89-1802 WHITE - C�TV CIERK
PINK - FINANCE COUIICIl �//j[//�
CANARV - DEPAi7TMENT G I TY O SA I NT PA U L /� ��/ O�
BLUE - MAVOR . FIIe NO•
(A
Coun il Resolution 3�
._�
Presented By ��
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application ( D #87578) for a Massage Therapist License
by Margery Turek D A Sister Rosalind's Professional Massage
Center at 1999 For Parkway, be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�og [n Favor
Goswitz
Rettman �
s�he;be� A gai n s t BY
Sonnen �
Wilson
�G''r _ � Form Appr ved by City Attorney
Adopted by Council: Date
Certified Pas e cil c BY � �
By
A►p ov y �Vlavor: D � —6 h7U Approved by Mayor for Submission to Council
By BY
p�� D C 141989
. . � , C��-�poa
DEPARTM[NT/OFFlCE/COUNqI DA IN TED
Finance/�icense GREEN SHEET No. 5�Os
IWTIAIJ DATE INITIAUDATE
OOIJiACT PERSON�PN�IE pEpqpTMENT DIRECTOR �CITY COUNCI�
K1^i S VanHorn/298-5056 � �CITY A1IORNEY [3�ciTV c�nK
MUST BE ON COUNqL AQENDA BY(OATE) �BUOOET DIRECTOR �FIN.8 MOT.SERVICES DIR.
�MAYOR(OR ASSISTANTI � ('n i�n r i�
TOTAL M OF SIGNATUHE PAOES ( IP L LOCATIONS FOR SIQNATURE�
ACTION REQUESTED:
Application for a Massage T e pist License.
Notification Sent: � ; ;. ��
i�COMt�AENDA :APP►ow(A)a Rs�(Fl) U COAAMI7TEEI�ARC11 t�
_PLMININ(i COMMISSION _qVIL 8ERV1�COMMIS810N PMONE NO.
_q8 OOMMITTEE _
_BTAFF _
"TS: RECEIV�D
_D187AICf COURT _
SUPPORT8 YYNICFI COUNCIL OBJECTIVE7 ���C���
INITIA7ING PR08LEM.188UE.OPPORTUNRY(Who�Wheq WMn.Whsre. �_ l ' t•e 4 � r�''r
Margery Turek. DBA �Sister os ind's Professional Massage Center request
Council approval of her a p1 'cation for a Massage Therapist License at
1999 Ford Parkway. A11 f es and app1ications have been submitted. All
required departments have r iewed and approved this application.
�v�wrnaes iF�ovea
as�wv�wrnoES iF n��ovEO:
� �our�c�l Res�arch Center �
I S�P 21 i989 �
pSADVANTAOE8IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION C08T/REYENt�SUOGETED(qRd.E ONE) YE8 NO
FUNWN�i SOURCE ACTIVITY NUMSER
FINANqAL INFORMATION:(EXPLAIN)
� � ' ��9-i�'o�
UIVISION OF LICENSE AND PERMIT ADMIN STRATION DATE ��I� / �� �`I
INTE,RDF.PARTMEI�TAL REVIEW CHECKLIST A.ppn Processed/Received by
Lic Enf Aud
Applicant Q,,� ' � __ Home Address ��(�S ���;�y� �-u•
Rusiness Name � r y�(�`� Home Phone (��j� - a��q
'I'�(%15�L�9- C-'l� •
Business Address q� � Type of License(s) � Q v
Business Phone ��-�! � 3 �.,l,fQ�--
Public Hearing Date S ( License I.D. 41 �� 5��
at 9:00 a.m. in the Council Chambe' , � 1
3rd floor City Hall and Courthouse State Tax I.D. �t a l�`'t'as5
llate I�otice Sent; Dealer �� � (a
to Applicant
rederal I'isearms 4� ���
Public He�.iring
DATE NSPECTIUN
REVtEW VERFIE (COMPUTER) CUMMENTS
A rovec� Not A roved
Bldg I & D I
g�a �
� ��
Health Divn. '
, ��a� � o�
�
Fire Dept. � � .
� � "�-' � - �
I
i f
Police Dept. I
�� ��
d�
,
License Divn. '
g�a� ' a�
�
City Attorney �� ! �
✓ ���
Date Rece' ed:
Site Plan
To Council P.esearch �C Z_p ��'J
Lease or Letter Date
from Landlord
ti ,
' � � Y QF S'i. PAUL C�0 Q-1�0�
DEPARTMENT OF F ANCE ANT MANAGEMENT SERVZCES
LICENS AND PERMIT DIVISION
Please a.aswer a11 questions flilly and mpletely. This application is thorough� checked.
Any Palsification �.rill be cause for de ia1.
f Date 19�
I .
1. Application for ,��- (License)(Permit)
2. Name of applicant t-
. �
3. If applicant is/has been a married emale, list maiden name �
4. Date of birth ,^-J ' Age lace of birth i+-� �v -
5. Are you a citizen of the United S ates V Native Naturalized
6. Are you a registered voter ere �� ��,i� �
7. Home Address
Home Telephone � - / �
8. Present business address r r ) . Business Telephone 6��,��
9. Including your present business/ mployment, what business/employmeat have you
followed for the past five years
Business/employment. _ Address
` �.�A +. `.. � � �� �.a�f Ct 1/' _ �f�/�Cc:.c�/
• a�- i , , ' '
...,,,. ...a� .. �Y�c( �u —S /`
- !
� � S � �h uy .. � ..�.'�.�_._`.` , � �'�/
c���� c� , p ��I
r f'eV � � 'h� Y�� ss��� J `�1.fi �c ►� �v - �r�
I0. Married�_if ansWer is "yes", list aame and address of spouse
nal�� k - � ' � ' ' - � �
11. If this applicatio.n is for a M ssage Therapist Licens , list time so occupied.
_�'.
YC � Years r- �. if�n,'r�s i�onths.
,.pb`: 1�, Have you ever been axrested if answer is "yes", list dates of arrests, where,
.- ,;;.
charges convictions and sente es.
Date of axrest 19 Where
Charge
Coaviction Sentence
��`�' �ate of arrest 9 Where
(;�arge
:onviction Sentence
�
. ���
. ����
13. Give names a.nd addresses of :wo per ons, residents of St. Paul, M.innesota �aho ca.n
give info�ation concerning you.
^1AME ADDRESS
�' r .�—
—`,c.� rY �' r ���(.!_LI Ci � �O . J��.� C� �Y��``
. ^�'� ��,�<,/S'S/�-
C � � �J�- � -/��'�lt��r�- �s 5 c���.;. �Uz
sT ��,�./
State of �iinnesota )
) S3
Countf of Ramsey )
be'ng first 3uly sworn, 3eposes a.nd says upon oath
that :e '�as re3d t�e foregoing statemer bearing his signattse a.nd knows �he contents
trereof, and �hat �::e same is t�ue of h s own knovledge except as to those matters
therein stated upor. information and bel ef and as to +hose matters he believes thea
to be t:ue.
Subscribe3 ar.3 sworn to befOL'e �e �--
Si tu=' of AAplicant
this -�,i_.� cay of :.�«- _� 19 ��
.�,I ':l�'.� i i`I i�- s 1._:"''�.
r•Totarf �ublir_,~�3m5ey Count�r, :dinnesot .
r��* Ccnmiss�on expires
/O�MY' ��'�t�'io!
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