89-2202 WHITE - CITV CLERK
PINK - FINANCE G I TY O SA I NT PAU L Council ^^^���
� CANARV - DEPARTMENT Flle NO. �� � �r�
BI.UE - MAVOR
�
Counc 'l Resolution �'
��
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. 57241) for a Massage Therapist License by
Sister Rosalind Gefre D A Sister Rosalind Gefre's Professional
Massage Center at 1999 ord Parkway, be and the same is hereby
approved.
COUNCILMEN Requested by Department of:
Yeas Nays
Diamond
Long [n Fav r
Goswitz
Rettman � Against BY
.n��
Sonnen
'bEL+ 1 .l. � Form Appro ed by City Attorney
AdoW��� Council: Date t , _
i�-- f -�
Certified Pa s d Council Se ary BY
B} DEC
`� Approved by Mayor for Submission to Council
/�pproved 'Navo . Dat
By v'`�' BY
ptiAt.iS�! D E C 2 3 t989
. . � D � �u�
DIVISION OF LICENSE AND P�RMIT ADMINIST TION DATE �o?.�_ / ��d7
INTERDFPARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
ic Enf Aud
�� ,�tj .
Applicaut �7i� ;� c� n Home Address
Rusiness Name ; ��(�� Home P�one (p ����
���?-.T- �� .
fl �� �
Business Address � �(G� fiype of License(s) �
Business Phone t9� � _ Cj �a ?,�
Public Hearing Date � �� �� License I.D. 4� 5 �a��
at 9:00 a.m. in the Council Chamb rs,
3rd floor City Hall and Courthouse State Tax I.D. �t �f 33�1 S ��
llate Nutice Sent; � Dealer �� 1�1� (�
to Applicant �; `6 �5
rederal Fisearms �� � ��
Public Hc:aring
DATE INSPE TIUN
REVIEW VERFIED (CO UTER) CUMMENTS
A roved No A roved
�
Bldg I & D �
� ) a3 ,
Health Divn.
� � a3 �
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!
Fire Dept. � �
� � 1a3 � � I�
�
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Police Dept. i
� �
License Divn. � ,
� ( ZS � ��'`�
City Attorney �� I �
� � + o �
Date Received:
Site Plan
To Council P.esearch a-`�
Lease or Letter Date
from Landlord
. CITY F S'i. PAUL
DEPARTMENT OF FINAN AND �IANAGEMENT SERVSCES � G � �D
• LICENSE A PERMIT DIVISION �
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1,�;�;�',, -
,.,s�-;-..� � ; •
�tP1ea,ae aaswer a11 questions Plally and comp etely. This application is thorough� checked.
� ` talsi cation will be cause for denial � �
� , _ , • , . . .
r�� .�a `� �..�� ',�.
s �� t ;;� ; .,`;� , Date �19� ,.
' �� ; .'���rr� x_.•`'.,_ _�;,C ^ � � Q I' �L3CeASe)�Permit) ��'
��1.. , Application For c� o �
�} :..1 'Er'.��.. �.., . , � `�' . . ... . .
R..� '��. '7' ' � �_.__' .
�2. . Name of applica.nt� g
� ���� :. � .:: . n_
k 3. �IF applicsat is/ha.s been a married f e, list maiden name � ��T .
��-,
� 4; Date of birth Age�P1� of birth ����°��
�
5• Are you a citizen of the United States Native Naturalized
6. Are you a registered voter Where '` �C N
�� �o-a
7. Home Address � � Home Telephone(D c�oZ
8. Preseat business address Business Telephone�b��
9. Including your present business/emplo ent, what business/employment have you
followed for the past five years.
Busiaess/employment. . � Address
�/�� // CC! ;/������� /// � 9
♦/ �/ ,1� � � I . �� ���e'��i%{�� r �� �
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10. Married�it' ansver is "yes", list ame a.nd address of spouse � ,_. • �
ea
m
2
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11. If this applicatioa is Por a Massage erapist License, list time so occupied.c� Qo►'^
o „4�
` �!9 3 .. Y s '�, . - Mont= ��
12. Have you ever been arrested�B_If sWer is "yes", list�dates of arrests, �'er�
tj1 %C
��, cYiarges convictions aad sentences. �v
''i Date of arrest 19 t�lhere
���Y . . . � � . .. .
• {��i�i gC
�{ •
�i
'�L Conviction Sentence _
�:.t R" _ . .. . . � . . .
.Date of arrest 19 ere �
Charge
���' Conviction Sentence
r.;
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—
� ��� �a ad � � �
f.:.
13• Give names and addresses of two per ons, residents of St. Paul, Minnesota Who can .
give information concerning you. ,
N� . . ADDRESS
S. �, � .�6 , ��/��
,
, -
%�! ' v' i g
e
State of Minnesota ) $ls� 7 � -
) SS � .0�. tit,�✓ /7j/y� s$'/d�
County of Ramsey )
bei g first duly sworn, deposes and says upon oath
that he has read the fo going statement bearing his signature and knows the contents
thereof, a,nd that the same is true of hi own knowledge except as to those matters
therein stated upon information and beli f and as to those matters he believes them
to be true.
Subscribed and sworn to before me .,�4�,;,� �'_ �
, Signature Applicant
this � day oP�R�%��19�
/ N
Not y Public, Ra.msey County, Minnesota
._ �A AAAA
A'(y Commission .e�.iaes J�A M,- A!� •
., v._.__ NOin;. WNE�O'U
erur.sglr� Nfy
��miss�cn t���i ��.�Y��
JEAN M. EIAAEER �
-�� NOiARI'PUBUC MINNE$QjA
RMISEY COUNTY
Mr Co�d�iwa�6rpir�,FEg.1S.1992 .
_ . , , C�/ � .
_�a6� .
DEPARTMENTlOE�FICEICOUt�CIL W1TE INI71A D
GREEN SHEET � ��7 9 � ;
Finance/License iNinAU�Ar� ;
CONTACT PERSON 8 PHONE �DEPARTMENT DIRECTOR �OAM COUNCIL ,
Kris Van Horn/298-5056 N�M� �an'�rro��v �CITY CIERK
MUBT BE ON COUNpL AOENDA BY(DAT� ROUTING �BUDf3ET DIRECTOR �FlN.6 MOT.SERVICEB DIR.
�MAYOR(OR ASSIBTANT) Q��y�j1 R
TOTAL M OF SIGNATURE PAOES (CLIP ALL LOCATIONS FOR SIGNATUR�
ACTION RE�UES'TED:
Application for a Ma.ssage Therapist Lic se
NOTIFICATION DATE: 11/29/89 HEARING DATE:
RECOMMENDATIONB:Approve(A)a RsJect(F� COUNCIL MMITTEE/RESEARCH REPORT OPTIONAL
_PLANNINO COMMI3SION _qVll SERVICE COMM18810N ��Y� P��E NO.
_CIB OOMMITTEE _
COMI�NTS•
_STIIFF _
_DI8TRICT COURT —
BUPPOFiT3 WNICH OOUNpL OBJECTIVE? -
INITIATINO PROBLEM,ISBUE,OPPORTUNRY(Who,Whst,WMn,Where,Wh»:
Sister Roasalind Gefre DBA Sister Rosal d's Professional Massage Center requests Council
approval of her application for a Massa e Therapist License at 1999 Ford Parkway. Al1
fees and applications have been submitt d. All required departments have reviewed and
approved this application.
ADVANTAl3ES IF APPROVED:
RE�E�vE�
Gp�t1°`�°�
E
� `� �LtK�
c�
DISADVANTA(iE8 IF APPROVED:
.
DISADVANTAOEB IF NOT APPFIOVED:
�u:�:-�cy� �:�:.�:�;ch Center
fV OV 3 01989
TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDOETED(CIRCLE ONE) YES NO
FUNDINO SOURCE ACTIVITY NUM9Ep
FINANCIAL INFORMATION:(EXPWI� �
YI
. ,
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE C3REEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.29&4225).
ROUTING ORDER:
Below are preferred routings for the five most frequent types of dxuments:
CONTRACTS (assumes authorized OOUNCIL RESOLUTION (Amend, Bdgts./
budget exists) Accept. Cirants)
1. Outside Agency 1. Department Director
2. Initiating Department 2. Budget Director
3. City Attomey 3. City Attorney
4. Mayor 4. MayodAssistant
5. Finance&Mgmt Svcs. Director 5. City Council
6. Finance Accounting 6. Chief AxountaM, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDER (Budget COUNCIL RESOLUTION (all others)
Revision) and ORDINANCE
1. Activiry Manager 1. Initiating Department Director
2. Department Accourttant 2. Ciry Attomey
3. DepartmeM Director 3. MayoNAssistant
4. Budget Director 4. City Council
5. City Gerk
6. Chief Accountant, Fin &Mgmt Svcs.
ADMINISTRATIVE ORDERS (all others)
1. Initiating Department
2. Gry Attomey
3. MayodAsaistaM
4. Ciry Clerk
TOTAL NUMBER OF SIONATURE PAGES
Indicate the�of pages on which signaturea are required and Paperc�IP
each of these pages.
ACTION REQUESTED
Desc�ibe what the projecf/request seeks to axompliah in either chronologi-
cal order or order of importance,whichever is most appropriate fior the
issue. Do not write complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the iss�e in question has been presented beMre any body, public •
or private. ,
SUPPORTS WHICH COUNGL OBJECTIVE? �'
Indicate whkh Council objective(s)your project/request supports by listing
the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION).(SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNCIL COMMITTEE/RESEARCH REPORT-OPTIONAL AS REQUESTED BY COUNCIL
INITIATING PROBLEM, ISSUE,OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the Ciry of Saint Paul
and ita citizens will benefit from this pr�ecUactfon.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce if it is passed(e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When?For how long?
DISADVANTACiES IF NOT APPROVED
What will be the negative conaequences if the promised action is not
approved?Inabiliry to deliver service?Continued high traffic, noise,
accident rate? Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the isaue you
are addressing, in generai you must answer two questions: How much is it
going to c�t?Who is going to pay?