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90-492 > � � G C��q L Council File ,� �Q ✓��� Green Sheet # 7791 RESOLUTION CITY OF SAINT PAUL, MINNESOTA �� Presented By Referred To Committee: Date RESOLVED: That application ID��67424 for the transfer of an Off Sale 3.2 Malt License currently issued to Super America Stations, Inc. , DBA Super America Station ��4040 at 1771 Old Hudson Road, be and the same is hereby transferred to Birch Bru, Inc. , DBA Super America Station ��4040 at the same address. Yeas Navs Ab� Requeated by Department of: zmon wi � on '�"— License and Permit Division acca ee �� e man �`— une —�` i son �L' BY� � Adopted by Council: Date MAR 2 9 ,ggp Form Approved by City Attorney Adoption Certified by Council Secretary By: • , �� 3-� � , 90 � By° Approved by Mayor for Submission to Approved by Mayor: Date P7AR 3 O �990 Council By: ,,6��'.��%a.o'/ By' l�U�t.iSNED p,P R 7 1990 . . , �-qo-��� DEPARTM[NT/OFFIf�JCOUNGI °"�'"'�'"�° GREEN SHEET No. �79,� Finance and Mana ement INITIAU DATE INI A ATE COPITACT PER30N 8 PHONE �DEPARTMENT DIRECTOR �CITV OOUNqL Kris Van Horn - 2 8-5056 N�� ��A�+N�' �cm a.erac MUST BE ON COUNCIL AQENDA BY(DATE) IIpU7N1p �BUDOET DIRECTOR �FIN.3 MpT.SERVICES DIR. March 29 1990 ❑"""YOR�oa�►ss�sr^nm OCouncil Research TOTAL#►OF SIGNATURE PAOES (q,IP AL�LOCATION8 FOR SIGNATUR� ACTiON REQUEBTED: Application ID�� 67424 for the transfer of an Off Sale 3.2 Ma1t License. REOOAAMENDATION8:MP►�e W p�lpl COUNqL COMMITTEE/RESEARCH REPORT OPTIONAL _PLANNIN(i COMMISSION _CML SERVIC.�COMMISSION ��Y� PFIONE N0. _CIB COMMITTEE _ _STAFF _ OOMMENTS: _DISTRICT COURT _,. 3UPPORTB WHICH COUNpL OBJECTIVE? INRIATINO PROBLEM.188t1E�OPPORTUNITY(Who.Wh�t.When.Wh�rs.Nm19: Birch Bru, Inc. , DBA Super America Station 4�4040 requests Council approval of their application to transfer the Off Sale 3.2 Malt License located at 1771 Old Hudson Road, currently issued to Super America Station, Inc. , DBA Super America Station at the same address. Al1 applications and fees have been submitted, all required departments have reviewed and approved this application. Total amount of transfer fees paid, $.18.94. ADVANTAOES IF APPROVED: RECEIVFD OISADVMITAOES IF APPROVED: CITY Ct�ERK DISADVANTAGES IF NOT APPROVED: ����rGi► �tesearch Center, MAR 2 01990 TOTAL AMOUNT OF TRANSACTION = C08T/REVENUE 9tlD41ETED(CIRCLE ONE) YES NO FUNDINd SWRCE ACTIVITY NUMBER FlNANCIAL INFORMATION:(EXPWN) � � . . ��yo��/�� UIVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE �a,!a� l �a INTERDF.PARTMFNTAL REVIEW CHECKLIST A.ppn Processed/Received by Lic Enf Aud Applicant�j� rU'1 'f�YZ.��_� _ Home Address ���Q ��� �. �,J • ��c���� Rusiness Name ���{}P�j2�.,�/�-,�� � ./�p�p Home Phone ��� -(�� (�j� Business Address ��"� � ��� NZ,t(QSgv� �� . Type of License(s) ��/ky� (�� Q - Q 3,a Business Phone �-1- (p( U?� L�0.X�. . Public Hearing Date �(��� �q, C�( (, License I.D. 4F ��`t'o�� at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� j�j� �a�(p llate Nutice Sent; Dealer �� V' �� to Applicant �;,r � � T e Federal Firearms �� � I(� Public Hearing DATE INSPECTIUN REVIEW VERFIED (COMPUTER) COMMENTS Approved Not A roved � Bldg I & D � a f a� a� Health Divn. �� , , a� � d � Fire Dept. � � �; �1a � i � f Yolice Dept. ' I �-1�� License Divn. , a-la� ' o� City Attorney � � f �` �� ' � Date Received: Site Plan �� To Council Research Lease or Letter Date from Landlord CURRENT INFORMATION NEW INFORMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: Workers Compensation: New Officers: Stockholders: , �� 9a� ��.z ` ' CITY OF SAINT PAUI. DEPARTMENTT OF FINANCE AND MANAGII�TT SERVICES • LICENSE AND PERMIT DIVISZON These statement forms are issued ia duplicate. Please answer alI questions fully and completely. This application is thoroughly checked. Aay falsification will be cause for denial. . � 1) Application for (type of licease) Transfer of OFF-Sale Malt Liquor 2) Name of applicaat George K. Townsend � 3) Applicant's title� (corporate officer, sole ownei, partner, other) V ice President 4) Name uader which this busiaess will be conducted: George K. Townsend , Birch Bru, Inc . SuperAmerica Applicant / Company Name Doing Business As 5) Business telephone number 612/887-6100 6) If applicant is/has been a married female, list maiden name 7) Date of birth 7/10/33 Age 56 Place of birth Berwyn, IL , 8) Are qou a citizen of the IInited States? Yes Native Naturalized 9) Are you a registered voter? Yes Where? . Hennepin County 1�0) Home address 2509 West 95th Street , Bloomington, MNHome Phone 612/881-8147 �r - 11) Pzesent business address 1240 W. 98th St . BlmgtonBusiness Phoae 612/$�7-6100 c 12) Iacludiag your preseat busiaess/employment, what business/employment have qo�i followed for the past five qears. � � Business/Emploqment Address r SuperAmerica 1240 W. 98th St . . Bloomin�t�on _ MN 55431 . 13) Married? X If aaswer is "yes", list name and address of spouse. Rosemary Sharon Voelker Townsend , 2509 W. 95th St . . BloominQton. MN 55431 14) Have you ever beea arrested for an offease that has resulted in a conviction? NO If answer is "qes", list dates of arrests, where, charges, confictions, and sentences. Date of arrest , 19 Where Charge � Conviction Sentence . � • . . � qo-�y'.� � Date of arrest , 19 Where � Charge � Conviction Sentence 15) Attach a copq heretQ of a lease agreement or proof of ownership for the premises at which • a license 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 Cal Lindman 11025 Xerxes Ave . S . , Bloomington . �MN G3lbert Lansdale 2501 W. 95th Street . Bloomington� MN 18) Address of premises for which License or Permit is made. Address All St . Paul SuperAmerica stores Zone Classification that sell 3 . 2 malt liquor OFF-Sale 19) Between what cross streets? Which side of street? 20) Are premises now occupied? YES What business? SunerAmerica stations Haw long? 21) List license(s) , business name(s) , and Iocation(s) which you currently hold, formerly held, or may have an interest in, and locations of said Iicense(s) . � 3 . 2 Off-Sale Malt Liquor, Cigarette license, All SuperAmerica stations required to hold these licenses 22) Hane any of the liceases listed by you in No. 21 ever been revoked? Yes No X If answer is "yes", list 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 X If answer is "yes", list business, business address, and tele- phone number. 24) If business is incorporated, give date of incorporation � 8/3/89 , 19 and attach copy of Articles of Incorporation and minutes of first meeting. . ��o-�y� ?.5) List alI officers of the corporation giving their names, office held, home address, date of birth, and home and business telephone numbers. See Attached Schedule 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? No If not, who will operate it? Give their name, home address, date of birth, and telephone number. , Stor.e Managers 28) Are you going .to have a manager or assistant in this business? Ye s If answer is "yes", give name, home address, date of birth, and telephone number. 29) Has anyone qou have named in questions #23 through #26 ever been arrested? Np If answer is "yes", list name of person, dates of arrest, where, charges, convictions, and sentence. 30) I George K. Townsend understand this premises may be inspected by the Police, Fire, Health, and other city officials at anq aad all and all times when the business is in operation. State of Minnesota ) ) BY: 11-15-89 County of Ramsey ) Si ature of Applicant / Date George K. Townsend, Vice President 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 own 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 this 1��`�' day of �-c , 19 � �`�`'�"°'�a't�.s"'`w°-�-:-����:�:.,��;- �_, �RYr��t;�,. :�r�;;c��a=• �� NUT/irfY r1;aCiL's �`ri �jlhi: vL1 � j H�i�ti�i�i=1;d '�C;;',�`�;, x �AY Co:,�m. �xp.�,. � Notary Public, f��iylau��.� County, MN �,. ;�'="�'.,� ` '��^�.R►� � My commission expires /-a -q� Rev. 2/88