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90-536 0 � I G 1 1 Y�� L. Council F'ile ,� �� � Green Sheet # 7785 RESOLUTION F SAINT PAUL, MINNESOTA l�g Presented Bg Referred To Committee: Date RESOLVED: That application ID�1� 22387 for the transfer of an Off Sale 3.2 Malt License currently issued to Super America Stations, Inc. , DBA Super America Station 4�4415 at 97 Annapolis Street East, be and the same is hereby transferred to Birch Bru, Inc. , DBA Super America Station 464415 at the same address. �YYpas Naye Absent Requested by Department of: smon o wi z � o � License and Permit Division acca e � e �- �u e � on-- �- By: Adopted by Council: Date APR 3 1990 Form Approved by City Attorney � , Adoption Certified by Council Secretary gy; f?�/��l�U By� Approved by Mayor for Submission to Approved by Mayor: Date � � APR 3 i99(Founcil By: � ,/��. v� By. C� �UBIiSHED �a°R 141990. • �^ -!� -,���/ DEPARTMENT/OFFlCE/COUNqL DATE INtT1ATED p Finance and Ma.na ement GREEN SHEET NO. ��v� OONTACT PEfiSON 8 PHONE INITIAU DATE tNITIAUDATE �DEPARTMENT DIRECiOR �CITY COUNpL Kris Van Horn - 298-5056 �� ��A7TORNEY �CITY CLERK MUST BE ON COUNdI A(iENDJ►BY(DATE) ApUTINO �BUDOET dRECTOR �FlN.8 MQT.BERVICEB DIFi. March 29 1990 ❑MA��(���� �Council Research TOTAL#►OF SIGNATURE PAOE8 (CLIP ALL LOCATIONS FOR SIGNATUR� ACTION REGUESTED: Application ID# 22387 for the transfer of an Off Sale 3.2 Malt License. REOOMMENDA :Mv►�(N a►�(R) COUNCp. REPORT OPTIONAL _PLANNINO COMMISSIOt�I _qVIL�RVIC�COMMISSION ANALY8T PHONE NO. _GB COMMITTEE _ _STAFF _ COMMENTS: _WSTAICT COURT _ SUPPORT8 NMICN OOUNdL OBJECTIVE? INITIATINO PROBIEM.ISSUE.OPPORTUNITY(Who�What�Whsn.NfMro.Nlh�: Birch Bru, Inc. , DBA Super America Station #4415 requests Council approval of their application to transfer the Off Sale 3.2 Malt license located at 97 East Annapolis, 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 and approved this application. Total amount of transfer fees paid, $18.94. ADVANTAOES IF APPR�VED: RfCFnich A�IR26� � �rrk- 990 C� 018ADVANTAOEB IF APPROVED: DISADVANTAOES IF PqT APPF�/ED: �V��i�sil 114:ri:.�.JYPliii V'�'bC�l�'L'i�, MAR 2 0199p TOTAI AMOUNT OF TRANSACTION a C08T/REVENUE e1JDOETED(qRCLE ON� YE8 NO FUNDING SOURCE ACTIVITI/NUMBER FlNANCIAL INFORMATION:(EXPWN) �� . Gr�o-s�� DiVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ( a2- l �a 1��1�r INTERDF.PARThtENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant�;r��j r(,�,��. _ Home Address �� �• ��S - � - _����'u-v���n 31 1�I�x�r Rusiness Name a A(�X ��y�� � � ,t�'1(jl� Home Phone ��`'j-�p��'(j Business Address ��U�Type of License(s)�(�F�y,. � ,�.y� 3�0� Business Phone ��1 -(,PL6� Y Y 1(AX� �<.5��_ Public Hearing Date �(,�,�-�h-aq� License I.D. �1 a�,?j�`� at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� �j�p� la �(..p llate Nutice Sent, � d a ^\ Dealer 4� � �� to Applicant �fi, C��, l.l.J rederal Firearms 4� '►/1 � Public Ne��ring DATE II�SPECTIUN REVLEW VEKFIED (COMPUTER) CUMMENTS A proved Not A roved � Bldg I & D Z��� � (5 Health Divn. ' ���� ' � Fire Dept. �a � � � a� � v ! f Police Dept. ' I �a� 6� License Divn. � ��� G� City Attorney � � I13 ! O � Date Received: Site Plan To Council Research Lease or Letter Date f rom Landlord C5Y\ , 4_ P CURRENT INFORMATION NEW INFOKMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: Workers Compensation: New Officers: Stockholders: � � . � CITY OF SAINT PAUL �y��s�� DEPARTMENT OF FINANCE AND MANAGIIKENT SERVICES • LICENSE AND PERMIT DIVISION � � These statemeat forms are issued in duplicate. Please aaswer all questions fully and campletely. This application is thoroughlq checked. Any falsification will be cause for denial. _ 1) Applicatioa for (type of license) Transfer of OFF-Sale Malt Liquor 2) Name of applicaat George K. Townsend � 3) Applicant's title� (corporate officer, sole owaei, partner, other) V ice Pres ident 4) Name uader which this business will be conducted: George K. Townsend , Birch Bru, Inc . Su erAmerica Appl.icant Company Name Doing Business As 5) Business telephone number 612/887-6100 6) If applicant is/has been a marzied 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? Y es Native Naturalized 9) Are you a registered voter? Yes Where? . Hennepin Countv 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 a 12) Including your present businass/emplo}►ment, what businesa/employment have yo�i followed for the past fipe years. � Business/Employmeat Address = SuperAmerica 1240 W. 98th St . . Bloomin�t�on_ Mtv 55431 13) Marrfed? X If ansver is "yes", list name and address of spouse. Rosemary Sharon Voelker Townsend, 2509 W. 95th St . . Bloomineton. MN 55431 14) Have you ever been arrested for an offense that has resulted in a conviction? NO If answer is "qes", list dates of arrests, where, charges, confictiona, and sentences. Date of anest , 19 Where Charge � Conviction Sentence - . � , . �yo-s�� � Date of arrest , 19 Where - Charge � Conviction Sentence 15) Attach a copy hereto_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, Iocation, 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 Gilbert 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? y E� What business? SunerAmerica stations How long? 21) List Iicense(s) , business name(s) , and location(s) which you currently hold, formerly held, or may have an interest ia, and locations of said Iicense(s). � 3 . 2 O:ff-Sale Malt Liquor, Cigarette license , All SuperAmerica stations required to hold these licenses 22) Have anq of the licensea 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. - �,�y�v- .s� � �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. . Store Managers 28) Are you going .to have a manager or assistant in this business? Yes 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? 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 citq 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 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 �•""""°«^��.,w�u� this � day of _i���, 19 � .'?�,� JRY�``~'�"'•'''`,'��`.,��:i =� �UTfifY P��:L1C'o�rC�ti_h b �ae�� - FdIN�t�S;;1r1 � H�i'Jit�:r=1i�{�C4.'�'•I„ � x �fi�Co:am.iz�.l�r�::;�. l73:i Notary Pub1iC, f�liylv���,� CouAty, MN �������`�"��"' •• � '^`�►� My commission expires /�-a�qf Rev. 2/88