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90-534 0 R I G I N:q L Council File � Q- J'�„3 Green Sheet #� 7781 RES�LUTION � CITY OF-SAINT PAUL, MINNESOTA �j� Presented By Referred To Committee: Date RESOLVED: That application ID��66829 for the transfer of an Off Sale 3.2 Malt License currently issued to Super America Stations, Inc. , DBA Super America Station 4�4409 at 957 Rice Street, be and the same is hereby transferred to Birch Bru, Inc. , DBA Super America Station 4�4409 at the same address. as Navs Absent Requested by Department of: n �_ osw on — � T.;cenGe and Permit Division � acca ee �fe '�'man T— une T— s son T— BY� Adopted by Council: Date AP� � ���A Form Approved by City Attorney Adoptio C rtified by Council Secretary g . �. �j-(3 .9Q Y� By� Approved by Mayor for Submission to Approved by Mayor: Date p APR 3 �eil (_�� By: By: /�/�,/"/�i� _�����' , - [ ���L6���� t`-:;-`;; 1. � �`.�9�, � . � �"--yo-s3 DEPARTMENT/OFFICFJCOUNCIL DATE tNRIATED GREEN SHEET No. �7� O O N T A C T P E R S O N 3 P N O N E �NfTIAU DATE INIT�ATE �DEPARTMENT OIRECTOR �CITY OOUNqL Kris Van Horn - 298—SOSG �� �CITY ATfORNEY �qTN CLERK MUBT BE ON COUNCIL AOENOA 8Y(DAT� �BUDQET DIRECTOR �FIN.3 MOT.SERVICES DIR. Ma.rch 29, 1990 ❑tiu►voa�oR�ssisraNn QCouncil Research TOTAL N OF SIGNATURE PAGES (CL.IP ALL LOCATIONS FOR SIONATUREy ACTION REOUEBTED: Application ID4�66829 for the transfer of an Off Sale 3.2 Malt License RECOUAMENDATIONS:APP►�W o►�(� COUNCIL COMMITTEE�ARCN REPORT OPTIONAI _PLANNINO OOMMISSION _CML SERVI�CONAMI8810N ��Y8T PMONE NO. _qB OOMMITTEE _ _8TAFF _ �E�: _OISTRICT WURT _ 8UPPORTS WHICH COUNGL OBJECTIVE9 fNIT1AT11�PR08LEM,ISBUE�OPPORTUNITY(WhO�What,When�WMro�Wh�: Birch Bru, Inc. DBA Super America Station 4�4409 requests Council approval of their application to transfer the Off Sale 3.2 ,Ma.lt License located at 957 Rice Street, currently issued to Super America Station Inc. , DBA Super America Station at the same address. All applications and fees have been submitted, all required departments have reviewed ad approved this application. Total amount of tranfer fees paid, $18.94. ADVANTACaEB IF APPROVED: RfCFrv�� DISADVM(TAOES IF APPFiOYED: CI T 1' C(,ERi{ as�ov�rrr�oes�nior nr+�ovec: 11UClCiCfl ���:5@��Ct1 �:@Ilt@r MAR 2 O 1Q90 TOTAL AMOUNT OF TRANBACTION = C08T/REYENtlE Ol�TED(CIRCLE ONl� YE8 NO FUNDINO SOURC.E ACTIVITY NUMBER FlNANpAL INFORMATWN:(EXPWW) C[ rV . � . �y�-.�3� DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �Z ��_ / /Z Z INTERDF.PARTMF.NTAL REVIEW CHECKLIST A.ppn Processed/Received by Lic Enf Aud Applicant �j �jr� �,,,A • Home Address /a�(� (.J-�.�" �-��(Xjrrurtv,.�-g�� Rusiness h'ame �,��-_ �, �{Q� Home Phone �� - LQ�� Business Address ��j 1 �,� J L, �� Type of License(s) �_ � Business Phone ��-1 - �2�� y� (.�,t,�„_ o,� Public Hearing Date ' ��� p�� ,G((� License I.D. �6 _��! at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� ���(P � llate Notice Sent�� � Dealer 4� ��(� to Applicant _ t I 1 ^,� (� rederal Firearms 4� ��� � Public Hearing DATE Ir'SPECTIUN REVIEW VERFIED (COMPUTER) COMMENTS A roved Not A roved � Bldg I & D Zr�� � 1 Health Divn. � � � �� � � Fire Dept. � ( � �'�o�-I� f � I I Yolice Dept. ���� � � License Divn. i a ��-� ' � City Attorney 3( � � �i3 , 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: '.� " � CITY OF SAINT PAIIL DEPARTMENiT OF FINANCE AND MANAGIIKENT SERVICES � ��—'��� • LICENSE AND PERMIT DIVISION < . . These statement forms are issued in duplicate. Please aaswer all questions fully and completely. This application is thoroughlq checked. Aay falsification will be cause for deaial. . - 1) Application for (type of license) Transfer of OFF-Sale Malt Liquor 2) Name of applicant George K. Townsend � 3) Applicant's title� (corporate officer, sole owaei, partner, other) V ic e Pres ident 4) Name uader which this business will be conducted: George K. Townsend , Birch Bru , Inc . SuperAmerica Applicant / Compaay 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 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, MNHame Phoae 612/881-8147 ca - I1) Present business address 1240 W. 98th St . BlmgtonBusiness Phone 612/$�7-6100 cv 12) Iacluding youz present business/emploqmeat, what business/eaploqment have yoia followed for the past fipe qears. � Business/Employment Address � SuperAmerica 1240 W. 98th St . . Bloomin�ton. MN 55431 . 13) Married? X If answer is "qes", list name and address of spouse. Rosemary Sharon Voelker Townsend , 2509 W. 95th St . . Bloomin¢ton. MN 55431 14) Save you ever been arrested for an offease that has resulted in a conviction? NO If answer is "yes", list dates of arrests, where, charges, coafictions, and sentences. Date of arrest , 19 WEiere Charge � Conviction Sentence �90-��� � Date of arrest , 19 Where � Charge • Conviction Sentence 15) Attach a copy hereto_of a lease agreemeat oz 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 . , BloominEton . �MN Gilbert Lansdale 2501 W. 95th Street . Bloomin�ton,,,_ 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 licease(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 liceases 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 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. . �'�0-5��' ?.5) List all 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. . Store Managers 28) Are you going .to have a manager or assistant in this business? Y es 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? 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 own s e nd understand this premises maq be inspected by the Police, Fire, Health, and other city officials at any and 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 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 ��«.�., this � day of -!2��-c�, 19 � ?�• �j��'�`°'�:�,-,:..�,.k.:.�.,��;z �_� ,� 'rl, t<,Kntit'��^I'i � NUT�;kr rt�;,�f��nllh�i��„ u7,1 kr�F-i���a:�s���=�.�;���.�=,�,� . yy�,��� Co;,�m i, '' , "'�i4YLl�tf�t^'�T,ifcy�cMtX,•.�.• � �:3J Notar Public, • ' '^'�^ y Piyl�2c/J�,�� County, MN r� My commission expires /-� �9f Rev. 2/88