89-1076 WNITE - CITV CLERK
PINK - FINANCE G I TY O A I NT PA U L Councii /�/)
GANARV - DEPARTMENT {/��/�. //1 `�J/
BLUE - MAVOR File NO• O ! /�//S�/
c Counci esolution 5��
,
�._��
Presented By
Referre o Committee: Date
Out of Committee By Date
RESOLVED: That application (I #1 073) for a General Repair Garage
Cicense by Steven 6. J obson DBA Steve's uto Service at
453 W. 7th Street, d the same is here y approved.
COUNCIL MEMBERS Requested by De rtment of:
Yeas Nays
Dimoud
�� In Fa or
Goswitz
Rettman � B
s�6e;n�� _ A ga i n t Y
�-9eee..
Wilson
�N � 3 Form Appr ed b City t ney
Adopted by Council: Date /�� �
Certified P•s dr Counci l cre B y
By�
A►p�r , av r: Date Approved by May r for Submission to Council
�� � � � �'--� BY
� PUBL J UN 2 4 98
,
. . (�r�-�o��
DEPARTMENT/OFFlCEICOUNqL DATE IN � 8 O H
Finance/ticense GREEN SHE T No.
CONTACT PERSON 3 PHONE �Nmw 7E INITIAUDATE
DEPARTMENT DIRECTOR �GTY COUNqL
Christine Rozek 298-5056 ^Y� aTrnrroRNer �crrrc��uc
MUST BE ON COUNqL AQENDA BY(DATE) ROU71N0 BUDOET DIRECTOR �FIN.�1�T.8ERVICE3 DIR.
6-13-89 MAYOR(OR A8818T � CiQUnC�� R $ a�" h
TOTAL#�OF SIGNATURE PAGE8 (CLIP AL LO ATIONS FOR SI�iNATUR�
AC710N REQUESTED:
Application for a General Repa r arage License.
Notification Date: 6-2-89 Hearing Date: 6 13-89
RECOMMENOATIONB:Approve(Iq a Rslsct(R) COUNCIL ITTEEIRESEARCN REPORT OPT AL
_PLANNINO OOMMISSION _dVIL SERVICE COMMI3810N ��Y� PMONE NO.
_CIB COMMITTEE _
COM�AEN :
_STAFF —
_DI8TRICT OOURT _
SUPPORTS WHICH OOUNdL OBJECTIVE7
INITIATINO PR08LEM,ISSUE,OPPORTUNITY(Who,What,WMn,Whsre,Wh�:
Steven B. Jacobson DBA Steve's Au o Service, request City Council approval
of his application for a Gene 1 epair Garage Licen e at 453 W. 7th Street.
All required divisions - Fire, Li ense, Police and Z ning have given their
approvals.
ADVANTAOES IF APPROVED:
If Council approval is given, St en Jacobson will o erate a licensed
general repair garage at 453 . th Street.
DISADVANTAOES IF APPROVED:
DISADVANTACiEB IF NOT APPROVED:
Co�rc�! €�e��arch Center
J�;;`�� 0� "i�v-�s� �
TOTAL AMOUNT OF TRANSACTION ; COST/REVENUE BUDGETE (CIRCLE ON� YES NO
FUNOINO SOURCE ACTIVITY NUMBER
FlNANqAL INFORMATI�1:(EXPWI�
. . C?��io��
DiVISION OF LICENSE AND PERMIT ADMINI T TION llATE 7` p�� / � 6 �J�
INT�,RDF.PARTMFNTAL REVIEW CHECKLIST A pn Processed/Rece'ved y
Lic Enf Aud
Applicant 5-�'�U2�'1 g, �CV�jSa� Home Acldress
t
_ �
Rusiness Name eUQS � r 1 -� Home Phone v� 3' � �y�
Business Address 5 3 C.t� �`�'�'1 a. Type of License( ) G..p h e�Ct�
Business Phone a,� ��
Public Hearing Date � 3 p License I.D. 4{ � �� 7 3
at 9:00 a.m, in the Council Chaibers,
3rd floor City Hall and Courthouse State Tax I.D. 4 a�'� � a 3 �
llate Nutice Sent; Dealer 4� N /�"
to Applicant " —
rederal I'i.rearm 4� �1I/�
Public He�.�ring
DATE IrS EC' IUN
REVIEW VERFIED ( 0 TER) CUMMENTS
A roved ot roved
�
Bldg I & D � � � �/�
Health Divn. '
�'A !
i
Fire Dept. �
� J�'�� �� ��
! I
Yolice Dept.
�' � � i � �-
License Divn. �
z � ` �,t--�
!
City Attorney �
� Z(.,�' , � �
Date Received:
Site Plan � Z-� � r„ ��
To Council Re earch ��J
Lease or Letter Date
from Landlord
. --Sr�e,r :� ,
CI 0 SAINT PAtTL _ ���yz Or � :,, _:.:`;
DEPARTMENT OF F AND MANAGEMENT SE VICES •
a� , <. w,
j ' � • LICENSE PERMIT DIVISION � L�_`D��
0
These statement forms are issued in dupli at . Please answer al questions fully and completely.
This application is thoroughly checked. y alsification will e cause for denial. .
�
1) Application for (tqpe of licease) .�
2) Name of applicant �`E e� � �� ,<
3) Applicant's title � (corporate officer s e owaer, partner, ther) 5�1� a u,,�,.z1
4) Name under which this busiaess will e nducted:
�� �� � S�, �
Applicant / Company Name D ing Business As
5) Business telephone number '��
6) If applicant is/has been a married f , list maiden name
7) Date of birth ,�'] �aN .�b ge 3 Place of b rth S�{-� ��.�( �N �
8) Are you a citizen of the Uaited Stat s? ' �S Native Naturalized
9) Are you a registezed voter? r ere? 5�. P2 v
I0) Home address ` ame Phone �9� / S�S��
11) Present business address �,`'j :�- �2u Bus ess Phone 7,}5 S/( �,
12) Including your present business/empl t, what business/e Ioyment have you followed for
the past five years.
Business/Employment Address
e . .c � $ e �N / -iN.
13) Married? � If answer is "yes" 1 t name and address of spouse. �
14) Have you ever been arrested for an o fe e that has resulte in a conviction? �l/v
If answer is "yes", list dates of ar es , where, charges, onfictions, and sentences.
Date of arrest , 1 WEiere
Charge
Conviction Sentence
��j-/0 7�O
i -
Date of arrest , 19 Where
Charge
Conviction Sentence
�,�5) Attach a copy hereto of a lease agreem nt or proof of ownersh p for the premises at which
a license will be held.
�X6) Attach to this application a detailed es ription of the des' n, location, and square
footage of the premises to be licensed (s te plan) .
17) Give names and addresses of two perso o are local reside ts who can give information
concerning you.
Name Address
va ► -�c�L � f��r/' i� ��,.� �v�
��j� ol � 5a�' c�• a ' � ��
18) Address of premises for which License or Permit is made.
Address y�� ` t�' Zone Classification
19) Between what cross streets? Q a ( -�- � .� ich side of street? �
20) Are premises now occupied? �l/U
What business? How ong?
21) List license(s) , business name(s) , a cation(s) which yo currently hold, formerly held,
or may have an interest in, and loca io of said license(s .
22) Have any of the licenses Iisted by y u n No. 21 ever been evoked? Yes No _�
If answer is "yes", Iist dates and r as ns.
23) Do you have an interest of any type n ny other business r business premises not listed
in #21? Yes No � If answe i "yes", list busin ss, business address, and tele-
phone number.
24) If business is incorporated, give d te f incorporation , 19
and attach co of Articles of Inco o ation and minutes o first meetin .
_ ��y�U��
� ?5) List�al� officers of the corporation iv ng their names, of ice held, home address, date
of birth, and home and business telep on �numbers.
N
26) If the business is a partnership, lis p rtner(s) address, p one number, and date of birth.
,
27) Are you going to operate this busines . p rsonally? ��� If not, who wi11 operate it?
Give their name, home address, date o b rth, and telephone umber.
28) Are you going to have a manager or as is ant in this business? �1° Q If answer is "yes",
give name, home address, date of birt , nd telephone number.
29) Has anyone you have named in question # 3 through �26 ever een arrested? If answer
is "yes", Iist name of person, dates f rrest, where, charg s, convictions, and sentence.
i
30) I S v e � a c o . c, u derstand this premi es may be inspected by the
Police, Fire, Health, and other city ff cials at any and al and all times when the
business is in operation.
State of Minnesota )
) �s ' �
County of Ramsey ) ature A c t / Da e �
�, ����, � S��
�`{-Q-UQn �- lZCD�SDrI b in duly sworn, depose and says upon oath that
he has read the foregoing statement b ar ng his signature an �knows the contents thereof,
and that the same is true of his own no ledge except as to hose matters therein stated
upon information and belief and as to th se matters he belie es them to be true.
Subscribed and sworn to before me
this ��'�� day of �,�. , 9 �
��`�-Lyw �- ��� :
;:-s�
<,.�t�.' .
Notary Public, ��� t Co nt , MN 1 F�'���-� ._,
rvww�nnn,��..�..•,._.,�....,, .�;.��v�.
My commission expires �C� C� Rev. 2/88
C y o Saint Paul ' � b � 7J
` Department of Fina ce and Management Servi es
. • License nd Permit Division
. zo3 �ty Hau ���j/0710
St. Paul, M nne ota 55102•29&5056
. , APPLICA 10 FOR UCENSE . .,
CHECK CLASS NO. ' ' _ � ew Renew. :� . . .- • .
��: � � . . �. � _ .
�.
o�c. u�� ,9 s,
�-�e No. Title o( License . , .:'From — 19��To=�_�,ri_ 19�
�?aco��
100 ��'£�.,':1 � � `, ,��"r'"+"�'�
�"�.��� J
�-�(� �-t'� CN(h�C� �:,'� � Applicant/Compa y Name
100 , �. .
, � < 0 `�°i'lllC
100 eusineas Name
y 3 � �y�- -
,oo t� /'�i� .
Business Addres Phone No.
100
�
100 Maf1 to Address Phone No.
100
ManaperlOwner Nsme
100
100 AlanagerlGwner Home Addrcss Pho�e No.
4098 Appticatfon Fee sp
Recefvad the Sum of 100
�?f I�,:�1�Y' rZ.d C F?�I� ��C� 1�o� ManaflerlOw�er•City.Slatt 3 Zip Code �
100 T al 100
, / e�L� ��
Liee�se Inspector %�, By: '� S�gna re ot n��cant
Bond:
Company Name Policy No. Eapiration Dats
Insurance:
Company Name Policy No. Expintfon Date
Minnesota State Identification No — Social Security No.
Vehicle information:
S�rfal Number at�Number
Other
� THIS IS A R CEI T FOR APPLICATION .
- THIS IS NOT A LICENSE TO OPERATE.Your application for I cen e will either be granted or reie ted subject to the provision�of the zonin�
ordlnanca and completion of the inapections by the Health, ire, onin�andlor License Inspec ora.
'S
$15.00 CHARGE F R LL RETURNED CHECKS ���
,. �� �
� - -_ . . .y/�S
. . � ,
. �
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WHITE - CITV CIERK
PINK - FINANCE G I TY O A I NT PA U L COUIICII
CANARV - OEPARTMENT
BLUE - MAVOR File NO. -/D��
.0 unc 'l Resolution �����,
`'��t ,
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (I # 965) for a Massage Therapist License
by Mary Lynn Dorr D A ister Rosalind's Pr fessional Massage
Center at 734 Grand v ue, be and the sam is hereby approved.
COUNCIL MEMBERS �
Yeas Nays Requested by Depa ment of:
Dimond
�ng In Fav r
Goswitz
�e� � __ Against BY
�6vaee�
Wilson
Adopted by Council: Date �� 1 � � Form Approved by ity Attor y
Certified P s d y o cil et BY ��
Bl'
Approve� Mavor: Date \ � '' Approved by Mayor or Submission to Council
B - l�+-'``� BY
�
PU6lt�NfD J U N 2 4 1 8
- . . C,,�I-�i io��
w �
� DEP MENT/OFFICEICOUNCII DATE INITIA � �� �
Finance/�icense GREEN SHE No. ,N�n�A�
CONTACT PERSON 8 PHONE DEPARTMENT DIRECTOR �qTY COUNCIL
K1^1 S VanHorn/298-50b6 �M�F cm�rroRNer 0 c�Tr c�eRK
MUST BE ON OOUNqL AOENDA BY(DATE) ROUTING BUDOEf DIRECTOR �FIN.6 MOT.SERVICES DIR.
MAYOR(OR AS818TAN � Cni�nr i� R
TOTAL N OF 8KiNATURE PAQES (CLIP ALL OC TIONS FOR SIGNATUR�
ACf10N RE�UEBTED:
Application for a Massage Thera is License.
Notification Date: 5-25-89 Hearin Date: 6-13-89
REOOMMENDATIONS:Approve(A)or RsJsct(R) COUNGL M EEIRESEARCN REPORT OPT AL
ANALYST PHONE NO.
_PLANNINO COMMISSION _CIVIL SERVICE COMMISSION
_qB COMMITTEE _
COMMENTS:
_STAFF -
_DI8TRIC'T COURT _
SUPPOR78 WHICH COUNpI OBJECTIVE9
INITIATINO PROBLEM,18SUE,OPPORTUNITY(Who,What,Whsn,WMre,Wh�:
Mary Lynn Dorr DBA Sister Rosalin 's Professional Mas age Center at
734 Grand Avenue requests Coun il pproval of her app ication for a
Massage Therapist License. All f s and applications have been
submitted. All required depar e s have reviewed an approved
this application.
ADVANTAOES IF APPROVED:
DISADVANTAOES IF APPROVED:
DISADVANTACiES IF NOT APPROVED:
�ouncii Research Center
(��I�iY 2 5 i989
TOTAL AMOUNT OF TRANSACTION � COST/REVENUE BUDOETE (qRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FlNANGAL INFORMATION:(EXPWN)
+ � �
• w.-.
. _ � ,
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO. 298-4225).
ROUTING ORDER:
Below are preferred routings for the flve most frequent types of documeMs:
CONTRACTS (assumes authorized COUNqL RESOLUTION (Amend, 8dgts./
budget exists) Accept. (3rar�ts)
1. Outside Agency 1. Department Director
2. Initlating Department 2. Budget Director
3. City Attomey 3. City Attorney
4. Mayor 4. MayodAssistant
5. Fnance&Mgmt Svcs. Director 5. qry Council
6. Finance Accounting 8. Chief AccountaM, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDER (Budget COUNCIL RESOLUTION (all others)
Revision) and ORDINANCE
1. Activity Manager 1. Initiatlng Department Director
2. Department Accountant 2. City Attomey
3. DepartmeM Director 3. Mayor/Assistant
4. Budget Director 4• ((�y Council
5. City Clerk
6. Chief Accountant, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDERS (ail others)
1. Initiating Department
2. Ciry Attorney
3. MsyodAssistant
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and a�erclip
each of these pages.
ACTION REQUESTED
Describe what the projecUrequest seeks to accomplish in either chronologi-
cal order or oMer of importance,whichever is most appropriate for the
issue. Do not wrlte complete sentenc;es. Begin each item in your list wrth
a verb.
RECOMMENDATIONS
Complete if the iss�e in question has been preseMed before any body, public
or private.
SUPPORTS WHICH COUNGL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION).(SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNCIL COMMITTEE/RESEARCH REPORT-OPTIONAL AS REQUESTED BY COUNCIL
INITIATING PROBLEM, ISSUE, OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAQES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific wa s in which the Ciry of Saint Paul
and its citizens will benefit from this pro�ect/action.
DISADVANTAGES IF APPROVED
What negative effects or maJor changes to existing or past processes might
this projecUrequest produce if it is passed(e.g.,traffic delays, noise,
tex increases or assessments)?To Whom?When?For how long?
DISADVANTA(3ES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved? Inabiliry to deliver service�Continued high traffic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost7 Who is going to pay?
. .- � . ' �jcf�9-/d 77
UIVISION OF LICENSE AND PERMIT ADMINIS T ON llATE /
INTERPF.PARTMF.NTAL REVIEW CHECKLIST A.p n Processed/Received by
Lic Enf Aud
1 �"
Applicant � �� Home Address �, �. ,��1 yl��_
Bus ine s s Name �,� �, � � � Home Phone _ � 5�`'jJ
, ��t;�- v►[�l�':�
Y�1c�:;��.�� l��.�r • Yl �
Business Address � �•�� ( � Type of License(s �����;��('�(�Q rc��l��
J
Business Phone - �� ( �
Public Hearing Date �_ License I.D. 4� � (./"i�P�
at 9:00 a.m, in the Co ncil Chauibers,
3rd floor City Ha11 and Courthouse State Tax I.D. �6 ���t('�'7
llate Notice Sent;� �I�� �#Ibc � Dealer ��
to Applicant �
Pederal I'i.rearms 4� �g-
Public Nearing
DATE INSP 'CT UN
REVIEW VERFIED (C MP TER) CUMMENTS
A roved N t roved
�
Bldg I & D j I �-L 1
v �
Health Divn. � '
� � ' b
i
Fire Dept. ! _ I �
I <� ��� V
I (
Police Dept.
� � '� � � �,
�
License Divn. '
�' i
�o ' O �`,
City Attorney �
��� �� � c��
Date Received:
Site Plan ���}
To Council P. search _�'� ����
Lease or Letter I Date
from Landlord
` � CI Y S'i. PAUL ��� /0�
DEPARTMENT OF FI AN A1VD MANAGEI�NT S VICES
LZCENSE A PERMIT DIVISION
Please answer all questions fully and co pl tely. This applica ion is thoroughly chec�ed.
Any falsification will be cause for deni
Da e Sr - 3 19�f/
1. Application for <S.S CE� �'� �� /{��S i �License)(Permit)
2. Name of applicant �L� �"? �� �- il.' �.� _� 1 Z Z
3. If applicant is/has been a married m e, list maiden name � __
4, Date of birth /,,� �� �� ASe �`� P c of birth S i �it�l
5. Are you a citizen of the United Sta es � Native Nat alized
6. Are you a registered voter / Wh re 5 i �/� �1�--
7. Home Address ,S%� C- /�) � �/�G I - l�� �om Telephone�%�''/S��r
8. Present business addressr�i�, SAu N 'S 4�2tlF. in�NG� C�j'�Bus'ness Telephone 2��/. "i
9. Including your present business/emp o ent, what business/ mployment have you
followed for the past five years.
Business/emplo,lment. ddress
�-,�.;;urZ �7Ci�n1�4,t,�u.c: ��u��Tm� Sul�t � � s_ �u6� t �. V��R�-�- -�2�'(� 1 ��i� _.' � ;i. r%���
c-r�n- r-� ��t�A% .. n��'i � t= Nu��,�; s �C cE� ���f� Gi9��l� ET c` 5'?�/��l �- �"�-
7j ,�r���� tJ�i.���c" S C/fr,L L b _Z N!L���u �i l G r-I- S c.Hc�� S1' y�r}���c. �Ll�t..'
10. Married� � if answer is "yes", 1'st ame and address of spouse
11. If this application is for a M assa e erapist License, 1'st time so occupied.
Y �,S :� Months.
12. Have you ever been axrestedl�-� f swer is "yes", lis dates of arrests, where,
charges convictions and sentences.
Date oF axrest_ 19 �e e
Chaxge
Conviction Sentence
Date of arrest 19 ere
Charge
Conviction Sentenc _
_ � - � - � �-�i-iv��
13• Give r.ames a.nd ad3resses oP �wo person , r sidents oP St. Paul, Minnesota who can
give infor�ation concerning you.
NAME ADD ESS
J o�t�l ��nJ��E-'t N- J� �rz y2 % r�.s3- ��o`�s 5% r��-LU ir.�a� .��u 6
,z /��t;�6 i�J� E�- '
�� �SC��c � �i� i� 1� C� IG �i.'t �! "'/' ��L L /G1�/�`T/G
State of ;�!innesota )
) SS
County o� Rn..�sey )
�� Ci�� ��- y C� v �'� being fi t 3uly sworn, 3eAOSes a.nd says upon oath
that :�e �as read t:e °oregoir_g statement b ax' g his sig�ati:re a.n isnows t::e contents
t�aereof, and that �::e same is true of his wn owledge except as to those natters
therein stated upor. information and belief an as to t:�ose matter he believes then
to be true.
Subsc^ibe3 ar.d sworn to beior� �e ���'f - � %1-tt,.C�rt�'��v
S= nat e of A�plicant
tn:.s 3 1-c� �a :.f I'�'�4 19 cS� ' �� _ .� � �
y � v •,---<� �� �l.-L �
� � �� � � �
"lotarf ruo?:c, �a.�sey Count�r,%�finnesota
:•Sy Cenmiss_on exp�res 1 �5 � • '
.r•�• CH�IST!\E a an?cu �
�+�j� OTAR'i :� , �
`�t��" _
����
�riv ,,,,.�. .. � '-
•vVVWVb''V�.\., .. . . ..
. . �v,� �,���
. . .
,�,*,,, C TY OF SAINT PAUL
•' '- DEPARTMENT OF OMMUNITY SERVICES
• y
�. a DI ISION OF PUBIIC HEALTH
�••• 5SS Cedu Saeet.Sainc hul.MM�esoa 55701
(67�292-7741
Geo�e Uti�net
Mapar
:�7ari•h ��, 1989
ys. �la.ry L. Cbrr
1188 E. 'yinc�haha ���.
St. Paul, �. j5106
Dear Ms. IXrr:
I �a[:� rap�% to info� y�u that ��nu ha e - sed the m�ssage th�e apist
writ;..�� ar�d practical examinations. Y m3�T riow r.�ic� a�plica ion far a
license at tY��e License Inspector's fi e, Roan ?03 City Hall 15 W.
E:e2logg Bl��., St. Pau.l. :�h. ��10?.
Bring this letter with you wi�en . lication.
Yaurs tru1�. ,
���y�
C,axy J. Pa�Yr�n
�virorment3l I�iealth Proqram .
GJP/msg
c: 3ose�i� Carchedi.
Lic�.se Division