89-1832 - CITV CLERK
- FINANCE GITY O SAINT PALTL Council ^
tV - DEPARTMENT �/{/
. - MAVOR File NO. -��+�
Counc 'l Resolution
�;:
Presented By "'
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (ID ��793 3) for a Massage Therapist License applied
for by Linda Rauenhorst T) A Sister Rosalind's Professional Massage
Center at 1999 Ford Parkw y, be and the same is hereby approved.
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
�� [n Fav
Goswitz
.�LS�. Q
. �;y� _ AgainsX BY
��
Wilson
QG+r � � Form App oved by City Attorney
Adopted by Council: Date . , �- �y�'�
Certified P• d ouncil S ret BY `
By
ta rov y IVIa _ � � Approved by Mayor for Submission to Council
�_�� �
By
�gt� 0 C T 2 1198
, , �/' u ' ` 1��,.
DEPARTMENT/OFFICEICOUNqL DA7'�IN TED
' ' GREEN SHEET No. 5 7
cense iNmnu��� i��UDATE
CONTACT PER d PHONE �DEPARTMENT OIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 N� �CIT1f ATTORNEY �CITY CLERK
MUBT BE ON COUNpL AQENDA BY(DATE) �BUDOET DIRECTOR �FIN.6 MOT.SERVICES DIR.
�MAYOR(OR ASSISTANTI �
TOTAL N OF SIQNATURE PAOES (CLIP A LOCATIONS FOR SIGNATURE)
AC710N REGUESTEO:
Application for a Massage Therapist' Z ense
� NOTIFICATION DATE: ����� `� =�� � _.�: ,
la��� ..
RECOMMENDAT� :Approvs(/U a Rejsct(f� MMITTEE/RESEARCFI REPORT PTIONAL
_PLANPNNO COMMI3SION —CIVIL SERVICE COMMISSION ANALV3T PHONE NO.
_dB OOMMfTTEE _
_STAFF _ OOAAME
_DI8TRICT COURT _
8UPPORTB WHICH COUNdL 08JECTIVE?
INITIATINQ PROBLEM,188UE,OPPORTUNITY(Who,What,When,Whero,Wh�:
Linda Rauenhorst DBA Sister Rosalind� Professional Massage Center requests Council
approval of her application for a Ma.s ge Therapist License at 1999 Ford Parkway.
All fees and applications have been s mitted. All required departments have
reviewed and approved this applicatio
ADVANTAOEB IF APPROVED:
DISADVANTAOES IF APPROVED:
Council Re arch Center
S�P 71989
DIBADVANTAOES IF I�T APPROVED:
TOTAL AMOUNT OF TRANSACTION = COST/REVENUE�lDOETED(CIRq.E ON� YES NO
FUNDINO SOURCE ACTIVITY NUMBER
FlNANCIAL INFORMA710N:(EXPLAIN)
1
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NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE(3RE N SHEET INSTRUCTIONAL
MANUAL AVAILABIE IN THE PURCHASING OFFICE(P�ONE NO. 298-4225).
ROUTING ORDER:
Below are preferred routings Mr the five most frequent rypes of doc�ments:
CONTRACTS (assumes authorized COUNCIL R SOLUTION (Amend, Bdgts./
budget exists) Accept.Grants)
1. Outside Agency 1. Depart�ent Director
2. Initieting Departmern 2. Budget�Director
3. City Attorney 3. City Att¢mey
4. Mayor 4. MayoN�ssistaM
5. Finance 8 Mgmt Svcs. Director 5. City CoNncit
6. Rnance Accounting 6. Chief A�CCOUMar►t, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDER (Budget COUNCIL R SOLUTION (all others)
Revision) and ORDINANCE
1. Activiry Manager 1. Inkiatinp Department Director
2. Department Accountant 2. City A rney
3. DepartmeM Director 3. MayoN stent
4. Budget Director 4. City ncil
5. Ciry Clerk
6. Chief Accountant, Fin 8 Mgmt Svcs.
ADMINISTRATIVE ORDERS (all othera) �
1. Initiating Department
2. City Attorney
3. Mayor/Assistant
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES '
Indicate the#of pages on which signatures are required and clf
each of theae pages. ',
ACTION RE�UESTED
Describe what the project/request seeks to axomplish in either ch�onologi-
cal order or orde►of impoRance,whichever is most appropriate for the
issue. Do not write complete sentences. Begin each item in your li�t with
a verb.
1
RECOMMENDATIONS
Complete if the issue in question has been presented before any t�ody, public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your project/request aupports b�!li�sting
the key word(s)(HOUSING, RECREATION, NEIOHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSfRUCTIONAL MANUAL.)
COUNCIL COMMITTEE/RESEARCH REPORT-OP"�IOIEF/iL'A3�R�f�UE�1'&D BY CQUNCIL
INITIATING PROBLEM, ISSUE,OPPORTUNITY `.'�:�;;;'� ;; '�.;�„
Explain the sftuation or conditions that created a need for your pra�ect
or request. '
;
ADVANTAf3ES IF APPROVED
Indicate whether this is simply an annual budget procedure requir�d by law/
charter or whether there are specific wa s in which the Gty of Sai�t Paul
and its citizens will benefit from this pro�ect/action. �
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past proces�es might
this proJecUrequest produce if it is passed(e.g.,traffic delays, noi�e,
tax increases or assessments)T To Whom?When? For how long?!
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is�ot
approved? Inabflity to deliver service?Continued high traffic, nois$,
accident rate? Loss of revenue?
FINANCIAL IMPACT
Afthough you must taflor the information you provide here to the i�sue you
are addressing, in genetal you must answer two questions: How�uch is it
going to cast?Who is going to pay? ,
� � �����3z
DIVISION OF LICENSE AND PERMIT ADMIN STRATION DATE �'�j $`1 / �/���/
INTERDF.PARTMFNTAL KEVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
--�
Applicant �.Y1�A(1�.� �l�f.,(�.�r1 41c��s� Home Address ��"� �� ��. -�tZ�.�.�C.�, ��� . ��'�+`�.
Rusiness Name - �;�t' - (� \ �!,���G�Home Phone ��;��j'��,- ��L;,�
f�'
6
Business A dr�ess Lr���'f \(, Type of License(s) ,�`' ,��• �-
��J -
Business Phone _��4�- T[��
Public Hearing Date l u � License I.D. �{ '�G{ 7j� '�
at 9:OQ a.m. in the Council Chambers�
3rd floor City Hall and Courthouse State Tax I.D. �t �Cr'!��q
llate Nutice Sent; Dealer 4� {� �!�
to Applicant �� Z�
rederal Firearms �6 ),� j,�
Public He�.�ring
DATE INS 'CTIUN
REVLEW VERFIED (C MPUTER) COMMENTS
A roved t A roved
�
Bldg I & D � � I
�a� � �� �
Health Divn.
G'� � �
� �� to �.� '�
>
i
Fire Dept. � � I
i
j �/1\ � �C ;r •,���-a
� �
Yolice Dept. I
!
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� �
License Divn. �
�Ic�t�^ � I �
City Attorney �
�� ~ � �
J �
Date Received:
i
Site Plan
To Council Research l a� ��
Lease or Letter � Date
from Landlord 1
. �����3.�
" � � C TY OF S'i. PAUL
DEPARTMENT OF F NANCE AIQD MANAGEMENT SERVICES
•- LICENS AND PERNIIT DIVISION
Please a.nswer all questions fully and c mpletely. This applicstion is thorough� checked.
Any Palsification �rill be cause for den a1.
Date ' �j�19�
1. Application for GL . Q , ' License (Permit)
2. Neme of applicant L-/n��t. � D
3. If applicant is/has been a married eaiale, list maiden name � I�ir1-N9e.�
4. Date of birth� � Age��p ace of birth �I'� �GQ-u-L, /�/U '
5. Are you a citizen of the United Sta� es Native Naturalized
��" �1 � . G}
6. Are you a registered voter ' Wt�' re �<.r.�.f�c �� , 1/�� dO !
7. Home Address � /� r U� N Home Telephone ��� ���� °ZJ
S��'
S. Present business address_1� SI'. Business Telephone�o � " 9�c��
9. Including yovr present business/emp� oyment, what business/employment have you
followed for the past five years.
Business/employment. . , Address
. G ,��
�
�- s�� �- s� �P
' � � s 7'� � ��/a�c ea Ctv� �`d ,d�t���- 9h'�-�'
�o oc��.K _ oo� e • � .�Qa.�.Q � Al .
10. .Married G if answer is "yes", li t name a.nd address of spouse �/q•d0/�1
; .� S• �
11. If this application is for a M assa� Therapist License, list time so occupied.
�— Years � Months.
12. Have you ever been axrested�I answer is "yes", list dates of arrests, where,
charges convictions and seateaces. l
Date oY axrest 19 Wher
Charge
Conviction Sentence
Date oF arrest 19 �ere
Charge
Conviction Sentence
^ ���'�~��`�,�
13. Give ^.ames a.ad addresses of :WO pers ns, residents oP St. ?aul, Minnesota �N�o ca.n
give information conceraing pou.
NA1� ADDRESS
l.�J�L�- ���ve.r� a�yo �a�.� � ����5�-��;:
�D�'��e� L`�?�e �/so�'I /�dS�- J''�S➢�- �,5��� s5/o Co
State of i�innesota )
) S3
Count;� of Ra.msey )
L—� l�c�tt � I f� �(,�C/Pn hn�2 S� bein; first 3uly s�rorn, 3eposes a.nd says upon oath
that ^e '�as read t:e foregoing state�er.t earing ?�is signat�:re and knows the contents
trereof, and that tre same �s t:-ue oP his own knowledge except as to those matters
therein stated upor. informatior_ and beiie and as to those matters he believes thea
to be t:ue.
Subscribe3 a::3 sworn to efor� �e •,�[e�iL G�GCP�s���
Sig ture Applicant
t:�is cay of 19�
�
"1ot _ o :c, ���Count��, '�Iinnesota .
r
` Conmiss:on expires ���• ��A.OD EN
� A
DAK07A COU�
MY OOM�I.ExPfRES AW .21.1991
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