88-1525 WHITE - C�TV CLERK
PINK - FINANCE G I TY OF SA I NT PA U L Council
CANARV - DEPARTMENT 1 J���Iw(
BLUE - MAVOR - Flle NO. �/�+_•�
Council Resolution ��� ,;
Presented By �� �� `��� ��!
Referred To Committee: Date
Out of Committee By Date
RESOLVEQ: That application (ID #34853) for a Massage Therapist
License by Sister porothy Zahler DBA Professional Massage
Center at 734 Grand Ave. , be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�ng [n Favor
Gaswitz
Rettman � B
�he1�� _ Against Y
s�eee+r
Wilson
Adopted by Council: Date J�� � O � Form Approved by C' torney
� �'��
Certified Pas e Council . ret BY
sy� ,
Appro e 1Aa r. ��Da`te _ �P 1 { 1�0 Approved by Mayor for Submission to Council
� � .. �.
BY
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F�6�:';�'�ti.�t � �.J.. ;
, ��S�s
«�►� , . �,�».�,� . �� GR��N �#i�E`fi� �: �026 3?
Mr. J. Carchedi
- � . . DEPARTMENT DIRECTOR AMYOR�(OR A8818TAM7y
Kris Schweinler-VanHorn �F� � �&��� �3�'�,«.�
°�� � Rou�c3 — �o��� � Cauncil Research
Fi nance & , .: 298-5�56 °R°�a' —f-�A,-�, —
Application for a Massage Therapist License.
Notification Date: 8-24-8$ Hearing Date.
�TIONB:(ADD��lA)a (R)) COUNt�I.RESEARCM REPOII'�:
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. .. �.�STAfF� - � . . � CWIHTER COAM�AISSION . � � COMPLETE AB IS . ADD'L INFO.ADDED* � RETD TQCONTI�T . .f�T111JEN� � .
� . . . . . � . _ _FOR ADDi IFFO. . _FEEDB11C1(MDEO• .
�� •EXPLANATK3N: . ' � .
' -SUPPORfS MMICli COI�ICIL 09JECT1VE9 � � � � . . � - � - . . . .. . . � - . . . � � .
Council Research Center �
f-�UG 2 9 `�°88
. �►nw v�,we�.o�o�rxrr(wno.wr�.wn«�.wnera wn»:
Sister porothy Zahler request Council approval of her app1ication for
a Massage Therapist License at 734 Gran�d Ave: , Professional Massa�ge
Center. _ .
,+un.+o��roa.rco.�.�a+rm�e.:�t: _ _ _ :
All ap�lications: and fees have been submitted. All required .departments ,
have reviewed and approved the application.
OONYEOt�'°�YNw,WAan..aM1 To Whorn): ; . ' . - _
If Council approval is not received, Sister porothy Zahler w311 not be
allowed to practice as a massage therapist.
.. ��w►,nrES: Paa� cor�s ,
Cou.ncil R search Cent�r
AUG 261988
�.,�,►���: �
��:
� �������s
LiiVISION OF LICENSE ANI) P�RMIT ADMINISTRATION llATE ��_1�� / 0 1
INT�,RDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant ����,�� Z.wr�1'Q.,Y Home Address Sp^l C� S • ��w.c..� S� .
� --,-�---_.
Rusiness hame��(O���gi�� rn,q,,�S • � • Home Phone
�-
Business Address 1,3� Cj�hC� � � Type of License(s) �Gt,S G�G.c�C�.(�,��
Business Phone �� - C5� (7�
Public Hearing Date License I.D. 4{ 3���S
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �C � �A
llate Nutice Sent; ������� �#���� Dealer 41 � 1 � (�
to Applicant
rederal Pirearms 4� �I /A
Public He�.iring
DATE IT'SPECTIUN
REVIEW VERFIED (GOMPUTER) CUMMENTS
A proved Not A roved
�
Bldg I & D �/ +
`6 a�3 � p
Health Divn. C, I '
b �� ! D �
i
Fire Dept. ; � � a �
i 3 ( � 1`1
� f
Police Dept. �!I
� I � � ��
I �
License Divn. �
� ' �
i �
City Attorney l�` �� �
` � �' 1
Date Received:
Site Plan (� �
To Council P.esearch �a(,.�'��_
Lease or Letter Date
from Landlord ��C
- ' CITY OF S'i. PAUL ����.��
� DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
LICENSE AND PERMIT DIVISION
Please a.nswer a11 questions 2'ully and completely. This application is thorough� checked.
Any Palsificatioa will be cause for denial.
19 ��
Date.)r,� �K �
1. Application for „�_u�, � �License)�Permit)
�
2. Name o f appli c ant ,�; �" �-�
3.� If applicant is/has been a married female, list maiden name �
4. Date of birth ,�-t�- � I� ABe, ! Z Place of birth ��G�,, A� n/`
J
5. Are you a citizen of the United States�Native ✓' Naturalized
6. Are you,a registered voter 11+�. _�ere��CO�, �' , Mn �'i � nU_v+ �� �'�� � �2�-
u -
7. Home Address ��r /I.e ��i�.�cr�r�v-.� Home Telephone ��( �'D7 a,s
8. Present business address � �-���-r�(�(�('oL��� l'a-n�o�Business Telephone�_
v •
9. Including your present business/employment, what business/employment have y�u
followed for the past five years.
Business/employment, Address
1�0. Married if ansti►er is "yes", list name and address of spouse
11. If this ag�lication is for a M assage Therapist License, list time so occupied.
� .vh �11r,u� 6 4` YearsL, X 4�eA�, ,,,. �i.,►.���4�+4 �s.
a.ti'�-',a ' � v /
12. Have you ever been arrestedit�o If answer is "yes", list dates of arrests, vhere,
charges convictions and sentences.
Date of arrest 19 Where
Charge
Conviction Sentence
Date of axrest 19 �ere
Charge
Con•ri ction Sentence
. � .� � � ���-���
13. Give names a.nd addresses of two persons, residents of St. Paul, Minnesota who can
give infor�ation concerning you.
NAME ADDRESS
�da��, QQrd,�i_S Q �.LG�,Iy ,� '�ll �;1��-i►� �P�cry .(�'f�t�%1.� 'S.S'�p�'
---r ��
.�',3d Qa ).l>Lc,�ur[.��e.�. .Q11• :�au� .�"..,��`- ���--
State of Minnesota )
) SS
County of Ramsey )
S�s-�c.r • �U�Yr?-�'�,��� �C��,��V being first du�.y sworn, deposes and says upon oath
�hat he has read th foregoing statement bearing his signature and knows t:�e contents
thereof, and tha,t tr.e same is true of his own knowledge except as to those natters
therein stated upon in£ormation and belief and �s to those matters he believes them
to be true.
Subscribed and sworn to before me ��� �6vti6�/ .v
Signat of Applicant
this oZ � ;, day of 1°� ■ �..
^ � 1'� NOT�NPUBIIC-MINNESOT �
Vota.�y ublic,�� County, Minnesota DAKOTACOUNT`! . $�
�����` adY f;�� �X,PIRES JlW.2. lSct �
i�y Commi.ssion expires �,�., , `� �c � xwvwvwvf' �.�w�nM,nr'wv�
d