89-1799 WHI7E - GTV CLERK
j�99
PINK - FINANCE COIZ�ICIl
CANARV - DEPARTMENT GI Y OF SAINT PAUL ��� .
BLUE - MAVOR File NO.
� C uncil Resolution 33 ,
�
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That applicat on (ID #50884) for a Massage Therapist License
by Pamela Jam son DBA Sister Rosalind's Professional Massage
Center at 199 Ford Parkway, be and the same is hereby approved.
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
��g " In Favor
Goswitz
�be1�i � __ Against BY
Sonnen
Wilson
OCr 5 � Form Appro ed by City Attorney
Adopted by Council: Date -
Certified Pass b un il et BY ����
C
Bf�
Ap rove M vor. Date — 'J� �9 Approved by Mayor for Submission to Council
g By
�� 0 C 141989
o . � ��..�-
DEPARTM[NT/OFFI(�ICOUNdI DATE INITIATED
Fi nance/�i cense GREEN SHEET No. 5010�?g
COMTACT PER80N 8 PNONE �NITIAU DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCII
Kt^i S VanHorn/298-5056 �� []CITY AITORNEY �CITY CLERK
MUBT BE ON WUNCIL AOENOA BY(DATE) ROU?1N0 �BUDOET DIRECTOR �FIN.8 MOT.BERVICEB DIR.
�Mn,voR coR�ssiaT�wn Q�au�lca 1 R
TOTAL#OF SIQNATURE PA(iE8 CLIP ALL LOCATION8 FOR 31�1NATUR�
ACTION REWES'TED:
Application for a Mass g Therapist License.
Notification Sent: � � �
� noNS:�cN«�cR� couNa�co��rr�►r���r oPnoNu
_PLANNINO COMMIS810N _CML SERVI�COMMAI ��Y� '�--IiEIVED
_qB OOMMITTEE _
COMMENTB:
-$T,,� - SEP 2 51�g
_DIBTRICT OOURT _
SUPPORTS WFMdi OalNdl�JECTIVE? sY-p
f �_ ; f' F'"
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n�ru►nNa P�M,issue,oPaoRruwrr�wno.wna.wnsn. w�:
Pamela Jamison DBA�Si,s e Rosalind's Professional Massage Center requests
approval of her applic t n for a Massage Therapist License at 1999 Ford Pkwy.
All fees and applicati n have been submitted. All required departments have
reviewed and approved h application.
ADVANTA(iES IF APPROVED:
DISADVANTAOE8IF APPROVED:
Councii �'esearch Center.
�SEP 21 i9�9
DISADVANTAOES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION : COST/REN@NUE BUDAETED(qRCLE ON� YES NO
F11NpqrO SOURCE ACTIVITY NUM�R
FlNANqAL INFORMATION:(EXPLAIN)
�Q�w�=�" �i�,�i�-'X
- • � (�c�'����
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DIVISION OF LICENSE ANI) PERMIT ADMINISTRATION DATE �� / �l `
INT�,RDF.PARTMENTAL REVIEW CHECK IST Appn Processed/Received by
Lic Enf Aud
Applicant • Home Address �.¢�"
1,�.�1�;�:ta_- �l
Rus ine s s lv'ame � � � Home Phone ��(� - '�1,�1�
Business Address � Type of License(s) �Q�,pp����,y
Business Phone � �
Public Hearing Date V � License I.D. 4f � U � � "►
at 9:00 a.m. in the Council Ch uibers,
3rd floor City Hall and Courth use State Tax I.D. �6 r� S � s �a �
llate Notice Sent; Dealer �� �1�
to Applicant
Pederal Firearms 4� �1 �
Public Hearing
D E TI�SPECTIUN
REVIEW VE IED (COMPUTER) CUMMENTS
A pr ed Not A roved
�
Bldg I & D �� I
� , a,�,
Health Divn. �I �
��
—_
i •
Fire Dept. � � ` �
i
j �
I �
Police Dept. I
�l �
License Divn. !�' �
� 3 � °�
City Attorney �(� � �
U ��
Date Rece ved:
Site Plan
To Council P.esearch �'(r2���S°l
Lease or Letter Date
f rom Landlord C�'�
CITY OF S'i. ��AUL
DEPAR OF FIIVANCE AIJD MANAGEN�NT SERVICES ��
CENSE AND PERMIT DIVISION �,�j�
� i
l�99
Please aaswer all questions fu21y� and completely. This application is thoroughZy checked.
Any falsification will be cause f r denial.
_ Date 19�
1. Application for �-e.�l Q . S icense)(Permit)
2. Name of applicant ��li��� � v
3. If applicant is/has been a m ried female, list maiden na.me � �Gl l'� lC\I _
�+. Date of birth �"3� �5� Age Place of birth �G--�v�S-e � �_C; ' _
5. Are you a citizen of the Unit d States �S Native � Naturalized
7f--
6. Are you a regi stered voter Where � �:ti���t,/ l �'� •
7. Home Address a�c� n � � • �.1.-� L. t1 .5�I(C' xome Telephone �(O � 7��5
8. Present business address � � -1 '��t� �K Business Telephone���� t t��
�i-. , rr n -ss �t
9. Including your present busin' ss/employment, what business/employment have you
followed for the past five y axs.
Business/employment, Address
,c � � S � _�
• l 1 Y1 � c c� .
� ac� 1, C�,�.�o , S� , o.�� , (1'i►�.
?�'rc�ess i e-n c�.�, T��t a. C�.� - '? .
' ' l1 S�. � � � i sa s����� � �� �t��-
WCt��V-��c'� �'� l�.�L-c-t,�t `�-��'Y�CL.t�1 1�.uC.f.� n�. .
v _.� L��Q��'l!'t •
10. Married (/ if ansWer is "y s", list name and address of spouse
� r �c�.
t C l� ' , � S , �S �-� , t'lC�"U'`n-�.p� � ��
11. If this application is for Me.ssage Therapist License, list time so occupied.
� c � Years Months.
12. Have you ever been axrested if answer is "yes", list dates of arrests, where,
charges convictions and sen ences.
Date of arrest 19 Where
Chaxge
Conviction Sentence
Date of arrest 19 �ere _ .
Charge
Conviction Sentence
_ . �' � . ��'-,�
13. Give names a.zd addresses of � o persons, residents of St. Paul, Minnesota who can ��`f�
give infor�ation conceraing y u.
NANIE ADDRESS
� L ��� ` �-�10E Y1/l�S
State of Minnesota ) � �/ UJ t�t--�'e r
� Sj <.;i�
County of Ra.msey )
�.} Q..�C�, �'�- ��1 being first 3uZy sr�rorn, 3eposes and says upon oath
that �e ras read t^e ioregoing st3 e�ent beaxing ��is signatt:re and knows the contents
thereof, a.nd that �he same is true of his own �nowledge except as to those matters
therein stated upor. information an belief and as to those matters he believes then
to be true.
Subsc^ibe3 an3 sworn to bef0?'� ae �
Signature Applic�.gnt
th?s ���h cay of 1�uC,�-�19 ���j� Q .
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rdy Ccnmiss_on expires `�� , . ,.. .:�.^^^^`
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