90-1634 .. �'.~,_-,.•,,C �uncil File � Q"�(���
OR � GIf�� L ��1 ; � .
� c�reen Sheet � 11531
RESOLUTION �
C OF SAINT PAUL, MINNESOT
Presented By �
Referred To Comm ttee: Date
RESOLVED: That application (ID ��57168) for a Massag Therapist License
by Michael Wilson DBA Sister Rosalind Gef e's Professional
Massage Center at 1999 Ford Parkway, be a d the same is
hereby approved.
a Navs Absent Requested by De artment of:
sw �
on License & ermit Division
a ee �
e �-
� e
i son BY�
Adopted by Council: D te CFp � i �Q4� Form Approved b City Attorney
Adoption Certified by ouncil Secretary By: • , � �iZ/ -Q�
By� Approved by May r for Submission to
Approved by or: D te SEp i 2 �g� Council
. /1
By:
,� ��/ By:
PU tlSNED S t P 2 21990
, r , �yo��G,3�
DEPARTMENTlOFFICE/COUNCIL • DATE INITIATED
Finance/Lice Se GREEN SHE T N° _11531
CONTACT PER30N&PHONE INITIAUDA INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris VanHorn 298-5056 A$$�GN �CITYATTORNEY Q CITYCLERK
MUST BE ON COUNCIL AGENDA BY(DATE) NUMBER FOR gUDOET DIRECTOR FIN.8 MGT.SERVICES DIR.
ity Clerk ROUTING ❑ ❑
Hearin � ORDER �MAYOR(OR ASSISTANn � ('.rnmri 1 R
g y/ �,
TOTAL#OF SIGNATURE PAC3E8 (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Applica ion (ID �1�57168) for a Massage Therapist L cense.
RECOMMENDATtONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MUST ANS ER THE FOLLOWING CUESTIONS:
_PLANNING COMMISSION _ CIVI SERVICE COMMISSION �• Has this person/firm ever worked under a contr ct fOr thi8 depertment?
_CIB COMMITTEE _ YES NO
2. Hes this personlfirm ever been a city employee
_STAFF — YES NO
_DISTRIC7 COURT _ 3. Does this person/firm possess a skill not norm I
y poasessed by any current city employeeT
SUPPORTS WHICH COUNCIL OBJECTIVEI YES NO
Explaln all yes anawers on ssparate sheet and ttach to grean sheet
INITIATINO PROBLEM,ISSUE,OPPORTUNITY Who,What,Whsn,Whsro,Why):
Michael ilson requests Council approval,of his a plication for
a Massa e Therapist License at 1999 Ford Parkway BA Sister Rosalind
Gefre's rofessional Ma.ssage Center. Al1 applica ions & fee of
$83.50 ve been submitted. All required departm ts have reviewed
and app oved this application.
ADVANTAGES IFAPPROVED:
DI3ADVANTACiES IF APPROVED:
DISADVANTAOES IF NOT APPROVED:
RECEIVEn
����81�o uncil Research Center,
CITY CtERK AUG 241��U
,,,.�
TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDGETEp CIRCLE ONE) YES NO
FUNDIN(i SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) �'A,
VV
� � .
NOTEt COMPLET�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. 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
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others, and Ordinances)
�
1. Activity Manager 1. Department Director
2. Department Accountant 2. Ciry 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. City 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 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 COUNCII.OBJECTIVE?
Indicate which Council objective(s)y�ur project/request 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 citys liabiliry 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 citfzens will benefit trom 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 is not
approved? Inabiliry 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?
. , . �.�o-/G3�
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE I/ v / ' 1� C
INTERDEPARTMENTAL VIEW CHECKLIST Ap n Processed/Received by
Lic Enf Aud
Applicant � , Home Address `� e._[ -Q�v .
Business Name �.�,�,�ome Phone a�a - ac�c�
rnc��c� .�,r .
Business Address Type of License(s �(
Business Phone - �
Public Hearing Date License I.D. � � -1 lt_.o�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4�
Date Notice Sent; Dealer �
to Applicant
Federal Firearms � ��}
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COMMENTS
A roved Not A roved
Bldg I & D .�I a, !
��j
Health Divn. �
�� �y � b�,
�
Fire Dept. �
nl � I
Police Dept. I
���,,� O�
License Divn. f
�l a� � o
City Attorney �
�[a� I o�5
ate Received:
Site Plan
To Council Resear h
Lease or Letter Date
from Landlord
�
� ` � ' CITY OF S'�. PAUL ��/�GJ�� ��p-3�
� AR'T':�PiT OF FT'Y�1�JC� AND MAtIAGE"�."i'I' S�VZry� . (� /
i,ICERSE AND P� T DIVZSION
Plea.se a.aswer all questio s fully a.nd completely. This application is thorough� checked. �
Any falsification will be cause £or denial.
Date � �° 0 19
/
1. Application �or � e�- � cens Per�it)
2. Name v� applica.nt i J
3. If applicsat is/has b en a married female, list ma.iden name •
4, Date of birth 7 � Age `�L- Place of birth � (
5. Are you a citizen of he United States � Native Naturali2 d
6. Are you a registered oter .� Where � 1
7, Home Address �� v�(L� � Hoiae Tele hone Z9 2 (2G�
� s+F � Business eleohone ��G rZ,�
8. Present business addr ss�qy4 �„�f�r �.�v M-
9. Including your presen business/employment, What business/emplo ent have you
followed for the past five yeaxs.
Business/employm nt. Addres
� � �
� <�s�r���� ��-��; .,,..�.�_ - � c#� � � .� �
,K .� . �' J `a s "_S � n-
�
10. Married if ansve is "yes", list aame aad adc:ress of spouse
�
11. IF this application i ior a M assage 'I'herapist License, Iist ti e so occupied.
( Yessrs Moaths.
12. xave you ever been ested /J� • If aasWer is "yes", list date of arrests, Where,
charges convi.ctions d sentences.
Date of arrest 19 Where
Charge
Coaviction Sentence
Date of arrest 19 �ere
Charge
Conviction Sentence
. , , . . C?F�o-�63f
�� r.-'_�? �2.r1ES �3 ad esses 02' �WO persons, 2'°S1C�eIItS Of ��. p8' ? 1�.�1*.1^.ES0�3 �CO �3Il
aive infor�a��o� :^ ncerniag ;�ou.
iV�+fE ADD ySS
� � � f-�. S" -��3 o r s, ,,,,,, sS�Q �
• r .� 's� I 7 2� �2. �'/
State of'`�?innesota ) �I,
\ uc
� �7
County of ?amsey )
; i� � ����; �,,� f,; � `-= being :'irst duly sWOrn, 3epos s �.nd says u�on o�th
ti:at he :as read the �o egoing statement beari�g his signature and !tno��rs the contents
the=eoi, and �hat the s e is true of his own '_�nowledge except as o those matters
therein stated upon inf rmat�on and belief and as to trose matters ::e believes t�!em
�o be true.
, *'.;� *N t f ,. � ��/�'""
�ubsc__�ed and s orn o be o_e ne
Signat e of ApD1iCZ*!t 1
this ��'� day of 1�1 � , � 19 �L
r iwv•rn,+
1 �..d.,� � :�-� ���-�-=� �-��- -ti� ,+'"� KRI TINA L.VAN HORN
.Iotaxf Puolic,. �-�v C unty, �Iinneso*a �� NOTAR PUBUC—MIPJNESO?� �
��`���- � AKOTA COUNTY �
A� Commission e:cpires�` ' �� ��c� , My Comm on Exares Jan.2. i�9� �
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