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87-448 WHITE - C�TV CLERK PINK - F�NANCE COUnCII CANARV - DEPARTMENT G I TY OF SA I NT PA U L �`Ile NO. �� BLUE - MAVOR , c ' Resolution Presented By � �� " Referred To Committee: Date Out of Committee By Date RESOLVED: That Application (I.D.#31216) for a Massage Therapist License by Karen K. Carrier at 734 Grand Avenue DBA Sister Rosalind's Professional Massage Center be and the same is hereby approved. COUNC[LMEtV Requested by Department of: Yeas preW Nays � Nicosia [n Favor Rettman Scheibel � Sonnen __ Agalllst BY �edeseo Wilson Adopted by Council: Date APR 8 — 1g87 Form Approve y City Attorney Certified P-s- b Council , t BY By� ,:. Approved by ;Navor �� ' � � j� � APProved by ayor for Submission to Council BY V - -- — BY � `�' ��' �� '�� ' es �98' � � o��►�4..a� -• _ . � • � CITY OF S`1'. 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 ��/�5 ' 19 a�;, l. Application for s<�,°,, �� n/ �/�,,;�. _ / (License)(Permit) � -tci' ir %S;,-r.,/" T/,.,-9{'d%�� 1:' - / / /� 2: Name of applicant ��-i� �� ( _ � ,-r, �y� � 3. If applicant is/has been a maxried female, list maiden name� ��e r� 4: Date of birth �'� i'i _;'� Age �� • Place of birth ��-r-. „��, :' 5. Are you a citizen of the United States .,� Native Naturalized 6. Are you a registered voter Where �'��>>_<<�y c-'�r . 7. Home Address =�'D�%� �� /i �c"�.,,�, ir Home Telephone j%��"-:':+ '?J 8. Present business address %�`' %Y,a�'�-/ �/.z' Business Telephone •�'?�' �� 9. Including your present business/employment, what business/employment have you followed for the past five years. Business/employment. Address %��=i f��/ G<<C�-rl r/Y _<�/r'2�` �/ `/�'i�d-r`i ,�J ✓ f 10. Married if answer is "yes", list name and address of spouse ��/�,.�1� �� '��-/',� � ►' 11. If this application is for a M assage Therapist License, list time so occupied. ,�;� �k � Years Months. 12. Have you ever been arrested if answer is "yes" , list dates of arrests , where, charges convictions and sentences. Date of arrest 19 Where Charge Conviction Sentence Date of arrest 19 Where Charge Conviction Sentence � . �- ��-��Y 13. Give names and addresses of t�rro persons, residents of St. Paul, P•linnesota who can give infor��ation concerning you. _;� V� ADDRESS � '�, �' ,�,�r-�,,i ( >-;,c;-,, -;'G%�5' // ,��z'J. �J- �6S�rr.,��* ��?�� _J�% /�/�'(�F-,Y(n n ��f/`/ .lF'h�: �� l% c`4J ��v�� '"J State of Minnesota ) ) SS County of Ramsey ) oeing first duly sworn, deposes and says upon o�,th that he h�.s read the foregoing statement 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. � I -__-� ;� �-- - � I Subscribed and sworn to before me ;.?�-'7� ��7,t t«,� ��2 Sigr.ature of Applicant +his ! j da;,' 0 19 �S� _ a 6 _ J `-'- �-�1�-�-�__�9� `�'� NOTAR N UBL SC M NNI SOTA � Plot ry Public, � County, Minnesota DAKOTA COUNIY �j � LGi �} . � MY COMiv�. EXPIRES JAN. 2, 1992 ��}/ COTP.n11SSlOri 2XD1Y'2S� a �C' .��wnnniv��wvv a