o:� �_: ->j :i�ca,°'','_u� :�,ve '1 �,
11. If this applicat'on is for a M assage Therapist License, li t time so occupied.
'•'^ ° Years Months.
12. Eave you ever be n ar*_�ested '�O If answer is "yes", list dates of axrests, �rhere,
charges convicti ns and sentences.
Date of arrest 19 Where
Charge
Conviction Sentence
Date of arrest 19 �d1'iere
Charge
Conviction Sentence —
. � � � ��90-/�3�
13. :ive na.�es a.nd 3d �=sses of �wo persons, residents of �t. ? �' , �inneso�a �rro ca.n
��ve =nfor�at:oa onc�r�i� fou.
iVAME . 4D RESS
--ar�r ::e�s:�.e^ j:j= -��Per 7Jr^ Str°at T:_ve�: 'iZOV2 uei��_:ts :�'.
T,�,,,;o T:• �aa -.�, 1 �:�� ".,�.
=o__�a S.,
State of ;�iinnesot�. }
) S
Count�r of Ramsey ) :
being f�rst duly scrorn, de�c�ses and says upon oath
that '�e has read the f regoing state�ent bearing his sigr_ature a d knoWS the contents
thereof, and that the ame �s true or his own knowledge except a� to those matters
tner=in stated upon in OT'II18Lion and belief and as to those matte�s he believes them
to be true.
Subscrioed and sworn t tiJefOl'P me �
Signa l:xe of App , �.nt
th�s ' 7� day o� ,� - 19 G O
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ti -�. ;_ ; �_ Y�C�.,.J . _,,,..� ■
itotary Public ,.��'e�,� oant�, ��ianesota KRISTI A L VAN HORN ;
NOTARY P 8UC—MiNNES:!?; >
r DA OiA COUNTY �
My Co�mi.ssion expires� c•..-�� 14� My Commissi n Exp�res�a�, .
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