89-1891 WHITE - C�TV CLERK
PINK - FINANCE COUIICLI G
CANARV - DEPARTMENT G I TY O SA I NT PAU L File NO. �l" �`
BLUE - MAVOR
Co nci Resolution �,7
Presented By '`�'°'�
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #92116) for the transfer of a Genera1
Repair Garage Licens , a Trailer Rental License, a Gas Station
License (to 3 pumps) and 1 Additional Pump currently held by
West Auto Service In . DBA West Side Auto Service, Inc. at
617 Stryker, be and he same is hereby transferred to
John L. Selix DBA Ja k's Tire & Service Center at the same
address.
COUNCIL MEMBERS . Requested by Department of:
Yeas Nays f
Dimond �Q
Long [n Fav r
Goswitz �
Rettman
�� _ Agains By
Sonnen
Wilson
�CT � 7 �$ Form Approved by City Attorney
Adopted by Council: Date �
Certified Ya - d Council . tar By ' '�
By
Approved avor: Date � Approved by Mayor Eor Submission to Council
By
'�� OCT 2 � 1989
.
���,-i�'�/
DEPARTMENTlOFFlCEICOUNqL � DATE INI111 TED GREEN SHEET NO. ������TE
Fi nance Li ce se ,N,T,u,a►
CONTACT PERSON 8 PHONE DEPARTMENT DIRECTOR �GTY WUNdL
Chri sti ne Rozek/298-5056 �! �crrv ArroAN�r �CITY q.ERK
MUBT 9E ON COUNCIL AQENDA BY(DATE� � �BUDOET DIRECTOR �FlN.8 MOT.SERVICES DIR.
10-17-89 ❑�YOR(OR A8818TAN71 [���j 1
TOTAL N OF 81QNATURE PAGES (CLIP AL LOCATIONS FOR SIGNATUR�
A�REQUESTE�pproval of an appl i cati on to t ansfer a Gas Stati on (to 3 pump� Li cense,
1 Additional Pump, a General Re air Garage License and a Trailer Rental License.
Notification Date: 9-26-89 '� • � a �
REOOMMENDATIONB:MD��l�U a R�(R) COUNCI COMM
ANALYST PHONE NO.
_PLANNII�COAAMISSION _qVll SERVICE COMMIS810N
_qB COMMIITEE _
COMME
_STAFF _
-�,����� - �91�
3UPPORTS WHICH OOUNpL OBJECTIVE? �
RK
INITIATINO PROBLEM�ISSUE.OPPORTUNITY(Who.Whet,Whsn�Where.1NhY): �
John L. Selix DBA Jack's Tire & Service Center at 617 Stryker requests
approval of an application for' he transfer of a Gas Station (to 3 pumps)
License, 1 Additional Pump, a C neral Repair Garage License and a Trailer
Rental License currently held b West Auto Service, Inc. DBA West Side
Auto Service, Inc. at the same ddress. All fees and applications have been
submitted. All required divisi ns - Zoning, Fire, Police and License have
given their approval .
ADVANTAOES IF APPROVED:
DISADVANTAOES IF APPROVED:
Gouncit Research Center,
SEP 2 81989
DISADVANTAOES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION = COST/REVENUE dUDOETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANGAL INFORMATION:(DCPWN)
< <
NOTE: COMPLETE DtRECTIONS ARE INCLUDED IN THE GRE N SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(P ONE NO.298-4225).
ROUTING ORDER:
Below are preferred routings for the five most frequent rypes of inenta:
CONTRACTS (assumes suthorized COUNCIL R SOLUTION (Amend, BdgtsJ
budget exists) Accept. Grants)
1. Outside Agency 1. Depart ent Director
2. Initiating Department 2. Budget irector
3. City Attorney 3. Ciry Att rney
4. Mayor 4. MayoN istant
5. Finance&Mgmt Svcs. Director 5. City Co ncil
6. Finance AccouMing 6. Chief A countaM, Fin 8�Mgmt Svcs.
ADMINISTRATIYE ORDER (Budget COUNCIL R SOLUTION (ell others)
Revision) and ORDINANCE
1. Actfvity Manager 1. Initiati Departmern Director
2. DepertmeM Aawuntant 2• �Y A �Y
3. Department Director 3. Mayor/ iataM
4. Budget Director 4. Ciry Co ncil
5. City Clerk
6. Chief Axountant, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDERS (all others) �
1. initiating Department
2. City Attorney
3. Mayor/Assistant
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
indicate the�of pages on which aignatures ere required and r li
each of these pa�e .
ACTION REQUESTED
Describe what the projecUrequeet aeeks to exomplish in either ch ologi-
cal order or order of importance,whichever is most appropriate for e
issue. Do not write complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in question has been presented before any , public
or private.
SUPPORTS WHICH COUNqL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by stfng
the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, E NOMIC DEVELOPMENT,
BUD(iET,SEWER SEPARATION). (SEE COMPLETE LIST IN INST CTIONAL MANUAL.)
r. u ..:J v ��}.1.. ':'}:?i� : .
{e
COUNCIL COMMITTEEIRE3EARCH REPORT'-OPTIONAL AS RE ESTED BY COUNCIL
iNITIATING PROBL M�ISSUE,�O�ORTUNITY
Explain the situation or conditions that created a need for your proj
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific wa fn which the Cfry of Saint aul
and its citizens will benefit from this pro�icUaction.
DISADVANTAGES IF APPROVED
What negative effects or ma)or changes to existing or past processe might
this projecUrequest produce if it is passed(e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When?For how long?
DISADVANTAGES IF NOT APPROVED
What will be the negative conaequences if the promised action is no
approved?Inabiliry to deliver service?Continued high traffic, noise,
axident rateT Loss of revenue4
FINANCIAL IMPACT
Although you must tailor the information you provide here to the iss you
are addreasing, in general you must answer two questions: How mu is it
going to cost?Who is going to pay?
., . . ������
DiVISION OF LICENSE AND P�RMIT ADMINI TRATION DATE 1 � gy / `I� g r
INTERDF.PARTMF.NTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant ���• ���� �.. _ Home Acldress �j / y S�}rc� 1{� r'
Rusiness Name 5 ivZ s Serv►cQ, n��Home Phone o� o�a — � �aO
Business Address �pJ � J-�'✓ K? Type of License(s) �rGhsttr � ��kS S� � 3Pu"'�S
Business Phone a �'f �J �O�Sa �r�c�� p � m����F,� �Q__�L�'�� � �G , �Pr �^��
1 ' /
Public Hearing Date 1. License I.D. �F � � �� lp
at 9:00 a.m. in the Council C ambe s,
3rd floor City Hall and Courthouse State Tax I.D. �� a y�s�3 s`
llate Nutice Sent; Dealer 4� /U��
to Applicant
I'ederal Firearms 4� /�-��,�
Public Hc:�_�ring
DATE II�SP 'CTIUN
REVIEW VERFIED (C MPUTER) COMMENTS
A roved N t A roved
Bldg I & D I
� � ! 0 /�
�1;
Health Divn. '
I �'� �
Fire Dept. I';I �I � �G, � �K_
�0/
I i
! Se �.� I 5� �
Police Dept.
9 (i3 �i� o � `�
License Divn.
�
�I �1; � 'C—_
City Attorney �
`� �.�[b"�1 , D lL
Date Received:
Site Plan � Jr � I � a g ��]
To Council Research �
Lease or Letter � � �� ate
from Landlord
�C�n-�-ra d -�o�- �e.e
� � ' ' . �,��-���/
CITY OF ST. PAUL
DSPIIR'1'1�'N'P OF F CE APD MAPAGO�'P 3ffitYICFS
LICENSE P�QT DIVISIOR
These stateme� forms are issued in d icste. Plaae aasi,er e11 questions tully aad
completely. This applicstion is thor cbecked. Any falsilicatioa vi11 be cavse
for denial.
� ^ __ 19 �
1. Application for ' .�z_ ti�.� ,(Licenae) (Permit)
2. pame ot applicsnt ��j� ' � �
3. If applicant is/haa beet� a mnrried female, list maiden name
�+. Date of birth � ti � • "� �
�' 3 ` 3 5 Ag � Place of birth 7'i'� G.�i.�wi..��Y�4.�-�-----
5. Are you a citizen of the Unitec� St t�e � Natiwe ����e� �_
6• Are you a registered voter Where °�.�-1 P�
7. Home addreas '—/ 4�
�- Aca� telephone ���� �
R. Preseat business addreas / Business telephcpe oZ. D 8�-�
9. Including your present businesa/ loymeat, w6at basi�as/ea�loyseat lss�e yon
followed for the past live y�ea,rs. �`f-.d ,
Husineas/F�nployment Adclresa
�
✓Ciw.. C-0 __ .J I� 1.��c�✓L� CT"`^ ,a �'
' _ �'��.-`f`�.--v C.� � _ �9S" f' ���Z .�l�f ,�J��
10. Married � IP ans�+er ia "yea", li t name and addresa ot spause -�-�
` SI 7 ��iy� C �. _ /� �X �.
11. ?�tave yvu ever been arrested for nr� ffense that has resulted in a convictioa! �11>
It ans�+er is "yes", list dates of sta, rrh�re, chargea, eorrvictioos and
aentences.
�-;
Dste ot arrest 19_ t�ae �.:� -=
(�IAF.GE -�;
CONVIC.TION Sg�� -"�
Date a° arrest 19 ere -'
CHARGE `'
CDNV IC:TIOi1 S��
12. List the names and addresses (if married, name ot spouse �also) ot a11 persana,
corporations, partnerahips, asaocistiona or crgariizations rhich in any �+ay have:
� ��, G L
a. A mortgage interest in the l.icensed premise, � r���'
� '-�! � .� a�- ,� ,�.L.---�
b. A security interest in tbe licensed premises, license, or furnishings of the
licensed premise, ��
� c. A praaissory note Por funds loar�ed for tl�e aperation o! the licensed premise
or the pvrchase o! 'the .license, �, v�
d. Financially contributed to the purchase of the premise or the license it-
selF � ' b
e. Ar�y other interest either direct or indirect, either financial or otherwise
i _
in the licensed premise or the licenae itself, '��
Attach a copy hereto of any and all documents reterred to in thia stiidavit.
13. Give names aad addresses of two persons, resideats of 3t. Psul, Mi:meso�a, vho
can give intormation concerning you.
AAI� �S � i������ J��
!-vr (
`�` �
14. Addreaa of premiaea for WhSch Licease or Permit is ma�de �f7 ' �""+'�
Addreas C. / � /�, V G'"' � �"�'�� claasificstion
15. Bet�een rrtiat croae streets ��ti�� Which side of street ��SY� �
16. Na�e under vhich this busineas r�ill be conducted (J�����' ���
_�
17. Buainess telrphone manber i�� � � $ �" ��
1Q. Attach to thia application, a detailed description oP t�he desi , locstion, and
square Pootage of the premises to be Iicensed a� J� � S�
� � �� �
19. ?re oremises nrn+ occupied _��1(/1- What business ��'�'``� �r long �.
, . . . ��-����
20. Liat license which you currently hold, or former�}r held, or mey hsve an intere
in '
�
21. Have ariy of the liceases listed y you in No. 20 ever been revoked. Yes
' Na . If anaver is "yes", ist dstes sad reaaona:
22. Do you have an interest of ar�y t e in arLy o�her bus3neaa or busineas premises.
I.• answer is �'yes", list busines , bnsinese address and telephoae number._
23. If business is incorporated, giv date of incorporetion 19
. and attach copy oP Articles of I corporation and mirnrtes of first meeting.
2�. List all officers oP the corpora ion giving their names, office held, hame
ac]dress, and home and businesa t lephone n�bers:
25. If buainess is partnership, list ner(s) address and telepho�e n�bers:
�� ��6 Address � Ta1.Ro.
-
-
26. Is there a�yrone else who will hav an interest in this business or premisea4
If answer is "yes", give name, h addreaa, telephoc�e a�bera aad in �rbst
manner is their interast: �(S
27. Are you goinq to operate this bus nesa peraonally r' 0 i! not, �o xill vperate
it:
R� Ho�ne address �e1.Ao.
-
Are y�u gaing to have a t�ianager or assistant in this business? If ansWer is
��yes��, give nac�e and ho:ne address and h�e telephone mimber:
Name ' YtSy Home address 2tie1.No.
29. Has ar�yone yo� have named ia questions 22 throu�h 26 ever been a.�ested? If
• answer is "yes", �list name oY person, dates of arrest, where, charges, convic-
tions and senttnce Iv C�
30. I � ' �.inderstand this premise may be in-
spect by the police, Pire, heslth aad other city oPlicia2s at a�r and aIl
times when the business is� in opeTation. � "
State of Alinnesota) �
)SS .
County of Ramsey )
(�1.�� ( being lirst du�y sworn, deposes awd says upon
oath that he has read he fo going statement be��ing his sigaature and imoWS the
contents thereof, and that the same is true of his own lmo�►ledge excrpt as to those
matters therein stated upon informatioa and belief and as to those matters he be-
lieves them to be true. � /
//
Subscribed and si+orn to befoze me v��
� Signature of A licant
this �'�.�� day of t 1 �
l�-� � �
Notary Pub1iC, Ramser� Count , Mfr121esOt8 ���� ,r,s�^r n�� �
.''w.��` r '�IE la l E� �
� 1
, � 1 9 1 `+�+, ��' �Tv,�v . _ .;���-i�
'�y coammission expires ''��� ' , ;' �
Z (�^,y�:i;�;Ciii;�..,,, .cN,:_.,AU�. i5. L�J4 �
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--- ---�_
� . - . � . � 9aii,�
. City of Saint Faul
Department of F nance and Management Services ��r��_��7 �
. Licen e and Permit Division ,��-
203 City Hatl
St. Pau, Minnesota 55102-298-5058
APPLI TION FOR LICENSE '
CASH CHECK CLASS NO. . New Renew
0 � � . � 0 _�
Date 19�
Code No. , Title of License —
From��1�To 19�
�� _ � , � .
� . .
a : �� , ApplicantlCompany Name
� � i oo � , .
� w. � �".� ��
�� � A � X � Business Name �9 3� Q��?�
.�
� �oo d
Business Addre o.
100
100 Mail to Address � Phone No.
/ i /
,oo " v 0�.
anapeNOwner•Name
100 a°���
� � �Q�o'10
100 A/anagedGwner• � e Address Phone No.
4098 Applicatfon Fee 2, 50
Recefved the Su of 1 0 0 �
�
, ManagerlOwner-City,State 8 ip e-
� 100 Otal 100
LiCense Inspector By: Signature of Applieanl
Bond•
Company Name Policy No. Expiration Oate
Insurance:
Company Name Policy No. Expiration Date
Minnesota State Identification No. � �3� Social Security No
Vehicle Information:
Serial Number Plats Number
�th@f:
- THIS IS A R CEIPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Yow appUcation for icense will either be granted or rejected subject to the provisions of the zoning.;
ordlnance and completfo�oE the inspections by the Health, Fire,Zoniny andlor License Inspectors.
$15.04 CHARGE R ALL RETURNED CHECKS
�-�-� � � �'-� �