90-981 � � I G� N� � Council File # 90" ��
. Green Sheet # 10578
RESOLUTiON
.. _ ,
CITY OF SAINT PAUL, MINNESOTA � �'�
�;::.
Presented By �
Referred To Committee: Date 3-?v
RESOLVED: That Application (I.D. 4�96312) for an Off Sale 3.2 Malt, A-2 Grocery-A
and Cigarette License applied for by Country House, Inc. DBA Nelson's
Country Boy (Greg Johnson, President) at 1187 Minnehaha Avenue be and
• the same is hereby approved.
,, Yeae Navs Absent Requested by Department of:
�o��- �_ License & Permit Division
cc ee T-
e a '�
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�z son � BY�
Adopted by Council: Date .IUN . 7 1990 Form Ap roved by City Attorney
_ _
Adoption rtified by Council Secretary gY: �.Z�
By' Approved by Mayor for Submission to
v Council
Approved by Mayor: Date � � tgg�
By: � C-C'���?��_ By.
PUBUSHED J UN 16 1990
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED �� „i,O��H
Finance License GREEN SHEET
CONTACT PERSON fl PHONE INITIAVDATE INITIAUDATE
DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 AS81GN CITYATTORNEY CITYCLERK
NUMBER FOR
MUST BE ON COUNCIL AGENDA BY(DATE) ROUTINO �BUDGET DIRECTOR FIN.&MGT.SERVICES DIH.
Hearing Date: June 7� 1990 ORDER �MAYOR(OR ASSISTANn � COlIIIC�l R2Se�3.rCL1
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. 4�96312) for an Off Sale 3.2 Malt, A-2 Grocery-A and Cigarette License
RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MU8T AN8WER THE FOLLOWINQ QUESTIONS:
_PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a coMract for this department4
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employeeT
—��F — YES NO
_DISTRICT COURT _ 3. Does this person/firm possess a akill not normall
y possessed by any currern city employse7
SUPPORT3 WHICH COUNCIL OBJECTIVE? YES NO
Explaln all yes answers on separete�hest and attach to gr�n shset
INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Country House, Inc. DBA Nelson's Country Boy (Greg Johnson, President), requests Council
approval of his application for an Off Sale 3.2 Malt Beverage, A-2 Grocery-A and Cigarette
license at 1187 E. Minnehaha Avenue. All required applications and fees of $329.75 have
been submitted. Al1 required departments have reviewed and approved this application.
ADVANTAOE3 IF APPROVED:
DI3ADVANTA(iES IF APPROVED:
RF�����D
�qY23
C/Ty� ��Q
CFR�
DISADVANTA(iE3 IF NOT APPROVED:
�uurycu Kesearc� �ent�er.
MAY 2 � �yyu
TOTAL AMOUNT OF TRANSACTION � COST/REVENUE BUD�iETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) _t�
a
. . . , .
•� �.
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO. 298-4225).
ROUTING ORDER:
Below are correct routings for the five most frequent types of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION(Amend Budgets/Accept.Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. City Attorney
3. City Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. Mayor/Assistant
5. Human Rights(for contracts over$50,000) 5. Ciry Council
6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Accounting
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others, and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2._ City Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. City Attorney
3. Finance and Management Seroices Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
each of these pages.
ACTI�N REQUESTED
Describe what the projecUrequest seeks to accomplish in either chronologi-
cal order or oMer of importance,whichever is most appropriate for the
issue. Do not write compiete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in question has been presented before any body, public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACT6:
This information will be used to determine the city's liability for workers compensation claims,taxes and proper civil service hiring rules.
INITIATING PROBLEM, ISSUE, OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the City of Saint Paul
and its citizens will benefit from this projecVaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce if it is passed (e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When? For how long?
DISADVANTAGES IF NOT APPROVED •
What will be the negative consequences if the promised action is not
approved? Inability to deliver service?Continued high traffic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
, . � ya -y��
. .
DIVISION OF LICENSE ANI) PERMIT ADMINISTRATION DATE �J�1`.1� � �
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
A licant � Home Address �
PP °2 1�7�� �r�. � �.QS`�-i'Vl�yl�,�
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Rusiness Iv`ame p��(�y�� ���,��Y�,/�'t, �ome Phone �'��- tc��C-�
Business Address �i �j`1 }rl�, �n� Ah�. "`�'�. Type of License(s) � q�C:Q
Business Phone �� � - �(� � (� o r,L�- ,� �1GX�
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License Divn. �
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City Attorney �
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Date Received:
Site Plan � � �,� L�O
To Council Research
Lease or Letter � ) a� fQO Date
from Landlord � �
', �
CURRENT INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
.�, . ����'°� ��'��J
t� y � CITY OF SAINT PAUL (�•y��
� DEPARTMENT OF FINANCE AND MANAGIIK�'NT SERVICES `
! LICENSE AND PERMIT DIVISION � A-o� Gr'OC �� 1
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These statement forms are issued in duplicate. Please answer alI questions fullq aad completely.
This application is thoroughly checked. Any falsificatioa will be cause for denia�.
1) Application for (type of license) L•l R��i Ne S �r�e�,E,��s Q f� .sk�� Nt���
• 1
2) Name of applicaat ��7,, SO�NSc�� (,o4•�rN� Iy��,c i�_ L.�c-
3) Applicant's title (corporate officer, sole owner,� partner, other) PI'�5��1��f
4) Name under which this business will be conducted:
l,c:k rvfr�, (-��c�c < .L N� ��L�i e.M � �+CCC-N!'rr ��y
Applicant / Company Name Doing Business As
5) Business telephone number �3`% '/G�' G ( 7 7� ' ��%�' � �'�L�SrN��
C � t��tL �
6) If applicant is/has been a married female, list maiden name
7) Date of birth � � r �'� � J Age :S � Place of birth S�'�l(w��<< /�I�v
8) Are you a citizen of the United States? Y-i8 ✓ Native � Naturalized
9) Are qou a registered voter? _� Where? S�f���w�rt�L
10) Home address � Z( `� S - L-��r�z.l7� Home Phone � 3`1 " 7� � 3
11) Present business address (1v rl�, ��r'�1 Sr Business Phone Y3 7-���
13hYi���r, ��,� ��,:�; � ��
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12) Including your preseat business/employment, what business/employment have you �'olYow�+d for
the past five qears. � �����
Business/Employment Address '.�: �
�
5/`}/►�� " ° -
13) Married? '� If answer is "yes", list name and address of spouse.
��E.y,�a.rc� �DLINSc�N S�tmer G.G<<lrc,1S
N
14) H�e � ever been anested for an offense that has resulted in a conviction7 /vJ
Ifs-_,�-'-�n9�r is "yes", list dates of arrests, where, charges, confictions, and sentences.
��
�fe o€'�arrest , 19 Where
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Cliarge ±;
�---� �c�
Conv#ct� Sentence
, / ' . �-f0 y��
,
� Date of arrest , 19 Where
Charge , -
Conviction � Sentence '
15) Attach a copp hereto of a lease agreement or proof of ownership for the premises at which
a license wfll be held. S�e �{f�c! �...i .
16) Attach to this application a detailed description of the design, Iocation, and square
footage of the premises to be licensed (site plan) . S�G �(�,�c��✓
17) Give names and addresses of two persons who are local residents who can give information
concerning you.
Name Address
�. Nirv.�- �i3�I N`.i�:N ' /(�/'� S . �✓�iCx� ��fl I��,ic<<(/L� ��"Irl
�'Ylar� �Y� L�icw.,: {;7_3 S� /'�i��lc„�:,y S�illwc�fll� !'�7�!
18) Address of premises for which License or Permit is made.
Add-ress (� � �1 � . �'l i��v z�ik hK � 5�• (c+,�-r- Zone Classif ication
19) Between what cross streets? �ti.l�.c/"� -+ � f������ c. Which side of street? :�L°�le'rH
w
c.o —
p �=�
20) Are premises now occupied? i� S ,' =--�
_� ,_�;
What business? S 1}!n r How long? yG' '� y r.s- '' r=;
21) List Iicense(s) , business name(s) , and location(s) which you currentlq hold,:�ormerfy held,
or may have an interest in, and locations of said license(s). 4�+ _
,ti`cN� �
22) Have any of the licenses Iisted by you in No. 21 ever been revoked? Yes No �
. If answer is "yes", Iist dates and reasons.
23) Do you ha.ve an interest of any tqpe in any other business or business premises not listed
in �21? Yes No !/ If answer is "yes", list business, business address, and tele-
phone number. .
24) If business is incorporated, give date of incorporation .�K (y , 19 rv 3
and attach copy of Articles of Incorporation and minutes of first meeting.
'�1 /�1/�I�-/YPj[-C.
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25) List aIl officers of the corporatioa giving their names, office held, home address, date
� of birth, and home and business telephone numbers.
,
Gregory Johnson President 1219 So. Everett Stillwater, MN 1/12/38 439 7653 439 1�66
�lyron Scu I I en V i ce Pres 904 W. Church i I I St i I I water, P1N 3/06/25 439 5�340 N/A
Donald VJolf Sec-Treas 6351 St.Groix Tr Stillwater, P_1N 6/12/25 439 4771 N/A
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? ,'1jJ I£ not, who will operate it?
Give their name, home address, date of birth, and telephone number.
Gerald Thompson 1046 E. Jessamine, St. Paul 8/30/49 779 1484
28) Are you going to have a manager or assistant in this business? e S If a�er...is "yes",
give name, home address, date of birth, and telephone number. o
t_
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Sr� �{' ?7 =— .
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29) Has anyone you have named in questions �23 through 4626 ever been arrested? � If'"answer
is "yes", list name of person, dates of arrest, where, charges, convictions, a�d sentence.
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30) I Gf�-1 �CG�✓�� •- understand this premises may 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 )
) a /Z � ��� �
County of Ramsey ) Sign ur of pplicant / Date
�j���o0�� �. -�1,�{/lJSBlV being duly sworn, deposes and says upon oath that
he has read the foregoing statement bearing his sigaature 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 swo to before me
��.�..
is day o , 19 '',;���, R. TH�7h1A5 PED��SEN
' '-�' - NOTA:<Y FU9LIC—MINN250iA
/ ``µ�,�' . • W;�:.;ii:���I^vN CO�NTY
� P,1� .._,.�_ ...�, •ex�.I-.es "Z�-94
�:MqK�A��\w�.��n >^`.,.. .a . ...�,+.�..wn•�`
Notarq Public, ��` County, MN � '�.; _�
My commission expires 3�2Z ��� Rev. 2/88
� � C,�-�o _y�,
SAINT PAUL CITY COUNCIL
. PUBLIC HEARING NOTICE �
�� REr.F�v�a
CENSE APPLICATION Mp,Y14i9A0
CITY CLEkK
FILE NO.
District 4 L 96312
Application for 3.2 Off Sale Malt, A-2 Grocery(A) and
PURPOSE Cigarette license.
APPLICANT Country House Inc dba Nelson's Country Boy
(Greg Johnson)
LOCATION 1187 Minnehaha Avenue
HEARING June �, 1990 9:00 a.m.
City Council Chambers, 3rd floor City Hall - Court House
By License and Permit Division, Department of Finance and
NOTICE SENT Management Services, Room 203 City Hall - Court House,
Saint Paul , Minnesota
298-5056
This date may be changed without the consent and/or knowledge of the
License and Permit Division. It is suggested that you call the City
Clerk's Office at 298-4231 if you wish confirmation.