88-56 WHITE - CITV CLERK
PINK - FINANCE G I TY O F SA I NT PA IT L Council G `
CANARV - DEPAR�TMENT File NO• �`� �"�
BLUE -MAVOR �
�
Council Resolution � �
_ . ,
�
Presented By �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#10363) fox a Massage Therapist License
applied for l�y Monica J. Cxea DBA Vi's Therapeutic Massage
Center at 1821 Univexsity Avenue be and the same is hereby
appxoved.
COUNC[LMEN
Yeas Dimond Nays Requested by Department of:
Goswitz � [n Favor
Long
Rettman � Against BY
Scheibel
Sonnen
W11SOri JAN 1 21988 Form Approved y City Attorn
Adopted by Council: Date
Certified Pa. Co nc'1 Se e r BY
i
By ` ,
A►pprove Mavor: Uate JAN � 3 19SS Approved by ��yor for Submission to Council
B By
ISNED JAN 2 3 1988
. ��---�'�--��1T° _ 0'7308
�_, _�;,�ance & Manaqe�nt Sexvices ��PARTMENT �'x'`'"
� Kris'Sc,hw�einler CONTACT
298-5056 PNONE
Navanber 24, 1987 DATE 1 �/e� Q, �,i
� +
ASSIGN NUN�ER. FOR ROUTING ORDER (Clip All„Locations fflr �i.gnature)�: . .
Department Director � Directior bf Management/Mayor
Finance and Management Serv.ices Direc�or � � City Clerk
Budget Director 2 Council R�search `
� City Attarney ,
�tHAT WILL BE� ACHIEVED .BY TAKING ACTION ON THE ATTI�CHED. MATERIALS? (Rurpose/
Rational e) :
The Lic�ense aryd. Perniit Division has bee,n noti:f,i.�ed that Mc�ni.ca Crea has passec� both the
written �d prac�.ica]. p�rti:ons of the Massa.ge The�apist test. Ms. Crea is requesting
that th�e Saint Paul Ci,ty Coun,cil naw appr�ve Y�er applicatf.� for a 1Kassage Theragist�
Lic�rLSe.
COST/BENEFIT, BUDGETARY AND PERSONNEL ZMPA�TS ANTICIPATED:
N/A
FINANCIN6 SOURCE AND BUDGET ACTIVITY NU{►�ER CHARGED OR CREDITED: (Mayor's signa-
_ ture not re- _
Total Amount of "Transaction: N�p, quired if under _
� $10,00Q) �
Furtding .$ource: N/A
Activity Number: N/A . _
ATTACHMENTS (List and Number All Attachments) :
Degartment Checklist
Reso�.utian - - '
�A P(�-�`--��-��-,
DEPARTMENT REVIEW CiTY ATTORNEY REVIEW
r�es No Council Resolution Required? � Resolution Required? ✓Yes No
Yes �✓No Insurance Required? Insurance Sufficient 7 Yes No
Yes ✓No Insurance Attached:
. .
(SEE •REVERSE SIDE FOR INSTRUCTIONS) �
Revised 12/84
� ��d'�:�� �
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE i ,+ ; , -r_.! i� / ; i I i 1 ���,
INTE,RDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
A licant � �' � n� � Home Address � � ��sl
PP I� �� G��'� � � �x�,�- � �;a� Ld�r��. �:� `��_C. c_�__�v
� -
Rus ine s s Name `�, -_ � � 4^���,�f�y `;_� ;, � \`Y"��r�r.n.;,Home Phone ����;�- (��� Cn,.;
,�._
��;��� .
Business Address . � <<<;;� � 1;(,;�;� ,,; . 4��,; � Type of License,(s)�"j��'�j;_y�;e,,_��;� ��;�����_���
Business Phone �o'-�- {�;_�,�_�--�
Public Hearing Date �, 1 =t +C� License I.D. 4� j�� (�, 1
at 9:00 a.m. in the uncil Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� ;; l ;{ j� �f ��
llate l�otice Sent; ���8� Dealer �� '� i�
to Applicant
T'ederal F3_rearms �6 H'� �i
Public Hearing
DATE INSPECTION
REVtEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
Health Divn. '
; ;i�� � �
,
Fire Dept. i ��I / �
� � �� �
I
Police Dept. I
���� Yi�o � c�r�
License Divn. i i
l� i �`� I
City Attorney �
t
Date Received:
Site Plan �;�!!h
To Council Research �Z�U� X'1
Lease or Letter Date
f rom Landlord ���� ��
r
' CITY OF ST. PAUL � " " � i�
' � � DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
LICENSE AND PERMIT DIVISION
Please answer a11 questions fully and completely. This application is thoroughly checked.
Any falsification will be cause for denial. �
Date Jf �7 19 �7
1. Application for_��� �� �-`�S��l-F //�-�r��� ��se)(Permit)
2. Name of applicant � � �l I C l�' � `'��
3. If applicant is/has been a married female, list ma.iden name �
4. Date of birth �� �S S Age � 2 Place of birth ��y� C:U� S�•l�_�ylJ .
5. Are you a citizen of the United States_�Native Naturalized
6. Are you a registered voter /IU Where
C' ��� , �/ �o� .�.SG�3 Home Tele hone (��'� �
7. Home Address � � Z �0 _ P
8. Present business address �/1 olGC ���`1 �[�tG7 ' Business Telephone "y�v� 7
9. Including your present business/employment, what business/employment have you
Pollowed for the past five yeaxs.
Business/employment_ Address
�� ��36�t�� �faSP ���s . , Y�►`�
/zx� Nv.✓1/�a�✓��--j�w� -���r� �(�'-� �� •
�w a� s � ,�-� h� - �°Dr�T�� �n .
10. Married if answer is "yes", list name and address of spouse
11. If this application is for a�M assage Therapist License, list time so occupied.
�'�� y�j,�<� / �c�^ Years Months.
�
12. Have you ever been axrested if answer �is "yes", list dates of arrests, where,
charges convictions and sentences.
Date of axrest 19 �11�ere
Charge
Conviction Sentence
Date of axrest 19 Where
Charge
Conviction Sentence
� � ��� �
13. Give names and addresses of two persons, residents of St. Paul, Minnesota who ca,n
give information concerning you.
� =��'� ADDRESS
� ��e sx� ��r�q,` Gzbs��n�� G��, 1�����1 ; Yvr�r .
� s� �6 7 /�.�t�.r���5,�-J �i .u� � �7���CC�1
State of Pdinnesota )
) SS
County of Ramsey )
�"1 C 1r1 i C.C�. ,I - �, �E'� being first duly sworn, deposes and says uaon oath
that he has read the fore�oing statement bea..ring his signature and knows the contents
ther�of, and that the same is true oP his own knowledge except as to those matters
therein stated upon information ar_d belief and as to th s matters he tie 'eves them
to be true. - � � %�
�'
Subscribed and sworn to before me � �
r/ Signature;of Applicant
this � day of__� '1/� 19 d � �
.�� � � �✓
Notar lic, ��unty, Minnesota
�
a�,
�?y '�ommission expires f "�: '
Y. I!!1ii T �
� "1rtl:., e,-nreer�}-�}j:Ctl�
�;..t r��r„�v r-;,ia�;c—rr,N�ESOrn
� e�..�� �AKGTA CLRk�IY
bSY CCMd,9.EXPIftES "hJ(',.21.1991
x
r
l�f� (�S�D
-------------------------------- AGENDA ITEMS =_______________________________
--------------------------------
ID�: 87-[521 ] DATE REC: [12/O1/87] AGENDA DATE: [00/00/00] ITEM #: [ J
^*1BJECT: [MASSAGE THERAPIST LICENSE - VI'S THERAPEUTIC MASSAGE - 1821 UNIV. ]
C.R. STAFF: [ ] S IG: [50NNEN ] OUT-[X] CLERK�1l�-�8-A-�8�0 J,2
ORIGINATOR: [LICENSE DIV. ] CONTACT: [SCHWEINLER - 5056 ] �/
ACTION: [ ]
� )
C.F. # [ ] ORD. # [ ] FILE COMPLETE="X" [ ]
* * * * * * � * * * * *
FILE INFO: [RESOLUTION/CHECKLIST/APPLICATION J
[ l
[ ]
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