89-479 WHITE - C�TY CLERK
PINK - FINANCE GITY OF � S INT PAUL Council /y///y
CANARV - OEPARTMEN7 ��'//
BI.UE - MAVOR File NO. 0 f L -
•C unci esolution c��
Presented By
Referred To Committee: Date
Out of Committee By Date -
RESOLVED: That application (ID 37 15) for a massage therapist license
by Rita Vahline DBA S st r Rosalind's Professional Massage
Center at 734 Grand A en e, be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lor� [n Fav r
Goswitz
Rettman `�
s�he;be� _ Agains BY
Sonnen
Wilson
�"Y�1rC Z � Form Appro ed by City ttor ey
Adopted by Council: Date '
Certified Pa:• d y ouncil S e BY � � �
sy�
t�ppro by Mavor. D - .F � i. � ��^ Approved by Mayor for Submission to Council
By
�UBtlSH�D �.� � i 1 89
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` ' J. Carcl�e.di � . ������,`��i�'!��� po. �����J�
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�' . "°: �,o�+ � .Cotu�ci T Res�3r�_
Finance & , mt:; . � .2.98-50�f . 1,�,A�„` _ ._
: Appllcation for a A�a�sage Thera is Licertse.
Hearing �a�e: 3-��3 No�ifi�ation Date: 3-8-89
o t�+awe t�«.A.1«�(�1 aevorrr: " , `-°
w��o c�o�waseaa. c�v�s�vrc��` o�rE w a►�art ` aauvsr re�oNE�a.
a4r+M�a Cp�rrecbN reo ezs saqa eav+D _
sr� cwiRrea oo�o�+ �s �ooi�o.a�o+� ro aarr�r
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�wans wixa�oot�+c�aB,�cnvg� _ -
M�►�r�eKt'r4 . �MM�Nttr Mnw,wna�.wnen.wn�s:v�:
Ri ta 3f���i ne requests, Counci 1 a ai o�. her l i cense appl ica;t�o� `fa�^ a
Mas��ge T'herapist Li.cense.at 7 G rid Avenue; Si ster Rosa�l i nd's Professic�nai
�� Massage Center.. . : . . � � � .
� �:��...�w: - . ;
Aa'� .a�plications and fees have b en submitted. �All required depar�met�ts
have reviewed and �approve�tl t�fs Rp ica�i�n. ' -
:,
oon..o�s aMw.w��,r fa+a�+o�r- :. . . . ... „ .. . .
If Couneil ap�rQVal is r�ot r�ecei ed Ms. Vah3ine wi11 not be allqwed °
to practive massage therapy. ' . - �
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� Co�n i! Resear�h �Center
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F�IIANCIAl. lMPACT : -�* ��► sEOONO r�a No,ES:
on�w►�euoa�:
� RBVEI�WES GENERATED ...............................................................
EXPEWSE3:
Salaries/Fringe Ber�efits........:............................................... '
E9uiP�...... ...................................................... .......
�Pa�........:.... .: " _ .. . . ,
. _. ,
Contracls for ............................................ ....... __ _. .
Otlier
PROFlT(lO3S) ............ .................................................................. ° ,,
FUlIOIN6 SOURCE F AMY L08S(Name and ArtauM) -
CAPlTAL IMPROVEMENT BtJDOET: - .
DESI�iN COS78...........................................................................:_.. • .
_ ACQIi�FitCN COSTS . : . _ : _ . �.
COPNSTRIlC770N C�� .
TOTAL .......................... - :
souRCe oF�on��r�a�e�,d,anaun> '
MIPACT ON BUDQET:
. AUOUNT CURRlNTLY BUDGE7'ED:............. . .... .. - �
AIIOUNT IPI EXCfBB OF CURAEtiT BWffiEf ............................ -� � _ ,W -.
SOURCE OF AYOUNT OVER BUQOET........................................ %
y
PROPERTY TAXE8 GENERA7'ED iL08'�1 .........
�rr�►���mr: .
pEpTlpFFICE � � � DIVISION - FUND TITLE � �.
.- ... BUDOET ACTNITY NUlulBlR 8 TITLE. ._ . . . .. . � ACTIVITY MANAGER . � _ . :.. ... - � � � � .
F10rY PERFOR�AANCE MIILL 8E IAE�D?5 ' `
PROGfiAM OBJECTIVES: PROOitA�A NldCA ORS 1ST VR. 2ND YR.
: . _ _ _
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EYALUATION�OI�TI(: i
pEASpn DEPr. ` �iOniE wo. REPt7RT T0 COt1NGL OF TE
F/RST OfMRTEfq.Y
. _ __ . . _ _. � y . `
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DIVISION OF LICENSE AND P�:RMIT A.DMIIv ST TION DATE /
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant � , vC�,.h`,; ,,, � _ Home Address � � ��` 1 Y� ��(O
� •,.����
Business Name � ` �.Home Phone J�.�p— �Cj (p�
Cii��.•
Business Address � /� Type of License(s) rn���S�u���;.,�;s�-
Business Phone �.g' . g
Public Hearing Date r License I.D. 4f �� (ot5
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I,D. 4� �3 � a ��� �
llate Notice Sent; Dealer �� '��q
to Applicant
Federal Fi_rearms 4� ��G�-
Public Hearing
DATE INSP 'CT ON
REVIEW VERFIED (C MP TER) CUNIlrIENTS
A proved N t roved �
�
Bldg I & D � i
�1 �� k
� �
Health Divn. '
�1 a, '
� d
— �
Fire Dept. � �
;al �y � o �
i
Police Dept. I
I ��4 C� I�. Y�.�
License Divn. �
a- ( �t.( ;
0
City Attorney � I � � O�
Date Received:
Site Plan fl
To Council Research �� u ��J
Lease or Letter Date
from Landlord P�
� 1
- - .. c r F s•r. PAUL G�����
' ' DEPARTMENT OF F A E AND MANAGEMENT SERVICES
LICENS A PERMIT DIVISION
Please answer a11 questions fully and c mp etely. This application is thoroughly checked.
Any falsification will be cause for den'a1.
Date�Z� � 19�
1. Application for ' " C � 2� p (License)(Permit)
2. Name of applicant �- i � • D $i S %G2
3. If applicant is/has been a married m e, list maiden name �
4. Date of birth ��- � Age�Pl ce of birth ( �U i(; �!� L i `J � �- �- � � � � S
�
5. Are you a citizen o= the United Stat s Native `( Naturalized
6. Are you a regi stered voter_��5 _Whe e �r C �:r : �i ' L�rT t� ' ✓A- 2
I �— L��zc� / Cl
7. Home Address D h � �i7�►' 2 Q oZ�U C a-W�D� , Home Telephone D - � (� b
SS�r�]
8. Present business address � rri<�i� ' � ` Business Telephone �� � �� �� �
9• Including your present business/empl ym nt, what business/employment have you
followed for the past five years.
Business/employment, Address
S 2. (2 o S�u� ►���'s �2���s s��,v a� M s � ��. 7 3� �►2,�Yu +0 A-v� � s r. ,��4-vL
C.� r- �2 � - �
►��S � o�-rr'� p� 2. S�S, ST A- CtS .�do ��r�rN�=��LQ � , �Ta���T', /L
._'., . . . . . Lo o�3 5
T0. Maxried if answer is "yes", lis n e and address oY spouse
11. If this application is for a M assagelTh rapist License, list time so occupied.
e sk��11��:�N � � �D v��t-�J Months.
12.. Have you ever been axrested N� If an wer is "yes", list dates of arrests, where,
charges convictions and sentences.
Date of arrest 19 Where
Charge
Conviction Sentence
Date of arrest 19 e e
Chaxge
.
Conviction Sentence
. -
. �9
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13• Give names and addresses oP tWO pers ns residents of St. Paul, Minnesota Who can
give inPormation concerning you.
'.YAt+� ADDRESS
I�o s a � � � r� ��- ' � I� 73� �24�I D /�u� , S r. p�-��
� , r� �� l�r� �= I� t�US l� �i�.� �= D[. ¢ �//�. S�. /�,a-ri� �5'�0��
—
State of ;Qinnesota )
) SS
County of Ramsey )
� beinl ° rst duly sworn, deposes and says upon oath
that re has read the foregoi.ng statement e ing his signature and knows the contents
thereof, a.nd that t?�e same is true oF his o knowledge exceFt as to those matters
therein stated upon information and belie a d as to those matters he believes them
to be true.
5�:bscribed and sworn to before ne ����//
-
r Q Signature Applican+.
this � day oP T� 19 U �
� . �
otaz^f Publ;c, r�aasey County, �Minnesota
N�y Commission expires
x�a�� �
,�►�±�ti DEBORAH ANN PElSERT
"' NOTARY PUBUC•MINNESOTA
RAMSEY COUNTY
� '�-�My Commission Expires Sept..y,Ig/p
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•""•• CITY OF SAINT PAUL
.• :
' • DEPARTMENT�OF COMMUNITY SERVICES
.
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�� � "� DIVISION OF PU81.1� HEALTH
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!S!C��SIre�1,Silnl rwl,AMnnesota ss101
G�ws.l�tln»r c�1�1 m�rN
Miya
December 16, 1988
Rita Vahling •
401 Labore Rd. (21�)
Little Canada, Mn. 55117
Dear Ms• Vahling: ;
I am happy to inform you that you h ve passed the massage therapist
written and practical examination . You may now make application for
a license at the License Inspecto 's Office, Room 203 City Hall,
15 W. Kellogg Blvd. �, St. Paul, Mn 5 102.
Bring this letter with you when m ki g application�.
Sincerely�
���'��;�C����14��
Gary J . Pechmann
Environmental Health Pro ram Manaler
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