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91-2071 r � o��a� , �; Council File � �" �� • / Green Sheet #` 16349 RESOLUTION CITY OF SA��V-T PAUL, MINNESOTA Presented By Referred To Committee: Date RESOLVED: That Application (I.D. #80223) for a Massage Therapist License applied for by Kathleen Gillilan DBA Sister Rosalind Gefre's Professional Massage Center at 2221 Ford Parkway be and the same is hereby approved. Yeas Navs Absent Requested by Department of: imon � onw= Z � License & Permit Division acca ee i e tman � une � ��c�� n BY� d' Adopted by Council: Date Form Approved by City Attorney Adoption Certified by Council Se�r tary � � � By: . Q -�- � By: Approved by Mayor for Submission to Approved by Mayo : te " Council � � 7191 BY� �/ B � y: ��S�Ea N�V 16'91 . , �� DEPA ENT/OFFICE/COUNCIL DATE INITIATED Finance/License GREEN SHEET N° 16349 CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Kris Van Horn/298-5056 assicN �CITYATfORNEY �CITYCLERK NUMBER FOR M T BE COUN,CIL AQENDA BY(DATE) ROUTING �BUDGET DIRECTOR FIN.&MOT.SERVICES DIR. OY' earing: iE`"�lq� ORDER � 10 11� �MAYOR(ORASSISTAN� Council Researc t TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Application (I.D. ��80223) for a Massage Therapist License RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER TFIE FOILOWING QUESTION8: _PLANNING COMMISSION _CIVIL SERVICE COMMISSION �• Has this personlfirm ever worked under e contrect for this department? _CIB COMMITTEE _ YES NO _STAFF _ 2• Has this person/firm ever been a city employee? YES NO _DISTRICT COURT _ 3. DOes this ersonlfirm p possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO Explain all yes enswsrs on separate sheet and attach to gresn sheet INITIATINCi PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): Kathleen Gillilan DBA Sister Rosalind Gefre's Professional Ma.ssage Center at 2221 Ford Parkway requests Council approval of her application for a Ma.ssage Therapist License. Al1 applications and fees have been submitted. All required departments have reviewed and approved this application. ADVANTAGES IF APPROVED: DISADVANTAGES IF APPROVED: DISADVANTA(iE3 IF NOT APPROVED: RECE�'�ED Cour��rl R��rc� C�nter OCT j � 1� OCT 2 �; �gg� �iTY CLtR� TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �;-I W NOTE: COMPLETE bIEiECTIONS 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) i. 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 RESOIUTION(all others, and Ordinances) 1. Activity Msnager 1. Department Director 2. Department Accountant 2. Ciry Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. City Council 5. Ciry Clerk 6. Chief Axountant, Finance and Management Services ADMINISTRATIVE ORDERS(all others) 1. Department Director 2. Ciry Attorney 3. Finance and Management Services Director 4. Ciry Clerk TOTAL NUMBER OF SIGNATURE PAGES Indicate the#of pages on which signatures are required and paperclip orflag each of these paqea. 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 word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOM�C 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 simply an annual budget procedure required by law/ charter or whether there are specific ways in which the Ciry 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 projecVrequest 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? - � , �F�l de7/ DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud App licant �;,--��+,�a,J��,; I 1� l;a_> Home Address � )� C'UYvI.Q,o Business Name � `� 1 /� �' � � � Home Phone 'n/IC / /� �� e.a I�g°.,1�.._rV --��.'�1a.5�'ra� . _L��1 ( �-1.�� I1�(��-c,_� -.�\ Business Address C��_� ��Y�-}''�_ �� Type of License(s) `M��,��«_,��, , Business Phone �'�-�5�- � /Z?, Public Hearing Date �1 � � _ License I.D. 4� �[�� at 9:00 a.m. in the Counc 1 Chambers, 3rd floor City Hall and Courthouse State Tax I.D. 4� ��1 � Date Notice Sent; Dealer � � ��r to Applicant l0 I��1 � Federal Firearms 4� 1/�,q Public Hearing DATE INSPECTION REVIEW VERFIED (COMPUTER) COrIl�IENTS A roved Not A roved Bldg I & D ! Health Divn. �l�� O Fire Dept. � ,� �q- I Police Dept. I License Divn. � �� i �K City Attorney ��/ G � G � l � � Date Received: Site Plan ��Q¢, To Council Research Lease or Letter Date from Landlord - � - �,��ao�/ - CITY OF S'i. PAUL � DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES LICENSE AND PERMIT DIVISION Please a.nswer a11 questions flil.ly and completely. This application is thoroughly checked. Any falsification wi.11 be cause for denial. Date - d�3 19� 1. Application £or / .ST G-/C-c-'nsS icens Permit) 2. Name oP applicant��►==��Pf./ � - : �.L.i��itf - 3. I£ applicant is/has been a married female, list maiden name � G_/N � 4. Date of birth ��-�l�Age �S� Place of birth �"' �,�,�[� /�• 5. Are you a citizen of the United States�lp5 Native�_Naturalized �— 6. Are you a registered voter�_Where /y1;n��/f'sOT�►- - 7. Home Address� .2/ (,F4�i.r!t� .�r/` t'• Home Telephone /��7'Ti`17 7 8. Present business address �.2�f �l �� Ce�� Business Telephone_ 09,4-'r1��3 9. Including yovr present business/employment, what business/employment have pou followed for the past five yeaxs. ' Business/em loyment. Address 5?./��gu � �20�v�srr-r-�r�- �A55.9�J/�L�uT�.� ��a I �!R.l� �f��f',� i r�uJn( ,f/1�5.�,� �ts.`�c.�ss �2G�/�c-c�r; ��. f ✓o.�,�s�__��- - . -S/C D 3 --� ,�t3,o��rG,�-� S'X,�. �� `�,`n.�,r_ 11.a�7 .�_�n2�.�lrlwY. ��'-�. ��} ��s rr�.c-� �.�.P�t�A�C�,) t�`,�r r: f�S e� - , 10. Maxried�/t�S if answer is "yes", list name and a.ddress oP spouse�:// Ga-i��i�li w. �T-- ., ,l'/� -! /�/ � / j'ii" %. ("�i0 � . �i� ' G PS i1f l�i��;1�-G �f�O�i 11. If this application is for a Massage Therapist License, list time so occupied. ��/�,�y ,p � 3 � Years S�'^�� 1 Months. I2. Have you ever been axrested ,Vr,% If answer is "yes", list dates of arrests, where, charges convictions and sentences. �,a:te of arrest_ 19 Where CFi�ge Co�viction Sentence Dat�:'of arrest 19 �ere ' Chaxge Conviction Sentence __ . . � 13. Give names and addresses of t,ro persons, resider.ts of St. Paul, Minnesota wno ca.n give in°ormation conce:ning you. �tAN� ADDRESS %[l iyc.i �,-�i2,a PQ'u f�41� �.�i.N� � ST f-�'u G 3s/o�/ �VI� Jp-n�.� ,�.�LT�s�•� �r37 S'T. �L2,`.�,�'. S/��luL SsioS- State of i�Iinnesota ) ) SS Co.unty of Ramsey ) being first duly sworn, degoses a.nd says upon oath that he has read the foregoing statement bearing his signature a.nd knows the contents thereo£, and that the same is true of his own knowledge except as �o those matters therein stated upon information and belief and as to those matters he believes them �o.. be true. .. Subscribed a.nd sworn to before me �- o/< �.�C^��d-,�� Signature of Applicant t�his�lday oP�19�L av�� . . � p�Tp1U�'VJIN� tA iVot ry Public,�y County, Minnesota ,c��q�1ES0 i�►.acs � �y-Commission expires � Z 5 M��ns�jan.2. 1992 w* r�VW�~