87-451 WHITE - CITV CLERK
PINK - FINANCE G I TY O F SA I NT PA U L Council
CANARV - OEPARTMENT File NO. � �_ ��/
BLUE - MAVOR
Co� c ' solution
Presented By ♦ `�
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#87450) for a Massage Therapist License
by Jacqueline C. Wessel DBA Dayton's Beauty Salon at 2 E. 7th St.
be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas Drew Nays �
Nicosia [n Favor
Rettman
Scheibel
Sonnen � __ Against BY
--T,�eless.
W i Ison
Adopted by Council: Date APR 8 " �987 Form Appro e by City Attor
Certified a s d y Counc� , cr BY
By�
Approved by �lavor: D �—�`�� :=�.#�t�� � " E��� Approve Mayor for Submission to Council
BY � �- — BY
Pus��sH�o ��1��R 1 g 19-87
(�(. '�
^ CITY OF S'�. PAUL � �7— '�-��
DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
LICENSE AND PERMIT DIVISION
Please answer all questions fully and completely. This application is thorough?y checked.
Any falsification will be cause for denial.
i ,
Date ��yy, j. `� � 19 -7 �
1. Application for ,,' :��, ; �<: :, , �I,/;� � .� �1,, :; �_ ! ,c ,. ; ;.�. (License)(Permit)
2. Name of applicant �;} c_ � , {.r ; . �i l 1� C�� �- � � ` -�� � --
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3. If applicant is/has been a married female, list maiden name � �!t� /�" �; �.; „c, �..
� i ; ,
4. Date of birth _� /`� ; �• Age ; �� Place of birth (_ (;, ,� � � • ,,• � i 1, �> �� ; .:
5. Are you a citizen of the United States � ��Native Naturalized
6. Are you a registered voter �/r�S Where Ii/> ,;,<;:_< <, �,
�
' L�L"L C, ' - � �-5� .�._ (., � ,
7. Home Address / l � � �j . �=��� �- � �.T f �c�.0 Home Telephone (o C ,j���- --Z !
8. Present business address Business Telephone
9. Including your present business/employment, what business/employment have you
followed for the past five years.
Business/employment. Address
�C�'1(l�/ �, ���,�5 )�-. _ /����CC�C� �" c1���G'- �'< � c �� c� �.� ,� ���
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10. Married 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 �'%/� 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 i9 �ere
Charge
Conviction Sentence
� . ��- ��-��7
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13. Give names and addresses of �wc persons, residents oi St. Paul, t�7inr.esota wno c:,n
give infor:nation concerning �cu.
NAfdE ADDRESS
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State of :�iinr_esota )!`�'�} � /�n
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County of Ramsey )
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(�? Jl, ���!� M��-�� �/':�; � �� ',; �;;� �t ��- being 'irst duly sworn, deposes and s�,ys apon oath
that he h�s read �he foregoing s+•atement bearing his signature and knows tze c�nt2r.`s
+hereof, and that the sa.me is t ue oi his own kno�.rledg� excep� as to ihose matters
therein stated upon iniormat�or. and belief and as to tnose matters he be'i=-.•;:s ';l:e~:
�o be true.
�ubscribed and s�aorn to beiore ^�e � �ti�- �- � �w'�-'���,.���
/, (Signature of !�pp�icwn±�
this � •�� d�,y of+�� i',ii-' \� lo \' �..
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idctary Public, R�sey ;County, Minnesota
"tiy Comrnission expires! �1� , ,� i �`�`�;-.-� ���.�.�ti�'�"'w�,ti�;.,.t�.,
�. ,� . ANORA M NA ^:ti,,,,'�.,.
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