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90-559 � � I � I �i,� � Council File � Q - ,3 �.r � v Green Sheet ,� 7792 RESOLUTION TY OF SAINT PAUL, MINNESOTA �,p,���.. Presented By Referred To Committee: Date RESOLVED: That application ID4� 29580 for the transfer of an Off Sale 3.2 Malt License currently issued to Super America Stations, Inc. , DBA Super America Station 4�4428 at 232 Fariview Avenue South, be and the same is hereby transferred to Birch Bru, Inc. , DBA Super America Station ��4428 at the same address. �Yg}s Navs Absent Requested by Department of: s.mon oswi z � on License and Permit Division � acca ee � et man � une � i son � BY� - O Adopted by Council: Date APR 5 �g9Q Form Approved by City Attorney Adoption Certified by Council Secretary gy; . e �/?J �90 BY� Approved by Mayor for Submission to Approved b Mayor: Date � 9 �9 Council By: ���?/��!�� By: � ���§��1�'� 1�;���; � � i� �. � - l,F�� -3 5� DEPARTM[NTIOFFlCE/WUNpL DATE INITIATED GREEN SHEET Na.�'Z�� Finance and Mana ement CONTACT PERSON 3 PHONE INITIAU DATE I DATE �DEPARTMENT CIRECTOR �CITY COUNCIL Kris Van Horn - 298-5056 NV�� �CITY ATTORNEY �GTY CLERK MUST BE ON COUNCIL Af�ENDA BY(DAT� AOUTMIO �BUDOET DIRECTOR �PIN.d MOT.SERVICEB�R. NlBrch 29, 1990 �MAYOR(OR A8818TMIT) �Council Re TOTAL�►OF SKiNATURE PAOES (CLIP ALL LOCATIONS FOR SIQNATURE) ACTION REWESTED: Application ID4� 29580 for the transfer of an Off Sale 3.2 Ma.lt License. RECOAAMENDATION3:MP►ars(A)a►Rel�(pl C�llNGl. REPORT OPTIONAL _PLANNINO OOAAMISSiON _qVIL BERVICB COMMISSbN �� PNONE WO. _q8 COMMITTEE _ _8TAFF _ COMAAENT8: _�STRICT GOURT _ BUPPORT3 WNldi COUNqL OBJECTIVET iNITIATINO PROBIEM.188UE.OPPORTUNITY(Who�NIAet�Whsn�WMro�Nll%�. Birch Bru, Inc. , DBA Super America Station ��4428 requests Council approval of their application to transfer the Off Sale 3.2 Ma.lt License located at 232 Fairview Avenue South, currently issued to Super America Station, Inc. , DBA Super A�ferica Station at' the same address. All applications and fees have been submitted, all required departments have reviewed and approved this application. Total amountof transfer fees paid, $18.94. AWUNTA6E8 IF APPROVED: D18ADVAPITA(iE8 IF APPROVED: D18ADVANTAOE3 IF t�T APPROVED: RECEWEp �c���,�,j ;-��sea�cn � �� �,�nter. MAR 2 p )990 CITY CLERK TOTAL AMOUNT OF TRANSACTION = C08T/REVENUE SUDGETED(qRCLE OI�1� YES NO FUNDINO SOURCE ACTIVITY NUM�R FINANCIAI INFORMA710N:(EXPLAIt� �vV �� � CITY OF SAINT PAIIL ��D 'S✓� DEPARTMEIdT OF FINANCE ADID MANAGII�NT SERVICES • LICENSE AND PERMIT DIDISION � � These statement forms are issued in duplicate. Please answer all questions fully and completely. This applicatioa is thoroughly checked. Any falsification will be cause for denial. , 1) Application for (type of license) Transfer of OFF-Sale Malt Liquor 2) Name of applicant George K. Townsend � 3) Applicant's title� (corporate officer, sole owaei, partner, other) V ice Pres id ent 4) Name uader which this business wi11 be conducted: George K. Townsend, Birch Bru, Inc . SuperAmerica Applicant / Compaay Name Doing Business As 5) Business telephone number 612/887-6100 6) If applicant is/has been a marzied female, list maiden name 7) Date of birth 7/10/33 Age 56 Place of birth Berwyn, IL _ 8) Are you a citizen of the IIaited States? Y es Native Naturalized 9) Are you a registered noter? Yes Where? . Hennepin Countv 1�0) Home addzess 2509 West 95th Street , Bloomington, Ml�ome Phone 612/881-8147 tr - 11) Present business address 1240 W. 98th St . BlmgtonBusiness Phone 612/$�i7-6100 0 12) Including your present busiaess/employment, what businese/employment have yo�followed for the past five years. � Busfness/Employmeat Address � SunerAmerica 1240 W. 98th St . . Bloomin�t�on_ MN 55431 13) Married? X If answer is "yes", list name aad address of spouse. Rosemary Sharon Voelker Townsend , 2509 W. 95th St . . BloominQton. MN 55431 14) Save yon ever beea arrested for an offense that has resulted in a conviction? NO If aaswer is "yes", list dates of arrests, where, charges, confictions, and sentences. Date of arrest , 19 W[iere Charge � -_ Conviction Sentence . � ��o-�-� � Date of arrest , 19 Where � Charge • Conviction 3entence 15) Attach a copy heret2 of a lease agreement or proof of owaership 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 . . BloominEton. �MN G�lbert 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 ES What business? SunerAmerica stations g� 1�8� 21) List Iicense(s) , business name(s) , and location(s) which you currently hold, formerly held, or may have an interest in, and locations of said license(s). � 3 . 2 Off-Sale Malt Liquor , Cigarette license, All SuperAmerica stations required to hold these licenses 22) Have sny of the licenses 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. .- �� �9dr�.� ?.5) List all officers of the corporation giving their names, office held, home address, date of birth, and home aad 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 wi11 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", 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 bq the Police, Fire, Health, and other city officials at anq 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 eacept 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,�.,;�►.�,�,�,�,�,�, � ����::,�� this �_ day of n , 19 ._� ��rr•�E�3. <.-•:�,��_;''''"�`��:� NUT?,hY?(;:,C(�;f a �' .`r� i �dyf1`�iiE"i=1i+����Iftii,t u7,1 � �O:i RI i_ � ' �,,�,�� txu. [ !:'3� X��.��►Y't��9X'f;%ZJf►�' .v 4� �-ar�� Notary Pub�ic, f�liyl`t_c��,-� County, MN My commission expires /-a �9� Rev. 2/88 � �90�3.s`9 DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE Z Z. / /a.��-j{. INTERDFPARTMENTAL REVIEW CHECKLIST A.ppn Processed/Received by Lic Enf Aud Applicant � r Y c.�r—� � _ Home Address ��i� G���,(,J���rp►n��-ft,`Y� Business hame ��,p,y �IC�.. JK� .L..�C/� Home Phone �j �1–�(d� Business Address ��a �•r,,,c,rU��. �v-�Type of License(s) ��� , Q� ���,.� �� Business Phone �� -(_,p( ($�j �}Gt�Q� Public Hearing Date �(,v�LYI �q, �b License I.D. 4� ��] �5( n at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �i `j �a�� ((;p llate Nutice Sent; Dealer 4� � �� to Applicant (�,�� � , � (� Federal I'irearms 4� ��/k Public Hearing DATE II�SPECTIUN REVIEW VERFIED (CQMPUTER) CUMMENTS A roved Not A roved � Bldg I & D � z�a� , D�5 Health Divn. ' a-%� � � D-- � Fire Dept. I � I �/a-� f � I I Yolice Dept. I °z la�� o License Divn. � a la-� � o City Attorney � 3� �3 � ��-, Date Received: Site Plan (j� � To Council Research Lease or Letter Date from Landlord CURRENT INFORMATION NEW INFORMATION Ciirrent Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: Workers Compensation: New Officers: Stockholders: