89-442 wM�Te - Cirr GLE�7K COUrtCIl /�j//�
PINK - FINANCE GITY OF '�� AINT PAUL
CANARY - DEPARTMENT �-�L.L-�J�
BLUE - MAVOR File NO. � � -
Counci esolution ���
- � " .�YL�-�� ��a� �'
Presented By � vt
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID 21 69) for a General Repair Garage
License by Daniel Joh so and David Christianson DBA
Midway Truck Service t 047 Raymond Avenue, be and the
same is hereby approv d.
�
I
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
L.on� � [n Fav Ir
Goswitz
Rettman O ' B
scne;n�i _ A gai n s I Y
Sonnen
Wilson
APR - 4 Form Appr ved by C'ty A orney
Adopted by Council: Date ` • �. 2 Z`►/°,
Certified Passe uncil e tar By
gy ����
Approve y Mav : e — Approved by Mayor Eor Submission to Council
_ By
�U�ttSli� AP f� �, � 198
. , ��`{f'`�°`
TiiVISIUN OF LICENSE AND P�:RMIT ADTiINI T TION llATE �1 30 g/ / !� 34 �
INT�,RDF.PARTh NTAL REVIEW :HECKLIST Appn oce sed/Received y
�� � Lic Enf Aud
Applicant _ Home A d ess��� J��,�' �
, ���
Rusiness Name ���Gt�/ e Phone � �9— ��9 �
�
Business Address �� � Type of License(s) �i���
�
Business Phone ��0�'~�l��
Public Hearing Date � /�{ �� License I.D. 41 p�����
at 9:OQ a.m. in the Council Chambers, � /���Q�
3rd floor City Hall and Courthouse State Tax I.D. �� l
llate l�TOtice Sent; n(�I rj� ��Q(,� Dealer �� �(}
to Applicant �—� � �
Pederal I'irearms 4� ���
Public Hearing
--�,
DATE INSP 'CT UN
REVIEW VERFIED (C MP TER) CUMMENTS
A proved N t roved
�
Bldg I & D i
X�� '
Health Divn. '
� � ' � T " .
I w
i
Fire Dept. ; �
j ��a���`l � , O�.
� I
Police Dept. I
.,-,� ! � g g
�
License Divn. f/'3 CC '
� �
� �
City Attorney �
��a� �► , a�
Date Received:
Site Plan � � p � �1
To Council P.PSearch d— � �
Lease or Letter Date
from Landlord 1 $
. � � ,�ir� y
! I' Ci of Saint Paul ,
Department of Ina ce and Management Services /�y�_��
• • Lice e nd Permit Division L o i
' St. Pau; Mi ne ota 55102•298-5056
'�' APPLI T ON FOR LICENSE
CASH CHECK CLASS NO. N w Renew
� � � � _ �p�
L- Date �� �� 19�'!Z
`
1 Code No. Title of Ucense From ��—� 19Q�To �� d 19�
!
; ara � �.s • � A
_ ,�
iApplicant/ pany Name
� 100 ' '
l
i 100 uainess Name �q
� J
� �00 � ��. �o��-
� Business Addres Phon�No.
I 100
�
i 100 Mail to Address Phone No.
f ^ � .
I � � )
100 /�/�/!,�( ' ;f.{�t��-�Z•C/
r
ManapeNOwner•Name
� 100
; ��� ��� ��- `T. 77�+��'�
� I 100 AlanaqedGwner-Home Addresa Phon�Na
E` 4098 APPlication Fee . 50 �� ,o'�� ��0��
Recefved the Sum of 1pp _ �,�
�
�j ManapeNOwner•City,State 8 Zip Code
' 100 T al � 100 "
�
I •
I i
� License Inspector By: � Sifl�atu►e ot nppi�cant
r
�F
Bond:
Compa�y Name PoUcy No. Ezpiation Date
i
� Insurance:
Compeny Nsme ` ' Policy No. Expiration pate
�
Minnesota State Identificatfon Na � Social Security No
, Vehicle Information:
Serial Number ate Numb�r
Other.
THIS IS A RE IEI FOR APPUCATION
THIS IS NOT A LICENSE TO OPERATE.Yow application tor 11 nse will either be granted or rejected subject to the provisfons of the zoniny �
ordinance and completion of the inspections by the Health, F e,Z ning and/or License Inspectora.
$15.00 CHARGE FO A L RETURNED CHECKS
,
����� U -�o .
' - ' /f'�'l�-�'�'�' ��
;.�- ,
. - �y��'��
, , CITY F T. PAUL
DEPARZ7�1'P � F MAl1AG�lIT SffitVICL'S
LICEl95$ DIVI5I0l1
Theae statemerrt torms are issued in d i te. Pleaa� aasuer all qnestio�s llil�y aad
co�lete�y. This applicstion ia thor cbecked. Ar�y falailication vill be csvse
for denial.
Da e t / lq $�
1. ApplicaLion for ���l�r2/4[. � I /2 (Lioen�e) (Persit)
2. Aase ot applicant �tbW '� S Ie1ftG� " ��t}t �' �t5T)k�1'(?SQI�f
3• If applicant is/haa been a married e e, liat maidea nme lv,�
h. Date of birth _�-�d'�7 pge � place o! birtb sT ��V(-
5. Are yau a citizen ot the United Sta s �S Aati�e __tural1Zed __
6. Are you a registered voter �S Where Lt4k� �1-d�0
?. Home a,aaress o� S 5`�'" s - Aoo� tel�ephoo. 779-7�°i�
-
A. Present busineas addresa O�? +�.o,vrJ Buaiuess tsl�p600� �`��'��6y
9. Includi
n8 Y�' Pre�ent bnsiness/e� e�, �hat basiness/aployrs�nt h�a�e yai
Pollo�red !or the past live years.
Busineas�F�aPl�� Addte�s
�X��� �
i
10. Married y�5 If ans�+�er is "ves", lia and address ot spouse �lut�1 E
T�
�Y`'�'�
il. ?tave yau ever been arreated !or an o fe e tbat haa r�ulted in a ca�rict.io�l�
It answ�er is "yes", list dates of s s, Mhere, charges, eaMctio� and
sentences.
Date o! arrest 19
_ ,
CAAF.G'E
CONVICTION 'I g� .
Date of arrest 19 r
CHARGr .
CONV ICTIOtI S�q�
12. List tbe names and addresses (if married, aame ot spause also) ot all persans,• � •
corporations, partnerships, associatioas or organizations atiich in aqy r+�y hsve:
a. A mortgage interest in the 13censed premise,
/�,{mN�
b. A security interest in tt�e licensed preaises, license, or it�rnishings of the
licensed premise, /1��BN� -_-
c. A pranissory note !or funds loaned !or tbe aperatico of the licenaed premise
or the parchsse of 'the license, B!��
d. Financially contribut�q,d to the pvrchase of the premise or tbe license it-
selt /1�9N�
e. Ar�y other interest either direct or indirect, either financisl or other�rise
i
in the licensed premise or the license itself, ��B/��
Attach a capy t�rete of at�r artd all documente referred to in this attidavit.
1?. Give names and a�ddresses oP two persons, resi�ata o! 3t. Paul, Minneaots, �rho
can giw infora�ation concerning you.
RA1� AD�Dtt�B
�
�i�y ���s�/ /Y£so-t� 3 rs' p�� I+A. cr���-�-
�i�r�otr� �f�ili�i��sa�/ /33G' �,v��r1� S� �`L--
14. Address of premise• !or �+hSch Licease or Permit is ma�e
Address I�7 ��y�'�+aw� 19�'� �-�}f/L Zone claasificatiozt
15. Bet�een r�fiat croas streeta k�Sm� Which side of street l�ST
16. Ra�e under which this businesa �r�rill be condncted �'1?iDN/Ay T�C� ;�2����
17. Business telephm�e n�aber �►�/7— 9/(o L�
1�. Attach to thia application, a detailed description of the design, location, aad
square footage of the premises to be licenaed
��� �- ������
19. are oremises now eccupied V��What business %'h�OwN� �Vt�C H�v:� long�c�5_
• - � ���—���
20. ; Liat license which you currently' jol , or former�y�eld, or me�y have an intere
- �n � � � 9� � �- ar� � ,���
�'�?'-�✓ Gr''�a-v�*��r� � f' /'(�'c�� /��il/Iii" `f �l�v�� /���
�.�
� �
21. Have any of the licenses liated b y in Ao. 20 ever been sevoked. Yes
N� _�. If anaver is "yes", 1 at ates atid reasons: -
22. Do you have sn interest of ar�r t a�r o�.her busiaesa or busineaa premises.
. .� ,�
I. ansr+er is yes , list business b iness address and telephoae number.�(�
23. If business is incorporated, give at of incorporation 19
and attach capy of Articles or In rp ration and ffinutes of first meeting
2�. List all officera of the corporati n ivic�g their names, oft3ce held� bame
address, and home and buaiaess te h ne rn�bers:
-
,.._.
25. If business is partnership, list (s) sddress aAd te�� a�bers:
8n4S 54�' sr`'�
Name � �t�5T1►�W5 nf reasL�� �c�o p�N SS�e1.Ro.Z?9"z�F' 7
70'�Z $v�SET IM/�
�►N�Ec. a N C��cc+� ����int�S S'SaY •-7=66 �
26. Ia then a�yone else rho rrill have ian interest ia this buainesa o� pre�mises4
If anawer fa "yes", give name, h dress, telepbane mm�bers and in vbst
manner is tl�eir intereat: , y._
27. Are yau goin�t to operate this busi ss personal]y� it nat, vho xill operate
it:
Aame addresa Tel.ao.
_
Are ou oin^ to have a !�ian er or assistant in this business?- If ans�rer is '
Y � a �
"yes'�, give name and ho:� address and home telephone number:
Name Home address Te1.No.
29. Has ar�yone you have named in questions 22 through 26 ever been arrestedl�"Zf
answer is "yes", list name of person, dates of arrest, where, charges, comric-
tions and sentence
.
. 30. I understand this premise m4Y be in-
spected by the police, fire, health and other city officials at a�r sad all
times when the business is in operation.
State of Minnesota)
)SS
County of Ramsey )
��(i1 G� �- V�Yi�fiiCi Yl�li n being first du�y sworn, deposes and sa�ys upon
oath that he has read the foregoing statement bearing his signature and imars the
ca�tenta thereof, and that the seme is true of his own lmovledge except a� to those
matters therein stated upon information and be f and a.s to those mntters be be-
lieves them to be true. ,
Subscribed and sworn to bePoze me
_ �y.-�
, Signature o! Applicant
this � 1 day �'�" 19 �
`� 6'� ���
Notary 1 c, County, Minnesota
!�Ey co�ni i n i s � ' ��
)Oi,BNB J.ORMAND
1� No�r�t�rt�uc���e
�I11�Y
��oc�tft
w��w Nw .
� � `�,,;�.c�- �'�ti�C;�,�-"`�� i /�r
/�i �' ��� �=--_>U`J�-�'��
!° �� � CITY F T. PAUL ,
' � DEPARTI�IiT aF' F 1d11MGEl�[!P S�tYICLS
l / �',�J LICEliSE DIV�SIO�A
�
These statement forzna are issued in dnp I�i te. Plea�e ansirer all qnestio�s lti�l�j► aad
coQpletely. This applicatfon is thor cbtcked. Any talaiticatipp vi11 be csus�
tor deaial.
� I 19 _��5
1. Application for ` �,� �� � r (���) ���t)
2. Aame of applicant � ' •�t, C ;_-f' '�u '� �1 0Ni'1t50f1�
3. If applicsnt is/haa been a msrried e, liat maiden name /✓�
b. Date ot birth � -,��a. S 7 Age / Plsce ot birth ��Q w/
5. Are you a citizea of the United Sta s _��iy� �_
6. Are yau a registered voter e re LiKO La,��s
T. Ho�e a+ddress 03 ve. • Q s ��o�e telepbon� /?_ 78lv^/G,�9
�. Presem buaineas a�ddreaa /o�Y7�► �� e, r,PAK/ Businesa t.�lepboo� d'/�_ 9/(�
ss•�s -
9. Iacluding your present basineas/empl , w�st bnsiness/�aployse� � yan
follo�+�ed for the past live years.
Business/F�ployment � p,��s�
��� I; �
10. Married� If anaaer is ",ves", liat�,na and addresa ot spouse Tw/;e —
...e s
11. ?tave you ever been arrested for an of e e that hu resulted in a con�rictiool�lo
. I! anaw�er is "yes", list dates ot st , where, chargei, coe�victi� aod
aenteaees.
Dste of arrest 19
CAAFGE
COI�VICTION g�
Date o:' arrest 19 Wh I e
CHARGr
CONV ICTIOiI g��
12. List the naines and addresses (it mnr�ried, name o! spouse also) of all person��- .
corporations, partnerships, asaocistiona or organizations w�ich ia auy �+�y have: '
a. A mortgage interest in the 1lcenaed premise,
�.� �C/
� -- -- -
b. A security int�rest in the licenaed premises, licenae, or it�snishings o! the
lic�nsed premise, ���G�`'�''
c. A promissory note for funds loaned for tbe aperation of the licensed premise
or tk�e pnrchase ot'the license, /� / ;/`�'�-�.�
d. Finar�cially contributed to the purchase of the premise or the license it-
self `��i�
s-
e. A�y other interest either direct or indirect, either financisl or other�rise
� �
in the licenaed premise or the licenae itself, G � �''r`-'��"
Attach a copy hereto of aUy and all documents relerred to in this atfidavit.
1?. Give names and addresses oP two persons, residenta o! 3t. Pavl, I�iffiesata, vho
carr give intormation concerning you.
AAI� �
�rt�oc4 �J��sr«tn!$onJ �33p G�4/��CIf ST/�4t�G
�Ei✓�-1 f�✓t c.�� Z�6S u.�ABe � �fi,!/�!!S
14. Addreas o! premisea for �+hSch License or Permit is ma�de
Address �p�i R c.�ms,,n,�K�i�F F 5�� F�Q.t�.�.7�'1tJ , S�=ne classiricatien
15. Bet�reen What croas streets k�1S�� Which side of street�
16. Ra�e under vhich this buainesa �rill be conducted �u���U�.e V2 �rti���
17. Busi�ss Lelephone maaber (���1��}
lQ. Attach to thia application, a detsiled description ot the design, location, aad
aqusre Pootage of the premises to be licensed
��v � �_�
Z9. ?re premises now occupied �What business�r11�,r�,�,.:;,,, .;j;L�.�l?__H� long �. mc,�,,
-T`-j<,i�t�:.;�
. - _ �����
, � 2U�' Liat license which you currently h ld or fonoer]y held, or mey hsve an i�ere
` ' in � � S„7 � - r, 7 "' ,
�' �
✓ Gl. d!/�' /'B��J /� � ,2�2`C/
��k_����� �
21. Have a�y of the licensea liated by y in No. 20 ever been revoked. Yes
Na `l . If anawer is "yes", li t ates and ressona:
22. Do you have an interest of ar�r t i a�r ot.�er buainess or businesa premises.
I.• answer is "yes", list business, l iness address aad telephone number.�
23. If business is incorporated, give s ot incorporation / �/ � 19_
and attach capy of Articles of Inc rp ratioa end ffiautea of firat meeting.
2�+. List all officers of the corporati n iving tbeir nsmes, oflice l�ld� hame
sddress, and home and buaineas tel h ne numbers:
-,.
25. If business is partnership, list r(s) address and te]�phaoe n�bers:
'�45 gi�'` tJ
`�Si. 51'
Ns�e � � � ` Ad as�rL_�`1Ylu 5�c�aa Te]..lfo.'1"1 ��?`5`l1
�� ,
�0 31 -�w,n5:..-t aut.
�'�1+t l��'cle F'��r1G.S. YYIw, S7i.l� � -���
26. Is there a�rone elae who will have an iaterest� in t.bis busineas oa� gremiseaY
If at�srrer fs "yes", give name, h dreas, telephoae nt�bss�s and ia rhst
manner is thefr interast: . - �
27. iAre you goint; to operate this bnsi s peraonat�y v�es i! no�L, �tho xill vperate
. T—
N� address Tel.ao.
—
. f d � i,' _ ", .
►I
Are y�u gaing to have a [�Sanager or assistant in this business?� Zt sasWer is
°yes", give name and ho� address and ho�me telephone number:
Name Ho�me address Te1.No.
29. Has ar�yone yau have named in questions 22 through 25 ever been arrested?�If
anawer is "yes", list name of person, dates of arrest, where, charges, convic-
tions and sentence
30. Z �p,�,�i�Q,,,�,,,g understand this premise ma�y be in-
spected the police, Pire, heslth and other city officials at az� and all
times when the business is in aperation.
State of Minnesota)
)SS
Couaty of Ramsey )
,
r Q��1 f�• ����n��l being first du�y srrorn, deposea and says upots
oath that he has read the foregoing atatement bearing his si�atvre and lmars the
contents thereof, and that the same is true oP his o�ra kao�►ledge excrpt as to thoae
matters therein stated upon information and belief and as to thoae matters he be-
litves tt�m to be true.
Subscribed aad svora to bePoze me � l� —
�� � �1 � gnature of Applicant
this d o viJil• lQ � i)
��np: � ,Nu�c�.a�
Notary b ic, C�unty, Minnesota
!�,v co�ni s on exp res �� ��
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