89-1801 WHITE - C1TV CIERK
PINK - FINANCE G I TY F SA I NT PA U L Council (//!' (�/�
GANARV - DEPARTMENT y�� �7D/
BLUE - MAVOR File NO. � � �
Cou cil Resolution ���-=�
� �
Presented By _ M
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #79631) for a Massage Therapist License
by Susan Margare Singer DBA Sister Rosalind's Professional
Massage Center a 1999 Ford Parkway, be and the same is hereby
approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� [n Favor
Goswitz o
Rettman B
s�ne;bei A gai n s t Y
Sonnen
Wilson
O�',T 5 �9 Form Appr ved by City A rney
Adopted by Council: Date � '
Certified P�: d , cretar BY �il��
gy, ��¢� �
Approv y A�lavor: Date —6 �� Approved by Mayor for Submission to Council
;
By By
pUg1.fS?E� C T 14 1989
_ • ���/�'4/
DEPARTMENT/OFFlCKJfbUNdL DA E I I TED
Finance/�icense GREEN SHEET No. 5���J
OONTACT PERSON d PNONE INITWJ DATE INITIAUDATE
� �DEPARTMENT DIRECTOR �GTY OOUNqL
Kri s VanHorn/298-5056 qTY ATTORNEY CITY CLERK
MUST BE ON OOUNGL AOENDA BY(DATE) �BUDOET DIRECTOR �FIN.8 MOT.SERVICE9 DIFi.
p�u►voR coR nssis�r,vwn �2] Counci 1 Resear h
TOTAL#�OF SIGNATURE PAOE8 ( IP LL LOCATIONS FOR SIGNATUREj
ACfION REOUESTED:
Application for a Massage h iapist License.
Notification Sent: ��� p$,�; �b S ;�,
RECOI�iMENDAT10N3:Mp►ove(A)c►Relect(R) RCH
_PIANNINO COMMI8810N _CMl SERVI�COAAMI8810N A PFIONE NO.
. _q8 COMMITTEE _
_STAFF _ �:
-���� - SEP 2���
SUPPORTS WHICN OOUNdL OBJECTtVE9
r r �•: .
`_,
i�nru�nNO P�,issue.or�ruNm�nrno,wna,wn.n.wns�s,
Susan Margaret Singer DBA S ter Rosalind's Professional Massage Center
request Council approval f er application for a Massage Therapist License
at 1999 Ford Parkway. Al es and applications have been submitted. All
required departments have r iewed and approved this application.
ADVANTAOE8IF APPi�VED:
i
I
DISADVANTAOES IF APPROVED:
Cat�nc�l Research Center
' SCP 21 �989
DISADVANTIUiE3 IF NOT APPROVED:
TOTAL A�AOlJNT OF TRANSACTION = C08T/REVENUE S{JOAETED(CIRq.E ON� YES NO
FUNDMId SOURCE ACTIVITY NUMBER
fINANCIAL INFORMATION:(EXPWN)
. . . ' �c.�-��-o/
UiVISION OF LICENSE ANI) PERMIT A.DMI 'ISTRATION DATE /
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant Home Address ��� �,�� � . �S
Rusiness Iv'ame � � ' Home Phone a ��-�I(�G
Business Address l Type of License(s) �i��
���
Business Phone �
Public Hearing Date 1(7 - License I.D. 41 _��p?��
at 9:00 a.m. in the Council Chamb s, �
3rd floor City Hall and Courthous State Tax I.D. �t a �O `7C)�
llate Notice Sent; Dealer 4� �'(�
to Applicant
redera2 Pi.rearms �� n �
Public He��ring
DATE I�'SPECTIUN
REVIEW VERFI (COMPUTFR) CUMMENTS
A prove Not A roved
�
Bldg I & D �/� �
`6 a� �
Health Divn.
�
�� ZL� � CS I�
�
Fire Dept. � � t
�I I ,
I
� �
Police Dept. I
���� c�
�
License Divn. � �
� �
a � 6
City Attorney �` �
� � , �
Date Recei ed:
Site Plan n
To Council P.esearch ��Z�� �''1
Lease or Letter � I Date
from Landlord �
—- F . , , C��,/��/
CITY �' S'i. PAUL
DEPARTMENT OF FINANCE AND MANAGEI�NT SERVICES
LIC SE AND PERMIT DIVISION
Please answer a11 questions fully and completely. This application is thoroughly checked.
Any falsification zrill be cause for nia1.
Date�, ��_ 19,�,
l. Application for � �License)�Permit)
2. Na.me of applicant
3. If applicant is/has been a marri d female, list ma.iden name � I�U�
�+. Date of birth��_Age � Place of birth �`{t,.��n.,-4c� N _
5. Are you a citizen of the United tates�Native�_Naturalized
6. Are you a register�d voter Z Where � Qct, �. 'N
7. Home Address Home Telephoae o`��-�IQ�
S. Present business address .� Business Telephone (o�-y�,'�3
9. Including yovr present business/ mployment, what business/employ�eat have you
folloWed for the past five yeax .
Business/employment. Address
„ • ,, � ... ��,.:�.:.�.:�. 1�941 Fac�l• M�erkw�.., S�t�`� sgt��,,
� �.�..,_ . .... � •;�:
yi�,r r_�ek•;��is. .. .l:� �j..r'a
e e . . `. ... �.�t:�:.., o.: -�.r-��� ��Pc.s.� cc�r,c'
Dn.; �c ccc�c� ��e o.�:�. � �.�Ic�\ C�h.����A.e S lS�-�N ----
10. Married��if answer is "yes°', list name and address of spouse
11. If this application is for a M ssage Therapist License, list time so occupied.
Years�� �[ ma+�{hc Months.
12. Have you ever been arrested tJ If answer is "yes", list dates of arrests, Where,
charges convictions and senten es.
Date of arrest 19 �ere
Charge
Conviction Sentence
Date of arrest 1 Where __
Charge
Conviction
Sentence
. - _ �� �-���po�
..
13. Give r.ames a.*�d adclresses of �vo per ons, residents of St. Paul, Minnesota �.rho can
give inTormation concerning you.
NANIE ADDRESS
� i�l t� G rR�nd�,�a S4 Pc.��( ; mn► Ss(r.s
� r-�h ��21 C�� P� w�.:, ��-�. S-�i'�..�o m N ss i�b
State of ;?innesota )
) 33
Countf oi Rn.�sey )
bei g first 3uly sworn, 3eposes and says u�on oath
t:at :e :^as read t'.^.e �oregoing state�er.t bearing ?�is signatt;x�e and snoGrs tr.e contents
t?�ereof, and �hat t"e same is true of hi own ?�nowledge except as to those matters
therein stated upor. i*�for�ation and beli f and as to t:�ose matters he believes then
to oe true.
Subscribe3 a::d sworn to befor� me '�
Signat��re of A_ lican�
th�s —, A_-;� day o f�19 ���L_
T
�
,f /_', � 1�.:�-i- �l7t..'v�;
"_Iotarf _�u�l;c, �a.�sey Lount�r, ;�Ii:inesota _
?4;� Cemmiss`_on expires
IIORMUII�IW, �w14►.�t
Mr ,A�L�t�01