88-645 WHITE - CITY CLERK
PINK - FINANCE COUnCIl P
CANARV - DEPARTMENT GITY OF AINT PALTL /�
BI.UE - MAVOR File NO. ✓ ' � -
_ Council Resolution r� ��;; ��; .� ��,�--
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. # 9740) for a Massage Therapist License
applied for by Judy Dick �son DBA Delores' Whirlpool at
781 Pelham Boulevard be d the same is hereby approved.
COUNCIL MEMBERS A Requested by Department of:
Yeas Nays �
Dimond
Long [n Favor
Goswitz
Rettman
�,�;�,. �_ Against BY
Sonnen
Wilson
MAY — 3 ��UU Form Ap oved by ity ttorney
Adopted by Council: Date �
Certified P _ ed un .il eta BY
By 1 '`�
A►pproved or: e _ MAY — �J � Approved by Mayor for Submission to Council
B �'�—" BY
Y
P�I.6SNED P�`�,r' 1 �r �98
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WIR f��Mll1lD
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r�o. I�NNIMBER — 3
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. � CRY ATZORNEY . .
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'(Mpas,fN a F1�(R)I COUpCIL Rfil+Oi�i:
PIMRiN6 COMiM88pN. . . � CIVII.SEHVICE COMMI8810N �DATE/IN - � .OATE 8UT � ANALY�B+T . RIONE ND. - - . .
� ..Z[11iIW0001AMI8810N ISD8268CHOOLBOARD ..�1 �� �T/�O . ��` . � �
� . . 8T/iFF.. . � . . � fx11VrtER O�M118810N � �- .A3 IS �-ADDL MlPD.IIDOED* RET'Q 7'0 COWpI�t . . � OOW6Cti]JElff . . ..
. . �� _FOFi ADC11WF0. . __F�S AOD��•
� �� •E%PLANIITION: � . � . . � . . � - .
.. ..... 9UpPORTB WlNCH OOUNGL-�O�IECENE7 � . . � .. � . � . . . � - . . � .
M1MfM0 PROSt�,Mft1E.ON0Rli1M1Y(Wtw.VN1it.WIMp.Whxe.Nrty): .
Judy Dick�,rrson DiBA Dela�'� t�h�.r].pQO7. at 7 �e7.�n eoa�l.evr�3 x+�c�uests t7aunc�l app�+bv'al af
her Massmqe_�T�ie�ap�.st License. , .
,
�l+ennwr•�.�M.naps,.�►: , . ,
A11 fees ar�d a�licatic�s haVe bee�1 suknttt . Tf Co�cil app�+o�V�7. is g�ven, Ms. Di�
will be alla�aed to p�raectice Massage Thes at 781 Pelhaan Hcx�3.�vraxd.
,. �(W�.MIM�n,ant).To VMam►::, . : _
If Cour�cil appr�val is ryot reoei.v�d, 1�. D .in�on will rx�t be a1.lcxaed �o gr�ctice M�ssage
'Th�+x�py at 781 Pelha�r� Boulevard, � �
. .
K�nv� �
�sronrin�s:
��s: . , V
. , . G��-s
DIVISION OF LICENSE AND PERMIT A.DMINIST TION DATE � $� /���sX
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant J� _ Home Address �Q �� �Y�p_��,���r
Rusiness Name�,��rLS W�r�� Home Phone ''� "1 � � �p53 �
Business Address � �(� �;q�� ��.p , Type of License(s) ��S0.C^���pp_YC�p��'`,
Business Phone � '1
Public Hearing Date (,� License I.D. 4� ���c.��
at 9:00 a.m. in the Cou cil Cham ers,
3rd floor City Hall and Courthouse State Tax I.D. l� S� �(p ��
llate l�otice Sent; �� Dealer �� _�'�
to Applicant �y�(� � °�/,�,f$
I'ederal Firearms 46 `h ((�
Public Hearing
DATE INSPECT ON
REVIEW VERFIED (COMP TER) COMMENTS
A proved Not roved
�
Bldg I & D r +
� � f<< � o
Health Divn. �
� I
� I J C�
i
Fire Dept. � � �
i � `� ► � �
, ,
Police Dept. �I I
� �
License Divn. �
�
City Attorney �
�
Date Received:
Site Plan � lJ�-�"�J
To Council Research � ( �l �
Lease or Letter Date
from Landlord _� "
. _ . �'��lo�`S—
� � , � CITY F S'i. PAUL
' �. DEPARTMENT OF FINAN E AND MANAGEMENT SERVICES
LICENSE A PERMIT DIVISION
Please a.nswer a11 questions fully and comp etely. This application is thoroughly checked.
Any falsification will be cause for denial.
Date o��o�l 19�
. 1. Application for S� �License)�Permit)
2. Name of applica.nt % . a �
3. If applicant is/has been a maxried fem e, list ma.iden name � �c�/Q �
4, Date of birth�o�/'QS6 Age�Place of birth��,Q�l��/�
5. Are you a citizen of the United States � Native Naturalized
6. Are you a registered voter Nfl �ere
7. Home Address �/ � .e w' �t' � � �S�/d� Home Telephone '77�'�539
8. Present business address � �` / U � � � '�� Business Telephone��d�,l' t�
�f"//f/
9. Including your present business/emplo nt, what business/employment have you
followed for �the past five yeaxs. „„� .
Business/employment. .�� Address
.(�PlOReS� -�.�-SS.f�e `�� :,:� , , ,;�$ lo6(v�w �-rs� S�(• 5��.���—
.�ioR�s - �A�s,sr e �� � ��i�� .�/��-s�;n,�u /—
10. Married �S if answer is "yes", list ame and a.ddress of spouse
a�s e - �� ` Gi�sa�/ <3 G �P.��iP� :s��a�'-,��
11. Tf this �.vplication is for a �IassaE;e erapist License, list time so occupied.
�v-Q �.e�p/"�p m,psseuse f'oiC�'7'y�s Months.
�!�`s tsr�it/ /S�Y�. Ye s --
12. Have you ever been axrested� e 5 If swer is "yes", list dates of arrests, where,
chaxges convictions and sentences.
Date of axrest h1r4�. 19�7 Where ��K�
Chaxge vtl
S/AyJql/s�.u/P�t A•A
Conviction f/f Sentence cL�SSPs _ � �
q' -
Date of arrest 19 Wh re �� - �';
� �u ,F-�;"
Chaxge `� -,::�;�7
Conviction Sen�ence � ���'
� '`
�
. � , . �����S-
13. Give names and addresses oP two persons, residents of St. Paul, Minnesota who can
give information concerning you.
NAI+� ADDRESS
�!T��l�iA%c��a�1/ l��`7 c�i�I L�i�P�' � S�tpr1�l� .
t�Q LG�Q-�s �/�lv�L '7`7 w, I 5�.�-��- � c�� �L
.. �
State of Minnesota )
) SS '
County of Ramsey )
,
F
bein� f'rst duly sworn, deposes and says upon oath
that he has read the foregoing statement be ing his si�nature and knows the conten�s
thereof, a,nd that the sa.me is true of his o knowledge except as to those matters
t:�erein stated upon information a.nd belief d as to those matters he believes them
to be true. �
,� r c
Subscribed and sworn to efore me - ��""`��0-'"
,'// Si , ure of Applicant
t _i s / W� day o 19 �
_ �
ot y lic, t 'nnesot ..•:�"1t MAR(3ARE7'j, �•
�� �����
N�y Commission expires �l���p�g�
�!6 ��:
. • �./"� �`�'��
_________________===a=====_____= AGENDA ITEMS =______________________________
G.S.#: 001668
ID#: 88-[468 ] DATE REC: 04/18/88� AGENDA DATE: [00/00/00] ITEM #: [ ]
SUBJECT: [APP MASSAGE THER LIC/DELORES' WHIRLP OL/DICKINSON/781 PELHAM BLVD ]
C.R. STAFF: [SWENSON ] SIG: [SONNEN ] OUT-[ ] CLERK [00/00/00]
ORIGINATOR:[J. CARCHEDI ] CO TACT: [K. VAN HORN, 5056 ]
ACTION:[ j
�
C.F.# [ ] ORD.# ( ] G.S. RETUR ED [00/00/00] FILE CLOSED [ ]
* * * * * * * * * * *
FILE INFO: [RESOLUTION/CHECKLIST/APPLICATION ]
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C } /''/�����
� w
T�IVISION OF LICENSE AND PERMIT ADMINIST TION DATE / / �/�
INTERDF.PARTMFNTAL REVIEW CHECKLIST � Appn Processed/Received by
Lic Enf Aud
Applicant � `e.�(� f�S � Home Address �� l�J .� �wb.c�i
Rusiness Name��`Q�(� �M'�,�,yt�i Home Phone
Business Address ��( �� ��v�. Type of License(s) �SSAS��r0.,p�s�
Business Phone �V�' Z�a2,.p
Public Hearing Date ` 2 License I.D. �{ �a c�a I
at 9:00 a.m. in the Cou cil Chambers, ",
3rd floor City Hall and Courthouse State Tax I.D. 4t s/ a, �-t���(�J
llate Notice Sent; �''"' Dealer � �,� �
to Applicant �/�7�� ��j/� '�,/-�,�$
� Federal Fi.rearms 4� n�Pt
Public Hearing
DATE INSPECT ON
REVIEW VERFIED (COMP TER) COMNIENTS
A roved Not roved
Bldg I & D 3� 2� + k
' � J
Health Divn. '
� IZ� � ��
Fire Dept. I �
3I 2d , o
�
Police Dept. I
3� 3 ) � � � re r�[
C1�
License Divn. 3 �
I Z� � �
�
City Attorney �
f
Date Received:
Site Plan � � I.C�-� r
To Council Research ' �(,S'l.�
Lease or Letter , Date
from Landlord ( �
. ' li1`—��`�`'S�
. CITY F S'r. PAUL
' . , DEPARTMENT OF FINAN E AND MANAGII�NT SERVICES
LICENSE A PERMIT DIVISION
Please a.nswer all questions fully and comp etely. This application is thoroughly checked.
Any falsification will be cause for denial �� / f �/
- � . Date :T�t'iG�, + � 19 � b
1. Application for �G�� �{� �License)�Permit)
� v
2. Name of applicant ..� .
3. If applicent is/has been a maxried fem e, list ma3den name � �/',� ��X -�
4. Date of birth 6/ ��/3� Age�Plac of birth � �� ��/V�-
, � � '
5. Are you a citizen of the United States Native Naturalized
6. Are you a registered voter � Where � „ � `-���
7. Home Add:ess �/tJ � Home Telephone
�c.s U� �.l L n
8. Present business address� Business Telephone��__
9. Including your present business/emplo ent, what business/employment have you
followed for the past five yeaxs. �� ��_
Business/employment. Address
. ,
10. Married ��' if ansWer is "yes", list ame and address of spouse
11. If this application is for a M assage erapist License, list tiae so occupied.
1 `� Ye s Months.
12. Have you ever been axrested�If swer is "yes", list dates of axrests, where,
chaxges convictions and sentences. �
� -��
Date of arrest 19 Where � `
� h�J
. /',
Chaxge � -
`.;
�;
' Convi.ction Sentence �. � ,:�
�
� __��f�,r�
Date of arrest 19 ere
p�7 ."c
Charge
Conviction Sentence
. ��- "" ���
13. Give names a.nd addresses of two person , residents of St. Paul, Minnesota who can �
give information concerning you.
NANIE DRESS
- �a��a,�, z 1 z 6
.�_ � � „ y,.� L J z 6
State of Minnesota )
) SS
County of Ramsey )
being 'rst. duly sworn, deposes and ssys upon oath
that he has read the foregoing statement be ing his signature and knows the contents
thereof, a,nd that the same is true of his o knowledge except as to those matters
therein stated upon information a.nd belief d as to those matters believes them
to be true.
Subscr�bed and svrorn to before me � �/' �
�� � Q Signature of plicant
this � `� day o 19 �u
� �` �
Nota.ry Public, Ramsey Co ty, Minnesota
P�y Co�ission expires /�/(�! ( lL L�
M
�: SCOTT M. DICKMEYER
��J�' NOTARY PUBLIC—MINNESOTA
WASHINGTON COUNIY
MY COMM.EXPIRES MAR.9, 19�
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