88-1524 WHITE - CITV CLERK
PINK - FINANCE COURCII [M/�/.
BLUERV - MAVORTMENT GITY OF SAINT PAUL File NO. ,J[, '/��� -
ouncil Re olution ,�y;���,
. , �., ,
�r
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #13196) for a Massage Therapist
License by Kathryn R. Erickson DBA Janos Takacs European
Therapeutic & Sports Massage at 1619 Dayton Ave. , be and
the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo� [n Favor
Goswitz
Rettman �p B
Scheibel A ga i n s t Y
�e�e+
Wilson
SEP 2 a � Focm App oved by City Attorney
Adopted by Council: Date _ -
Certified Yas d ouncil Se t By _ � �� �
By
Approv �Vlav � te — �� ��U� Approved by Mayor for Submission to Council
B By
P�.�Ji�E� �_��;J ' �. 1g8U_
�. T�1. � � . . � . . DAT!MTFAT� � C�TE COMRL!'[� , . . . . . . • �/��1 . .
' � ' �G'i�E�N S�i�E1' rro.`Q 0 2 6 3 G
Mr. J. Carchedi�
�,w,►��«� �,���,�.,�„
Kris Schwejnler-�anHorn ��, _ �8��� � Cou cil Research
oEar. �Hp euoaEr o�croR
` Finance & �t. , 298-5056 .. �' �:��� . —
Council Research Center.
Appi i cation for a Massage Therapi st Li cer�se. S EP 01 )9$8
Notification Date: 8-24-88 Hearing Date:
'UPW�(A1 p�(R)) COtlNCIL RESEe�RCM REwONT:
� . . . .� . PIAI�ANO OOMA�lSION . . . GVIL 9ERVICE COINA18810M DATE W � - DAiE OUT � � ANALVST . . - � PHONE N0. , : . -
. . . . mNN9.QOMiNB�ON . . 18D 8?5 SCHOOL BWRD. � . . . . . � . . -
. . ..STAFF..� . . . .� . � CMARTER COM�HS810N . . .. COMPLETE AS 18 �-AD01 IkW.ADDED* � -_DR AD L M��D� � _F�AODED•�� .
. 0161mf.T 00111G. � x E7IPLAPIATION: . . . . . . - - .
. -. ...BUPPOR'YS YYlIICIi COUNCk 0ldEC71HE9 . . . - . . . .
NTN7r1O MO�LW,�OMOfr1111NTY(VNq.WhM.NRMtI�YNte1l:Why):
Kathryn R. Erickson request Counci1 approval of her applicatian for a
. . Massage Therapist ticense at 1619 Dayton Ave. , Janos fiakacs Eurapean
Therapeutic & Sports Massage. : � '
� ,K,u,r+ca►�O�t i�ie«�.�e..�d�rarwp.s.�.aru�; , , .
All applications and fees have been .submitted. All required departmeats
have r�viewed_and approved this` app1ication.
tioll�eCU1�'MIhM.whM�and To wtwrn): .,,. _ , . ,
If Council approval is not received, Kathryn R. Erickson wi11 not be
allowed to practice .�as a massage therapist.
�t�s: w+as _ ca� ,
Council e�ear�h Center
_ _ . _ . I�� 2 61988
�,►�„�:
LEO„L�lEB:
, .. . ��-�sa�
IiIVISION OF LICENSE AND P�:RMIT ADMINISTRATION DATE �'� / �I �j
INT�,RDFPARTMENTAL REVIEW (:HECKLZST A.ppn Processed/Received by
Lic Enf Aud
Applicant ���T� �, �Yti���S^� Home Address �(.�.(�1 �� �, .�1lt
.�,f,_
Rusiness h'ame�{A,hp��0.kp,L5 �a(JQ�.v� Home Phone L���t - � 1( �
�i 1r�e,��,�' �; 5�-� mm�.asA-�-• ;�
Business Address � Type of Lic.ense(s) `Q�L�,
Business Phone �p - l�U�
Public Hearing Date �','�j���Y License I.D. 4� l�j lC� �p
at 9:00 a.m. in the Cou�1 Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� ���j �( �-�'�
llate Notice Sent; �_�,f_�� I:�pc'1 Dealer �i �t{�
to Applicant `C L d J )
rederal P3_rearms �6 �1 �
Public Her.iring -�
DATE II�SPECTIUN
REVLEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D � �
a3 , o�
Health Divn. (j '
� t3 � o
�,i.c.�,,. �i
�
Fire Dept. � � � !� � � �
i
I
Police Dept. ! a�`"'� �
a�� �
iu
License Divn. � I �
a� � �
, a
City Attorney �
Date Received:
Site Plan ��� �,�/
To Council P.esearch �l c�,� t 00
Lease or Letter Date
from Landlord 1(��A•
.. . � 3 S.� ��� j�a�
'�• � : CITY OF ST. PAUL
� �-- DEPARTMENT OF FINANCE AND MANAGF.MENT SERVICES
� -� �� -��C LICENSE AND PERMIT DIVISION
�� a I �4-4n ��.p� A��j-r���4 l y� C�u�►.e c�' _
Please answer a11 questions fully and completely. This application is thoroughly checked.
Any falsification will be cause for denial.
Date 19�f�
1. Application for /Y1c,�5F,o�G.-2� -�e.cc��Cs�' (License)�Permit)
2. Name o f appli c ant .�p�-�.c.���`�: �<`���-��
3. If applicant is/has been a married female, list ma.iden name � ��
4. Date of birth � Age��Place of birth .�q��,pS �� ,�
5. Are you a citizen of the United States�Native Naturalized
6. Are you a registered voter�_�ere
7. Home Address� �'�'�OI �'��^� � �`��� Home Telephone y��'I "57 ��
8. Present business address �.?���4°h�_ Business Telephone�d `,L�7�
9. Including your present business/employment, what business/employment have you
followed for the past five yeaxs.
Business/employment. Address
o e.S ��3 S�- . u�+�. S�- -
� t�
, � . 1� ��4 1S A-V . -
� � �. �, �,p� '�-7�G I-�_,r�v�
10. Maxried��if answer is "fes", list name and address of spouse
11. If this application is for a Massage Therapist License, list time so occupied.
�-� Yeaz.s � Months.
12. Have you ever been arrested�If answer is "yes", list dates of arrests, vrhere,
chaxges convictions and sentences.
Date of axrest 19 �ere
Chaxge
Conviction � Sentence
Date of arrest 19 �ere
Charge
Conviction Sentence
, . ����-��a�
Y 13. Give names and addresses oP two persons, residents oP St. Paul, Minnesota who can
give informati�n concerning you.
N�'�'� ADDRESS
c�r'�o� �oc h'2.`�1 �'�
� c��'��
State of Minnesota )
� js
County of Ramsey ) �
being first duly sworn, deposes ax:d says upon oath
tha he as re d the foregoing statement beaxing his signature and knows the contents
thereof, a,nd t at the sa.�e is true of h;.s ow:i knowledge except as to those matters
therein stated upon information and belief and as to those matters he believes them
to be true.
Subscribed and sworn to before ae
Signature of Applicant
this � day of�l9 �S�
,
f� ` �p L.��
-���..���. c�/-��..�.��__ Q._. . �, �,��euc—�+�so�
Nota_ry Public, �3r County, Minnesota � ppKptACW�+n
!�.�.�,-1� ExPiAES,1AN.2.��
M�C01�. �.
Pdy Commission expires .,�,� J!. G�G o
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