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90-499 i /�p � � � `� ' ��q � Council File ,� q�"�1'7 Green Sheet # 7783 I RESOLUTION CITY OF SAINT PAUL, MINNESOTA Z� ` Presented By ✓ �� � e.i' '� Referred To Committee: Date 2�? � , I RESOLVED: That application ID4� 46285 for the transfer of an Off Sale 3.2 Malt License currently issued to Super America Stations, Inc. , DBA Super America Station 4�4410 at 1198 Earl Street, be and the same is hereby , transferred to Birch Bru, Inc. , DBA Super America Station ' 4�4410 at the same address. ,� Yeas Nays � Requested by Department of: iaro oswi z —� I —�n � License and Permit Division � acc e e m n �` une �� i son � BY� Adopted by Council: Date MpR 2 � t��� Form Approved by City Attorney ' Adoption Certified by Council Secretary gy: 8 • 'lj'/1> '�� , By' f _ Approved by Mayor for Submission to ' Approved by M or: Date ,�p�'�� y � ��� Council B ���6�� ,� /, By' I Y� � �l PU�i.ISNED uPR 71990 � � ��o��y UtVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE � l �a a�' S�/ INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant� �� ��� �hh.,e�_' Home Acldress � p� �o �.,t�- � ��J�C, ��n�Li,rtc��n t Rusiness Iv'ame �A� ���u'��„�,��'-�/�Home Phone �� 'lD l�T) � I 6 Bu�iness Address �.�(�� ��` .�� Type of License(s�ti(� ����-�j Business Phone ��� -r� �(�� �� _ _ _ Public Hearing Date��,�(,� a.� L((� License I.D. 4{ �'(,PaZ-b ij at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. 46 5j� f,� t[p llatePPutice Sent; ��� �,^D Dealer 4� � � to A licant � "l vI Pederal Firearms 4� �I � Public Hearing DATE INSPECTIUN REVIEW VERFIED (COMPUTFR) CUMMENTS A roved Not A roved � Bldg I & D � ��a-� � Health Divn. � ; �-�a-� ' � � Fire Dept. ( ; ���� I i � Yolice Dept. I �%a.� o License Divn. � a--/� �� o City Attorney �3 j � d Date Received: Site Plan (�r ,� To Council Research Lease or Letter Date from Landlord � CURRENT INFORMATION NEW INFOKMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: Workers Compensation: New Officers: Stockholders: -1 CITY OF SAINT PAUI. t�l"'yd�7 �� - DEPARTME:VT OF FINANCE AND MANAGII�SENT SERVICES � � • LICENSE AND PERMIT DIVISION < � These statement forms are issued in duplicate. Please answer aIl questions fully and completely. This application is thoroughlq checked. Any falsification will be cause for denial. . 1) Application for (tppe of license) Transfer of OFF-Sale Malt Livuor 2) Name of applicant George K. Townsend � 3) Applicant's title� (corporate officer, sole owaei, partner, other) V ic e President 4) Name under which this busiaess will be conducted: George K. Townsend, Birch Bru, Inc . Su erAmerica Applicant Company Name Doing Business As 5) Business telephone number 612/887-6100 6) If applicant is/has been a manied female, list maiden name 7) Date of birth 7/10/33 Age 56 Place of birth Berwvn, IL _ 8) Are you a citizen of the IInited States? Y es Native Naturalized 9) Are you a registered voter? Yes Where? . Hennepin County 1�0) Home address 2509 West 95th Street , Bloomington, Ml�ome Phone 612/881-8147 � - 11) Present business address 1240 W. 98th St . Blmgton Business Phone 612/�7-6100 4 12) Including your preseat business/employment, what business/employment have qo�followed for the past five qears. � Business/Emploqment Address � SuperAmerica 1240 W. 98th St . . Bloomin�t�on_ MN 55431 . 13) Married? X If answer is "qes", list name and address of spouse. Rosemary Sharon Voelker Townsend , 2509 W. 95th St . . BloominQton. MN 55431 14) Have you ever been anested for an offease that has resulted in a conviction? NO Zf answer is "yes", list dates of arrests, where, charges, confictiona, and senteaces. Date of arrest , 19 Where Charge � Conviction Sentence . �� � - � ��o-��y r � Date of arrest , 19 Where � Charge • Conviction Sentence 15) Attach a copy heretcL 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) . I7) 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 . . BloominQton. •MN Gilbert Lansdale 2501 W. 95th Street . Blooming on�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? Y ES What business? SunerAmerica stations How long? 21) List license(s) , business name(s) , and location(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) Have any of the licenses listed by you in No. 21 ever been revoked? Yes No X 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 X If aaswer is "yes", list business, business address, aad 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��i y . ?.5) List alI officers of the corporation giving their names, office held, home address, date of birth, and home and business telephone nu�bers. 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. . Store Managers 28) Are you going .to have a manager or assistant in this business? Y e s If answer is "yes", gine name, home address, date of birth, and telephone number. 29) Sas anyone you have named in questions 4�23 through 4626 ever been arrested? NO If answer is "yes", list name of person, dates of arrest, where, charges, convictions, and sentence. 30) I G e o r g e K. T o wn s e n d understand this premises maq be inspected by the Police, Fire, Health, and other citq officials at any 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 swom, 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 . h N""`a"..'��'►Ari�:���!c,.-;�,,.�.i:•.ai:.,. this � day of �-c , 19 � �•�T�`� �f,Yl'JC a. : '-�%�-. L:�:b ����'�� '{tCn d'� NUiAkv?r:; � c�¢.'"�, �.,C F�1IN�;-„uT;i � X '�yN�iVl't�-i=1iti;�vv;t'; Co;Zm.Ezo.1�.^ Notary Public, /�2�yl�tc/>�,.� County, MN �������'�""�'`'�• �V, 'r�"''`",� �� My commission expires /�a --9�j'� Rev. 2/88