90-1309 o R i � � N,c�� Council File # �/ 0
Green Sheet ,� 7712 �
RESOLUTION � �r `�
CITY OF SAINT PAUL, MINNESOTA � �'
._.. /
Presented By
Referred To Committee: Date
RESOLVED: That application (ID 4�53131) for a General Repair Garage, �
Gas Station (to 3 Pumps) , 9 Add'1. Pumps, Liquid Fuel Dealer,
Original Container and Cigarette License by Green Brothers, Inc.
DBA Eastern Heights Service at 1770 Old Hudson Road, be and the
same is hereby approved.
Yeas Navs Absent Requested by Department of:
—�'oswn � License & Permit Division
o v
acca ee ��
e man �,
(�II@ v
i son BY�
Adopted by Council: Date JUL 3 1 1990 Form Approved by City Attorney
Adoption Certified by Council Secretary gy: ' , !(�
By� �� A roved b Ma or for Submission to
PP Y Y
Council
Approved by Mayor: Date /
� 1990
� By:
By:
PUBI[SNED AU G 1 1199Q
.
. ' � . • ��'0'/�09 �� �/
DEPARTM[NT�FFlCE/COUNpI DATE INITIATED
Finance License GREEN SHEET NO. ��� 2
CONTACT PER80N 6 PMONE �T��TE INITIAUDATE
�DEPARTMENT DIRECTOR �CRY OpUNGI
Chr ne Rozek-298-5056 �� �cm���r �CITY CLERK
MUST 8E ON COUNpL AGENDA BY(OATE) City Clerk � ❑suoo�a�croR �FIN.6 MOT.SERVICES DIR.
For H rin 7-31-90 B / 7-24-90 ��YOR(OR A8818TANT) Q��1 �
TOTAL N OF SK#NATURE PAQES ((XIP ALL LOCATIONS FOR SK#NATURE)
ACT10N REGUEBTED:
Approval of an application for a General Repair Garage, Gas Station (3 Pumps),
9 Add'1. Pumps, Liquid Fuel Dealer, Original Container & Cigarette License.
e e: 7-31-90 No c ion Date: 7-13-90
F�OOMMENDATION8:Mv►�+W a�(� COUNCN. i�PORT OPTIONAL
_PLANNINO COMMISSION _CIVIL SERVICE OOA�MA18810N ��V� ���.
_p8 COMMITTEE _
_STAFF _ COAAMENTS:
_DISTRICT COURT _
SUPPO�iTB WHICN OOUNqI OBJECTIVE9
INI'MTINO PR�LEM,188UE�OPPOR7UNITY(Who.Wh�i.WMn.WMw.Wlry�:
Roger Green on behalf of Green Brothers, Inc. DBA Eastern Heights Service
requests Council approval of their application for a General Repair Garage,
Gas Station (to 3 pumps) , 9 Add'1 Pumps, Liquid Fuel Dealer, Original
Container and Cigarette License at 1770 Old Hudson Rd. License fees totaling
$591.75 have been submitted. All divisions have given their approval.
ADVANTAOEB IF APPROVED:
DISADVANTAf3E8 IF APPROVED:
DISADVANTApEB IF NOT APPROYED:
R�CEIVED
20 6a���i �����-�, ��r
JllL i990 �� �,��
CITY CLERK �"'
TOTAL AMOUNT OF TRANBACTION = COST/NEVENltE SUDOffTED(CIRCLB ONL) YES NO
FUNDINd SOU� ACTIVITI/NUMOER
FINANqAL INFORMATION:(DCPWI� .
o�W
�° �'`-
�� 9 ,� : ..
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE QREEN 8HEET INSTRUCTIONAL '
MANUAL AVAILABLE IN THE PURCHASINii OFFICE(PHONE NO.298-4225).
ROUTiNQ ORDER:
8elow aro prefsrrod routings for the ffw moat hequeM typss of documeMs:
COMTRACTS (a�umss authorizad COUNdL RESOLUTION (Amend� Bdpts./ •
budyet sxiets) Accept. (ireMe)
t. Outside p►g�ncy 1. D�p�rtnNnt Diroctw
2. In�istinq D�rtmeM 2. Budprt DlncMr
3. ary anomsy 3. CNy Mbrney
4. Mayor 4. MayoNAsN�M
5. Finence 8 Mgmt Svcs.Din�.�tor 5. Clly Coun�H
6. Ffnancs AcoouMin� 6. Chisf AxouMant, Fln 8 Mgmt S1nc�.
ADMINISTRATIVE ORDER �' OOUNqL RE80LUTION ��O DINANCE
1. Activiry Man�sr 1. IMtlaNrq DspertmeM Director
2. DepeutmsM AocouMent 2• �Y���Y
3. Deputm�nt Director 3. MayoNAqiaaM
4. Budpst DI►ector 4. qty CGIUtICfI
5. City Clark
8. Chisf Accountant, Fin&AA�mt S1rr.s.
/►�MINISTRATIVE ORDERS (all Whsrs)
1. Initiating Dspartment
2. qly Mtorney
3. May�oNAs�stant
4. qty Clerk
TOTAL NUMBER OF SIONATURE PACiES
Ind�ths�oi p�ss on which sipn�tures aro required and li
each of thsse pa�.
ACTION REOUESTED �
D�scrfb�what the projscf/nqwst se�ks to a000mplish in e1U»r chronotogi-
cai order�ordsr of importance,whbhevar b most eppropriate for d�e
iseus. Do not write oomplsts sent�. Bpin oach item in your Bst wfth
a verb.
REOOMMENDATIONS
Compiete ff the beus in qu�stlon has besn pressr�ted bsfore any body�Public
or private.
SUPPORTS WHlqi COUNdL OBJECTIVE7 �
Indk�te wh�h Council objecbve(s)Y�P�'ol��iusst supports by Iisdnq
the key werd(s)(HOUSIN(i, RECAEATION,NEIOHdORHOODS, ECONOMIC DEVELOPMENT,
BUDCiET,SEWER SEPARATION).(3EE OOMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNqL OOMMITTEE/RESEARCH REPORT-OPTIONAL AS REOUE3TED BY OOUNCIL
INITIATINO PROBLEM, t33UE,OPPORTUNITY
Explain the situMbn or condfdons that croated a nsed for your projsct
or request.
ADVANTA(iE3 IF APPROVED
Indicats whether this is simply an annual budpst p�oceduro required by law/
chartar or vrhMher there an spedflc in wh�h ths City of Saint Paul
and its cRizens will bsnefft f►om tMs p�t/action.
DISADVANTAOES IF APPROVED
What nepstive sffects or mejor changss to sxistiny or pa�procssses might _
�s Prol�/ro4�Prod�e if it is p�sesd(e.g..tniNc dalays� �,
tax i�resaes or aae�rtNnts)?To Whom?When?For how long?
DISADVANTAOES IF NOT APPROVED
What will bs the nspative cor�aequencee if the promised actfon is not
apprared?Inability to dNfver ssrvi�?CoMinued high traHic, noise,
accident rats?t.oss of nvenus?
FlNANCIAL I�APACT _ ,
Altfaugh yau mu�t tailor the informatbn�rou provide here to the issue you
aro sddtessiny,in psner�l you must answer two questions: How much is it
�oinp w cost't Who is qoing to payt
� � �ye—��a�y
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE � L / I�l Q
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn ocessed/Received by
Lic Enf Aud
�D�Q r �✓+22 h
Applicant BYG �v Home Address � �� (p ta�„� af"
'I P,,�ar L�lC�, �'`�h
Rusines5 Name��, �QS.�F�r7 N���1.'�5�Q✓Vt c.aHome Phone
Business Address 1��C7 �(r�50�1 '�D�d.�Type of License(s) ���� Oriy Co�'1�,
Business Phone L►(� �u�-�� llu5 5 �'�� +�ddj�.�tl��j YeiL
r��C�ar
Public Hearing llate 3 � �(� License I.D. �i .�3 J 3/
at 9:00 a.m. in the Counci Ch mbers,
3rd floor City Hall and Courthouse State Tax I.D. �i � ��f 93�
llate Notice Sent; Dealer 4� N ��'
to Applicant �3
I'ederal F3.rearms 4� IU�
Public HE:��ring
DATE IT'SPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bld I & D
g
��� qo ' c��
Health Divn.
�-�d, � �° �.2 4u ' � ��� �
Fire Dept. i S � � (�
� �� I��
� �
! ��� ( �! a 3 q a
Yolice Dept.
� �� I 3�'c�� � ��.
�
License Divn. � '
� � gc� � ��
City Attorney �
�� �� , � ��
Date Received:
Site Plan �'l�i I9U G
To Council P.esearch � - ��� l�
Lease or Letter ` Date
from Landlord '7
� �
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 C�lO'/���
DEPARTMENT OF FINANCE AND MANAGII�IT SERVICES .
LICENSE AND PERMIT DIVISION -
�� �
These statement forms are issued in duplicate. Please ansver alI questions fully and completely.
This applicatioa is thoroughly checked. Any falsification will be cause for denial.
1) Applicatioa for (type of Iicense) ��"YL(//cE ,S'7',►9�'/e�j
2) Name of applicant _ t���
3) Applicant's title corporate o icer, sole owaer, partner, other)
4) Name under which this usiness will be condu:.ted:
� � -
� c� ��2e� �:.�'=..��,� ,�i�o n�r� l�1 c. ��7� /��i6��.S ..Sr32�i�
Applicant i �ompany Name Doing Business As - _
�.,,
�.J _
�J
5) Business telephone number z�� 6_�Sf � _
�.,
6) If applicant is/has been a married female, list maiden name " �
?_ �t� �L— /�lp�s, �"�
7) Date of birth /y Age Place of birth •
��
8) Are you a citizen of the IInited States? � Native Naturalized
9) Are you a registered voter? Where?
IO) Home address 1.�( Bbc%��1 J I - /�/D72- L./`}i�� Home Phone ��/�-��'�
11) Present business address 7�y ��v:�l Business Phone �g �3;�
12) Including your present business/employment, what business/employment have you followed for
the past five qears. .
Business/Emploqment Address
7 /C � � n/ �J �C�f:��,
o��--T�,� .� / }� r 77yy r� _
�� � -
13) Married? � If answer is "yes", list name and address of spouse. :..-
�(�L� ��� �7'��'!� ;�
14) Have you evei been arrested for an offense that has resulted in a conviction? �'v�
If aaswer is "qes", list dates of arrests, where, charges, confictions, and sentences.
Date of arrest , 19 WFiere
Charge �
Conviction Sentence
' i���
� � � �� 9e�
" Date of arrest , 19 Where
Charge
Coaviction Sentence
IS) Attach a copy hereto of a lease agreement or proof of owaership for the preaises at which
a Iicense 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 �'� �i� Address ,,
,
t '
�J�c,��� ��._c�.► /`l3 w S�'� ��y�i �✓-� -��= �i c,�. ��ic�
,� �
�
�/�-v'i1� �1.���-s�Y✓ /� � l ) (�%���`o���i2 Et�E-�' ����n��
18) Address of preinises.for ,wh;�ch .License or Permit is made,
.,:-1�i�.<1-, .-�_ _.',. .: ...rtb'il..:.
Address � ��'�� '��''_� L�"'�'�� ��• Zone Classification
clli �� !Ef��. ���e��,f v .a.� �1I'� . `_:'1 :�•
19) Between what cross streets? p�•� ���5�,..; �'� Which side of st�eet?:Wf�l��'L�
_�
20) Are premises now occupied? �� _� - .
,
What business? �c"�z;:��� S�i� How long? � �r�� ��,�.,
21) List Iicense(s) , business name(s) , and location(s) which you currentlq hold, �f-'�brmerly held,
or may have an interest ia, and locations of said Iicense(s) .
�
�.��u ,—t/T�a..ilN �L�
� _
��y y �-,�,� S� �C���� . �.� . --=
22) Have any of th� Iicensas Iisted b; yau ia Ao. 2I aver beea revoked? Yes � No �
If answer is "yes", list dates and reasons. "-� -
23) Do you have an interest qf any type in anq other business or business premises not listed
in 4�21? Yes No j� If answer is "yes", list business, business address, and tele–
phone number.
�1
I
24) If business is incorporated, give date of incorporation � , 19 ��
and attach copq of Articles of Zncorporation and minutes of first meeting.
� � � - G�ya'��o9
25) List alI officers of the corporation giving their n�es, office held, home address, date
' of birth� and home and busiaess telephone numbers
��/�!-t!�' 6� �r'���J G�v� ��a�..; �- ,e�� L.¢r� /�i� �/y�zv!'�� -�yi3.��
,
• J-��'-SG�r9v�� �;��,; �y3lv.�it�ay��%�,� �i��nL���%�/f �S�-�io� — ��9-�3��,
26) If the business is a partnership, list partner(s) address, phone number, and date of birth.
27) Are you going to oparate• this business personally? E� Tf not, who will operate it?
Give their name, home .address, date of birth, and te ephone number.
28) Are you going to have a manager or assistant in this business? If answer is "yes",
give name, home address, date of birth, and telephone number.
29) Has anqone you have named in questions �23 through �26 ever been arrested? O� c:; If answer
is "yes", list name of person, dates of arrest, where, charges, convictions, and sentence.
--,, ._..
.�; -
30) I �,��, �� understand this premises may be inspected by_:the
Police, Fire, Health, and other citq officials at anq and all and all times whgn the
business is in operation. ,�
- ,
.�
State of Minnesota )
) ��-�'t�
Countp of Ramseq ) ature of Applicant / Date
. -3
being duly swora, deposes aad says upon oath Ehat
he has read the foregoing statement bearing his signature and lcnows the conte�ats thereof,
and that the same is true of his owa knowledge except as to those matters therein�s�ated
upon informa.tion and belief and as to those matters he believes them to be true. -
�
Subscribed and sworn to before me --
this �/� day of � ' ��- _, 19 �1� ; ;�
% � -
°'°`•. LUCI�LE C. NYHAMMER
Notary � � LUCI�LE C. NYHAMIV�ER COUIIty� NOTARYPUBCIC-MiNNE90TA
` •� . NOTARY PUBLIC-MINNESOTA ��`:e`� -
'�- �•••s' MFNNFPJN CQIINTV
0�6-,,���'o•
My CO 3 ` n e7t�����N couNr� MvC. � a Rev. 2/88
v ommissio xpires J �-. , _