89-102 . . '
WHITE - CITV CLERK � COUIICII /�
PINK - FINANCE GITY OF SAINT PAUL y //
CANARV - DEPARTMENT � �(
BLUE - MAVOR � FIIe NO• L ^/v� -
' Council Resolution �
{ �
Presented By ` , � t �
Referred To Committee: Date
Out of Committee By� Date
RESOLVED: Thd�t application (ID #82042) for a Massage Therapist
Li�ense by Marilyn R. Kales DBA Vis Therapeutic Massage
at 1821 University Avenue, be and the same is hereby
. ap roved.
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COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond 'i
�� [n Favor
Goswitz
Rettman p'
scee�be� ', Against By
w's�n 'I
JA� i � i��� Form App oved by Ci Att ney
Adopted by Council: Date ' ' _ / /-
Certified P- - Council S r�etar BY / IV �
By
A►pproved y,iNavo� D te'��—
� � Approved by Mayor for Submission to Council
,
By ���p BY
�Sfi� - i-1.' :., ,
� � CITY 0�' S'i. PAUL ������
' DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
.. . - ' LICENSE AND PERMIT DIVISION
Please answer a11 quest�ons fully and completely. This application is thoroughly checked.
Any falsification will be cause for denial.
' Date � — .3U 19�
1. Application for ��5� E T�G�T l ST (License (Permit)
2. Name o f appli c ant ��l�/ �-t//1/ �• /�.A'�-5
3. If applicant is/has �'�been a married female, list ma.iden name � /�y�.-S
4. Date of birth 7'02l "�ge�Place oF birth�c! �lT ��/��l��N
5. Are you a citizen o� the United States�Native Naturalized
6. Are you a registere�. voter Where �. P„r�.. U L
. -� � �j. `' -O
7. Home Aadress o�UUg ��.���1 �Je. . �. �OZ -�r•'^�ome Telephone O
v i 3 .�ma � r S z r un►ver�, �
8. Present business ad ress � �-4�e IQN _S �usiness Telephone �o .S•000�
9. Including your pres�nt business/employment, What business/employment have you
followed for the 'pa,�t five years.
Business/emplo�cent. Address
� R�3 ✓ �l
-,.�,.(-�� � - 3�� �. 4-� �f-. Sf. �I
�--N So� �ru��.� ,�. � rnAl�
10. Married �v if a.nsjwer is "yes", list name and address of spouse
11. If this applicationi is for a M assage Therapist License, list time so occupied.
Wl ll �2.�( Vl l.l��'�'�..�-�.5 � 1�2.1�L5/ny��.s Months.
12. Have you ever been �axrested�_If answer is "yes", list dates of arrests, where,
c'�arges conviction� a.nd sentences.
Date of axrest�l9 �ere
Charge
Convictior. I Sentence
Date of arrest 19 Where
Charge
Conviction Sentence
;
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13• Give names and addresses of two persons, reside�ts of St. Paul, Minnesota who cr_n ,
gi�re in£ormaticn cc�cerning you. � '
i1A1� ADDRESS
��,,hr-e r,�o �lt,orn�s A�e .
�..�� M.A��►J �� �3�� C,�� C�r
State of Minnesota )
) SS
County of Ramsey )
�(A,�(� 1�� _��,�,��� be;.ng Qirst duly swor�, deposes and says u�on oatn
that he as read t..e fcregoing statement bea.ring ?!is signatizre and knows the c�ntents
thereof, a.nd that the sa�.e is true oi his own knowledge except as to those matters
therein stated upon iniormation ar.d belief and as to �hose matters Y'le believes them
to be true.
Subscribe3 and sworn to before me
Si _at�re oi Applicant
t�is �C� d�y of� 19�_
� �i� KRISTINII L YAN HORN •
� �_ �c�,,,_�-a,.J
iVota_ry Pubiic , �Jy County, ATinnesota ��NOTARY PUBUC-�MIMVESOTA
OAKOTA COUNTY
My Commission Expues 1an.2, 1992
r�y Commissi�r. e:cpires ,a �1�1 ,�,�,N,,,�� ,
���e-�-
;� _ o�,�.�„� �„�� :C���������`T � 0434�95
Mr. J. Carche i �
oopr�cr oer�r an�cran w►von roA�srw+n
. - , Christine Roz. �� + �.�►�� 3�«�
� — �*� ' 2 Counci l R�earch
Finance & M�tt. �2 -5056 � �A�,
Applica�ion f a hiassage Therapist License.
NotTficatior� D �e: i-5-89 , Hea�^in�g Date: 1-19-89
'na+e:ti+vw�•c�1«�t�n) r�nncH aEVORr: °
�urrdr�o oorw�sia+ avK. �ussrov+ o�Te ant�arr �v.rsr na�No.
aowHO ca�v��aean , reo esa eo�ao . _
sr�ss c� �Te�s�s �oos�so.�ooEO* a�v�o exrrr,�r �g 11�E��
_ _wR ApDt 1rPD. _[+�DIS►qC#DCED*.
. DIBTRICT OOUNCL +�DfPIANATlON: . � � � . . .
. .8UPP011i8 M6MOM COIMIf�L OBJECIIYE? . . .. �. '.. . . . � � - - .. . . . . . .. . . . .
R�i1A7MD.DIIG/!/��{Rr�ORTIIINTY(W11o. VN1w1�tlVll&'!.VYhY): � : �
Ma���yn�RC��aI� sf�DBA�Vi�sssae�apeutic Massage, r�quests Counc�l approval of
. pP g Therapist Lic'�t�e at x$2�: Universf:ty Av�nue.
.:�HS1lMCAl�olt(EO�t/t�r�,lldvanllprs:neouNSY : ', . . � "
� All fees and a pljcations harle been submitted. All required divisi.ons -
Zonin , Health Fi�e, Police ',and .License have..given .the�r appro�r�ls. '
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�l�.w�w�.a�a ru v�: - :.. , , , ; . ^: � .� - -.
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If Council app val is given,� Marilyn Kales will be, a 1icenses
massage therap st in St. Paul.
� K7B111�11VES: PROS _ C011� , -
�c;���€� �c� urch Center
. . � - . . - �� � . . atCtiY � 1 f�j:j� � � . .
IMBTORYIPII!!CEDEN7'8: _ .
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