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91-1951 f;. _ qi -i�i�i ��� � � Council File #` �J Green Sheet # 16429 RESOL N O SAINT UL, MINNESOTA Presented By - � Referred To Committee: Date RESOLVED: That application (I.D. #15710) for a Massage License License applied for by Judith M. Benjamin DBA Center for Therapeutic Massage at 849 S. Smith Avenue be and the same is hereby approved. Yeaa Navs Absent Requested by Department of: imon 7 oswztz � License & Permit Division � acca ee � e man � une i son -�` BY� e ��--' Adopted by Council: Date 0 CT 1 0 1991 Form Approved by City Attorney Adoption Ce tif'ed by Counci,l� Se retary ' � By' �' �� � ��/ _. , By: �. Approved by`,M yor: Date 0 CT 1 5 1991 Approved by Mayor for Submission to Council BY: BY: weus��e o�r 2� �� a; _ ►�,51 DIVZSION OF LICENSE AND PERMIT ADMINISTRATION DATE / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant ��c�,� m �Q���A �„�,,,� Home Address � a 1 Q��� Q ,�, Business Name ��(;�( �p(�r�„p�,Lr�e Phone 1�1�1 - C�CI�—1 Business Address <(C.,��' �j _ �m;� �v. Type of License(s) � ,�_ �U�� orc��5� Business Phone a��- �,��y C.,(, Public Hearing Date �� '�lCj ( License I.D. 4� � `j7 � C� at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� ��� Date Notice Sent; Dealer � � � to Applicant Federal Firearms # � �q� Public Hearing DATE INSPECTION REVIEW VERFIED (COMPUTER) COMMEEDTTS A roved Not A roved Bldg I & D � � �� � � � Health Divn. '/ � Y5 ' IZ � d Fire Dept. � Yl� � ,� - c� _ Police Dept. I �� I a, d License Divn. f � ��( ls f �� City Attorney � � � � f �� Date Received: Site Plan � To Council Research Lease or Letter � Date from Landlord � sU —� � , ' ' CITY OF S'i. PAUL -1 I-��SI DEPARTMENT OF FINANCE AND MANAGENtENT SER`IIC°.s LICENSE AND PERMIT DIVISION Please a.nswer a11 questions fully and completely. This applicati�a is thorough� checked. Any falsification will be cause Por denial. Bate (a -07�' 19 �� l. Applicatioa For /1/1 f� SS/�G L— T/`�L-�C/q��ST (Licease)(Permit) 2. Name of applicant ��1 l) / T/i� /YI • ����/�/Yl/ � 3. If applicant is/has been a married female, list maiden name • /�L�'�J � 4. Date of birthl� .� ,�7 Age�_Place of birth sT ���� , /yl Jl� 5. Are you a citizen of the United States��,Native Naturaliaed 6. Are you a registered voter�LGS �ere ST• /����. /bt � 7. Home Addre s s�/02/ 1 /�/!'� �S �1f.�. �� S%-O�vL gome Telephone Gi ��'097�' 8. Present business address �yj' $• �/�?i T/f Si•/�9yL Business Telephone���G 7 9• Zncluding ;�our present business/employment, What business/employment hane you followed ��r�hav�Ra�st�,��.v�Cea�.s.. ,,, � .��*.� . s.a�- �, f... � Busi es§��i�eaiploymen�t�°� �� ; ' Address d a�r� `O: �^�:�+. . ,; . �3od �/o,c�,r��v GFNt'6.� vt2• n�P�s �d"sf�37 /h OT R /�`l . lYF� ' _ �/!//°OTi�O/� S'J�S%��5. :ZOU/Yl.E.�'CE� �S� /3TTL6, �l/Iq I0. Married�if answer is "yes", list name and adc'.ress of spovse 11. If this application is �or e. Massa.ge Therapist License, Ifst time so occupied. • Yea.rs �p Months. 12. Have you ever been axrested ,�� • If answer is "yes", list dates of arrests, Where, charges convictions and sentences. Date of arrest 19 Where Charge Conviction Sentence Date of arrest 19 �ere Caarge Conviction Sentence • '�:: ��-��Jf 13• Give names and addresses of two persons, residents of St. Paul, Minnesota who can give information concerning you. � � NANIE . ADDRESS ' /yl,9R�� ,�f)NE �'AG T.�SG K Q 3 7 5T. C L���C �'�}� ,BA.e���u _la q� �,¢,Cd ,�o State of Minnesota ) ) SS County of Ramsey ) being first duly swarn, deposes and says upon oath that he has read the foregoing state�ent bearing his signature and knows the contents � the�eof, and that �he same is true of his own knoWledge except as to those matters therein stated upon information and belief and as to those matters he believes them to be true. c Subscribed a.nd sworn to before me • Signature of Applic this_�day of_��f,�,�t.Q_19� T-- 1 t Not ' Public, Ramsey County, Minnesota �AURAA.BEN�1 biy Commission expires (G'�"I�� / NORARY�PU�CAUNTV A M�I CommiMion ExPin�J�O.t�'1 s - � � � 4I - iq51 � DEPARTMENT/OFFICE/COUNCIL DATE INITIATED Finan�e�Li�ense GRfEN SHE�T N° 1642� CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR CITY COUNCIL Kris Van Horn/298-5056 ASSIGN �CITYATTORNEY �CITYCIERK �,$ N NUMBER FOR M!''OI' �earlII AGE BY(DATE) ROUTING �BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR. g'����� ORDEH �MAYOR(OR ASSISTANT) � Council Research L TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Application (I.D. 4�15710) for a Massage Therapist License RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS: _ PLANNINQ COMMISSION _ CIVIL SERVICE COMMISSION �• Has this personlfirm ever worked under a contraClt for this department? _CIB COMMITTEE _ YES NO 2. Has this person/firm ever been a city employee? _STAFF _ YES NO _ DISTRiCT COURT — 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO Explain all yes answers on separate sheet and a�tach to green sheet INITIATINQ PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): Judith M. Benjamin DBA Center For Therapeutic Massage requests Council approval of her application for a Massage Therapist License at 849 S. Smith Avenu�e. All applications and fees have been submitted. All required departments have reviewed and approved this application. ADVANTA(3ES IF APPROVED: DISADVANTAGES IF APPROVED: DISADVANTAGES IF NOT APPROVED: RECEIVED Cou��6� �������;� �����r SEP 2 5 1991 SEP 2 4 1991 CITY CLERK TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �� • 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 types of documents: CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants) 1. Outside Agency 1. Department Director 2. Department Director 2. City Attorney 3. City Attorney 3. Budget Director 4. Mayor(for contracts over$15,000) 4. Mayor/Assistant 5. Human Rights(for contracts over$50>000) 5. City 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. 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(all others) 1. Department Director 2. Ciry 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 each of these pages. ACTION REQUESTED Describe what the projecVrequest 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 projecVrequest supports by listing the key word(s)(HOUSING, 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 conditions that created a need for your project or request. ADVANTAGES IF APPROVED Indicate whether this is simpiy 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?