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89-1628 WHITE - CiTV CLERK COI1flC1I (//�' PINK - FINANCE GITY �OF S INT PAUL CANARV - DEPARTMENT r �� BLUE - MAVOR . Fil� NO. �1 �Y� ouncil esolution �a Presented By c��'�'�� Referred To Committee: Date Out of Committee By Date RESOLVED: . That application (ID #239 4) by Lyman D. Coombs DBA Minni INarket at 111 E. Kello g o transfer the Off Sale 3.2 Malt Beverage, A-3 Grocery �(C) and Cigarette License currently held by Kirchoff Enterpri es, Inc. DBA Mr. K's Food Store at the same address, be a d the same is hereby approved. COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond �� In Favor Goswitz Rettman � �be1�� A gai n s t BY Sonnen Wilson �+�p �G� � L � Form o by Cit Atto Adopted by Council: Date � ` s Certified P•_ e by Counci S ta BY � � B}� Appr ve b YI vor: Da _ ._ �P � � � Approved by Mayor for Submission to Council gy By PUB11�D S E P 2 31989 � . . �,�-�./G,2�' DEPA TM[NT/OFFICElCOUNCIL DATE INtTtA D Finance �icense GREEN SHEET No. 5�,2�DATE OONTACT PERSOW 3 PHOME pEPARTMENT DIRECTOR �CITY OpUNdL Kri s VanHorn 298-5 5 � pT�'ATT�N� CITY C4ERK I�IJIIBER MUST BE ON COUNCIL ACiENDA 8Y(DAT� lIOUT1N0 BUDCiET DIRECTOR FlN.8 MOT.BERVICES DIA. 9-12-89 M"v°R c°R"ss'sT""n TOTAL�Y OF SKiNATURE PAGE8 (CLIP ALL OC TIONS FOR 81GNATUR� ACTION REOUEBTED: Transfer of an Off Sale 3.2 Malt Be rage, Grocery A-3 (C) and Cigarette License. N 'f' �ooM� noNS:�av►w•c��a�c� c�� r��t'r _PLANNINO COMMISB�ON _pVIL�RVIC�COMMISSION �y� PHONE NO. _dB OOUAMITTEE _ _8TAFF _ OOMMENT8: _DISTRICT COURT _ SUPPORT3 WNICH(�UNCIL OBJECTIVE9 INI'i'tATIN(i PR08LEM�ISBUE.OPPORTUNfTY(WNO.Whet�Whsn�When.Wh»: Lyman D. Coombs DBA Minni Market t 11 E. Ke1logg request Council approval of his application to transfer th 0 f Sa1e 3.2 Ma1t Beverage, A-3 Groc (C) and Cigarette License currently i su to Kirchoff Enterprises DBA Mr. K's Foo Store at the same add ess. All app1ications and fees have been submitted and all required depart n have reviewed and approved this application. �ov�wr�oes iF�o: DISADVANTAOE8IF APPF�VED: D18ADVANTIKiES IF N�T APPROVED: �°��i► Re$�arch Center. ' �� 13 i�89 f TOTAL AMOUNT OF TRANSACTION = T/REVENUE BUDOETED(CIRCLE ONE) YES NO FUNDINO SOURCE A IVITY NUMBER FlNANCIAI INFORMATION:(EXPWN) . �-=�=i�-�� DIVISION OF LICENSE AND PERMIT ADMINISTRA ION llATE � "� k�"� / - INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant Ir� �r�� . ��x.,,��_ Home Address �..3C�• , ��-'1-� � �7 m r i 1 �� v�� Rusiness Ivame }�,�,,�, ��y �-� Home Phone �a, ,3 - �5L(�� Business Address t l l �_ �� Type of License(s�r'�, � v� � �r � ,�� Business Phone p�cll -_ �l� �� .�.!.� ��1�YG_C�c ,��rc`:c•� L l��cL2c.��- Public Hearing Date � � ��z � �j ' License I.D. 4{ �3�j �l� at 9:00 a.m, in the Council Chambers, ,/ 3rd floor City Hall and Courthouse State Tax I.D. �t �tcU�o`13�f llate Nutice Sent; Dealer 41 11 �q to Applicant ��-� rederal Fi.rearms �� y� Pub.lic Hearing DATE I1�SPEC'�IU REVIEW VERFIED (CONT�UT R) COMMENTS A roved Not A roved � Bldg I & D � � � � Ii � , Health Divn. �j � � �� ' �� i - Fire Dept. ��a� � i � 0 I� � , Police Dept. i � � a� I �� v� n�� License Divn. � � �r1 ! City Attorney � t � �, , � Date Received: Site Plan To Council P.PSearch � l�� Lease or Letter Date from Landlord ��I� ' ' CITY OF AINT PAUL C�! ��/.ZG DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES LICENSE AND ERMIT DIVISION These statement forms are issued in duplicate. Please answer all questions fully and completely. This application is thoroughly checked. Any f lsification will be cause for denial. � 1 1) Ap�lication for (type of license) �. �.� '� � � v.ir�?�;_� �"�.a � - ' `--' �- ,% , ' • = 2) Name of applicant ''. "�`�,. n �� ;_ �-- � � .; ,",--� ` ��,�,.-�, �%� � � 3) Applicant's title (corporate officer, sole owner, partner, other) (�w�-.T� �� 4) Name under which this business will be con ucted: = '�, '�.,; F ._�-- :._.� ; i�r n � �� ''f� � Applicant / Company Name Doing Business As 5) Business telephone number �� 1 '��F� �' � I }`�"�f�'`•�. i'u" E ' '��`i �" `° `1 � l 6) If applicant is/has been a married female, list maiden name �-- �,7) Date of birth � a Age � Place of birth Y/j;� S. �, o�� 8) Are you a citizen of the United States? ��'� Native �_ Naturalized 9) Are you a registered voter? Whe e? �0) Home address `ri 3( /'ct� Home Phone �,� 3 - ��-( �� 11) Present business address '(/ �� Bu�ness Phone Z-R(—�{ � � 12) Including your present business/employment, what business/employment have you followed for the past five years. ►�� v� Business/Employment - Address i�C��tT� ��/I�{�"' Ji'%�/� r! 7�r� / / � � �1.� I'rLK�I ��R' �� .� N. �.� � �� r� . F,'P r.""i'� " a-4 '� 1'1 r,�.a!��;, � .•��.° �� F� ' ,�. 13) Married? ��= If answer is "yes", list n me and address of spouse. 7 �` �y :.�.-►-►�� 1�-f `� � -, ��y �r (f.r .-� �+ ��il i � 14) Have you ever been arrested for an offense t at has resulted in a conviction? �:��_ If answer is "yes", list dates of arrests, w ere, charges, confictions, and se`ntences. :�, Date of arrest , 19 Where - �-r, Charge , Conviction Sentence C�J . _ . �� Date of arrest , 19 Where Charge Conviction � Sentence 15) Attach a copy hereto of a lease agreement or proof. of ownership for the premises at which a license will be held. 16) Attach to this application a detailed des iption of the design, location, and square footage of the premises to be licensed (s' e plan) . � �'�7) Give names and addresses of two persons wh are local residents who can give information concerning you. Name Address (� (� s �1 S �t �'?✓� J �� -1 ;l, .�'1^'1 c�1 C .'�v�. �h /'✓�.t/ � 1 I�/ /��ti S E��w.�� I '� � y"�7 Ch�� <<'��- `1 • Pc�. �nli� , Nf� �� -�, 18) Address of premises for wh�ch License or P rmit is made. Address ( �,�� C'r c:;; ,,��t;"�,� ��'t: �'r� �` S.5" f� / Zone Classification � � 19) Between what cross streets? 9Su¢Y i �- ,�? ,,u,so'� Which side of street? �/r^�' j`� 20) Are premises aow occupied? ,,:� 5 � What business? + ,,rn� � - _ How long? �,�<r; �fiUf, j�' ,;�ar'�` 21) List license(s) , business name(s) , and lqca ion(s) which you currently hold, formerly held, or may have an interest in, and locations o said license(s) . 1� � / I.� /r, r �/-d�r '✓Jy q� �T- .-c-re C uw»�,ll��+ '"" l;�nn� vrrfC-r ��1� / '�. .�r�cc�ha �'. C�, .� Ao1 ��- c'`, P�_� e, __-__ .�, �a�_. -�► %�r rs � u � � 22) Have any of the Iicenses Iisted by you in No 21 ever been revoked? Yes No � If answer is "yes", list dates and reasons. 23) Do you have an interest of any type in any o her business or business premises not listed in 4i21? Yes No �, If answer is "ye ", list business, business address, and tele- phone number. 24) If business is incorporated, give date of inc rporation , 19 and attach co of Articles of Incor oration nd minutes of first meetin . . . � � � ��-i�.��' ,) List all officers of the corporation givi g their names, office held, home address, date of birth, and home and business telephone numbers. 26) If the business is a partnership, list pa tner(s) address, phone number, and date of birth. ��._._. 27) Are you going to operate this business pe sonally? ��')U If not, who will operate it? Give their name, home address, date of bi th, and telephone number. � r + :'.t.f=;` f�-!�..`� ,�s.j; ._v�� ;�� (/ ., 7l- �1'� /�r �C��"'r� �"?..> ��<.�1� i 4I�' ��ir� �y �' G� � �� _\ � �!f �� `��_ �- /� t 28) Are you going to have a manager or assist t in this business? �-;�•�� If answer is "yes", give name, home address, date of birth, a telephone number. v,.�1 �� ;-� f-�,_ -i r � - � , - i Z .;S-� � 7 3 1-;2�-../� i_`s�'-G-i�%r• �,'S tcrn ,,r �_ _� i.-; .. .- /'. (u� I 29) Has anyone you have named in questions �23 through �26 ever been arrested? �"?Ci If answer is "yes", list name of person, dates of ar est, where, charges, convictions, and sentence. 30) I und rstand this premises may be inspected by the Police, Fire, Health, and other city offic als at any and all and alI times when the business is in operation. State of Minnesota j � t� i �� County of Ramsey ) ^ S ture v£-Applicaett / Date ��,ry��,,� [r��.-,M�,� bei�g uly sworn, deposes and says upon oath that he has read the foregoing� statement bearin his signature and knows the contents thereof, and that the same is true of his own knowl dge except as to those matters therein stated upon information and belief and as to thos matters he believes them to be true. Subscribed and sworn to before me � y �� JANE A. VERDUZCO this da of , 19 NOTARY PUBUC - MINNE80TA DAKOTA COUNTY '� (YtY aommiplon�xWns�-2a93 Notary Public, ��+ � , County, MN My commission expires - — Rev. 2/88