91-1950 ���/�� ���� � Council File � q j � �q5o
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� � Green Sheet # 16426
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To Committee: Date
RESOLVED: That application (I.D. #14794) for a Massage Therapist License applied for by
Anne True DBA Sister Rosalind Grefre's Professional Massage Center at 2221
Ford Parkway be and the same is hereby approved.
Yeas Navs Absent Reguested by Department of:
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License & Permit Division
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Adopted by Council: Date O CT 1 � Form Approved by City Attorney
Adoption Certi ' d b Counc' Sec ta �• �'�-�i
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By:
Approved by Maydz: Date � ., i 5 1991 Councild by Mayor for Submission to
By: gy:
PUDLI�HED orr a� ��
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DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �y� (+�(�,�_ Home Address ?�OC7( ���,��- 5-�
Business Name iS • - �;5 Home Phone �� - � �;.3�
. . � ` ��� �r
Business Address aa,a,� -�zQ�L� . Type of License(s) 1(nGlSSG� �
Business Phone ���-� �23
Public Hearing Date �(� ��� �� License I.D. � I `f'�� C.�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� � ��
Date Notice Sent; Dealer �� ►� �
to Applicant
Federal Firearms � t(� `a
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CONIl�IENTS
A roved Not A roved
Bldg I & D �
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Health Divn. � �
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Fire Dept. � �
►� � �- I r� r � u-�
Police Dept. � f
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License Divn. � ( (
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City Attorney i
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Date Received:
Site Plan �,.�, Q�
To Council Research
Lease or Letter Date
from Landlord
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' CITY OF S'i. PAUL
' Dr.'�ARTMEtIT OF FINAIVCE AND MANAGF.MENT SERVICES
LICENSE AND PERMIT DIVISION
Please answer all questioas fully and completely. This application is thorough?,y checked.
Any Palsification will be cause Por denial.
Date �vL�. � 19�
1. Application for ��h4�JC ,�4 �\��+`��- �License)�Permit)
�
2. Name o f appli c ant �P�i �l�'�.o N 1 t 1� �V�
3. If applicant is/has been a married female, list maiden nsme -
4. Date of birth 0 S DS Age�Place of birth V"��5�� ��S'
5. Are you a citizen of the United States�Native Naturalized
��`�
6. Are you a registered voter_��11'iere �\M��1S
7. Home Address T�o� ���' �� S Home Telephone 1���7.3�
8. Present business address �aa'� �(l ���d'y Business Telephone 6� ���Z 3
9. Including your preseat business/employment, what business/employment have you
followed for the past five yeaxs.
Business/employment. Address
��'�'t�l iv�a�ss� Lc� �aa� �� ��,��w
`g�.�� � �l� Gr►���r��h� N'6S ��.�' l�- • Ubru��', rv�-
�r'I�� ��S+� c�.,'a�� S�. , U�n'�' rh ir',-•
10. Married if ans�►er is "yes", list name and address of spouse
11. If this application is for a Massage Therapist License, list time so occupieci.
'��10Y'�,��t �M�'- . ' ��j�-' Years _ Months.
12. Have you ever been axrested if answer is "yes", list dates of axrests, vrhere,
chaxges convictions a.nd seatences.
Date of axrest 19 Where
Charge
Conviction Senter.ce
Date of arrest 19 T�here
Charge
Conviction Sentence _
� � � �1 -1���
13. Give names and 3ddresses of two persons, res?dents of St. Pau1, Minnesota who can
give information concerning you.
�� ADDRESS
�v\(��r� �M� Ca.r�Y a''�(� �J��` l�• S • rnlhh2G�P��S� 1�1'11�•
-- �(�o�.�CG ���,W+y �1 ��hAr �1'►�e �A��, 1M.'t�.
State of Minnesota )
) SS
County of Ransey )
' being first duly s�rorn, deposes and says upon oath
that,She has rea.d the foregoing statement bearing his signature a.nd knows the contents
thereo£, and t�.at the same is true of his own kno�rledge 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
gnature of Applic
t�is �-��� day of� �_.�,� 19 � �
�,, �', \—�c� W C � .✓
i`lotaxy Public, ..�y County, Minne�ota ■
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c.:,��--�-- �� KRISTINA L.VAN HORN y
i�y Commission e.�cpires �±<<, ���NOTARYP�g���_MINNESOTA ;
'��� OAKOTA COUNTY `
� My Commission Exp�res 1an.2. i�9� S .
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DE*ARTN{EN FFICE/COUNCIL DATE INITIATED �� 16 4 2 6
Finan�e�Li�ense GREEN SHEET
CONTACT PERSON 8 PHONE INITIAL/DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 ASSIGN �CITYATfORNEY �CITYCLERK
NUMBER FOR
ST B N CO�,�ryCIL AGENDA BY(D TE) ROUTING BUDQET DIRECTOfi FIN.&MGT.SERVICES DIR.
OY' ear111g: �UI'0� • tv ORDER �MAYOR(ORASSISTANn ��T R
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. 4�14794) for a Massage Therapist License
RECOMMENDATIONS:Approve(A)or Re)ect(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING�UESTIONS:
_PLANNIN(i COMMISSION _CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contraCt for this department?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employeeT
_STAFF — YES NO
_ DISTRICT COURT _ 3. Does this person/firm possess a skill not normally possessed by any current city empioyee?
3UPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answars on separate sheet and attach to grosn shest
INITIATIN(3 PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Anne True DBA Sister Rosalind Gefre's Professional Ma.ssage Center requests Council approval
of her application for a Ma.ssage Therapist License at 2221 Ford Parkway. All applications
and fees have been submitted. All required departments have reviewed and approved this
application.
ADVANTAGES IF APPROVED:
DISADVANTACiES IF APPROVED:
DISADVANTACiES IF NOT APPROVED:
RECEIVED ���,�c3R ��.',°,��€:� Ce�fier
OCT 0 2 1g91 �EP 2 4 1991
CITY CLERK
TOTAL AMOUNT OF TRANSACTION a COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��
x.
. , . .
NOTE: COMPLETE DIRECTIONS 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.Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. Ciry Attorney
3. Cfty Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. Mayor/Assistant
5. Human Rights(for contrscts 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 Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. Ciry 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(all 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
eech of theas pe�es.
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 p�ojecUrequest supports by listing
the key word(s) (HOUSINCi, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL 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 conditfons 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 beneflt from this projecUaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past p�ocesses might
this proJeCUrequest produce if it is passed(e.g.,traffic delays, noise, `
tax increases or assessments)?To Whom?When? For how long? �
DISADVANTAOES 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 yo�f must taflor 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?