88-644 WHITE - CITY CLERK COUflC1I (/y' /
PiNK - FINANCE /`/y
BLUERr - MAYORTMENT GITY OF S INT PAUL File NO. ��✓ �`a,�
Council esolution ... - ��, ��_��,
Presented By
_ � Y/ � ��=�i� �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. #5406 ) for a Massage Therapist License
applied for by Julie K. Alle DBA Delores' Whirlpool at
781 Pelham Boulevard be and he same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays �
Dimond
t.o� In Favor
Goswitz
Rettman
� �__ Against BY
Sonnen
Wilson
MAY �� � Form Approved by Cit Att ey
Adopted by Council: Date �
Certified Pa s y uncil S eta By— � � �
gy. �
Approved by avor: Date _ F�� m � � Approved by Mayor for Submission to Council
By �� BY
P���.l3��U I;i1�5�1 L `._ �JVV
i ,�r
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. ,� � F. c�x�u t�f���`���`1" No.0 016 6 9
COIRACT n�r„�r:dn�eron , �uro�R?���:
ICr' �],I11P.Y`-V8t11'IiO�'i1. � �.o � �a►uw►c:er�rr�onECron �«rr a.�c
. No:
F' ' & �t. 298-5056 c� �°�`o� . �:Coaa�cil ��rh
— orrr ArroaaEr
I
licati�:for a Massage �'�xapist Ia.
s��
SH�s 4J�2/88 F��R.'GNG I]A��: �4?2t'i"�
:fMwas W or�(R)) CAIN�EM. REPORT: -
- COAI�&ON CML.89iVICE WMIAI8610N- DA7E N� DATE OUT . 11W1LY8t � � PFIOIE N0. .- .
. .- COI�NMBBION . . IBD!26 SCIIOOL BOQMD . �' '� / I �� . � . . . � .
- - ST . . . . .ClIARTEH COMI�&ON � . ..COMPLETE AS . -AO�t MJFO:ADO�* �_��/IDOL�.'�' - .__F��. - � .
� . *EXPIANATION: � � �_� . . � .
. 9UPPORIS fSOUNCM.OBJECTIVE4 � . . . . - . . � . . . ' �. �. . . . . ,- . .
. . :� � ����I. � . � . .- ' . � . . . , . . . � .
. . � . � . � . . . . . . . . . . . . . �. . - . . . . .
Nf�A1r19 N{IF,OMOl1'i1MfY(Who.WhM.YVIIBfI.VYhere.WhY)r ,, ..
Jul e K. Alle� D�A Delores' [�irlppol`at 781 elhanl Eauleva�d �reqt�sts C'�xinc�.l �val. o�
, hppr M�ssage T�e�ra�:st Lic�ense.. . ,
�c+i �.�.�.�rar. _ � _ .
A31 fees and �plicati.or�.s ha�.been suk�nl.ttjed �f Ca��cxl apPre�val. is giv�n, Ms. Allen will
..be � a].lawed to practioe M�,ssage Th�rapy at 7 Pe�i�a�ri Hoiil.eva�i.
�� •
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QNhu,MRiM�.�nt!To.wl�oen}: .
If '.1 apprava]. is r�t rec�ived, NIs. will n�t be allc�aecl. tc> p�actic�e A3assage
- at 781 P�lh�m Boulevard:
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� DIVISION OF LICENSE AND PERMIT A.DMINISTRAT ON DATE � (U 'b�6 / � /S[ b°
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant � T1 • ��n� Home Address �j3 0�� ��� .�. �,av
Rusiness Name �o_�m o„� �,� ��,(}�� Home Phone �p�� � � � a1 C.�
Business Address �.�j � �,v�. Type of License(s) �(`� � �_5-�
Business Phone (�� -�o `�,a.d
Public Hearing Date � �n t a(�� �� License I.D. �{ ��Q(.B�
at 9:00 a.m. in the Council Chambers, �
3rd floor City Hall and Courthouse State Tax I.D. �� ��J��C� ��
llate Notice Sent• J� � Dealer 41 1/� �(�
to Applicant �
rederal Fixearms 4� � IQ�
Public Hearing
DATE INSPECTIO
REVIEW VERFIED (COMPUT R) COMMEENTS
A roved Not A roved
Bldg I & D
3 I a d � o I�j
,
Health Divn. '
3 � -z� ! o �
�
Fire Dept. � �
3�vd � p 1�
I
Police Dept. I
��3 M O k � (l�c-C O r'cQ.
License Divn. �
`�� 3 l � e��
City Attorney �
I
����
Date Received:
Site Plan �_
To Council Research �� /S���S`
Lease or Letter Date
from Landlord �$
, � �.,_.-� . , � ��-���
CTPY OF ST PAUL
DEPARI'1�11'1' OF FIBI4NCE . MAIiAC�' S�tYICP:S
LIGEliSE ARD DNLSIOl/
These ststement forms nre issued in duglica . Please ansner all qnestio�ss ltiit�}► aad
compleLely. This applicstion ia thorough�y becked. •Any lalailicatioa nill be csuse
for denial.
�+� 3 ''� i9 s-r�
1. Application tor -� (License) (Permit�
2. Aa�ee of appli csnt � ,� �
3. If applicant is/haa been a mnrried femal , list maidea n�e S ?cal S a '-�.
L. Dste of birth �-�S-,��� Age� place o! birtti _�ijp/ S'
—�r
5. Are you s citizea of the United States Ratire _ Aaturalized __
6. Are yau a registered voter �, ,,
—�--�—
?. Hove a�ddreas 3�g �j �� �(/. �✓I $� ��� �y-o/�S/
�. Preaent business sddreaa �,y, �� �; � Bn�i�ss ��� �O_��ZO
9. Including your present busir�ess/empl , w6at basiness/�leysent ha� yon
follo�+�ed for the past live years.
Buainess�F�aPl�� Address
./ ��.� .i. L� r/ �- � � / �� Te'/i' �-i/�` �(�
1� l��G �/. � '`� ��- -
10. Married� IP ans�+er is "yea", liat n e and address a! spause
�, � /-�� 3 g a� �/ �,� /s, � s's-�� �-
11. �iave you ever been arrested tor an o!lens that has resulted in a convictionly�
It ans�+�er is "yes", list dates of arrests rr6ere, chargea, comrictioos and
sentenees.
Dste o! arrest 19
CAAF.CE
COPVZCZ'ION g�
Date of arnst I9 Where
CHARGr
C�NV ICTIOiI S��
. . . ��'l0�`�'
12. List the names and addresses (if marri d,�ame o�Z��s�ich in suy��+a�Y�ve:
corporations, partnerships, associ r 8
g, p mcrtgage interest in the ].icena premise,
b. A serurity interest in the licens d premises, license, o� it�rnishings of the
licensed premis�,
c. A prvmissory note tor funds loar�e for the operation o! the licensed prm�ise
or the pnrchase ot 'the license,
d. Financislly contributed to the chase oY the premise or the license it-
self
e. pr�y other interest eithe� direct r indirect, either financisl or other�rise
in the licensed premise or the li enae itselP, � � ` �"�' /
O. �i� ho , � � � �D �_(,�� ���P�
`, Attach a copy hereto of suy at►d all docume ts referred to in this alYidavit.
1?.. Give names and addresses of two pers , resideata of 3t. Pavl, 1�liimesv�ta, who
can give information concerning you. . �s
FAI�
� � � 2���S a�a� �6/�<�l�� S�,d'��/
/ � � /
S � �-�� /5��� �cGi��� � �i����� ,.5� �-��
14. Addreas of premises tor Which Licens or Permit is mecle
Address � � .�� ?� �� � kz � �� classificatian_,_
15• Bet�een s+hat croas streets � �rr► � �d� �rr� �rt Whi_b aide of atreet__
16. Ra�e under Which thia buaineas rrill e condurted �-v��IPS ���'/��l�G�'e`� ��'��
� �
17. ,.Bnainess Lelephoae n�nber � �/�Z Z b
1¢. Attach to thia application, a detai d deacription of the design, locstion, aaa
aquare footage of the premises to b licensed
� t business �'►�S��C� H� long1�
19. ?re premises no�+ occupied �
/
�.
j � _ , �����
� . �.�;
, 20. Liat license xhich yau currently hold or former�y held, or m�apr have an intere
in ` �
21. Have arxy of the licenses listed by y in No. 20 ever been revoked. Yes
,NO �. If anarer is "yl�S"� 13st, 8te8 8Dd 2'eaao�:
22. Do you have an intereet oY at�r type i any o�ur businesa or businesa_ premises.
' I.' anewer is "yes", list business, b iness address aad telepho�e rnimber.��
23. If business is incorporated, giw da� ot incorQoration _ J1i1,'�19_
and attach capy of Articles of Incarp rstion a� minutes of first meetiag.
, 24. List all officers of the corporation iving their nsares, oftice held, home
address, and home and buaineea teleph ne numbers:
/- ,
y �P �'�z I o� -l� S7, ,� v r-s �i9 -`' '73
_ ICO��n � t° l�cs-� 77 -D � � �
.SO �'!� P .l.�D� �J '_ y y5�
�,,,�;� �l� 3�?� /e ��-o/�
_.
25. If buainess is partnership, list part er(s) addresa e.nd telephoe�e ntabera:
� 7/,<� v�f _ Ad rees Tel.Ao.
. —�
—
26. Is there arXyone else who will have an iutereat in thia bnsiaees o� premisesY
It ar�swer is "yes", give nsme, home dreas, telepho�e rn�bers and in xhat
manner is t8eir intereat: � �
2T. Are you goinR to operate this busines" personal]y �,�Q i! not, xho xill vperste
it: J"'—
R� ome addresa 1�e1.Ao.
' , � �a -!O`�`"y
. . � � . , .
t
Are y�u going to ha.ve a Manager or ass stant in this business? If ana�rer is
"yes", give name and ho;ae address and �e telephone number:
Name /L� H address Te1.No.
29. Has anyone you have named in questioas 22 through 26 ever been arrested? If
answer is "yes", list name of person, ates ot arrest, where, cha.-�ges, comric-
tions aad sentence
30. I ���(��� ���t.� understand this premise mey be in-
spected by the police, Pire, health an other city officials at a� and all
times when the business is in aperatio .
State oF Mirmesota)
)SS
ou.-�ty of Ramsey )
• �_%�� being Y st du�q sworn d oses and says on
s .cP �P
th that he has read the Poregoing �tateme t bearing his si�ature and lmo�rs the
ontents thereoP, aad that the aeme is true oP his oWn la�m�rledge excrpt a: to those
matters therein stated upon information and elief and as to those matters he be-
lieves them to be true.
Subsc ibed and svorn to oxe me
,�` Sigaature of Applicsat
th �� day 1? U�
�
P'AF�ELi_A G. SCHILLIRCER
:"��::�^.,. ��_E�� r41�iNESOTA
Notary Public, Ramaey County, Min ota � .�,l;,.,�^, �,,�-rar��-,��.•�- � �
;,�s��,� �iAivla��r COUaaTY
'�jr co�ission !'Xp�2'C3 ''•''�A�,•..r�:' My Com�"i�sion Expirss Msr.21.1991
7
(�,�'—0 0 lo T�
________________�______________= AGENDA ITEMS = ______________________________
G.S.#: 001669
ID#: 88-[467 ] DATE REC: 04/18/88� AGENDA ATE: [00/00/00] ITEM #: [ ]
SUBJECT: [APP MASSAGE THER LIC/DELORES' WHIRLPO L/ALLEN/781 PELHAM BLVD ]
C.R. STAFF: [SWENSON ] SIG:[SONNEN ] OUT-[ ] CLERK [00/00/00]
ORIGINATOR: [J. CARCHEDI ] CON ACT: [K. VAN HORN, 5056 ]
ACTION: [ ]
[ l
C.F.# [ ] ORD.# [ ] G.S. RETURN D [00/00/00] FILE CLOSED [ ]
* * * * * * * * * * * *
FILE INFO: [RESOLUTION/CHECK LIST/APPLICATION ]
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