90-1852 OR I G I N� L Council File � �D —/���
" Green Sheet � 11521
�, RESOLUTION
�. �� OF SAINT PAUL, MINNESOTA �'�
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Presented �
� . Referred To �' �� � Committee: Date
RESOLVED: That A plication (I.D. ��77606) for a Massage Therapist License
applie for by Jeannie Richgel DBA Gwendolyn's at 489 W. 7th
Str�eet be and the same is hereby appproved.
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Navs Absent Requested by Department of:
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�'osw'�— License & Permit Division
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Form Approved by City Attorney
Adopted by Council�: ate ncY � � 1990 _
Adoption Certified by Council Secretary gy: �, ,� �. �
ay' ' Approved by Mayor for Submission to
Approved by Mayor: ate 0 CT � 9 1990 Council
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P BlISNED 0 C T 2 7 1990_
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DEPAR T/O ICE/COUNCIL DATE INITIATED
Finance/License GREEN SHE T �� _11521
CONTACT PERSON 8 PHONE INITIAUDAT INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5 56 nssiGN �CITYATTORNEY �CITYCLERK
NUMBER FOR
MUST BE ON COU CIL A D BY( A ) � G pOUTINfi O BUDGET DIRECTOR O FIN.&M(iT.SERVICES DIR.
For Hear�llg: ORDER MAYOR(ORASSISTANn
Must be to Cit Cle k b : q �p ❑ C2�. �auncil
TOTAL#OF SIGNATURE PA ES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. ��' 760 ) for a Ma.ssage Therapist License
RECOMMENDATIONS:Approve(A)or I j ct(R) PERSONAL SERVICE CONTRACTS MUST ANSW R THE FOLLOWING QUESTIONS:
_PLANNING COMMISSION �CIVIL ERVICE COMMISSION 1• Has this person/firm ever wo�ked under a contra for this department?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employee?
_STAFF — YES NO
_DISTRICT COURT _ 3. Does this person/firm possess a skill not normall possessed by any curzent city employee?
SUPPORTS WHICH COUNCIL OB,IECTIV YES NO
Explaln all yes enswers on separate aheet and ach to green shset
INITIATING PROBLEM,ISSUE,OPPORT NITY( Fw,What,When,Where,Why):
Jeannie Richgels DB Gw ndolyn's requests Council approval of her application for a
Massage Therapist L cen e at 489 W. 7th Street. All applications' and fees of $83.50
have been submitted A 1 required departments have reviewed and pproved this
application.
ADVANTACiES IF APPROVED:
-
DISADVANTAQES IF APPROVED:
DISADVANTAGES IF NOT APPROVED:
RE�EIVEI� �'�+ n�:3 �� ��r�' b� �,
Q�T101990 _ ��� ��..:��.
L�s 1 '= 1:1��.�
�1Tlf CtERK
TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDGETED(C RCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPlA1N) ,.I 1�1
(].V V
. , �� 1�a
DIVISION OF LICE SE PERMIT ADMINISTRATION DATE �,�r�� /
INTERDEPARTMENTAL RE IEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant ;c.l-� Home Address C 3[y �0� �iL-�t�ri w
Business Name � ,� 'S Home Phone L�po -�(3�
Business Address � �i �. '1�S� Type of License(s) ��� ��,���11-�
Business Phone
�
Public Hearing D te License I.D. � '��(Q C�(p
at 9:00 a.m. in he ouncil Chambers,
3rd floor City H 11 nd Courthouse State Tax I.D. �� ����(qp0
Date Notice Sent� Dealer � 1� �q
to Applicant ' � O
Federal Firearms 4�� Y��
Public Hearing '
DATE INSPECTION
REVIEW VERFIED (COMPUTER) , COMMEENTS
A roved Not A roved
Bldg I & D � U +
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Health Divn. ( �
, t c� I .� � o �
Fire Dept. �I� � _ ,
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Police Dept. 'I ''�
' �1� � � �
C.0
License Divn. ol� f
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City Attorney �� ( �
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ate Received: '
I
Site Plan
' To Council Research
Lease or Letter Date
from Landlord
, ,
I
• , . ' CITY OF S'i. PAiJL ��/ ��
D ARTMENT OF FINAIYCE AND �lANAGII�NT SERVICLS �
LICEFSE AND PERMIT DIVISION
Please a.aswer all que�tio s Pully and completely. This application ',i� thorough�I checked.
Any falsification wil�. be cause for denial. ' � � � ���"��" � ' ' �
Date � � 19� _
1. Applicatioa fbr �554� E / f/�2A ��s' � icense)(Permit)
,.
2. Name of applicaat ,q�,r; �v.�� 1 e s/ �.c S
3. If applica.nt is/h�.s b en a married femaLe, list maiden name �
4, Date of birth 7 . d' � � E1ge �U Place of birth �r I''a�/� ����
5. Are you a citizen of he United States ✓ Native Naturalized
6. Are you a registe�ed oter ✓ Where � �,,�1
7. Home Address �/ � . � ' �- ; • Home Telephone ��� 3/3 7
8. Present business addr ss��'� (�� • 7 r� S�/ S-r ak � Business Telephoneo��-7�G/a�
9. Including ;rour presen business/employment, �rhat business/employtnent have you
folloved for the past five years. '
Business/emplo nt, Address
S �i o � �,� ,?�s cv�, ,�' ./l/� . /�;�0 �
�
, .��, y,(c �, cc. � �: 7 � Nt °�' L� han
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10. Married if eazsx r is "yes",. list neme attd address of spouse
11. IP this applicati�on s for a Massage Therapist License, Iist ti�e so occupied.
� � Years . Months.
12. Have you ever been ested ��, /J • If answer is "yes", list dates of arrests, where,
charges convictions d sentences.
Date oY arrest 19 Where __ _
Charge
Conviction Sentence
Date of arrest 19 Where , -
Charge
Conviction Sentence
go i�.z
. � .
13• Give names ar.d ad esses of t�ro persoas, residents of St. Pai:]., �2innesota crho csn
give inPormatidn c ncerning ;�ou.
`TAt� ADDIRESS
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State of Mianesota ),
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County of Ramsey )
, �h
Y1�7 �aC/? S being first duly sworn, 3eposes a.nd says k�on oath
tr,at he �aas read t�e f egoing statement bearing his signature and kno�•rs the contents
thereof, a.ad that �he s e is true of his own knowledge escept a.s to those matters
therein stated upon inf rmation aad belieP and as to se,matters ' believes thea
to be true. ' ,�
Subscribed and s��orn to before me � ,� � M
Signatu�e o App csnt
this �5-`� day of l.lstl9 y0
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Votary Fublic, F.a�se C unt , "�Iinnesota ;°';
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D�y Commission expires /5� � ��� ' " . ��.. �
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