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93-30 �.��1�� q 3 _ �- Council File �` � Green Sheet # 20496 RESOLUTION CITY OF SAINT PAUL, MINNESOTA ��` Presented By Referred To Committee: Date RESOLVED: That Application for a Massage Therapist License (I.D. #15891) applied for by Mary Maddox at 464 S. Snelling Avenue, be and the same is hereby approved. Requested by Department of: Yeas Nays Absent rimm ..-�'. uerin � Office of License, Insvections and on �° Environmental Protection �Flacca ee �-- e man une / i son r By: Adopted by Council: Date � Adoption Cer ' ied by Counc�?1 ecretary Form Approved by City Attorney ^ - �, ' �, ,; r --�;G� � " 1' By: I�.-a�-� By: Approved by M r: Date 9 �AN i � �g9� Approved by Mayor for Submission to Council gy; ,�i1�(i,�dCS 1;;�/; By: . , _ .�'.�: ., . . . - � 43-�p ✓ DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N.� 2 0 4 9 6 LIEP GREEN SHEET CONTACT PERSON 8 PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR a CITY COUNCIL Kris Van Horn 298-5056 A$$�GN �CITYATTORNEY �CITYCLERK NUMBER FOR M�TiBE��l{�/�GENDA BY(DATE) ��'„ )�3 ROUTINO �BUDGET DIRECTOR �FIN.8 MQT.SERVICES DIR. MAYOR(ORASSISTANn Council Research Must be to�Cit Clerk b�{ ORDER � � TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Application (I.D. #15891) for a Ma.ssage Therapist License RECOMMENDA710NS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS: _PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a coMract for this department? _CIB COMMITTEE _ YES NO _S7AFF _ 2. Has this personffirm ever been a city employee? YES NO _DISTRiCT COUFlT _ 3. Does this person/firm possess a skill not normall y possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVET YES NO Explain sll yes answers on separate shset and attach to green aheet INITIATINQ PROBLEM,tSSUE,OPPORTUNITY(WM,What,When,Where,Why): Mary Maddox requests Council approval of her application for Massage Therapist License at 464 S. Snelling Avenue. All applications and fees have been submitted. All required departments have reviewed and approved this application. ADVANTAOES IF APPROVED: - DISADVANTAGES IF APPROVED: COURGdI �n��r•h �;��t8f DEC 2 9 1992 DISADVANTAGES IF NOT APPROVED: RECEIVED DEC 3 1 1992 CITY CLERK TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETEO(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �� / NOTE: COMPLETE I�IRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225). ROUTING ORDER: Below are correct routings for the five most frequent rypes of documents: CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Orants) 1. Outside Agency 1. Department Director 2. Department Director 2. City Attorney 3. Ciry Attorney 3. Budget Director 4. Mayor(for contracts over$15,000) 4. Mayor/Assistant 5. Human Rights(for contracts over$50,000) 5. Ciry Council 6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services 7. Finance Accounting ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others,and Ordfnances) 1. Activiry Manager 1. Department Director 2. Department Accountant 2. City Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. City Council 5. City Clerk 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDERS(ali others) 1. Department Director 2. City Attorney 3. Finance and Management Services Director 4. City Clerk TOTAL NUMBER OF SIGNATURE PAGES Indicate the#of pages on which signatures are required and paperclip or flag sach of these pages. ACTION REQUESTED Describe what the projecUrequest seeks to accomplish in either chronologi- cal order or order of importance,whichever is most appropriate for the issue. Do not write complete sentences. Begin each item in your list with a verb. RECOMMENDATIONS Complete if the issue in question has been presented before any body,public or private. SUPPORTS WHICH COUNCIL OBJECTIVE? Indicate which Council objective(s)your projecUrequest supports by listing the key woM(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET, SEWER SEPARATION).(SEE COMPLETE LIST IN INSTRUCTIONAI MANUAL.) PERSONAL SERVICE CONTRACTS: This information will be used to determine the city's liability for workers compensation claims,taxes and proper civil service hiring rules. INITIATING PROBLEM;ISSUE,OPPORTUNITY Explain the situation or conditions that created a need for your project . or request. ADVANTAGES IF APPROVED Indicate whether this is simply an annual budget procedure required by law/ charter or whether there are specific ways in which the City of Saint Paul and its citizens will benefit from this projecUaction. DISADVANTAGES IF APPROVED What negative effects or major changes to existing or past processes might this projecUrequest produce if it is passed(e.g.,traffic delays, noise, tax increases or assessments)?To Whom?When? For how long? DISADVANTAGES IF NOT APPROVED What will be the negative consequences if the promised action is not approved?Inability to deliver service?Continued high traffic, noise, accident rate?Loss of revenue? FINANCIAL IMPACT Although you must tailor the information you provide here to the issue you are addressing, in general you must answer two questions: How much is it going to cost?Who is going to pay? � , . q� _� � DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant `�(�Y�( (`�,�(��u Home Address �D(;S l-.UI�A w,�� i�.�• Business Name�.�� Home Phone 1��} 3 � f v � b Business Address `�"(p� �j . �,j o �[a hT Type of License(s) rn(,�SSCt � - Business Phone j��- ��'�� Public Hearing Date � 17� �.,j _ License I.D. 4� l �� ( at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� V��A Date Notice Sent; Dealer � � � /k to Applicant Federal Firearms # '1/� I q- Public Hearing DATE INSPECTION REVIEW VERFIED (COMPUTER) CO1�Il�IENTS A roved Not A roved Bldg I & D 2 ( i �Z� �� Health Divn. �� 2� � � � Fire Dept. �` � � � Police Dept. I License Divn. ( 1-Z� �� City Attorney ( �ZIz( t O.� Date Received: Site Plan ►�I� To Council Research Lease or Letter Date from Landlord � � q.. . �3 -3� Ci'�Y OF S'i. PAUL DEPAR'I'MENT OF FI?��C� AND MANAG�?�IT SERVICES LICENSE nti'D PERMIT DIVISION Please �answer all questions �ully and co��letely. This application is thoroughly checked. Any falsification will be cause for denia?. Date 19� zi 1. Application for � Z° �� (License (Permit) 2. Name of applicant �I�(��/ �"�lG�h� - 3. If applicant is/has been a married fe�ale, list maiden na.�ne � 4. Date of birth 5 �s Age Z�Place of birth (��'�� — 5. Are you a citizen of the United States�ATative Naturalized 6. 1',re yos z regis��re3 vo±er��+l�=or°- �IZiIi�I��I'�f/I� �O(�l�!'F� 7. I?ome Address �a�S ��VW►Y�uS b�VG S. �Y�I�I_S xome Telephone �Z�'�10�� 8. Present business aadress �� ;�-- ��^�n• Business Telephone 9. Including yovr present business/emplc}�ent, what busir.ess/employ�ent have you followed for the past five years. Business/enployment, Address J1 n rca��esk b�c.►� k _ �Gs� z%�c;G 5• , 6��S �D N�!! �r��a,� G�U�S ��C��A�' Lr,ke 2d��S P� 10. D4arried�if answer is "yes", list name and address of spouse 11. If this application is for a M assage �erapist License, list ti:ne so occupied. � Ye�rs �— Months. 12. Have you ever been arrested�_If answer is "yes", list dates of arrests, where, �:� chaxges convictions and sentences. �� -- �� Date of arrest 19 wPiere ._ . � Charge Conviction Sentence '` Date of 2xrest 19 �'here °-- � Charge Conviction Sentence . _ q�3 -�0 13. CiYe naa::es a.-!d adc�'resses of ��.o perscrs, res�dents o�' St. Paul, ?!ir�nesota who can give inFCr�ation concern_r.g �ou. V��' p�D?�ESS ��kv �ob��, 1�i l � S�� -- . ��-, a�� 1 �.�� I�l ��lc;e.�td��.�e z �- .`��Q :,tate oi i,?inr.esota ) _ ) SS . .. County o� ��::sey ) _`�� bein� _�irst duly saor.^., deposes a^d says upon oath that re _.as rea3�rore=oi^ s�ate�ent �°�ri� �-.=s si nat;:re ar.d kno�s t�e contents o � � � t�e_eof, z.nd �nat t'r.e s�e �s true of his �.r.1 t:no*ale3ge excerot as to ��ose matters �_°r2�il Syi.��E�7 '1�Oi1 l-1fCY'^�ct?O!1 2.:i.^'. be?iE: cAQ �S �O ��OS° �S�tE=c 110 ',�-jcl i a T?S yi.r?� �o ce true. SLbscribed a^d s•�ro�n to befere �e �'�. � Signatu.re of pplica:�t this�^�zy of��19� x vvww�nnnn= �� JACQUELYN WILUAMS ,/� ^ NOTARY PUBLIC-MlNFJESOTA .c v�. y •ablic, :.�sey Co�:nty, D:=r.nescta HENNEPIN COUNTY .�,¢ My Commission Expires Oci.14,1997 ::�% rC�1SS10'� EX'J�roc �GC�z /�/9 s� Y �