89-1233 WNITE - CITY CLERK
PINK - FINANCE CITY OF A NT PAITL Council
GANARV - DEGARTMENT �
BLUE - MAVOR File NO• /�� -
Co ncil solution ��
,
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application ID #89565 o a Massage Therapist License by
Ann Altman DBA Sister Rosal 'nd's Professional Massage Center at
, be and t s me is hereby approved.
��t�ty �oR� 01bCK��},'
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Long [n Favor
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Rett,°a° B
Scheibel 4 _ Against Y
Sonnen
Wilson
SEP 2 81989 Form Appr ed by City or ey
Adopted by Council: Date • . �/
Certified Pas e b n il ta BY � `r�'�
gy �
t#pprove �Vlavor. Date 2 Approved by Mayor for Submission to Council
g BY
P��a�tSl�b 0 C T '7 1989
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DEPAR�ENT�9FP�CE/CQ�JNqL DATE INITIATED
Fi nance/�i cense REEN SHEET No. 4,,,�.,4�(�TE
CONTACT PERSON Q PHONE DE ARTMENT OIRECTOR �CITY COUNCIL
K1^1 S VanHorn/298-5056 �� ATTORNEY �CITY CLERK
MUST BE ON COUNCIL AGENDA BY(DAT� ROUTINQ BU ET DIRECTOR �FlN.d MOT.SERVICES DIR.
MA OR(OR ASSISTANTI ��.Q�.C��
TOTAL#�OF SIGNATURE PAGES (CLIP ALL LOC TIO S FOR SIONATUR�
ACTION REQUESTED:
Application for a Massage Therapist L ce se.
Notification Date: 6-21-89 Hearin Date: 7-11-89
RECOMMENDATIONS:Approve(A)a Ryect(F� COUNCIL COMM RESEARCH REPORT OPTIONAL
_PLANNINCi OOMMISSION _CIVIL SERVICE COMMISSION ��YST � PHONE NO.
_CIB COMMIITEE _
COMMENT8:
—STAFF _
_DISTRICT COURT _
SUPPORTS WHICH COUNpL 08JECTIVE?
INITUTINO PROBLEM,13SUE,OPPORTUNITY(Who,Whet,When,Whero,Why):
All Altman requests Council approval f er application for a Massage Therapist
License at 734 Grand Avenue DBA Siste R salind's Professional Massage Center.
All applications and fees have been s bm tted. All required departments have
reviewed and approved this applicatio .
ADVANTA(aE8 IF APPROVED:
o�S,,,o,,,,�rAaES,FA�,�o„EO: TO CITY COUNCIL COMMITTEE:
❑ FINANCE, MANAGEMENT 8� PERSONNEL
❑ HOUSING 8 ECONOMIC DEVELOPMENT
❑ LEGISLATION
❑ PUBLIC WORKS,UTILITIES&TRANSPORTATION
DISADVANTAOES IF NOT APPROVED: ❑ COMMUNITY 8�HUMAN SERVICES
❑ RULES 8�POLICY
❑ HOUSING 8 REDEVELOPMENT AUTHORITY '
�!d ACTION
' � OTHER
TOTAL AMOUNT OF TRANSACTION s
FUNDIN(i SOURCE DATE
FlNANCUIL INFORMATION:(EXPLAIN)
i
FROM
�
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• � � � (��-�a.�.�
. UiVISION OF LICENSE AND PERMIT ADMINIST TI DATE �_j. �t /
INTERDF.PARTMFNTAL REVIEW (,HECKLIST A.ppn Processed/Received by
Lic Enf Aud
Applicant �h y� � l�mq-n _ ome Address ,(9�c� �V�IIOq�G�ru-��
Rusiness lvame �� '�'K(;� .� ome Phone �a - a�j�
Business Address�3� �r�(� � , ype of License(s) QSSC,�Gt I ��Ya-(JS
Business Phone �a� — � � � �
Public Hearing Date ���I��q icense I.D. �� {�,��(�,s
at 9:OQ a.m. in the Council Chambers,
3rd floor City Hall and Courthouse tate Tax I.D. �� a���( �US�
llate Notice Sent;� � �jn�o ealer �f ��
to Applicant u�l
�ederal Pirearms 4� }� �q-
Public Her.�ring
DATE II�SPECTI N
REVIEW VERFIED (COMPU ER CUMMENTS
A proved Not A r ved
�
Bldg I & D �' �
�a , �
Health Divn. �
, ��1 � � � �
_ ; ;
Fire Dept. � � �
i < <a I
� �
Police Dept.
`�( �a � O�
License Divn. �
� � a, '
, �
City Attorney � (
��5
! O�
Date Received:
Site Plan �, �t �
To Council P.esearch �p a(p
Lease or Letter Date
from Landlord 1n,'a
—�'
' ' � � ���1�-/�33
• -� • ' CITY 0 S' . PAUL
DEPARTMENT OF FINANC A MANAGEMENT SERVICES
LICENSE AND !PE IT DIVISION
Please answer a11 questions fully and comple el . This application is thoroughly chec?ted.
Any Palsification will be cause for denial.
Date (�1`� �� 19 8�
1. Application for �C ��Z� �License)(Permit)
._.___..._.._
2. Na.me of applicant r1)P� �L��
3. If applicant is/has been a married femal , ist maiden name �
�. Date of birt:� 1, '�.:� Age_ .'��C Place f irth � L�UI.'� ��!�'� _
5. Are you a citizen of the United States ative Naturalized
6. Are you a registered voter �Where I.
�
7. Home Address � 1����.(., '71L Home Telephone 1�;� -�S%�'
8. Present business address Business Telephone
9. Including your present business/employme t, what business/employ.nent have you
followed for the past five years.
Business/emplo;�ent, Address
��� . }�C�r �� . � _ L. /�(�S �-c� CU � �
��nma ni�iUti A�I�R'P�C- � (�'A1a�_ �(.�Dl�11�a iZ►�1
�
�Q-rI1 N �,�� V���iuv�- k���m��4;a�
10. Maxried if answer is "yes", list n e nd address of spouse
11. If this application is for a Me.ssage The ap st License, list time so occupied.
�A I��Z Ye�, Months.
12. Have you ever been arrested N�% If ans er is "yes", list dates of arrests, where,
chaxges convictions and sentences.
Date of axrest 19 Where
Charge
Conviction Sentence
Date of arrest 19 �e
Charge
Conviction Sentence
. .
� �4 ����.
i3. Give r.ames a.zd �,ddresses of ��ro persons, re idents of St. Paul, �Iinnesota .rho can
�ive inFOr�s�ion concerning you.
NAP� ADDRESS
i
. �
A��n � f�I �,� .�R�>> �so,� �� 3 a� - � �' s r l�;��� - ,z l r�
� �,o ��� � -n�� (I� !I� G�.�czL�s � , �v�
State of ,Qinnesota )
� jj
County of Ra.�sey ;
being fi st 3uly sworn, 3e�oses a.nd says upon oath
t::at :^e '�as read ::e �oregoi:!g state�er.t bear ng �is signatt:re a,nd isnows the contents
thereof, and that ;.::e same is true of his own kn wledge except as to those �natters
therein stated upor. informatior. and belief an a to those matters he believes then
to be t:ue.
Subscribe3 a::3 sworn to f0►'� �e W�Lv'1 I,CX�C'��'�^��
� I Signature of Applican�
� cay 'f � 19
_ ' � i,, r-
L��.
'_•Totaxf =ub1_c, �.a.�s Co nt�r, �fi scta
i�ty Coamiss_on expires M :::�"`j"`�'••.. CELLA G. SCHI LIN ER
� —!�4IN ES TA
M1:—:-
' '���, '� RAl�1SEY COU !TY
�"�}•�' My Commiss+on expiras M r.21 1991
. �.� � � ���,,��
� , .°"••• �� CITY OF SAINT PAUL
:~ '; DEPARTMENT Of COMMUNITY SERVICES
:, r
DIVISION OF PUBLIC HE�1lTH
���� 555 Cedar Stroet.Saint P�ul,Minnesoq 55101
Georg!Latimer (6121 292-7741
Mayw
November 10, 1988
Ann Altman
9242 Queen Avenue So-
Bloomington, Mn . 55431
Dear Ms . Altman :
I am happy to inform you that you ha e assed the massage therapist
written and practical examinations • �Yo may now make application for
a license at the License Inspector ' s Of ice� Room 203 City Hall ,
15 W . Kellogg Blvd • y St • Paul � Mn. 5510 .
Bring this letter with you when making pplication.
Sincerely,
'��i����G�
Gary J . Pechmann
Environmental Health Proqram Manager
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