89-459 WHITE - C�TV CLERK COU�ICII �/1J `1
PINK - FINANCE CITY OF A NT PAUL -/
CANARV - OEPARTMEN7
BLUE - MAVOR File �O. • � � -
Council solution - -���
���
� ��, ..
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #37316 f r a Massage Therapist License by
Sher A. Blair DBA Janos Tak cs European Therapeutic Sports Massage
at 1619 Dayton Ave. , be and th same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Favor
Goswitz
Itethnan
Sc6eibel �_ Against BY
Sonnen
� 1"I/i1t � 6 h7U� Form Appr ved by City A orne
Adopted by Council: Date
Certified Ya: ed by Council Secretar BY Z � �
By.
J � �
A►pprov by Mavor. Date _ Appcoved by Mayor for Submission to Council
By
fii.f61(� ��ikR H � 19$ �
_ _ , _ ; ._���._�_,�__� _. �.v_.. _ .. .. .
_
. � g�-��9
_.. AND PERMIT ADMINIST TI N DATE � � / �
_..r:NTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �� �. � Home Address ����/'��//l.0l� /�v• � �
Ru iness Name / J Home Phone p�Q`3'�(7`�
us�Ad ress T e of License s
YP � ) �Q..�.G.
Business Phone �
Public Hearing Date ��(��. ; �� ��G' License I.D. �l 3'_]?j !(o
at 9:00 a.m. in the Council Chambers, � �
3rd floor City Hall and Courthouse State Tax I.D. �t
llate Notice Sent; �IZ �� / �n�� Dealer 4� � '/}
to Applicant � �1
Federal Firearms 46 ��,q .
Public Hearing
DATE IIvSPEC ON
REVIEW VERFIED (COMP TE ) CUMMENTS
A roved Not oved
�
Bldg I & D �
a. �l� �
,
Health Divn. '
' � I �� f �
i
Fire Dept. I �
I ;�;� ��, �
� v
Police Dept. � � � (
�3 �
n.� ���rcQ
License Divn. �
�� �� � �
City Attorney �
�1 �� ; �K
Date Received:
Site Plan ��A�
To Council Research � S �
Lease or Letter Date
from Landlord ��P�
. � ��- ��
� CITY OF 'r. PAUL
' � DEPAFcTMENT OF FIN CE ND MANAGEI�NT SERVICES
LICENSE A RMIT DIVISION
Please answer a11 questions flilly and comp et ly. This application is thorough� checked.
Any falsification will be cause for denial
Date 2 Sentember 19 88
1. Application for massa e thera ist �License)(Permit}
2. Name of applicant Sher Blair
3. If applicant is/has been a married fem e list maiden name �Blair
4. Date of birth 04. 14.55 � Age 33 Plac o birth Saint Paul, Minnesota
5. Are you a citizen of the United States es Native ves Naturalized
6. Are you a registered voter ves �J1'�ere aint Paul Minnesota
7. Home Address 245 Grand Avenue �kl Sa nt Paul 55102 Home Telephone 293-1032
8. Present business address 265 Cit Hall S int Pa Business Telephone �gg_4���
9. Including yovr present business/emplo en , vrhat business/employment have you
followed for the past five yeaxs.
Business/employment. Address
- -hotel industz�� . Radisson MPtrodome �no l�nger in existence)
�,dm�nistrative City of Saint Paul Affirmative Action
. .. .. �..'. M_
. . ;f , '.{ . �.��' �-�` •:..�1�'� ' �.
' : --. .• ' ����� ��1"J��
' � �•' i•�Qtii�"'�3 MV/�i1A.fi1�A� ��{/� .+
10. Married vTes if answer is "yes", list am and addres�-o�t�-�au "`
SjS�YIa��'u�u:
Richard Walker Saint au
11. If this application is for a M assage e: pist License, list time so occupied.
P�� Y S Months.
12. Have you ever been axrested no If s r is "yes", list dates of arrests, where,
chaxges convictions and sentences.
Date of axrest 19 Where
Chaxge
Conviction Sentence
Date of arrest 19 � er
Charge
Conviction Sentence
. - �/! O 7 - ��5�
13. Give names and ad3resses of two persons r sidents of St. Paul, Minnesota who ca.n
give information conc�rning you.
iVr�''� ADDRESS
Marv Walker 1167 Englewood, Saint Paul, 55104
Nancv Castillo 987 East Fourth Street, Saint Paul
State of Minnesota )
) SS
�ounty of Ramsey )
being f :s duly sworn, poses and s ys upon oath
that he ras read the foregoing statement be in his signat a.nd knows e contents
thereof, and that the same is true of his o k wledge ex t as to o e matters
therein stated upon information and belief d s to thos tters h lie•✓es them
to be true. ,
;
;
Subscribed and sworn to before me
Si n of Applicant
this��da;� of 19,��
�lotaxy lic, amsey Co ty, I�iinnesota
M.y Commission expires lo �j
MARY MAYES
NOrMY PUBUC•IYNNNES�A
IIIIIA�EY�01lN111
Mp0��1�MM�rs�p
� �7���
. Cit of 'aint Paul p /—L��"'�G�
' Department of Fina ce nd Management Services �
License nd ermit Division
03 ty Halt
St. Paul, Mi nes ta 55102•298-5056
APPLICAT FOR LICENSE
CASH CHECK CIASS N0� N w Renew
a ���� -�-� o , �
�te - � ,�
Code No. Title of License — c� �' q�
From �/ 1��To �� ��� 19 i c.
/.
i7 f ,, L� //� � � i /
v��� / /'/���'fi.:�.r'.1 �� �/r '..C/�.'7 ti1G � � ; � � � J �' .
� � ��f./�.�1. ��. �%'�-' '✓
AppllcantlCompany Name
1 ;�';
��;�I%•Gd.�✓ �./I,c��!'-+1�
1 /,%Buafnssa Name
;/ Y�
� /(o/9 �..��.C�iL ��.�2 - � c�.
., .
Business Address J Phon�No.
1
�
/�,i.-:tif irC��
1 Mall to Addreaa . Phons No.
: �
� �-.G%°�� �� . ��_.-f:_-C'.�G 1�
ManapeNOwnsr•Name ��-��
1 J
��'���'.��'.�' ��,.t.�' • �� �;��
1 AtanapeNGwne�-Home Addross Phon�No.
4098 Application Fee �. '
2. ,-� �, �/f
Recelved ths Sum of �� �1 ��' � ��/+ �//�y� ' ���`
, Mana9edOwner-City,Stats 3 Zip Cod�
100 Total 1 �� /
`/ / /�%�.n '•�
`�► ) � l ' �I ` � %�-
LiC@nS9 In3p8CtOf ��� By: �-�� ' �-' Slyoature ol Applfcant
v �/
Bond•
Company Name Policy No. Expintfon Oat�
Insurance•
Company Name.j Poliey No. Expiration Dat�
Minnesota State Identification No � Sxial Security No.
l
Vehicle information:
Strial Number lat�Number
�thAr:
THIS IS A RECEI T OR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your application tor lice�s wil either be granted or rejected subject to the proviaions of the zonlny
ordinance and Complation of the inspectiona by the Health, Fire, oni p and/or License Inspectors.
$15.00 CHARGE FOR L ETURNED CHECKS
_�r��;�� /-�9-�9' �!� �, � �'
� ��� ����
� ,«_•�. CITY OF SAINT PAUL
:~� '; DEPARTMENT Of COMMUNITY SERVICES
: � ;�
� ° DIVISION OF PUBUC HEALTH
���� w 555 Cedar Street.S�int Poul.Minnesoa 55101
Ceorge latimer (612)292-7741
Mayor
.7l]i1@ 27, 1�$
ShP.Y' Bla�r
245 Grand Ave.�e
Apart�ae�nt #1
� St. Paul, NN 55102
Dear Ms. Blair:
I am happy to inform y�au that y�ou Pes�ed the massa�ge therapi.st writ-
ten and practical ex�n?*+ation. Y y naw ioak�e a.pplication for a lices�se
at the Li�e L�spect.or's Office, 203 City Ball, 15 Wpst Kellogg
HaKilevard. Saint Paul, rlinnesota 5 10 .
Bring this le�tt�r with you when application.
Sir�cerely,
Gary J. Fechroann
Envirotmental Health Program
G7P:jm
C: Joe Carchedi. I.ic��e Divi.si�
ONIO�fATOR• DAie NM7� tt c��eD � �r I�i��
. �� C R�E#�1 S H E E� Ho. 0 0 3 4 3 7
' J. Carchedi
��T - o�nan�rr rnR�crnA µ►vbn roa a�ranh
. Kris VanHorn � �.��� ��«�.
�°�� "�* "°� � Council R�search
nounrao �a��+
Fi nartce & 29$-.50�6 0�: ��„� — .
Request f+�r a Massage fherapist Licens .
Notification Date: 3-2-89 Hearing Date: 3-16-89
N��IM�NOMiION�.UPP►aw.(A)a R�t�1 COUNCIL
. � PtAfllMq COM�MBBION �� CML SERVICME COMtA418810N DATE IN 7EOUT ANALVST . . .. - _ . . PfiONE N0. � - . . .
. DONNKi OOMMY8910N ...� 1SD 826-8q1001 BOARD � . . � .� � . . .
. . STAFF. � �� CMAWTER COAA�NB&ON C01AP1.ETB �IS: ��.-ADD'L INFO.AODEO* ..: .RETD TO CONiA�T - �CONBTRU@IC: .
' � . � � � ' .. . _FOR ADDL MiO. �F�BM�(N7BEQ* � .. �
DISTRICT COUPR�IL � � •E%PLMIATION:�� . � .. �� .
. . &JPPORl9 YNIKxI COIINCN.08JECT1VEt . � . � � . . . . � � . . � � �� � � . �� .
#�'YIAIMG�RO�L�M,IqtIE,OM�ORRN�TY'lWho.YM�.VINIln.YN�srs.VMt»: _
Sher A. Blair req�ests Council approva o her app1icatian-for a Massage
� Theraptst_ License at� 1619 Dayton .Ave. , Ja s Takacs E��ropean Th�rapeutic �
_ Sports Massage,
�us,�c�►rorE tca�ue«�w.�ea�r�.r: .. . - ,. .
A1l fees and appl'ications have been su i ed. A11 required departments have
r�viewed and approved this application � -
" • �EWhat.Whwi.and To WhaaY .
If Cauncil approval is not rece�ved; S r . Blair w�ll not be a-llowed to
practice massage tfierapy.
�u.�►TnrES: : ; c�►�
. . . . .. .. . . . � . . . . •� ' . .,. v o.�.... ill.,"t,r(wi�l,� Vt�.�`lri� .
. - c;��� 3 ►���� _
�,►,.,,�:
,
� ��: _