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89-1911 WMI7E - CITV CLERK PINK - FINANCE GITY OF S INT PAUL Council CANARV - OEPARTMENT BLUE - MAVOR File NO• 'l���� � Council esolution � , �3�� Presented By � Referred To Committee: Date Out of Committee By Date RESOLVED: That application (ID ��60500 for a Ma.ssage Therapist License by Janice J. Dixon DBA Janos T kacs European & Therapeutic Sports Massage Center at 1619 Day n Avenue, be and the same is hereby approved. COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond L.on� [n Fav r Goswitz Rettman � B s�ne;net A gai n s Y Sonnen Wilson OCT 19198 Form Ap roved by City Attorney Adopted by Council: Date • • Certified Pa.s uncil S etar � BY . � By� ��p 2 ;� �79 Approved by Mayor for Submission to Council Approved b avo • � — gy ` BY �t� � � o�-�-,��� DEPARTMENT/OFFICEICOUNqI DATE INITIATED� Finance/License & Permit Division I GREEN SHEET NO. 5��Trlw�nr� CONTACT PERSON�PFIONE PARTMENT DIRECTOR �CITY COUNCII Kris Van Horn/298-5056 ��� rv�rroRN�r 0 arv c�a�c MU8T BE ON COUNCIL A(iENDA BY(DAT� ROUTINO DOET DIRECTOR �FIN.8 MOT.SERVICES DIR. AYOR(OR/188ISTANn � TOTAL#�OF SIGNATURE PAQES (CLIP ALL LQCA IONS FOR 81QNATUR� ACTION RE�UESTED: Application for a Massage Therapist LiCe� e NOTIFICATION DATE: HEARING DATE: REOOMMENDAT10W8:Appovs(y a Rs1s�t(i� COUNqL EE/RESEARCH REPORT OPTIONAL _PLANNINO COMMIS81�1 _qVIL SERVICE COMMISSION ��Y� PHONE N0. _qB OOMMITTEE _ COMMENTB: _BTAFF _ _DISTRICT COURT _ i SUPPORTS WHICH COUNdL OBJECTIVE9 INITIATINO PR�LEM,ISSUE.OPPORTUNRY(Who,Whet.When,Where,Wh�: Janice J. Dixon DBA Janos Takacs Eurape' and Therapeutic Sports Ma.ssage Center requests Council approval of her application fori a Massage Therapist License at 1619 Dayton Avenue. All fees and applications h�v� been submitted. All required departments have reviewed and approved this application: ADVANTAOES IF APPROVED: � RECEIVED OCT06�g�,q q8ADVANTAOE8IFAPPROVEO: �} ��� Council Research Center, OCT 041989 DISADVANTAQES IF NOT MPROVED: TOTAL AMOUNT OF TRANSACTION C08T/REVENUE BUDGETED(CIRCLE ON� YES NO FUNDING SOURCE ACTIYIT1f NUMBER FlNANpAL INFORMATION:(EXPWN) � ?s, . . . NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN HE GREEN SHEET INSTRUCTIONAL MANUAL AVAILABLE IN THE PURCHASING O FICE(PHONE NO.298-4225). ROUTING ORDER: Below are preferred routings for the five most frequent ty of documents: CONTRACTS (assumea authorized 00 NCIL RESOLUTION (Amend, Bdgts./ budget exists) Accept.Grants) 1. Outside Agency 1. Department Director 2. Initiating Department 2. Budget Director 3. City Attorney 3. Clty Attomey 4. Mayor 4. syoNAssistant 5. Finance 8�Mgmt Svcs. Director 5. Council 6. Finance Accounting 6. ief Accountant, Fin 8�Mgmt Svcs. ADMINISTRATIVE ORDER (Budget COU GL RESOLUTION (all others) Revision) and ORDINANCE 1. Activiry Manager 1. I itiating Department birectar 2. Department AccountaM 2• Attomey 3. Department Director 3. ayor/AssistaM 4. Budgst Director 4. Council 5. Ciry Clerk � 6. Chief Axountant, Fin�Mgmt Svcs. I � ADMINISTRATIVE ORDERS (all others) � 1. Initiating Department �I� 2. City Attorney � 3. Mayor/Assistant ' 4. Gty Clerk 'I TOTAL NUMBER OF SIONATURE PA(3ES � Indicate the#of pag�on which signatures are required and reli eaCh of these pages• ACTION REQUESTED � Describe what the project/request seeks to accomplish in either hronologl- cal order or order of importance,whichever is most appropriate r the issue. Do not write complete sentences. Begin each item in your list with a verb. � i � RECOMMENDATIONS I Complete if the iss�@ in'question has been presented before any�ody, public or private. � SUPPORTS WHICH COUNCIL OBJECTIVE? Indicate which Council objective(s)your project/request supports listing the key,vyQrd(�),�HQUSIN(�i,,,RECREATION, NEIGHBORHOODS, NOMIC DEVELOPMENT, � BUDGEI", SEWER SEPAFiATION).(SEE COMPLETE LIST IN INS RUCTIONAL MANUAL.) t;s i::�? ��:'��4 COUNCIL COMM��E/RESEARCH REPORT-OPTIONAL AS RE UESTED BY COUNCIL INITIATING PROBLEM, ISSUE,OPPORTUNITY Explain the situation or conditions that created a need for your proj t or request. ADVANTA(3ES IF APPROVED � Indicate whether this is simply an annual budget prxedure required by law/ charter or whether there are specific wa in which the City of Saint Paul and its citizens will benefit from this pro�Cict/action. � DISADVANTAGES IF APPROVED � � What negative effects or major changes to existing or past processee�might this projecUrequest produce if it is passed(e.g.,traffic delays, noise,I tax increases or assessments)?To Whom?When?For how long? � DISADVANTAGES IF NOT APPROVED What will be the negative consequences if the promised action is not approved7 Inability to deliver service?Continued high traffic, nase, accident rate? Loss of revenue? � FINANCIAL IMPACT Although you must tailor the information you provide here to the issue ou are addressing, in generai you must answer two questions: How much s it going to cost?Who is going to payT � I _ . � . .� ��'�i-r�ii� UIVISION OF LICENSE AND PERMIT ADMINISTRATIO DATE �'( �tS`���� � ��z-t (�/ INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant ; p r� _ Home Address q53 �-- l��r �c� � c Home Phone o��i 3 — �15 Rusiness Name �„�� (/.. �, �,.YG , S�� � � � � � ,�� �t � sr�iness Addr�ess ��cj�.���T'c�c-�, � • Type of License(s) 5 G� � -�� ' �---- Business Phone �a - lC�3 Public Hearing Date - License I.D. # ��jGS(�C� at 9:OQ a.m. in the Council hambers, 3rd floor City Hall and Courthouse State Tax I.D. �C aaa. 6a(� � llate Nutice Sent; Dealer �� �� to Applicant rederal Fi_rearms 4� n � Public Hearing DATE INSPECT UN REVLEW VEKFIED (COMP TER) CUMMENTS A proved Not roved � Bldg I & D + � � �� Health Divn. ��� � 3 ` �.�� � Fire Dept. j � (� ' i j W I -�`i R--Q � �.� I � Police Dept. ,�f a� i o� License Divn. � �(a.` � O � City Attorney � � la -� ; v -�-i Date Received: Site Plan To Council Research Lease or Letter Date from Landlord ' . �' CITY 'OF S . PAUL ��'C�-��// DEPARTMENT OF FINANCE MANAGF�IENT. SERVICES LICENSE AND P T DIVISION Pleasa aasWer all questiona fully aad complet y. This application is thoroughly checked. Any t'alsification vill be cause for denial. Dste 19�y j„ 1. Application for r L�c +Lic�)(Permit) 2. Name oi' applicant ' 3. It applicsnt is/has been a married femal , list aiaiden name�, � P + �� b. Date of birth I l- 11- 4'I Age��_Place f birth � ►�1 ,",,,,r��s��a 5. Are you a citizen of the United States Native �/p q _ _Naturalized T— 6. Are you a registered voter�Where 7. Home Addre s s - 'r- Home Telephone 2G.3-n� 15 8. Present business address �r�v�„ �_, Business Telephon4�;1,L�.� 5�. Pa.,.�� , M Ss�o'�- 9. Iacluding your present business/emplo nt, what business/employment have you followed for the past Pive yeaxs. Business/employment, Address 73� �� .L,�l„44Vpy,,�c . �'� Pa,� Prnl cc i avr�l_��SSo(?a_ Q QiiY�L'dC '1�p � i�r1�:�I�,f�.��n;�r �s ,S�-/Q�: F' 'l1ea,..�J� � �_,.-C _ `7dCC et_I�wrL�n:..�%�l�„ �le��. M n�� �.r� 10. Marriedy�s if ansver is "yes", list name sad address of spouse �- 11. If this application is for a M assage Therapist License, list time so occupied. eaz'S -�-�,�rP P MOrithS. 12. Have you ever been axrested�_I answer is "yes", list dates oF arrests, vhere, charges convictions aad sentences. Dste of arrest_ 19 Wher Charge Conviction Sentence Date oP a.rrest 19 �ere ____ Charge Conviction Sentence • . �� . . . ���-���/ 13. Give names and addresses oP two persons, re idents of St. Paul, Minaesota who can give inPormation conceraiag you. NAP� ADDRESS l ./'111PP_Irl 1"l • � \,�� 'In�nJ� 1�1. Lwe\In 1� . �dLL, .�S ��q ���r.��G, �A-31 Ena� v�l nn�, ��lp,ni�p SS 1 c�� State of Minnesota ) ) S3 Count of Ramsey ) // � ! �(//u�� � being fir t 3uly s�rorn, 3eposes a.nd says upon oath re �as rA t?:e fore ing statement beari g his sigaati:re a.nd knows the contents hereoP, and that the same is true of his own nowledge except as to those matters therein stated upon information and belief an as to those matters he believes then to be true. � Subscribe3 ar.3 sworn t efore ne � � � Si ture of Applicant �ay o 19� . ..,�E� __Fuolic, Ramsey Count;/, yiinne P-�y Coamission expires ��'"°"'�••� MA���LLA G. SC ILLINGER � :�.,�,v o��a�IC— INNESO7A Q�.� `� RAMSFY C UNTY �•�'.My Commission Expire Mer•21.�98�