89-539 WMITE - CITY CLERK COUf1C1I
PINK - FINANCE G I TY O SA I NT PA LT L ��9
CANARV - DEPARTMENT
BI.UE - MAVOR File �O•
Coun 'l Resolution y5 �
Presented By
Referred To Committee: Date
Out of Committee By Date � -
RESOLVED: That application (I # 8401) for a Physical Cultural Health
Services Club by Sh ne Segal DBA Grand Tan at 80 No. Snelling Ave. ,
be and the same is er by approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays ^
Dimond ' �
i.ong In Fa or
Goswitz
Rettman �
sche;n�i _ A gai n t BY
Sonnen
Wilson
� 2 8 Form Appr ved by City Attorney
Adopted hy Council: Date — +
Certified Pass d ci S r By Z'/� '�!
By. �
t�ppro d by Mavor. Date
� Approved by Mayor for Submission to Council
� By
PUBLtSHfD aF:� - � � 8s
� ON�iIfM�.9R � . . , o�� �rm a�re cowr�o �Q ! ��
. _ ; GR�E�i S►#�E� �o: o=a3���I
�. +ca��n�a�
�T - o�+�ane�r�r anECroR rMrae�on�er�
Kri s �lanHorn � i �.,�.�� 3�«�
°E`r. _ . — ���, 2 Council Research
F• ,; . ,. �_ .� �A,�,� ...— ,
Applica�Cion for a Physical Cu1 r 1 Health Services C1ub License.
Nvtificati�n Date: 2-10-89 F{e��^firrg flate: 3-28-89 .
'NPDro+h.UU a�(R11 , REPORT: • '�
� NaMINt;OOM�ION � � CMI,SEA1flCE COAaMSSlON .. DATE x�. : . . on7E olR � MVIILYBT� . : � . PIiONE ND. - � .. .
�OW119Q�C.OMMI�ION- 18D 816 BCMOOI BORRD � � . � , � � .
. . . . STAFF� . . .. � GtlIHTER OOAMAI88WN . A818 . .. ADDi N�FO.A�DED; _OR A DL M�FO��-�..� _ p� C M�DED• .
. DIBTAICf COIMCL * T10N: . � . . - � _ � .
. .BIAPORIB WMICN COUNCIL OBJECTIVE? . - - ' � . � . . � . . � � . . '. . . . . .
' NTIATMO PIIOlLlM.M�tlf OPl01171Dr1Y(YMw.1MMt..MI11M1�YVl�er►.N�hY): .
Shane .Segal �SA Grand.Tan requ ts Council appr.ova1 of his app1ication
far a Ph,ysical Cu'�tiuraT �Hedlth er ices C1.ub at 80 No: Snel�ing.: - - `
�n+ca►1f�t lco.�.�w�pe..A..u�: . , ,_�.
All fees and applications have ee submitted. Alt 'required departt�nts
have.r.e�i.ewe►d and approv�d tkris a�p 1 ication. ` . � -.
��r:w►�x.r�e Tu v�noa+>: _. . . - , . ., :
If Counei l appr.aval is not rece ve , appl icant wi 11 not be al lc�ved to
operate a Physical Cultural� Hea th Service Club. �
- �ter+m�+�es: . c�s
. �y�;,rt, '� �
tI1�T011Y1R1[�ITB: l
FEB �2 i:�89
��:
, , . ��-���
DIVISION OF LICENSE ANI) P�:RMIT ADMI IS TION DATE �Ct G� l � ,
INTERDF,PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant ,�� _ Home Address � �'1
Business Name (,`,,,J •� S�kQ�C�iome Phone ,��q x� �'�(�o�,(p
Business Address U Type of License(s)�,,,,��¢,Q �a�..Q,
Business Phone � 1 - US C�SJ �r„ ,�, .,�,�� �� , Q s ,
Public Hearing Date License I.D. 4� �(��Q �
at 9:00 a.m. in the �ouncil Chamber ,
3rd floor City Hall and Courthouse State Tax I.D. �� 31 3 � ��3�0
llate Nutice Sent; Dealer �� � � �
to Applicant I c�� ,n
rederal F3_rearms # 1� � '�
Public Hearing
DATE TI�' PE TIUN �
REVIEW VEKFIED CO UTER) COMMENTS
A proved No A roved
I r '
Bldg I & D ��/ �
/�'
(
,
Health Divn. a '
�
� � , ��
,
Fire Dept. � G �
� � � � � v�i
� I
Police Dept.
� Is � b �L
License Divn. �
�{a`' � �1�
City Attorney � '� � ��
Date Received:
Site Plan
To Council Research � �1a��1
Lease or Letter Date
from Landlord
�- '. � � . � �i-,5.�9
� C __ OF ST. PAuZ
� DEPARThmQ'P OF F CE AND MARAGF�+1T S:RVICES
LICENS PII�.IT DIV�SION
These statea�ent °or-�s are issued in d icate. Please ansWer all questions !'til.�y aad
completely. Tt:is appl'_cation is th rou t�y checked. Any _°slsification �ill be cause
for deniel. � ,7
� Dae ( — •� / 19
1. Application °or 5 �� �� 1 C �c z T �., .�, ��A..rt� SP�� (License) (Permit)
2. Name of app 1 i cant�c f�. 'ti 'T N N '�-�c,.c �p N� c��a��
, Zf apglicent is/has been a marri d emale, l±st 9aidea name
!+. Date of b irth �- 7- � � e Place of b?rth m p I�,. IY1 �►
t
5. Are you a c=tizen of the United ta es � S Native y•e S Naturalized
5. Are you a reg:stered voter t�— Where J�p iYtS�e� C� u ,..T -�
'. Home address '1 2 't G"y� p Home te2ephone � �`f� � "c( b � �
°. ?resen� business address � � �n�. 1 � 1 Busiaeas telephone (o�+�-O 5 � S�
9. Including yo�ir oresent buainesa/ mp �yment, What�busineas/emplvyme� have you
fallowed Por �he past five years
Business/�r.ployment Address
��� �� �.�, h�� l+J � s3 � � . �? , � �-r .
R ANo �A •� -7S� Grcc � p � �� -c
GRA �vs� TA �.+ ( oa < <! 7Z �Ne;;S � PAri� �r,
10. yfarriec° � V If anssrer is ��,ves", is name and address of spouse
'_1. ?�tave you ever been arrested Por a o fenae that has resulted in a cocnrictionY /
IP ansti+er is ",yes��, list dates of� ar ests, where, charges, convictiona snd
sentences. n Ir t� _ _ '
I "
Date o! arrest 19 w'here
CHAF.GE
CONVT_CT?O1�` SF�ITENCE
:��e �° arrest 19 '�, re �'
C�L=.RGr
C^Ptt'I^'"+-': S..��TI'::1V�rr
(,,���-s3�
_ . 12. List the names an� a3^resses ,!i rsarried, r.ame oP s�ouse also) of a1Z p�rsons,
• - cor�orati�as, pzr�.^.ershi�s, ss ciations or organizations Which in ar.y �+ay have:
a. A zor�gage interest in t' e icensed prerise, ►�,� N t.-
b. A security interest in t icensed premises, license, or furniahings of the
licensed premise, � AT A' �� � D �
c. A pro�issory note for f ds loaned for the operation oP the licenaed premise
or the purchaae of �he 1 'ce se, �o �
d. �:nanciaZly contribuLed 'o e purchase of the premise or the licenst it-
se2f �J e n,�2
e. Any otner interest eit?�e., d' ect or ?ndirect, either .°inancial or otherwise
il
in the licensed premise 'r e license itself, � b � � -f�.
�.ttach a copy hereto of any and a '1 cuments referred to in this at*idavit.
1? Give names and addresses of ao ersons, residents oP St. Paul, Minnesota, Who
ca.� give inPormation concern'ng ou.
NAME ADDRESS
IY�v�i� ��1�, t 1 c� -z 2 p �+ 'o c �p t�
L'1/��..<<� �j �.,, �:e��.�
t1 � � . ��:,�c�SO�' ��i2r� �PF� �CZ<�
�4. Address o° premises !or Whic ' L' ense or Perait is made $C) 1�3 S nH. 1\ �r ti
Address � O �3 S 'v1�� � � 7.one classification �M e rc �P`
'_5. BetWeen what cross streetsAs � �.+ � S�� ���r '�ihich side of street � s . o-�
16. �i�e under which this busiae 's '11 be conducted �,a A„ � i c�h,,
1?. �+isiness Lelephone n�nber � - o S o �
lp. Attach to this applicat�on, d ailed description of the design, location, and
square �ootage oP t;�e pre�is s be licensed R ov•'�+ �s �a F-r b � � F �
�Ac �� pf St> � �.� , hez-r roc.� wa��. s ...ar�+ Ce���n
':�. �re �re�nises noa OCC4Died ►� � What bLSiness HoF lon�
J�s-r �r Ne� ��.'
. . . . . . ��=5.� 9
20. � List license wt:ich y�u curre tl hold, or fortaer� heZd, or may have an intere
• i n tu �
21. Have any of the licenses lis ed by you in No. 20 ever been revoked. Yea
No IP snsWer is '�ye '�, list dates and reasona:
?_2. Do you have an interest oP ype in arLy ot,ber busiaeaa or business premiaes.
I.° answer is "yes", list bus ne s, business address aad telephone nu�ber.
cs - SE�, A� wh� � 1 � � � �- - Sgb3
2?. IF business is incorporate�?, ;gi _ date of incort�oration 19 S�' �]
and attach cooy oP Articles P corporation and mirnrtes of first meeting.
2�+. List al? officers oP the co or ion giving their names, oPPice held, hame
address, and home and busine s lephoae numbers:
SNAw.� � S�IoAL Cti� o-F t � �oAQa
� —� � -1 r�o cz c, Sz P�a u �, c�1 �v s S c t l.
(��i � ' 9 � � 4.
25. Zf business is partnership, 1 st partner(s) address and telephvne n�bers:
�� �� ti'� e Address 1�e1.Ao.
-
__
26. Is there anyone else vho will ha e an interest in this business or pr�iees?
:f answer is "yes", Rive name h address, ttlephone n�bers and in v�at
manner is their interest:
'?. Are yau goinq to operate this bu iness personally �it not, vho rill operate
?t.
R� H�ne address �e1.Ao.
. � ����39
,_ , _..,
, .
�Are you �oinR to have a !�.anaf;er, or assistant in this business? It ansWer is '
yes , give na�e an�l ho:ae addre s nd hoaje telephone nu.�►ber:
��'� 5 Name Lh e Y ._ ��l o�2�.1 Home addres s Te 1.Yo.
'9• Has anyone you have named in qu st ons 22 through 25 ever been arrested? If
answer is "yes", list name of rs n, dates oP arrest, where, charges, convic-
tions and sentence
?�• I � understaad this premise may be in-
ted b the police and other city oPficials at a� and aIl
� mes when the busi ss is in er tion.
State of Minnesota)
)SS
Couaty of�Ramsey ) �
j-� -�
� �„'`_
�--�
Si ature
� " � � in first duly sworn, deposes at�d says ��on
oat that he has r d t,h °oregoing at ment bearing his signature and ?mows the
conter.ts thereo.°, and t the same i t e of his own knowledge except as to those
�aatVC�S �herein stated upon informati n nd belieP and as to those matters he be-
lieves them to be true.
Subscribed and sWOrn to bePo�e me
,Si�znature of Applicant
. is / day of � 1,
�
V _�„�
1 7��''?p'�
�Totar� ?sblic, Rarnsev C�unty, Minneso °'�"'""�'�°` - - . ^�-������iGi R ;�
,. _;,,;,,":��r,
'�!y co�nission expires � ' a
- ,�� �^�' �
1 . '_ , - — .1•- � n,�,;'�:tirdK�
.... �• � � . ..� . .. ...fs:-�:.Vr
.�;-.,`Ar.i�i;�-:�... .. ,. ,
ai�e si
t . • ���� .�39
�- S�ZNT PA � CITY COUN��IL
PUB�IC K I�� �TO'�ICE
RECEIVED
I�Z�EN�E PI�Z�A�ZaN
FEB 10198�
' � CITY CLERt�
. �� NO.
Dear Property Owners: L78401
, �,
PUK.POSE Application !fo a Physical Culture �, Health Services
Club.
t�P�j�+c�'-N� Shane Segal ba Grand Tan
�D�r��TdLV 80 N. Snelli g venue
i�aRI�C � �(arc 2 1989 9:00 a.s.
Cic� oun ii C'aamoers, 3rd iloor City Hall - Cou�� iiouse
3y Licens an Perait Jivision, De�art�enc oL c'�ance and
�02*ZC�. S�:�T `ianagement Se 'ces, Room 203 City Hall - Court �ouse,
Saint Paul', � esota
298-�OSo
This date may be changed wit o t the consent and/or �nnow�edge of the
License and Permit Division. t is suggested that you call the Citj
C1erk' s Of fice at 298-4231 i ou wish confirscat;on.