89-1075 WHITE - CITV CLERK
PINK - FINANCE G I TY SA I NT PA U COUI1Cl1 ✓
CANARV - DEPARTMENT
BLUE - MAVOR . FLIC NO• �� /D��
�� ' ou i Resolutio �
�
____�
Presented By
Referre Committee: Date
Out of Committee By Date
R�SOLVED: That application (ID 99849) for a Gas S ation License and
5 Additional Pumps b Keith Schweiger DB Midway Express at
1169 University Av nu , be and the same is hereby approved.
COUNCIL MEMBERS Requested by De rt�nent of:
Yeas Nays
Dimond
�� [n Fa or
Goswitz �
Rettman B
Scheibel A gai n t Y
�9oaneo►
Wilson
i
Adopted by Council: Date �N � � Form Appro ed by City Attor y
Certified P s b Co nc' , c BY � �,�"
By
Approv�� lVlavor: Date � � 4 Approved by Mayo for Submission to Council
By � � rz-�--�� ' BY
� PUBItSl�D J U N 2 4
,
� , �c�j/07v`'
DEPARTMENT/OFFICEICOUNGL DATE 1 A
Fi ra�ce/l.i�ense GREEN SH ET No. � 8�7
CONTACT PERSON 8 PHONE I DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CRY COUNCIL
Chri sti ne Rozek/298-5056 � �CRY ATTORNEY �arv cxer�c
MUST BE ON COUNCIL AOENDA BY(DAT� ROUTI �BUDOET DIRECTOR �FIN.8 MOT.SERVICES DIR.
6-13-89 ��YOR(OR A8818TAN �1 '1 R
TOTAL�OF SIGNATURE PAGES (CLIP L ATIONS FOR SIGNATURE)
ACTION REOUESTED:
Application for a Gas Station li ense and 5 Additio al Pumps.
Notification Date: 5-26-89 Hearin Da e: 6-13-89
REOOMMENDAT10N8:Approve(/q a Rsject(1� COUN MITTEE/RESEARCH REPORT
_PLANNINO COMMISSION _qVll SERVICE�MMISSION ��Y PHONE N0.
_CIB COMMITTEE _
OOAAME .
_STAFF _
_DISTRICT COURT _
SUPPORTS WHICH COUNaL 08JECTIVE7
INITIA7IN(i PROBLEM.IS8UE,OPPORTUNITY(Who,Whet,When,Whsrs,Wh�:
Keith Schweiger DBA Midway Ex re s at 1169 Universit Avenue requests
Council approval of his appli at on for a Gas Statio License with
5 Additional Pumps. All fees an applications have een submitted.
All required divisions - Fire License and Police ha e given their approvals.
ADVANTAOE8IF APPROVED:
If Council approval is given, ei h Schweiger will o erate Midway Express
at 1169 University Avenue.
asn�va�rn�c;es iF n���:
DI3ADVANTA(�ES IF NOT APPROVED:
Ga�n�:� �:��ear ch Center
�l�i`� OJ I��f�
TOTAL AMOUNT OF TRANSACTION = COST/REVENUE OIIDOETED( IRCLE ON� YE8 NO
FUNDINQ SOURCE ACTIVITY NUMSER
FlNANCIAL INFORMATiON:(EXPWN)
. � G,�-�-�o�.s
" ' �DiVISION OF LICENSE ANI) P�RMIT ADMI "IS RATION llA E `J 5 � I / � � o /
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn P oc ssed/Received by
Lic Enf Aud
Applicant Home Address
� �
Rusiness Iv'ame � Home Phone
Business Address �( C y� .�i/S� Type of Lic.ens (s) C7Q5 5--r-�c�"��''�
Business Phone (,p �T y" v�� � C� L, S
Public Hearing Date License I.D. �� qgg `fc]
at 9:00 a.m. in the Council Chamber ,
3rd floor City Ha11 and Courthouse State Tax I.D. �t �J ��7 ���
llate Nutice Sent; Dealer 4� � I�
1
to Applicant �
rederal I'irea s �� � I�
Public He�.�ring
DATE Ir PE TIUN
REVIEW VERFIED CO UTER) CUMMENTS
A roved No A roved
�
Bldg I & D �
������ � � ��L
Health Divn. '
, ,�., �,�. �
�
Fire Dept. ' �
; ���� i d
' �I�1� �
Yolice Dept. I
��I � C��C,
License Divn.
�
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City �ttorney �
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Date Received:
Site Plan �j 5 � � Z
To Council P.es arch
Lease or Letter Date
from Landlord � � �
, (�" �J /0�5
' CI 0 SAINT PAUL
, DEPARTMENT OF FI AN E AND MANAGEL�IENT S VICES
� LICENSE PERMIT DIVISION
Theae statement forms are issued in dupli at . Please answer a 1 questions fully and completely.
This application is thoroughly checked. y falsification will e cause for denial. _
% �'�� �J�� ��l'�-r_
1) Application for (type of license)
2) Name of applicant ' � �
3) Applicant's title� (corporate office , s le owner, partner, other) ��%��c.�,��.
4) Name under which this business will e onducted:
�
CiC' �C�(.�:,.L� L G. �� .�}:..�c�t�6c.c. L4.,�J.y :.,��-L .'•�C.�..,���1. � 7���i
Appl cant / Company Name oing Busfness As
5) Business telephone number � ; � - `�b
6) If applicant is/has been a manied e le, list maiden nam
7) Date of birth �- 7- .�-� Ag �� Place of irth :,__
8) Are qon a citizen of the United Sta es. � Native ✓ Naturalized
9) Are you a registered voter? Where? % ,C.,�s /�93 .
I0) Home address �-�� / :Q ' :'k.c�ir�-�'� /�. Home Phone � �7- �--�3'��
� i�
I1) Present business address !/ ,� 5� �✓ � � <�. Bus ness Phone 6�CC E.�
,� ' [. , ���o`�!
12) Including your present business/emp o ent, what business/ mployment have you followed for
the past five years.
Business/Employment Address
13) Married? � If answer s "yes , ist name and addres of spouse.
� /-�sL--y1�L
� �
14) Have you ever been arrested for aa ff nse that has result d in a conviction? �
If answer is "yes", list dates of a re ts, where, charges, confictions, and sentences.
Date of arrest Where
Charge
Conviction ntence
. . ��-y io�s
Date of arrest i � , 9 Where
Charge
Conviction Sentence "
IS) Attach a copy hereto of a lease agr me t or proof of owne ship for the premises at which
a license will be held.
16) Attach to this application a detail d scription of the d sign, location, and square
footage of the premises to be licens d site plan) .
17) Give names and addresses of two pers ns who are local resi ents who can give information
concerning you.
Name Address
. -.��.vx� , lv0 / �3Z/�� .�-��-Go�.�.-
r�ru� !�C , „S�-. ,c� ,'1�c, s3'i 1 �
�za �-s�o�
18) Address of premises for which Licens o Permit is made.
Address i'��ti C/ l,c/. (,�� t l Zo e Classification �
-1
19) Between what cross streets? c� ' -- � �t�-��-�� Which side of street? �
20) Are premises now occupied? �
What business? �U�t�,c�_ How ong?
21) Lfst Iicense(s) , business name(s) , a d ocation(s) which yo currently hold, formerly held,
or may have an interest in, and loca io s of said licease(s .
�1 - " � �v�c.a.,�. %9 s � /� � ,s3—i��
// 9 � .�• �' �370
22) Have any of the Iicenses Iisted bq y u No. 21 ever been evoked? Yes No �
If answer is "yes", Iist dates and r as s. �
23) Do you have an interest of any type y other business o business premises not listed
in �21? Yes No L� If answe is "yes", list busine s, business address, and tele-
phone number.
24) If business is incorporated, give dat o incorporation , 19 �'6
and attach co of Articles of Incor ra ion and minutes of first meetin .
� �h� � ���� ��
� G��y-�o��—
�5) List alI officers of the corporatio g ving their names, o fice held, home address, date �
of birth, and home and business tel ph ne numbers.
� � �2 —5 C%,C�c-�r � -.��c, � �'
� � - �.�.t - /7
26) If the business is a partnership, 1 st partner(s) address, phone number, and date of birth.
�
27) Are you going to operate this busin ss ersonally? l/�.� If not, who will operate it?
Give their name, home address, date of irth, and telephon number.
28) Are you going to have a manager or ss stant in this busin ss? L/-L�' If answer is "yes",
give name, home address, date of bi th, and telephone numb r. �,_�_� Q �
��L 7 l C:.�. � L� �`�. . /'t,. r �L-tiK. �.�-�—'�' G--L'r�.�-c..
.S S �3C
29) Has anyone you have named in questi s �23 through 4�26 eve been arrested? �' If answer
is "yes", list name of person, date o arrest, where, cha ges, convictions, and sentence.
30) I nderstand this pre ises may be inspected by the
Police, Fire, Health, and other cit o icials at any and 11 and all times when the
business is in operation. �
� �
�
State of Minnesota ) C� � 3- �
)
County of Ramsey ) S gnature of Applica / Date
� �-(,'��"i ������, t; ,'C�F^%� ei g duly sworn, depo es and says upon oath that
he has read the foresgoing statement ea ing his signature nd knows the contents thereof,
and that the same is true of his o kn wledge except as t those matters therein stated
upon information and belief and as t t ose matters he bel eves them to be true.
Subs
cribed and sworn to before me
this J�''- day of % �! � �� � lg �:�<.:
..
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/.: �� i�/ 7 � :�'�' / '� - � :.v�nnnMrnn.� ��:MnrMMtN���nnn.a
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✓' - n
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Notary Public, � %.,�%'��,� C un y, MN �
�- .., _ ..,. _,...,._.. .__ .. ._.:,
My commission expires � ' � % i '`'��"'"� '�v''V�n�'^��'a Rev. 2/88
' ity of Saint Paul 998�`9
Depa�tment of Fin nce and Manageme�t nices �
• ' � Lic ns and Pern�it Division �c��j --/D 73
203 Ctty Halt
St. P ul, innasota 55102•298�5056
APPL C ION FOR IiCENSE
CASH CHECK CLASS NO. • New Renew
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_ Date � 19�
Code No. Title of lfcenss Fr 19�0 " 19�C
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100 � ^�S���.�"����.
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100 Mail to Add ees i� Pho�Se No.
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Manaper n�r•Narrti / /,��—
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100 Alsnaq�r ner•Homf Addrtss P�on�No.
4098 AppllCStbn FN Z sp �-�'-
ReFelvsd t�e_Su of � 100 � � ,r�(i(� '�'�/O�d
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License Inapecto� 8y: Siq�ature o AppUe nt
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Bond• �
CompanY Nsms Policy No. Expiration O�b
Insurance:
Company Nimt PolleY No. ExPiratbn OaN
Mi�nesota State Ident'f��atio�No � � d Social Secu�ity No
Vehicle Info�mation:
.. Salsl Numb�r at� umba
Other
THIS IS A E IPT FOR APPIICATIO
THIS IS NOT A LIC�NSE TO OPERATE Your applicatio�f r Hc nae wfll eilhe�bs pranted or r jected subject to the proviaiona of the Zo�lnq
ordlnanc�and eom�l�tlo�of tM insp�ctions by th�Noalt , Fi e,Zoninfl and/or�ic�ns�In tors.
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�15.00 CHARGE FO ALL RETURNED CNEC
O��oso.!� �8'8'9 � �l �