89-46 WHITE - C�TV CLERK
PINK - FINANCE G I TY OF SA I NT PA U L Council
GANARV - DEPARTMENT
BI.UE - MAVOR . Flle NO•�� --
'�� Council Resolution
�, �� , ! � J �) I�
Presented By �"`�'�-.'� '�'�1-1'-'I� (:J ��-�'I�'?C
Referred To Committee: Date
Out of Committee By I Date
RESOLVED: Tha application (ID #57345) for a Massage Therapist License
by usan Larkin DBA Vi 's Therapeutic Massage Center at
182 University Avenue, be and the same is hereby approved.
�
I
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo�g I � [n Favor
Goswitz
�� h��� �! � _ Against BY
Sonnen '
`���°° � JAN 1 01989
Form Appr ed by City Att ey
Adopted by Council: Date • -
Certified a••ed by Council Sec etary By �
gy, _ ,��..
A►pprove �b 'Nav : ate_, _ °� � �Z��� Approved by Mayor for Submission to Council
� -,
$y BY
�
., St�B ��;'� 2 � 1989
��9�� .
_ DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ��_ / '�j�
� INTERDF.PARTMENTAL R VIEW GHECKLIST Appn Processed/Received by
_ Lic Enf Aud
Applicant tti.s(,l,y� I � __ Home Address (��4' � � ��nh��,
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Business Ivame � S � .Home Phone ��'1- (�`Fj �
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Business Address ( Type of License(s) ����y �-�,
,
Business Phone � 5 y
Public Hearing Date I �d O I License I.D. �{ S"l ?�C.1�5
at 9:00 a.m. in the Council hambers,
3rd floor City Hall and Courthouse State Tax I.D. �� � �,��C��`,
llate Notice Sent; � I o �t� Dealer �1 V ` (�
to Applicant ( Z1 t�� �`I�5
Federal Firearms �� �
Public Hearing
DATE II�'SPECTIUN
REVIEW VERFIED (COMPUTER) CUNI�4ENTS
A proved Not A roved
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Bldg I & D � � � /l
, �'0�, l l.
Health Divn.
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,
Fire Dept. i �Q/��/�$i 0 �
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Police Dept,
,�I SJI�I �� Y1.o �CAr
License Divn. �
10 � � ��; O /�-
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City Attorney i �� (/c� � ��,�
I a D -7'ci �L�'
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" Date Received:
Site Plan �
To Council Research � 1Z Z�t
Lease or Letter Date
f rom Landlord � a�I
CURRENT INFORMATION NEW INFORMATION
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Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
. �
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I City of Saint Paul /�/-���� l�p
• � Department of Finance and Management Services ��'��
License and Permit Divisio� �n�i 15
203 City Halt `J 1 `'�
- ' St. Paul, Minnesota 55102-298-5056
' APPLICATION FOR UCENSE
CASH CHECK CLASS NO. New Renew
a � -� a a � �
� Date i'r�� in 19?�.
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Code No. Title of Licanse � �
From-�_ �' =�� 19�To �� ��-= ��,��' 19 '�
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���i� �� �r•�+"'��i�. I fi'Cirt��^I� -'� �
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ApplicanUCompany Name
100
� �/; '� ��,—�^,��'u� ��`< r`�i i�;''=;�!r':^ ,
100 Business Name � !`
�oo I � �.i J l'��� �Y�� ?��; N�� /.���:_�,��., �
Business Address � Phone No.
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�t '��� t .'I �(I:F'��7�'s 11•!F' ��-i-'•, -/Y t:,
100 Mail to Address � � PAone No.
i 100 C� -�� •� l�'i� i/;
ManaperlOwner•Name
1� �Uf�� i �' �' !i,•.r: l-_,r�i�'r-;, l,��l%-��%%
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100 AtanaqerlGwner•Home Address Phone No.
4098 Application Fee 2 sp ,
Received the Sum of 100
� ��- 1-;--�, ' � �� ��> �_`�,'�n-1
� ManagedOw�er•City,Sfate 3 Zip Code
100 Total 100
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' ���'?�7 rr '�'j1��j'��,;%2,1.
liC@nse InSpeCtO� `�� By: jY�� Slgnature of Applicant
Bond•
Corhpany Name Policy No. Expiration Oate
Insurance:
Codnpany Name Poiicy No. Expiration Oate
Minnesota State Identification No.� �x�y� I Social Security No.
Vehicle Information:
Serial Number late Number
Other:
THIS IS A RECEIPT FOR APPUCATION
THIS IS NOT A L�CENSE TO OPERiATf.Yow application for Iicense wili either be granted or rejected subject to the provisfons of the 2oning
ordinance and completion o( the I�nspections by the Health, Fire, Zoning andlor Ucense Inspectoro.
I
� $15.00 CHARGE FOR ALL RETURNED CHECKS
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CITY OF S'i. PAUL
' DEPARTMENT OF FINANCE AND MANAGENIENT SERVICES
, � � LICENSE AND PERMIT DIVISION
'
Please answer a11 questions flilly and completely. This application is thoroughly checked.
Any falsification will� be cause for denia.l.
Date��' 19 ��
1. Application For � IC (� < � (License)(Permit)
,
2. Name of applicant
3. If applicant is/h s been a maxried female, list maiden name � ���L�1
�+. Date of birth �� � ' Age�_1'lace of birth �� r'� • �.IA�°0 WI i-•
5. Are you a citizen of the United States�Native Nsturalized
6. Are you a registe ed voter�t� Where
7. Home Address ��{Pj��� � �n�Vl�� t�GC.'� Home Telephone 9 t - �J�
8. Present business ddress�fl�n�-�(�� �� u ' ss Telephone��LJ�/
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9. Including your pr�sent business/employment, what business/employment'�have you
followed for the. ast five.years.
,
Business/emp oyment, Address �
' �� �t C'r� `
S ✓ _ ucc/� ��.
� �.l h L't r�� l�'� ���'�i� TD w��s `� ��1, �
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r � � . � 3 3 r� -�v,�.-1�h �.�ac�. �ri�,.
10. Married�if a�swer is "yes", list name and address of spouse �
'�A.-t��u,�,1� ;C IL�Ur� i n� ����{ Gv �;nn.�.11la.11.eC
'� 11. If this applicat'on is for a M assage Therapist License, list time so occupied.
� �� - �S 6�.�e,�. n �yt,� ��f 4,S � ►'YI�ISI�fon�hs.��pr4
.I���o n l��v r� ��,'��'C� �t�l,i
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12. Have you ever be n axrested N,�_If answer is "yes", list dates of axrests, where,
chaxges convicti ns and sentences.
Date of axrest ' 19 Where
Ch�rge
Conviction Sentence
Date of axrest 19 Where
Charge
Convic�ion I Sentence
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C�S �� v��s5c����;, ���1�.rc��r��
13• Give nanes and addxesses of tT�ro persons, residents of St. Paul, t�linr.esota who can ,
give information concerning you. , �
N� ADDRESS �.�I���
�1� �� � 4a�1 P�I��� �ri, � ��'� /�i SSi2
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' S R�'Z�i�/Y1����t�"� S�:�tc�� �I� 55i�
State of Minnesota )
) SS '
Gounty of Ramsey )
Sl,�y.�-,� ���,/�,�N being first duly sworn, deposes and says unon oath
that he has read the foregoing statement bearing his s�.gnatt:re and kno��s the contents
thereof, and that the sa�e is true of his own knowledge except as to those matters
therein stated upon inform�.tion and belief and as to those matters he believes them
to be true. •
Subscribed and s��rorn to before ne G'�ti'� G�►`�-(/'Vl.'`�y���'��.'
Signature oi Applicant
this day of�l9 �
��-, ' 1 . • �
....'� '_ �� Y C,�,� �-�✓ i�"ti KRISTIl+IA!.YAN HORN
No.ar,r Public, �s�ey C�unty, Minnesota ��y�NOTARY PUBLIC—MINNESOTA
' �t,wt-� �� DAKOTA COUNTY
:�1y Commission expires �, a. lq�to� MyCommi�onExpiresJan.2, 1992
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a1MOMU►TOa c���ruieo o�re eo��en �G f�'T C.
.. .. �r. �. �a h�di �R���t �#1��7' No: 0 02 5 9 5
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- .--= .Kri s Schw i n'{er YanHorn ��F� � �.��� ��«.�
. � . r�unNC� — �a� Z Co�ncil Research �
or�: 1 c,,,,�,,o�n,�v
Rpplicati fi�r a �ssage Therapist License.
Notificati n Da e: 12-27-88 Heari�g Date: 1�10-89 .
R�Y�DA7Wtls:_(N�as(�)a rR)) COUI�IL RHSEANCH REPORT:
. � ..PIAMINIO CCNA�HSSION GVIL COA�AI3310N . .. � . DATE IN �DATE OUT -� ANAlY8T � �PFIOPIE NO.�� .. ...
._ ZONNIO QOAM/18S�ON . 19D 826� BOARD � � - . . . . . � . � . ..
� . � .SiAFF � - : CFipRTER COMMIBSIOPI _ � � -COMPLETE AS IB . -AD0111�0.APDEO* . . -_��R 71DDOt INFO.� _�fEEDBAO�rADDED* .
� dSTRICT f�1111CL � . � . .. . .. . . .
t ExPLANATI�I: �
. • �&JPPOR7S.NIINGI COUNCX.�OB�IFCTIVE? . . . . � . . . �. . . . � . ... . . - � . . . . .
6�OilATN10 PRO�L�E�.16ltlEr + W�t.WIbrR YYA�fe.WhY):
Susan Lark � re uests Council approval of her application for a
- Massage T rapi t Licens.e at 1821 University Avertue DBA_ Vi 's Therapeutic
_. . : �: Massage Ce te.�'. _ _ : :
��,►,�oN�re.�., H..wa�: . � . _ ,
All applTC tion and fees have been submitted. All required departments
have revi. d� a approved this applica�tion. .
�-'- �-I�I�:�YMhM1.-'YIQTO�� )7'.�. . . ;.., . :. . .: .. ... . ,.. . .�... . . . . .,:� . . ��._. ...._.: .... ,:: �" .. _..:- .. :
If Council p� ai is not received, Ms. Larkin will not be allowed to
practice : ssag therapy.
. �r�nru►mr�s: raos c,�s . �
�o ncil. lR��p�rch Center
D E C 2 � 1y88
�.�,►�g:
��:
REl�At�'NISTORY OF�0�1�FA�A/�l1Q.ATIONFPRqiqPAi.S: . . . ,
. .:_,.,�,�_
STI1iCENOLOERS(Lis� POSr"°"(+.-.01 �, r w�u.TESt�FYt(vn�►►. . n�4naut.e(Summems Meun nryi.nsrKs)
FtNANCfAL IMP�A�;T r�sr v�►n csm�,o.b► sECOho r�►n No,�s:
o�a��a suoaEr:
REVENUES(iENERATED ...............................................................
DCPENSES:
Salaries/Frirge Be�ts........................................................
�P��.....................................................:........................
�PW�................................... ......... ..... . ......... , . , ,
Gontrad&ta service...............:.............................................
Odier
PROFlT(LOSS) ................................................................................
FUNDINO SOURCE FOR ANY WSS(Name and Amount)
CAPrTALIMPROVEMENT BUDGET:
DESNiNCOSTS................................................................................
ACAUISfl70N C06T'S..............:........:.......:......:.. ......... ..:.... ..
COidSTRUCTION COSTS ................................................................ �
TOTAL ....................................................................................................
SOURCE OF FUNDING(Name ar�d Amount)
11�/1CT ON BUDOET:
AMOUi�IT CURR2NTLY BUOQE1fD..........................:............:......
� _ . .�
AMOUNT W EXCE83 OF CURRENT BUD(iET ............................ ,'
SOURCE OF AMOUNT OVER BUDGET...........................:............
PROPERTY TAXES 6ENERATED (LOST) .........
MIPLEMENTA710N RESPONSIBILIIY:
DEPT/OFFICE DM310N FUND T(i7.E
BUOGEf ACTNtTY NUMBER 8 TITLE � � � . "� � ACTIVITY MANAGER � .. ..
FIGW PERFORYANCE N11LL BE MEASURED?: !
PROGRAM 08JECTIVE3: PR06RAM INDICATOR8 iST YR. 2N0 YR.
EVAWATION RESP0t�3181L,1TV:
PER80P1 � � . DEPT. � PHONE NO. � RFPOR*TD COjM�CIL�OF DATE �.
FNR4T QUARTEALY
_ _ _ PER- T BY
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5�.LN� P.2_U L C I�Y C 0 tT�'G li�
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�UBI�Z� T��RI�T� i� 0�'�Z�.�
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� . � I�Z���t�E APPI�Z�A�ZaN
� �,�CE�VED
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�NOV 2 � 1988
CITY CLERK
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Dear Property 0 er: L80797 �12952, b1400 & 8079 )
i , .. _
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ii Application for a .new Restaurant and Sunday Liquor License
� and for the transfer and activation of an On Sale Liquor
License and Entertainment Class III License currently held
.
PtTRP 0 SE ' Inactive by Western State Bank of St. Paul at 498 Selby Ave.
I! (Class III Entertainment would permit amplified or nonamplified
� music and/or singing by performers without limitation as to
� number, and dancing by partons to live, taped or electronically
�
il
�PT�G.��r ii Fraternity House, Inc. (Robert Swenson, Pres. ) doing business
L as Fraternity Grill
�i
iil
�����T�� I% 498 Selby Avenue
�
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� January T0, 1989 9:40 a.a. �
���-R�!�C II Cit7 Cauac� Caaa�ers, 3rd Lloor Cic7 �a1? - Cau- �ousa
�y Licease aad P��ic Divis�on, De�ar.�.eac ot z'�„aacs aad
�O�*�'�� S��*j► uaaagemeat Serricas, Zaa� 203 Cic7 �all - Courc �cuse,
i Sai:.t ?au,L, u�.:mtesoca
� Z?8-�a56
. �� �
• T�iis datz may i�e c�an;ed withaut the consent �d/or �.owleage of the
License aad Pe�t Div�*_sion. Ic is su�gest�d t�a� you c21? t�.e Cit j
Clertt' s Of�_ce �iac 298-4Z3 i i� you *.�s� con�=_.�at_ou.