89-1796 WNITE - CITV CLERK
PINK - FINANCE COUI1C31
CANARV - DEPARTMENT G I TY O SA I NT PA U L "'�� /7 �
BLUE - MAYOR File NO•
Counc 'l Resolution �3�
Presented By __ ._ .
����
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (T #65538) for a Massage Therapist License
by Mary Lynn Dorr D A Sister Rosalind's Professional Massage
Center at 1999 Ford Parkway, be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of: �
Yeas Nays
Dimond
Long In avor
Goswitz
Rettman � B
s�6e;�e� _ Aga nst y
Sonnen
Wilson
OC'r ' S � Form App ved by City Attorney
Adopted by Council: Date ' ' n
Certified Pas d C un ' ec t BY � `�/�
By
A►pproved avor: Date Approved by Mayor for Submission to Council
By By
�! OCT 141989
. ���'""��q(p
DEPARTM[NT/OFFlCE/COUNpL` DA INI TED
Finance/�icense GREEN SHEET No. 5075
OONTACT PER90N 6 PHONE IN11�U1U DATE INITIAUDATE
DEPARTMENT DIRECTOR CITY COUNCII
Kri S VanHorn/298-5056 g t�TY AITORNEY �CITV CLERK
MUST BE ON COUNqL AOENDA BY(DATE) �BUDOET DIRECTOR �flN.8 MOT.SERVI(�S aR.
�MAYOR(OR AS813TANT1 ��.O.I�n.G��
TOTAL N OF SK�NATURE PAGES ( P L LOCATIONS FOR SKiNATURE�
�ctww�uesree:
Application For a Massage T e pist License.
Notification Date: a� �s� Hearin Date: =r
�coM�Na+noHS:�vo►�•w p�c� aePO�'r oPT�ON�
_PUWWINO OOMM18810N _qVIL BERVI�COMMI8SION A Y PNONE NO.
_qB COMMITTEE _
M . �-
_8TAFF _
_DIBTRICf COURT _
��,��,����o�►E�,�, SEP 2�i96.q
iwrwn�Pr�oe�,issue,or�TUNm�uuno.wna.wn.�.wnwe. . :,r �..�
Mary Lynn Qorr DBA Sister o lind's Professiona1 Massage Center requests
Council approva1 of her ap 1i ation for a Massage Therapist License at
1999 Ford Parkway. A11 fe, s. nd applications have been submitted. A11
required departments have e ewed and approved this application.
�awr�►c�es iF��u:
asnu�r�rrr�s��aPROVEO:
Councii Research Center
SEP 21 i989
D18ADVANTAOES IF NOT APPROYED:
TOTAL AMOUNT OF TRANSACTION COfT/NEYENUE BUDOETED(CII�LE ONE) YES NO
FUNDINQ SOURCE ACTIVI'1'Y NUMdER
fl�uwGa�wwpn�unoN:�ocPUir�
. . . ��-/79�
UIVISION OF I.ICENSE AND PERMIT ADMINI TRATION DATE �3 �� / $'13��l`J
INTERPF.PARTMENTAi. REVIEW C:HECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant � �Gr--� _ Home Acldress ���b �- rn� r�n�q�y.
Rusiness Name ► �� � � - � Home Phone � �u - l 5 S S'�
Bu:;iness Address �j���j '���; C� Type of License(s) pS,�ciGO��B2_ �
Business Phone � _ j
Public Hearing llate License I.D. �� ��`,���
at 9:00 a.m. in the Council Chauibe� ,
3rd floor City Hall and Courthouse State Tax I.D. �� aSS�Cj� 7
llate Nutice Sent; Dealer �� n I�
to Applicant
Pederal Pirearms �6 � �(�
Public He�_iring
DATE T. 'SPECTIUN
REVIEW VERFIE (COMPUTER) COMMENTS
A roved Not A roved
Bldg I & D I
8 �a� �
�
Health Divn. l �
,��a� � o�
�
Fire Dept. � c '
I � �
�
I �
Yolice Dept. I
�� � ��
License Divn. �
' I �
� ' D
City Attorney �) �
! ��
Date Rece' ed:
Site Plan
To Council Research �j�ZO��j
Lease or Letter Date
from Landlord
u ' ' - �� CI Y OF S'i. PAUL C�(� ����
D�PARTMENT OF FI 'ANCE ANT MANAGEMENT SERVIC°S
LICENS AND PERMIT DIVISION
Please a.nswer a11 questions fully and c mpletely. This application is thorough?y checked.
Any falsification will be cause for de 'a1. �q
Date � — 3 19 �/
1. Application for /u SS�(�t 2./��15 I �License)(Permit)
2. Name of applica.nt � L O
3. If applicant is/has been a marrie female, list maiden name �
�. Date of birth ���p-�/Age 3 Place of birth1c7` ��}'Gl L
5. Are you a citizen of the United S ates�Native Naturalized
6. Are you a registered voter ere b'j� ���--
D
7. Home Address � �g �� N �� �/%PfJ'�C-L��7Te ephone 7��!J��
8. Present business address �1�4� S''"P/}lC�usiness Telephone 6�f$^�i�-3
MN S�'/�
9. Including your present business/ mployment, what business/employment have you
followed for the past five yeax .
Business/emplo�ent. Address
� �o,v /� J13� x�r/,�/R�� /ytA��L���Ss-i�5
P� u �e �.s � ��e�J t-�S. A�2���sr� � �°/��—
T - �,v �cE3 C��,�� L�4J� �71b ST�N't.�°/
l0. Maxried I�D if answer is "yes ', list name and address of spouse
11. If this application is for a assage Therapist License, list time so occupied.
Years 7 Months.
12. Have you ever been axrested d if answer is "yes" , list dates of arrests, Where,
chaxges convictions and sent nces.
Date of arrest 19 Where
Chaxge
Conviction Sentence __
Date of arrest 19 �ere
Charge
Conviction Sentence
� y n
. , . . ���_,���/ �
�
13. Give ^.ames a.�d addresses of :��ro pe�s ns, residents of St. Paul, Minnesota *�rho can
give infor�ation concerning you.
!VAME ADDRESS
d .v �D►2J2 /`5�' ,P dSS ST��-��'�CJ S��6
!�4-T." �f/o�s�-rL _ �G F1-� ��Z 6 �Z�-�K1o�- 5� ,D�u� �C�
�r/a,s—
State of ,Qinnesota )
) S3
County of Ra.msey ;
be ng first 3uly sworn, 3eposes and says upon oath
tnat ::e :=as read t:e °oregoir_g staLemen bearing his signatl;re and �snows the contents
thereof, and that �Y:e same is t:ue of s own knowledge except as to �hose matters
therein stated upor. informatior. and be 'ef and as to those matters he believes then
to be true.
Subscribed a^3 sWOrn t efore me G�����/
S gnat�.,�re of Applicant
th� a . 19
.
"1ot f �uo _c, �a.�sey t�r, �Ii. ot .
?.iy Ccam.iss_on expire :�:��'�•�.. MARC LA . SCHILLINGER
��► � NOT MINNESOTA
.e� RAMS COUN7Y
�''�+�A�:' My Commissio Expires Mnr.21,1991