89-1794 WMITE - C�TV CLERK COUI1C11 �//��
PINK - FINANCE G I TY O SA I NT PA U L 4 /
CANARV - DEPARTMENT
BLUE - MAVOR File �O. • - ��•
Coun il Resolution �g �
�
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application ID #18192) for a Massage Therapist License
by Steven Carmazo DBA Sister Rosalind's Professional Massage
Center at 1999 Fo d Parkway, be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Favor
Goswitz �
x���
��;�� Against By
Sonnen
Wilson
OCT - 5 1989 Form Approved by City Attorney
Adopted by Council: Date . G'��
Certified Ya_ Council cret ' By 6
By�
A d y 1+lavor: Date _ Approved by Mayoc Eor Submission to Council
�—
By
rtlBlt51ED C T 14 1989 -.-
.C,��'--�7�
DEPARTM[NTlOFFICEI(�UNGL DA IN TED
Finance/�icense GREEN SHEET No. 5��68 A�
CONTACT PER30N 3 PHONE �DEPARTMENT DIRECTOR �GTY COUNCIL
Kri s VanHorn/298-5056 � � �CRY AITORNEY �CITY CLERK
MUST BE ON COUNqL AQENDA BY(DAT� �BUOOET DIRECTOR �FlN.3 MOT.SERVICES DIR.
�MAYOR(OR�8TAWn �����
TOTAL#�OF SIGNATURE PAaEB ( P L LOCATION8 FOR 81GNATUF�
ACTION REfiUES'TEO:
Application for a Massage T e pist License.
Notification Date: pat�; 5" � `
r�coM�Na►r�S:Mw�I�1 a►�l� L�MMITTEEJRESEARCH REP OPTIONAL
_PIANNINO OOMMISSWN _pVll BERVI�COMMI8810N PNONE NO.
_qB OOMMITfEE _ � �
_BTAFF _ NTB:
-������� - SEP 2�1�
SUPPORTS WHICH COUNqL OBJECTIVE9
. ,- . , ��..,
irolu►nrui aAOe�+,�ssuE,oaaoaruNrrv Nvno.wna.wns�,wn.r..
Steven Carmazon DBA Siste salind's Professional Massage Center
requests Council approval o his application for a Massage Therapist
License at 1999 Ford Park a All fees and applications have been
submitted. All required e rtments have reviewed and approved this
application.
�ov�rir,�oes iF�oveo:
DISADVANTAt3ES IF APPROVED:
Counci! Research Center �
SEP 21 i989
DISADVANTAOES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION a C�T/REVENUE BUDOETED(CIRCLE ONE) YES NO
FUNDING 80URCE ACTIVITY N�MOER
FlNANqAL INFORMATION:(EXPLAIN)
� � . . CF�����
UiVISION OF LICENSE AND PERMIT AI) ItiISTRATION DATE �'L� �' � S /Y�
INTERDF.PARTMF.NTAL REVIEW CHECKLIS Appn Processed/Received by
Lic Enf Aud
Applicant � Home Address �`p t(� ��,,,�� �_y�.
ry,,�., .
Business Iv'ame_�' cx_Home Phone ��(F (p(��5
� <T
Business Address � {�� ,� Type of License(s) �C��1 � �� c-, r,,,, ,(`
Business Phone � - p�
Public Hearing Date (� 5 License I.D. 4{ � �( �j �
at 9:00 a.m. in the Council Chauib �rs,
3r� floor City Hall and Courthous State Tax I.D. 4� ��� nJ S'��
llate Notice Sent; Dealer �� � �
to Applicant
Pederal Firearms �� � �
Public He�.�ring
DATE Tr'SPECTIUN
REVIEW VERF� D (COMPUTER) COMMENTS
Ap rove Not A roved
�
Bldg I & D �
gla� �
, U
Health Divn. � �
. � IZa � o,�
�
Fire Dept. � �' �
i � i _ .
I (
Police Dept. � I I
C�IS
,
License Divn. '
i ��� (� f
City Attorney �' �
� �
Date Recei ed:
Site Plan (�
To Council Research
Lease or Letter Date
from Landlord
' ..._- .
- � � ��'�i-179�
CIT OF S'i. PAUL
DEppgTMEtIT OF FIN CE AND MANAGEI�NT SERVICES
LICENSE ND PERMIT DIVISION
Pleaae aasver all questions �].ly and co pletely. This application is thorough� checked.
Any falsification �rill be cause for deni . � ,
, Date� 19�
i `` ; ° (License)(Permit)
1. Applicetion For
2. Name of applicant �
U2 ' L-�t A
3, If applicant is/has been a married emal.e, list maiden name �
4. Date of birth 7- d +�3 Age�„
ace of birth M 1 ' r r � l
5. Are you a citizen of the United St tes�Native Naturalized
6. Are you a registered voter �l'%� ere �" ��_ "� �s��� t - r
� Home Telephone � "� S
7. Home Address �� `�J �`�� � � � �,
8. Present business address , �
,�,�wk .�� �� Business Telephone_ 'y' 1y=7 j�.3
9, Including yovr present business/e ployment, what business/employment have you
followed for the past five yeaxs.
Business/employment.
�o��,P liCKb��- Address
10. Married _ ii' e►nsuer is "yes" list name a.nd e.ddress of spouse,_
11. If this application is for a M ssage Therapist License,
list time so occupied.
�' � Months.
�,; � Years � (
12. Have you ever been arrested
If aaswer is "yes", list dates of arrests, where,
charges convictions and sente es•
Date of arrest 19 �here
Charge
Sentence
Conviction
Date of arrest 9 __ �ere
Charge
Sentence
Conviction
. � . ��y-��9�
13. Gfve names a.Zd addresses of `vro pers ns, residents of St. Paul, Minnesota who can
give inforaation concerning you.
V� ADDRESS
- l2q�. f�u�d �r�, 9'a�I ��'�-! �E
< / </
�(�� �: �rt Qu/ �t� .��r�,.�� ( �
State of Minnesota )
� Sj
County of Ramsey )
SfP���ti �'�rChQ�,( C (�IM�zo+� bei g first �uly sworn, 3eposes and says upon oath
that 'r.e "as read t'�e fo:egoing state�ent bearing ?�is sigaati:se a.nd knows the contents
thereof, and that �re same is true of hi own knowledge except as to those matters
therein stated upor. information and beli f and as to those matters he believes thea
to be true.
sI � �
Subsc�ibe3 ar.3 sworn to b�fOl'� me c.� "� �Q,� �1��' t
����- �� Signature of Applicsnt
th� 't�day o
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i i�-� ��a t.� i;. i�;,•
"d a J _ olic, r�s�a3c County, Liinnesota `�:'�'�:i"�'���•';Y`�i�t`�'—"�:+�HESO?;t
1�A K u�-€�r s �� C:�::.0 i;t.Cl��lT7
r,ty Coamiss_on expires � —3 -- 1 �,n,wvw�,Comroi�ron E;�p�ras r�1�r.�, 1�95
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