89-1235 WHITE - C�TV GLERK
PINK - FINANCE COU1IC11 �f ���jjj /
CANARV - DEPARTMEN7 G I TY SA I NT PA U L File NO• :,{..!'/�
BLUE - MAVOR
C�oun � Resolution ,-���
Presented By A���
���
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID 63 60) for a Massage Therapist License by
Pamela Moench DBA Sis r osalind's Professional Massage Center
at e, b a d the same is hereby approved.
�49 y �dr�o ,�rR�c�„ Y
COUNCIL MEMBERS Requested by Departenent of:
Yeas Nays
Dimond
�ng In Favor
r6eewitr..
Rettman �7 B
Scheibel A gai n s t Y
Sonnen
Wilson
Adopted by C uncii: Date SEP 2 81989 Form Appr ed�by City y
Certified Pa s Counci cr BY
� �i'(���I
gy
A►pp by Mavor: Date l � � � Approved by Mayor for Submission to Council
By BY
PUR►t4l�t1 �'C T 7' 1989
��ris�.
DEPARTMENTlOFFI °OOUNqL DATE INITI ED
' Fi nance/Li cense GREEN SHEET No. 4�����
CONTACT PERSON&PHONE DEPARTMENT DIRECTOR �CITY COUNqI
Kri s VanHorn/298-5056 N�M� CITY ATTORNEY �CITY CLERK
MUST BE ON COUNCIL A(iENDA 8Y(DATE) ROUTINQ BUD(iEf DIRECTOR �flN.Q MOT.SERVICE3 DIR.
MAYOR(OR ASSISTANn ���� R
TOTAL fi�OF SIGNATURE PAGES (CLIP AL L ATIONS FOR SIGNATURE�
ACTION REQUESTED:
Application for a Massage Therapi t icense.
Notification Date: 6-21-89 Hearin Date: 7-11-89
RECOMMENDATIONS:Approve(A)w Reject(F� COUNCIL CO ITTEE/RESEARCH REPORT OPTIONAL
ANALYBT PHONE NO.
_PLANNINO COMMI8SION _qVIL SERVICE COMMISSION
_CIB COMMITTEE —
COMMEN :
_3TAFF _
_OISTRICT COURT —
SUPPORTS WHlqi COUNqL OBJECTIVE7
INITIATINO PROBLEM,I88UE,OPPORTUNITY(Who,What,When,Where,Why):
Pamela Moench requests Council a pr al of her application for a Massage Therapist
License at 734 Grand Avenue DBA is r Rosalind's Professional Massage Center.
All applications and fees have b en submitted. All required departments have
reviewed and approved this appli at' n.
ADVANTAOES IF APPROVED:
DISADVANTAOE8 IF APPROVED:
DISADVANTAOES IF NOT APPHOVED:
Council Research Center
JUN 2 7 a9$9
TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDOETED(CIRCLE ON� YES NO
FUNDINO SOURCE ACTIVITY NUMBER
FlNANqAL INFORMATION:(EXPIAIN)
. . . ` . (��--��-3 5�
DIVISION OF LICENSE AND PERMIT �llMIN ST TION DATE /
INTERPF.PARTMEI�TAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �Q,yy� t,Q(� � ����_ Home Address ,�t("� ��cQ C'��� �}� . (�.�j,L.
� ,r
Rusiness hame ti • � me Phone (,Q 5 3 — ���-CS
/
Busi.ness Address ''�� � �jr'�� Type of License(s) Mass�ll�-�.� ��_
Business Phone o� r�.�- � ' I
Public Hearing Date License I.D. $ � �j C��o Q
at 9:OQ a.m. in the Counci Chambers
3rd floor City Hall and Courthause State Tax I.D. 4� a s(p Q O��'
llate 1�TOtice Sent; Dealer �� (� l(�
to Applicant 2' � �j
rederal Pirearms �� (/� � 1�
Pub.lic Hearing
DATE TrS EC IUN
REVIEW VEKFIED ( 0 UTER) CUMMENTS
A roved ot A roved
�
Bldg I & D �
���, ' o�,
Health Divn. —' '
, g r�, � o
, �
�
Fire Dept. �
� ��ly f � �
i
,
Police Dept. ' C�� (
�� �
ok rw n�c
License Divn.
� ;
�� i
I ��
City Attorney �
�e l,�— , ��
Date Received:
Site Plan � �
To Council Research �(���j
Lease or Letter Date
from Landlord }�
�
� - � CIT 0 5i. PAUL ��'���
DEPARTMENT OF FIN NC aiJ� MAi'vAGEI�NT SERVICES
LICENSE ND PERMIT DIVISION
Please ansWer a11 questions fully and com le ely. This application is thoroughly checked.
Any falsification will be cause for deni .
, Date ��� 19 ��
1. Application for �assa e �� I t (License)�Permit)
2. Na.me of applicant Glf'n��C` e n
3. If applicant is/has been a married fe a1 , list maiden name • �fYLC��G:_ �.��'�S�+n_
�. Date of birth �/( Age � Pla e f birth �0�(Y��Wf� ����
5. Are you a citizen of the United State S Native ✓ Naturalized
6. Are you a registered voter � Wher f� Wh►� �e�f �ke
7. Home Address , O �7 �'� � ��-C ��L !�lv Home Telephone ��53 '-L�'�y5�
8. Present business address � �y l��'C'�nC� �� - �? '`Gtu� Business Telephone Zz �I�S I I
9. Including your present business/empl e t, what business/employ.nent have you
followed for the past five� yeaxs.
Business/emplo,�ent. Address
� � �e iS� ~- ��3�! C�r� � ; S�fi �a�. �
Cv��oc�, �ru rn;��f(�ec,.�-� .l� �� ��t-S� . m n
�
�� �� � �en ���n��l;n " JGrn�S �.�'�,� /l���
10. Maxried V�S if answer is "yes", lis n e and address of spouse
�� �e iZ. r�oenc�h o�3� �.�� � � � wi3 � mN
11. If this application is for a M assage Th rapist License, list time so occupied.
---- e s S Months.
12. Have you ever been arrested�Zf an wer is "yes", list dates of arrests, where,
charges convictions and sentences.
Date of arrest_ 19 Where
Charge
Conviction Sentence
Date of axrest 19 e e
Charge
Conviction Sentence _
� z � a � - ��—i�
13. Give names a.�d ad�r�sses of :wo perso s, residents of St. Paul, �?innesota �.rho can
give inior�a.tion conceraing you.
=�� ADDRESS
s�sa-�-iZ��i;�-,��, ��:� �w� �3y Gr�� 4�;�.. ���t ����i ,rnri
i�rl�ss C�1�� � C'�r��c� ,�.�,�� /n�n
State of i4innesota )
� JJ
Count� oi Ramsey )
'/(l�<<i� m�e�1�-1-� being fi st 3uly sjrorn, 3eposes and says upon oath
t::at :^e :=as read t:e foregoir.g statement b ar ng his sigaatizre and knows �r�e contents
trereof, and that �re same is t:ue of his wn knowledge except as to those �natters
therein stated upor. infor�.atior. and belief an as to those matters he believes �hen
to be true.
Subsc�ibe3 and sworn to be;:ore �e �i.�'�'�C-�
_ Signat�.Lre o Applicant
this � cay of .� ,.,,;,� 19 k�
,� /�
�1,��-_-� '"� , t li�_ �ti R
"�1ot f :llDl=r � �y Count�r, �finneseta ''�
���z._ ��� KRISTlNA L V,qM HORN
r,• .\ ��►NOTARY P�BIfC_ #
.1,� Coamission expires �� � . lCt �AKOTA M�NNESOTA
i x�� i:ommrssion F �OUNTy �
`�"^�w�," XA�res lan 2. l�92
Miv�n.,y��1� _�°�,y� �
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��,«__�,. CITY OF SAINT PAUL
• '• DEPARTMENT Of COMMUNITY SERVICES
�;� � i i' ;9
DIVISION OF PUBIIC HE/1LTH
'��� SSS Ccdar Street,S�int P�ul,Minnesota 55101
George Latimer (612)292•7741
Mayor
;�y 19, 1989
Ms. P�rela �berx•h
15L Parl{ St. (�1?)
W.B.L., hn. �511?
L�.ar :Ks. "bench:
I ar.� l,appy tc� infonn you that yc�u hac p3 sed the r.r�ssage therapist
k�-itten arid ��L'3Ct1C;dI e.�nur�ations. ou y naa rn� applicJation for a
lic°nse at the License Ins�ector's Of i , Roan 203 Cit�- Hall, 1� W.
I:ellcx�g B1��3., St. Paui, N�. 5510?.
pring r..his lettex ��rith y�u wi�n lication.
Yours trtil.y,
,�GC��;�7G�_
Gary J. Pec!�arin
�vi.roc-anental [iealth Prngram �Linager
GJPir,�.sg
c: Josr�ah Caz�checli,
L,iren..se Division