87-1338 WHITE - CITV CLERK -
PINK - FINANCE � COI�RCll I�
CANARV - OEPARTMENT CITY OF SAINT PALTL File NO• ��'/✓"'�
BLUE - MAVOR
�
Council Resolution
Presented By _ ��
Re rr d To Committee: Date
0 t Committee By Date
RESOLVED: That Application (I.D.#66539) by Maureen Morgan for a Massag�
Therapist License at 2105 Ford Parkway (Irene's Hair Gallery)
be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas DreW Nays
'�°� _� [n Favor
Rettman
Scheibel �__ Against BY
Sonnen
Weida
Wilson gEp � 5 1981 Form Appro e by City Attorney
Adopted by Council: Date
Certified Pass by Council Secretary BY
By '
A►pprove 17avor: Date ! � � Approve Mayor for Submission to Council
B BY
PUBIlSHED S t P 2 6 i987 �
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DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE � (,fz l�{'"�
tNTERD�,PARTMENTAL REVIEW CHECRLIST
Applicant Home Addres� � .�.�1 ����
�
Businesa Nam� p Home Phone ��3 p �(� 5
�" �
Business Address � , Type of License(s)� �
Business Phone 'l -O-1 l�
Public Hearing a � License I.D. # (pL�,�'3c1
at 10:00 a.m. in the Co i C ambers, ' /
3rd Floor City Hall and Courthouse State Tax I.D. � ��-Y�3�oZ�
REVIEW DATE DATE INSPECTION
APPN REC'D VERFIID COMPUTER) CO�II�IENTS
NOt raved
Housing & Bldg � �
Code Enforcement I 2� �
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Public Health � I
CZZ I
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Fire Prevention � � Z� 4
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Police � �
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City Attorney
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ENS {� I �
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300 Foot Notice 'n �� I
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License Inspector's Comments: �Q,��� ��„��„�. � Q,. �� �,��-�
I HAVE BEEN GIVEN A COPY OF THIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT
THE PUBLIC HEARING IS REQUIRID.
. .. ,, .. -.:.,. ,}... . . . . . . .. . . " . . , . . . . ; . .
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
: , .
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
New Officers:
Stockholders:
"" .-,; !/
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' � CITY OF S'i. PAUL ��'/7-�,�,j�
DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
r 1
LICENSE AND PERMIT DIVISION
Please answer a11 questions f�lly and completely. This application is thoroughly checked.
Any falsification will be cause for denial.
, Date �� 19�
l. Application for '� �-��2� �License)�Permit)
2. ,1a.me of applicant Q�-�y� � � �
,
3. If applicant is/has been a ;aarried female, list maiden name -
4. Date of birth � - 3Age�Place of birth �� .
5. Are you a citizen of the United States�Native Naturalized
6. Are you a registered voter��-where i(J�-1 �- �
o � �c.���'S�
7. Home Address .f�, � Home Telephone
8. Present business address (J S � Business Telephone
. � ` . (��� ��/1
9. Including yovr present business/employme t, w t usiness/ . p oyment have you
followed for the past five years.
Business/empZoyment, Address
° � � �. �..�
� � � �� s �
� ��� � . ��`'� .
10. Married if answer is "yes", list name and address of spouse
11. If this application is for a Ma.ssage Therapist License, list time so occupied.
� �� Years Months.
12. Have you ever been axrested if a.nswer is "yes", list dates of arrests, where,
charges convictions and sentences.
Date of arrest 19 Where
Charge
Conviction Sentence
Date of asrest 19 �ere
Charge
Conviction Sentence
���-�.�3 �
13• ' Give'names and addresses of '�wo persons, residents of St. Paul, Minnesota who can
give infor�atior. concerning you.
NAME ADDP,ESS
� / ��e����--rc�,v ,C�Q�L, �� � � �
�
� �� /o�Z� ✓CE� iJ�x���
St�,te of Minnesota ) ���� ,
) SS
Co n o f Ra,ms ey �
eing °irst duly sworn, deposes and says upon oath
that he has read t e ` regoi _ statement bearing his signature and knows the contents
thereof, and that the sane true of his own knowledge exce�t as to those matters
therein sta�ed upon informa ion and belief and as to those matter� he believes them
to be true. ,
Subscribed and swor. to efore ne �i�%��� , i��ai�'L
Signature of Ap�olicant
t 's � 3ay o 1��
. ��
Voiary Public, Ra.msey ounty, r4inn ota
aA04d8�A1.
M_y Commissior_ exoir •���w°��:;... �/JhAG��L,4 ��. ,�GH(ILINGER
:'!'��!�ry`� iVOT?�r7Y P:,�3Ur,—p.al�dP•IESOTA .�
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e
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'„iy Comm�ss�cn Expires 4Nar.21,1997
W�A9sti„^:,^^:`c
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_______________________________ AGENDA ITEMS =________________-_---________�_�
ID#' C1�6 ] DATE �EC.: C08/12/87] AGEML�A DATE: C00l001Q0] ITEM #: C ]
SUBJECT: CMASSAGE THERAPIST LICENSE APFLICATION - MAUREEN MORGAN ]
STAFF ASSIGNED: C ] SIG:C ]QUT-C ] TO CLEkK:C40/00/00]
' i
OFtIGINATOR:CLICEMSE DIV. ] CONTACT:C 7 '
ACTION:C ]
C ]
OkD/kES #:C ] FILED:C00/00/40 ] LOC.:C 7
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FILE IMFO: CRESOLUTION/CHECKLIST/APPLICATION ]
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