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90-165 oi - � � � R ����L Council File � g�-/�.S Green sheet ,� �9 d RESOLUTION � TY OF S NT PAUL, MINNESOTA 7�� , � � Presented By Referred To Committee: Date RESOLVED: That application (ID ��94847) for an Auto Body Repair Garage License currently held by Henry Brostman DBA University Auto Body at 928 University Avenue, be and the same is hereby transferred to DeWayne R. LaBrosse DBA University Auto Repair at the same address. �Y,g,�,� Nays Absent Requested by Department of: s.mon osw tz T— �o�n r _ ` �Jacca ee "� e a �— une '� i son — �— BY� 0 Adopted by Council: Date �A N 3 0 1990 Form Approved by City Attorney Adoption Certified by Council Secretary By: � /-/5��d BY' Approved by Mayor for Submission to Approved by Mayo�: Date JA N 3 � �JJO Council gy; ;'�.7���i�z''i.� BYz � 'UBtlsHEO '-�� �, � i 9 9 0 - � T C,c�o i�i/ DEPARTM[NjlOFFlCElQDUNCIL " DATE INITIATED �i cense/F nance GREEN SHEET No. 5 7 9 8 COMTACT PERSON 6 PHONE INITIAU OATE INITIAUDATE �OEPAqTMENT DIRECTOR �CITY COUNpI Chri sti ne Rozek-298-5056 �� ciTV�rroRNev qTY CLERK MUBT BE ON(�UNqL AOENDA BY(OA ROUTNIO �BUDOET DIRECTOR �FIN.S M(�T.SERVICES DIR. 1-30-90 ❑MAYOR(ORA8818'fA_Nn � C°uncil TOTAL#�OF SIGNATURE PAG (CLIP ALL LOCATIONS FOR 81GNATURE) ACTION REQUEBTED: Approval f an application for transfer of an Auto Body Repair Garage License. Hearin D te: i-30-90 Notification Date: 1-12-90 REOOMMENDATIONB:APW�I�I a► 1R1' COUNGL COM REPOEIT OPTIONAL _PLANNINti COAAMISSION _ VIL BERVIC.�COMM18810N �Y8T PMONE NO. _dB O�AMITTEE _ _BTAFF �MENTB: _DISTRICT COURT _ 8UPPORTS WFIICH COUNqL OBJECI'IVE INITIATINO PROBLEM,ISSUE,OPPORTU (Who.Whet,W�•n.WMn.WhY): DeWayne R. LaBros '��*� Body requests City Council approval f his � ° 4i�to Body Repair Garage License a 928 U� nry Brostman DBA Universit Auto ,pplications have been submitted. �' re, Police and License have give thei ADVANTAOEB IF APPROVED: ���T� �C� D18ADVANTA(iES IF APPROVED: ------ --_ _ DISADVANTAOE8IF NOT APPROVED: RECEIVED �;ouncil kesearc� Center. �N181�� JAN 1'71990 C1TY CLERK TOTAL AMOUNT OF TRANSACTION = C08T/REVENUE OUDOETHD(qRCLE ON� YES NO FUNDINO SOURCE ACTIVIT1f NUMBER Flnuwa�u iNwawu►nar:�acPwa� 0�"U , . . �...�a,��� UiVISION OF LICENSE AND PERMIT ADMINISTRATION DATE � I o �/ t� � � �� INTERDF.PARTMF.NTAL REVIEW C;HECKLIST Appn roce sed/Received by Lic Enf Aud Applicant J...,e � �_4 � vpSSQ� Home Address a a �v C����,��� ���v�/ Rusiness hame �h� V�rS��y �,��c7�0� Home Phone a a �I-���3 �iusiness Address� �o�� �v� ��.p�s��-(,� Type of Lic.ense(s) �rQnSi-Cr � Business Phone (,p �(p -� 845�� ���j��Q�., �2�� ,,r � Public Hearing Date � 3 v � d License I.D. �6 � � � �7 at 9:00 a.m. in �he Counc 1 Ch mbers, C 3rd floor City Hall and Courthouse State Tax I.D. �1 �.� � / 0 D� llate Notice Sent; Dealer �f �...)��¢ to Applicant � �- �l� rederal Firearms 4� Il� �� Public Hearing DATE INSPECTIUN REVtEW VERFIED (COMPUTER) CUMMENTS A proved Not A roved � Bldg I & D ' �z�o � p lc� Health Divn. ' ,, � �.q- , , Fire Dept. ! I IZ I O� � ��� I � ! SPnt I!lIZS�� Police Dept. J � ' ��/r � '�`7 C��� License Divn. i ; �z l� ; ���- City Attorney � � �5 �,(� � � � Date Received: Site Plan << Z $y (� To Council Research � ��2 l� Lease or Letter �i Da e from Landlord � � Z "�► b CURRENT INFORMATION NEW INFORMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: -- Workers Compensation: _ . New Officers: Stockholders: i� CITY OF SAINT PAUL � Gd,��� • DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES 7 , LICENSE AND PERMIT DIVISION . t These statement forms are issued in duplicate. Please answer all questions fully and completely. This applicatioa is thoroughly ch�cked. Any falsification will be cause for deaial. 1) Application for (tqpe of license) �1�� °} i���� 2) Name of applicant �G1 �• ��J I�-'!�;��� . 3) Applicant's title (corporate officer, sole owner, partner, other) �?.L�-Y'y� � 4) Name under which this business will be conducted: ���2 �v o /.� - � - S Applicant / Company ame Doing Busine As 5) Business telephone number �,� -- �Sf�'� � 6) If applicant is/has been a married female, list maiden name � /'� •.. � � 7) Date of birt ��r �y-�y Age � Place of birth ��r /-�.�•�� 8) Are you a citizen of the United States? � Native __�/D S Naturalized 9) Are you a registered voter? _�� Where? �% , .�„ L 10) Home address �'�,1��. �Bp � � _. ST Home Phone�2���5L�� , 11) Present business address �O'�p �h1!/, //'p_ Business Phone�p� � �� ��. 12) Including qour present business/employment, what business/employment have you followed for the past five years. Business/Employment Address n ` � . ��a 3d 9a�- 1��, �. ��P 13) Married? � If answer is "yes", list name and address of spouse. 14) Have you ever been arrested for an offense that has resulted in a conviction? 'fijo If answer is "yes", list dates of arrests, where, charges, confictions, and sentences. Date of arrest , 19 Where Charge Conviction Sentence '�� � ���"��`� � Date of arrest , 19 Where Charge Conviction Sentence ' I5) Attach a copq bereto of a lease agreement or p=oof of owaership for the premises at which a lfcense will be held. 16) Attach to this application a detailed description of the design, location, and square footage of the premises to be licensed (site plan) . 17) Give names and addresses of two persons who are local residents who can give information concerning you. Name Address ���� f � v �,>h� R,� ��� �/� C�.�_ � �. ���_�'�'o���� %�' � , ��a-,��� �7� . 18) Address of premises for which License or Permit is made. Address �p�.p ��, � V' • �l�t�_ Zone Classification 19) Between what cross streets? � ��� y� Which side of street? ,��j 20) Are premises now occupied? �S What business? �r/ How long? _��� 21) List license(s) , business name(s) , and location(s) which you currently hold, formerly held, or may have an �nterest in, and locations of said license(s) . • � I� 22) Have any of the Iicenses listed by you in No. 21 ever been revoked? Yes No If answer is "yes", Iist dates and reasons. 23) Do you have an interest of any type in any other business or business premises not listed in ��21? Yes No _� If answer is "yes", list business, business address, and tele- phone number. � 24) If business is incorporated, give date of incorporation N�� , 19 and attach cop.y of Articles of Incorporation and minutes of first meeting. - �q°'��� 25) List all officers of the corporation giving their names, office held, home address, date � of birth, and home and business telephone numbers. � - . NIA 26) If the business is a partnership, list partner(s) address, phone number, and date of birth. 27) Are you going to operate this business personally? If not, who will operate it? Give their name, home address, date of birth, and te phone number. 28) Are you going to have a manager or assistant in this business? �_ If answer is "yes", give name, home address, date of birth, and telephone number. 29) Has anyone you have named in questions �23 through �26 ever been arrested? If answer is "yes", list name of person, dates of arrest, where, charges, convictions, and sentence. 30) I understand this premises may be inspected by the Police, Fir , He h, afid other citq officials at any and all and all times whea the business is fn operation. State of Minnesota ) ,Q /// �� ) ` � County of Ramsey ) Signature of ic t / Date �l�J0.��h,�� � . Lc;t„ t, vpS�� being duly sworn, deposes and says upon oath that he has read the foregoing statement bearing his signature and knows the contents thereof, � and that the same is true of his owa knowledge 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 , , 1G r � this Z- �day of Nau��,�. , 19 � ! �r . c'�R�ST�1�F!1 ?ilr.�'� " - d ���1,��� ��T� , . � ' � ���,��J '''�!` _ � � r��y i_;;:i.. . .,vv.,.vw vv¢ vwvV�/v`:etn•,.,;�:,�,..,_-,r,:,••:v�.�.;. Notary Public, � County, I�IN My commission expires l�Cl � Rev. 2/88