87-447 WHITE - CITV �LERK .
PINK - FINANCE G I TY OF SA I NT PAIT L Council
CANARV - DEPARTMENT File NO. �� ���
BIUE - MAVOR
Co il Resolution
Presented By �If�� • oZ---
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#62056) for a Massage Therapist License applied
for by Linda Wieser DBA Sister Rosalind's Professional Massage Center
at 734 Grand Avenue be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas p�BW Nays �
Nicosia [n Favor
Rettman
Scheibel
,��, d __ Against BY
-fiedesse
Wilson ��� � _ ����
Adopted by Council: Date Form Appro by City Attorney
Certified Council e BY
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Approved by :Vlavor. �- 1`"��i APR 9 - 198 APProve y Mayor for Submission to Council
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' CITY OF S'i. PAUL
� ' ► DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
LICENSE AND PERMIT DIVISION
Please answer all questions fully and completely. This application is thoroughly checked.
Any falsification will be cause for denial.
Date�a v �� 19�L
l.. Application for ���I�ti C�1 n,� ��C�=r7S� �License)(Permit)
2. Name of applicant � ���if,� � I � ;�=`�' b'
3. If applicant is/has been a maxried female, list maiden name � ""
4. Date of birth,� 1 5 ' �� j Age � �� Place of birth f�Gi� �?;��C � �t�� —
5. Are you a citizen of the United States I -j�Native Naturalized
6. Are you a registered voter�E:� Where ��} �A<<�
7. Home Address �/"'��l L ,�{v f� vic-� c�v� � �t' � �1�c,�� � idi�n. Home Telephone %J/ - S� :j/
8. Present business address Sc,vy�� Business Telephone �a��
9. Including your present business/employment, what business/employment have you
followed for the past five years.
Business/employment, , Address
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�l- �, �; LC��tiirr��,tr �-1 v ��,.1i �ni`�tr�� /-��`��� r �]F �,;��±'� � �C,��lE ����.
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l-�1:_-1b r`!`"� I V� � 1il� ,� v��____,�_ l� 'C\) `��Y��"7 Ltv(: � <�
10. Married J�Jc 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.
-;! Years -X Months.
12. Have you ever been arrested___�(�__If answer is "yes" , list dates of arrests, where,
charges convictions and sentences.
Date of arrest 19 �ere
Charge
Conviction Sentence
Date of arrest 19 �ere
Charge
Conviction Sentence
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13. Give names and addresses of two persons, residents of St. Paul, Minnesota who can
give information concerning you.
iJAME ADDRES�
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'�c�t {=--tr.L��:���. 7�7 Y/IlC-��tt 1 ��i` Sf f��-t-�c' —
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State of �Iinnesota )
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County of Ra.msey )
�'r � ril n �-• ����� being first duly sworn, deposes and says upon oath
that he has read the foregoing sta�;ement bearing his signature and knows the contents
thereof, and that the same is true of his own 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 me ' -�� � � '�,�� -�'' -•�
" Signature of Applicant
thi s ��j day o f ���a � -ln 19� -�.�.,,�,,,�,�.w4vww�vvw�nn.ww�nnnnn,n
� > c (� KRISTINA l. SCH4VEINLE�i
-� c -� i � l C�N�� >* �-- � �� NOTARY PUBLIC—MINNESOTA
Nota y Public, ��s�3� County, Minnesota �p„� DAKOTACOUNTY
�J/� i�_c�?'�/1 bIY COMIN.�XPIflES JAN.2. f992
P�y Commission expires �1,-.,_ . <� �I�= " ��y