90-1996 0 R I G�N A�. Council File # D- 9'�J�
12141
� Green Sheet ,�
RESOLUT -- . .
CI OF INT P L, MINNESOTA � ���
��., f
.�
Presented y - �
Referred To Committee: Date
RESOLVED: That Application (I.D. 4�83425) for a Massage Therapist License
applied for by Judith A. Postiglione DBA Center for Therapeutic
M�ssag� at 849 South Smith Avenue be and the same is hereby
approved.
Ye�s Navs Absent Requested by Department of:
zmon �
osw z �-
on � License & Permit Division
acca ee — '
e »an �
une �
i son �— BY�
�
Adopted by Counci,l: Diate NOV 1 5 1990 Form Ap roved by City Attorney
Adoption rtified by Council Secretary gy; �a.Z� ' ,'l�
BY' Approved by Mayor for Submission to
Approved by yor: Date ���';' � S 1g�� Council
gy; ��"�1.����=f�"Z' By:
,��� 1990
PUB1.tSHE� i�u V 2 4
- ' �` ���y�D
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED
Finance/License GREEN SHEET N° _ 12141
CONTACT PERSON 8 PHONE INITIAUDATE INITIAUDATE
�DEPARTMENT DIRECTOR a CITY COUNCIL
Kris Van Horn/298 5056 ASHIQN �CITYATTORNEY �CITYCLERK
� �p NUMBERFOR
OTB t12a�ng AGENpq B� QAT�,O RDER Q �BUDGET DIFiECTOR �FIN.8 MGT.SERVICES DIR.
1 1 .l/7 �MAYOR(OR ASSISTAN� ��� R
1 0
TOTAL#OF SIGNATURE AGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. ��834 5) for a Massage Therapist Application
RECOMMENDATIONS:Approve(A)or e)ect(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING�UESTIONS:
_PLANNING COMMISSION CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contrect for this department?
_CIB COMMITfEE YES NO
2. Has this personNirm ever been a city employee?
_STAFF
YES NO
_DISTRICT CoURT 3. Does this person/firm possess a skill not normally possessed by any curreM city employee?
SUPPORTS WHICH COUNCIL OB.IE IVE? YES NO
Explain all yea answers on separate sheet and attach to green sheet
INITIATING PROBLEM,IS3UE,OPP TUNITY( ho,What,When,Where,Why):
Judith A. Postigl one D A Center for Therapeutic Massage requests Council approval of her
application for a ssa e Therapist License at 849 South Smith Avenue. All applications
and fees of $83.5 have been submitted. All required departments have reviewed and approved
this application.
ADVANTAGES IFAPPROVED:
DISADVANTAGES IF APPROVEO:
DISADVANTAGES IF NOT APPROVED:
R�CEIVED
N��1�o t��ailii�.'i i;� ::tf��.:il t,�:.' �it;�
CITY CLERK ��'�. N "� ����
TOTAL AMOUNT OF TRANSACTI N S COST/REVENUE BUDGETEp(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��
i I
' � - ! �-�0-�91�
�
DIVISION OF LICENSE'AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMEN�AL R�VIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant ��r��-�� }��c�s-�-i a�i n n� Home Address � `"1 5 �j��� ,L�� .
Business Name �yQ,�.;,�,,r��p,rG pp,,,� Hame Phone a�a " C��
�� Y�
Business Address �� �_S�.,r.,;� ��,N Type of License(s) 'YYj��� ��.�,,��5-�
Business Phone, ��-�g(QC..� ��y,�
Public Hearing' Date I �p��, lS,��("� License I.D. 4� ��C4� �
at 9:00 a.m. i� the ,Council Chambers,
3rd floor CityjHalll,and Courthouse State Tax I.D. 4� 02�� t3��
Date Notice Se�t; I Dealer � n �.
to Applicant
' Federal Firearms # V� �p�
Public Hearing
i
; I, DATE INSPECTION
REVIEW j VERFIED (COMPUTER) CO�NTS
A roved Not A roved
;
Bldg I & D �� ��� ( _
' �
Health Divn. !, I
�� ( ��
Fire Dept. � ,
f1 lPr I �t.c� e- �
�
Police Dept. I
��a� � o-�, �
License Divn. '� �
� la�� i o.�
City Attorney �
�1���, i O�
Date Received:
Site Plan � � -� �J
� , To Council Research
Lease or Letter, i Date
from Landlord C,SY�� �QQ.
�
,I
. r. _ .
. � l,�`��ll�l��
CITY OF S'i. PAUL �
D�PAR'I'MENT OF FI�JANCE AND HAKAGEP�NT SERVICyS
LICENSE AND PERMIT DFVISION
Please aasuer all questia,ns f�lly a.nd completely. This application is thorough� checked. �
Any falsificatioa �ri,ll be cause Por denial. �
Date �°% 19 9�
1. Application fcr ; �,�}$s�}p0 T�,��/s T (License)(Permit)
2. Yame of applicant �u �`rN /v/v �DS r/GLl�/1/f�i
3. If applicant is/has been a married female, Iist maiden name • ��/�/ L• �/�i�
4, Date of birth Age ; �Place of birth �%/�//�/ESdT�
5• Ar° you a citizen of the United States�Native Naturalized
6. Are you a :egistered voter�Where Sr �,�'��
7. .`:ome Addres s.�_�c� ,�Q��l,� « Hor�e Telephone " e��
• • %. '• ', � .' ' , : ' , , � T� '' �
8. Present busi.^.ess ad3rsss f 7 �,��d� �/���/ � Business Teleohone�9�0� �
9• Includi^g four aresent business/empleyment, what business/e�plo;/ment '�ave you
fcllowed for the past� five yeaxs.
Business/er�ploy�ient. Address
�T o D i�ia� S ��t.J !�y9 �. yf d Te�2l� - a S/�S
. .,,,�.,.,�,.�..... s ,
�D�,�HAn� �� � - �. . '� �`�'' �;�y�
�....: . .
.. ,
.-_ �� . �, .
. . � �
�..,. ~: .:u `�� , ; . ......,.... - I
10. i�arried�if answCr is "yes", list aeme and adcir�ss o�r.e�pa�s!"'Ce/-)j�/Q/N
�
�
. .
11. If this application is Por a Massage Therapist License, list time so occupied. �
[',���n.-� .�� L.�c��:c�-� — '
Years �lonths.
12. ?ave you ever been a.rrested��If ans�rer is "yes", list dates oP arrests, �rhere,
charges cenvi.ctions alnd seatences. �'
Date oF arrest 19 Where I
i
Charge '
Ceaviction Sentence
Date of arrest 19 Where �
Chasge � ;
Ccnviction Sentence
�
I
1 ,
� � �. . �-��-����
�
13. Give names and adclresses of two persons, residents of St. Paul, Minnesota vho can
give informa�ion concerning you. '
iVAP� . ADDRESS
���. ��;�,r,'- �s ��„y.s" . ��c� �z%
1���� �'1 �r Cr���� ' •� '�� a"��1�.•;►�'�_ �. ' ' (� �`�^• r J �r
r � . ..
!.'.;- � � . ' .
State of P�innesota �r�� ` "� �•, � ^. �" - ' 1• • f= ' s-�' � � •
. . .. ^J� . . �: . I . : t , . `. �•': ... •
.�
S .
CO O f R am�Ay : . ) .' ,•. �
� � , . . .
� � ., ._•_ �: � � .', , .
.. �, � .:,
�'.• , , �'� • �-, , f
being first duly sworn, deposes ��.nd says upon oath
t he has read thA aregoing state�ent bearing'�j'riS signature a.nd knows the contents
hereof, and �hat ` sa�ne is tr�:e oF his own knowledge except a.s to those matters
therein stated upo inLormat:on end be.2ie�'. a�d.a.s'to those �tiab��rs h ieves ther�
to bX true.� ,.� ; .
. , . . � „ �
. . �. , .
. _ �, ..
uL�$.C'.�lpurl �^,�}� CriiQ:"L1 t.'�3' iQ'�"° i12 ,
A ' ••
�� • • � . �!� ► �-� ;�- . �ig �ture of App cant
- Q . . . .
th' af o� �9
� �
o ary ?ublic, Qaiasey ou ;�, �iinn�sot
Diy �nissi.on expzres� • _ .
� ..�. . . .
� '�.�.:•,., . . ; . . : . �� : wt� . . r. -� G1 � n:..; � � -~c�
• •..a �. _,�•
. �
•
'Ma •- � -�• � • ..
SCHI , •� "' ♦ • • . , �• Y .
�t i� • r,,oRC�L�e�_ L�INfEp � '. . .
- ._• . . ,1. ..i • �` . �
� RAMSEY M���TA
t�''�� �Y Com�ro�a � �UNT}/
aion,Ytire�u�.21.1901
:��r. . ,. . • •�•.�.�
� .. ` .1,� . � ! • � • ���'`� � � �C"�
. � .�. . . . " ' • .. ,,, �•, 1 I • 3�J �•} c�^. � `"�'•��'����•.� �`�
. .� � . � `
. �t '
I