88-1242 N�HITE - CITV GLERK
PINK - FINANCE GITY OF SAINT PAUL Council �� //��
CANARV - DEPARTMENT ���[[�
BLUE - MAVOR � FII@ NO. T"
Council Resolution -
L� � ,
��,
� ,
Presented By � �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. #60354) for a General Repair Garage License
applied for by Cas-Dahl Auto Service, Inc. DBA Cas-Dahl Auto
Service at 1745 Grand Avenue, be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�og [n Favor
Goswitz �p
Rettman ✓
��;�,�. A gai n s t BY
Sonnen
Wilson
JuL L 8 �8 Form Approved by City Attorney
Adopted by Council: Date '
Certified Pas ncil Se a gy rv ��
g�.
Approved Mav . te Approved by Mayor for Submission to Council
B� .-v �...--� BY
Pl3�iS�iED ,. ',..� �::a � 1988
�„�.�,.� �„�� _ ��'/�S/�-
. � Mr. �. Carchedi G RE�1V S►HEE'1'` r+ro. ��2�6'0
�.
. ,_ - � � DEPARlMENT DIRECTOR � � � MAYOR QOR 71�19TNin�. . .
R k "s�s�o" — �.��� �`��
. � �u�re�n r� — _ _
aourn� ��R� � Counci 1 Researeh
�. - � . � ORDER]- � � CtTV ATTOflNEY .� . � . . . . .
. � � ' . .. � . . . . . � ,- . . � . � ..
Application for a General Repair Garage License
' i a ion Date: 7-14-88 Hearin Date: 7-28-8F3
� :(aPWove(N or BeJsct(Rl) COUt�K9L.RE,�EARCH REPOR'fc
PIJV�NMHQ COMMI9610N CML SERVICE COMAtS310N DATE IN . DATE OUT� � ANAIVST- . � Pf1QVE NO. . �.
. . ZOIMN(i COMMIBBION . IBD 82b.3CFbOL BOARD � � � � � . - - � . .
. � -�—. . . , , - .
. . . �$TAFF. � � CFIARTER COWAISSION . .. . �C�APIETE AS IS � ADDL MIFO.ADDED*� . � FlETU TO CANiA�T �.��PIB'ErR1EM
. . . � _ -_WR ADDt INFO. . �_FEEDBi1C'K AODEO*. �.
� D16{RICT WUIK�L . � . . . .
*EXPIANATIOtJ: . . . �. . ..
.. .��SUPPOPIf8 WHICFI COUIICIL OBJ6C7NE9 ... � � . ., . . _ - � � � � � .. . . . . , .. . .
fr11ATN18 tIKlW.EII,I�MJB.QP/ORIINIRY(WFw,Y4het,Wh�O�1IV11lfl.VYhy):
Cas-Dah1 Auto Service Inc. DBA Cas-Dah1 Auto Service requests Council
`approval of its appli'cation for a General Repair Garag� l:icense at
1745 Grand. Avenue.
Council Research Center
-.��.+�►�+,�.�:�: J:llL �� 19�$
A11 fees and applications have been submitted. All required departments
have giv.en their approval - Building, Fjre, .Police and Licensing. .
�twt,n.wna�.ma rc wnomy: , . - _
If Council approval is given, Cas-Dah1 Autv Service wi11 be able tv
operate at 1745 Grand Avenue. If Counci1 approval is not given, Cas-�h1
Auto.Service wiT1 be unable to op�rate.
_ ..
K�,a►rn�s: • . . v�s coNs
NO1'E: Sinclair Oil dispenses th gasoline at this address and
�as_; obtained a gas stati n license. Cas-Dah1 1eas s space �
from Sinclair Oil . .
�aronrnro�cr�+�rs: _
�-
u�,►i�:
Y 1 ' , , C/� ��/���
�
UIVISION OF LICENSE ANI) PERMIT ADMINISTRATION llATE ��� /
INT�,RDF.PARTMENTAL REVIEW CHECKLIST A.ppn Processed/Received by
Lic Enf Aud
Applicant �S - �� � �.��.�,���,�rc�k:��Iome Address ���2 �-}- �, �� .�� GZ
T � s�� �_
Rusiness Ivame .���� �-��Q�(j«. Home Phone � a, �
-n1n G3
Business Address �`� ��� ,�_vG�,.,_JJC� Y-tn Type of Lic.ense(s) ,��Q,(�� 1 _�;�y�
Business Phone CjG,rC�,G�Q.
� c�' r(
Public Hearing Date � +x. License I.D. 4f �2(� 35'I-
at 9:00 a.m. in the Council Chamb �rs,
3rd floor City Hall and Courthouse State Tax I.D. �� a3o 8"al��
llate Nutice Sent � aler 4� �'(�
to Applicant /��
rederal P�_rearms 4� n �}-
Public Hearing
DATE INSPECTIUN
REVIEW VERFIED (GOMPUTER) CUMMENTS
A proved Not A roved
�
Bldg I & D n
� � g � p /�.
Health Divn. ' ' ' �
rLC� ' l.'�-C- ,
i
Fire Dept. I (
�; ��� �� , o,�
� ,
Police Dept. � �—� ��� �
� �
License Divn. I
a� ` o �
City Attorney y 6y
� � � �(/, I�..�
00
Date Received:
Site Plan l.C� L 15�1�� s-� � � ��
To Council P.esearch �
Lease or Letter D te
£rom Landlord lQ I �� ! �
+t3:'G�:�jMa7`'-.��qr .. ._ '.. '._._ .. .. . -�. �r�e .. ..-_ ... - -s�---�.�.. _." „y,�'..-._.r... �.-.. " ' " ' • " _ -
� L n e //
. � � �// f�j���
�e��r
' City of Saint Paul �— W
! � � � Department of Finance and Management Services ' /'
, � , License and Permit Division r ��7
� . 203 City Halt� l0
St. Paul, Minnesota 55102-29&5056
� '- , , APPLICATI�N FOR LICENSE
CASH �CNECK,^ CLASS NO.`• New enew
; ��; �'a
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oate -i ,�
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Code No. Title of license � -- � � "� �� i^ _ ' <' ��•
From � � 19 '�Tb ' � 19V
� %:� � �P;.�o--,-� � '�> u r � � G! s � /� ( �'''":_v7,^Q,
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App1icanUCompany I�fame
� �°° ��'� ,. � —
- % _i
, 100 Buslness Name
. / .r, � ,�__,__. - r I.� ,r._.i- .
100 J �� / !� r-�,.-./'� �-/�,i
Business Address Phone Na
100 �
���1 .1{`_�/
100 Mail to Address Phons Na
100
ManapedOwner-Nams
100
' 100 AtanageHGwner•Home Address Phone Na
, dp98 Applicatfon Fee Z 5a
Recefved the Sum of �pp
. 'l�
�/ ,� _� ManagedOwner•Clty,State&Zip Codr
100 ; TOtal 700 � I
. '
/�� r-, �^�� I': 1' �'� I� f
� � / �.�"��i � � � � i l u
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License �nspector %^�� _ -' gy: , /� j. '\ �`' � '�.l' �" , %-1.��1i"��i ;�'-'�
i Sfgnature of Applicant r
�_ �, j , .
� ` i
Bond• �
_ Company Name Policy No. Expiration Oats-
insurance:
Company Name Policy No. Expiratioo Oate
Minnesota State Identification No. 0�3� �So��s Social Security No.
Vehicie Informatio�:
Serial Number late Number
Other.
THIS IS A RECFIPT FOR APPUCATION
THIS IS NOT A LICENSE TO OPERATE.Your application for license wiil either be granted or rejected subject to the provisions of the zoning
ordlnanCe and completion of the inspections by the Health, Fire,Zoning and/or License Inspeciors.
� �
$15.00 CHARGE FOR ALL RETURNED CHECKS �
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d
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� �°��al $
$
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, , `�i 'o �w1�.�� , d- �.�y ��e�ti r
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. � , ' CITY OF ST. PAUL
DEPAR'PI�'P OF FIRABCE ARD MARAGS�'P S81tVICES
LICF.�SE ARD PERI�IIT DIVISIOR
Thest statement forms are issued in d�aplicate. Please aas�rer all qneatioas tiil.ly aad
completely. This application ia thoraughly checked. Any falsilicsLion xill. be esuse
for denial.
nate (�� - /y-S�'� 19
1. Application for �!` � (Licease) (Pesmit)
2. Name ot sppli cant !�f} l /` : � '�/`S
3. If applicant is/hss beea a msrx�ied female, list maiden name
b. Date of bizth �/- ,�.7�_� Ag�� Place of birth ��'• �¢}� � �'��(,'�.
5. Are yau a citizen ot the Unfted Statea �/•�s Astiv+e Raturalized
z"_` �__ —
6. Are yo�u a registered voter �� Where
7. Home addresa _1_3 Z:�� h �.�Citl��t�l l ��
Aome telephone 6/,=�-:3,���
V
R. Present business sddreas Business telephooe .
��
9. Including yaur present businesa/emplvyment, v�st bnsiness�e�loyment hs�+e yat
followed Por the past� five yeara.
Busineas/F�loyment Address
�'le�:�a-�-�� o,���'��,�'�-��e h �c� a.
�� .
_OT) � �I��• �,p
� t _C� � (`� ���.-, . �
10. hfarried ��S ZP ans�rer is ",vea", list name aad addresa ot spause
T"—
_C�^.(`�S`�tti� � - _�,��r���S / 7-5' �i;Uc�t�/1� �J�
21. �iave you ever been arrested Por an offense that hss reavlted in s coavictioaT��
I2 ansti+er is ",yes", list dates of arrests, rrt�ere, chargea, comrictioas sod
aantences.
Date of arrest 19 �here
CHAF.GE
CONVZCTION SffiITB(CE
Date o: arrest 19 Where
Cf�ARGr
CDNVIC'PiOiI S��
12. List the names and addresses (if married, name or spouse also) ot all perao�ns, �
corporations, partnerships, associations or organizations which in aqy wsy "hav+e: �
a. A mortgage interest in the licensed premise, �o t��
b. A security intereat in the licensed premises, license, or fnrniahings of the
licensed premise, ! � ._l.. G .
c. A prvmissory note for Punds loaned Por the operat3on of the licensad pre�ise
or the pnrchase ot'the license, � ,�c��
d. Financially contributed t the purchase f the remise or the license it-
self
e. Ar�r other interest either direct or indirect, either Pinancial or otherwise
i
in the licensed premise or the license itself, l�p� 2.
Attach a copy hereto o! arry and all documenta referred to in this atfidavit.
1?. Give namea aad addresses oP two persons, residents of St. Paul, Minaeso�t.a, rho
can give intormation coacerning you.
AAI� �s
IyCv� + ,a ; h O�J�
14. Addreas of-premises for Whi�ch Licease or Permit is made i 7y:-°i ���.��~''` � ���i4�
Addreaa /`7L��S' ���4iUN����? Zone clasaificstion��
15. Between s+hat croas streets ��1��e�N,�'Z�„�f��-1 �PU��i_h side of stnet �n�
16. Naae under Which this business rrill be conducted �.,cK - ��,�1,e�n ��;'t)j,CL_ 1K;`'
C
17. Buainess telephcne rnanber �
lp. Attach to this application, a detailed description of the design, location, aad
square footage oP the premises to be licensed
�9. 1.re premises nrn+ occupied What business H�v► long
. ., . �-�-���
. 20. List license which you currently hold, or former�y held, or me�q have an intere
in ,C9nl 9 �
...�._.
21. Have a of the licenses listed by you in No. 20 ever been sevoked. Yes
No �. IP answer- is "yes��, list dates sad reaaona: i
22. Do ,Y�ou have an intereat of a�r type in arLy ot,her businesa or business premiaes.
.!/G�- �
I' answer is "yes", list business, business address aad telephone nvmber._!
. 23. If business is incorporate�, give date of incorporation D G'l D ' 19�
and at�ach capy of Articles of Zncorporation and minut,es of firat meeting.
24. List all officers of the corporation giving their names, ofSice held, hame
address, and home. and business telephone n�bers:
�/.T t��?.�
� �
25. If business is partnership, list partner(s) address. aad te3reph�e nt�mbers:
� Address 11e1.Fo.
-
26. Is there a
�yone else w}�o will have an i�erest in thia business or premises4 ,�(�a�,.(�`'�i
Ii answer is "yes", give name hame addreas, telephone n�bers and in rhat � �s��?
manner is their intereat: I /' !a7�"j����;).v �� �
Co9o-�3�y 3
�� �,4-l.<< t a S a .1�� I n� � r _.v�.� . wc•�. �„��1.f���.�,`�a�
�<
�ao�s
�"� �'�,`�.o �!�'�- ��u � , ;c.l,��, �a�- .�"�Sa
21. Are yrnr goin�z to operate this business peraonal]yC�j��S it not, xho vill. vQerate
it: '��
R� Hax address Tel.Ao.
_�
�O.
Are you going �o have a !�ana�er or assistant in this business? If answer is� �
��yes", give name an� ho:ae address and home telephone number:
Name Home address T�1.No.
29. Has arlyone yau have named in questions 22 throu�h 25 ever been arrested? If
answer is "yes", list name of person, dates of arrest, where, charges, comric-
tions and sentence
1
�
?0. I derstand this premise may be in-
spected by t po i e,` fire, healt and other city officials at a�r and all
times when he business is in oper tion.
State of Nlinnesota)
)SS
Couaty of Ramsey )
,� � being first du�y s�+orn, deposes and says upon
oat that h h read the foregcing statement bearing his signature and kaovs the
contents thereof, and tha.t the same is true of his own l�ossledge exctpt as to those
matters therein stated uport information and belief and as to t se matte he be-
lieves them to be true. �
Subscribed and svorn to beYoze me '
S ature of Applic t
this day of 19 c��
Not ic, �ey�Coy� Minnesota
'�ty ssion expires "=� ��A•OO�A[fN
OAKOTq��OTA
� � MY COAAA,�.IXPIFtES A(JQ 21. 1$41
w
.�1,^�
��f���.
, , . � CITY OF ST. PAUL
DEPAR2'!�lVT OP' FIl�ABCE ApD MAAAC�4T SffitVZCES
- LICENSE AND PIItN�T DTPISIOR .
These stateme� farms are issved in d�licate. Plesse aaswer all qnestions !ul]y aad
complete�y. This application ia thorough3y checked. /1ny tnlaiiicstion will be cause
tor denial.
nste �'� �i� i9 �r 8'
1. Appl i cat i on Por- v�.�•�.1�_w�,�, ' ���n� A� v" ��,�-,_,c�_�/� �(Li cense) (Permit)
2. Name o! appli csnt � „ a (�,� L a r r V �� � .
3• If applicant is/has been a mnrried Pemale, list maiden name
�+. Dste of birth '– �_? Age �d place o! birth �T, �c� � � j�3'1 /v
5. Are you a citizea ot the United�tatee � P_S Astive � Faturalized __
b �
6• Are yau a registered voter Where �
7. Home address �.',� �'°) /,�a �D� r n r� W A:1'� [�p �./r�� Aame telephOrie �'�,�.24 �
� � rn�SC
. Present busineas addTQQB �����,��^�a T /ra so U,�//P Bnalaeii �1Qp600� _
- - ��.
9. Inclu6ing your present businesa/emploqmeat, �s,t- bnsiaess/eaplvymeat hsve yvn
follo�ned for the past five y+ears.
Busineas/F�+ploymeat Address
�'�c �s r4 c�- _ . . �L sa7 w a��n �.�.r- -s l �Pes ,��,��Q .�, ,
� i � � JC�t � S l�. �/'%— 3%%v/n � I�oSe v, /�� .��Y
���5'/Qd �� �� OZSO '� LJr1�r► k't` SJ; .Poc� {��'�/� m��
10. Mar�ied c� IP ans�rer- is ',vea", list name aad address o! apouse
J�`�'� h��/��p,— C�Q � cJti,'�P �e� �- r� N ,s-s-���
Zl. ?�iave yw ever been arnsted for an oftense that has reaulted in a convictionY��Q
I! ansti+er is "yes", list dates of arrests, where, charget, coavictio�os sad
aeatences.
Date ot arrest 19 Where
s
. �.l3r►i:�
l�V�iV 11V11 S�
Date o° arnst ' 19 Where
CHARGE
CONV ICTIOil S��
12. List the names and addresses (if married, name o! spouse also) of al� persons,
corporations, partnerships, associations or organizations ��ich in aqy rray�bave: '
a. A mortgage interest in the licensed premise, /��� �
b. A security interest in tlx licensed premises, license, or ivrnishings of the
licensed premise, � �i n C�� �rR �A/�r iC �'�► �. .�F�C
c. A promissory note Por funds loaned for the aQerati� of the licensed premise
or t� purchase ot 'the license, ���
d. Financially�COntributed to the purchase of the premise or the license it-
self i(/
—T
e. ArLy other interest either direct or indirect, either Pinancial or othernrise
i �in the licensed premise or the license itself,
Attach a copy hento oY ari,y and all documenta relerred to in this alYidavit.
1?. Give namea and addreases oP t�ro peraons, res�dents of St. Pavl, Minnesvta, who
can give� information concerning- you.
� � ADDRESS
/9 C�c�e m � l� � ��`�4 hlo. ��n 7t�- y�q -3 s� �--
L7r �� I�..SC �i /Da/ /�r'�i �e l YFS� -9c��'
14. Addreas of premises for �rhi�ch License or Permit is made
a .
Addreaa 1�y C' ��.-,a...����_ Zone classiticatioa —�
15. Bet�reen what cross streets ��/ ,�,� � ���,�e�pr�+Riich side of street�iVQ/`�"''`
16. fta�ae under� which this busineas rrill be conducted ���j- f�.l►1 �t� 5'P��ee..c�7tx�
17. Buaiuess tclephobe rnanber i
1Q. Attach to this a�pplication, a detailed description oP the: design, location, and
square Pootage of the premises to be Iicensed
�9. �.re oremises nor occupied What business Ho� long
. . . � �����
20, List license wt:ich you currently hold, or for�er�y held, or mey have an intere
in x/(�
,
21. Have aay of the licenses listed by you in No. 20 ever been revoked. Yes
No ��If anarer is "yes", list dates and reasona:
22. Do you have an intereat of ar�y type in arly other buaiaeas or businesa premiaes.
I� answer is ��yes", list business, busineas address and telephoae number.�
23. If business is incorporated, give date ot incorporation _� �—/ Q - �' 19�' .
and at�ach capy of Articles of Zncorporation and miautes of firat meeting.
24. List all officers oP the corporation giving their names, oftice held� h�e
address, and home snd business telephone numbers:
� . //�/_� D
25. If business is partnership, list partner(s) address and tel,epha� n�bers:
� Addreas Tal.Fo.
_�
�_
26. Ss there a�yone elae who will have an iaterest in thia business or� ps�emisesY
If answer is "yes", give nsme homr addreas, telepho�e n�bers aad in vhst
manner is their interest: 1�1� �'f��,'�, _ �,a d� ^�' '2���r nf�o y. � v e�90 - 3z y
�-► � ��l „ ( a. I /'-?9 2 F l/k� r c.v c� �.J, c Q)l, ;T e t���i- m�'s'si'�o
�1 n�. ��� ��'C �o/fv S�/ , �a c`l h'I� -�� �_�Z
2?. Are-you goin�r to operate this business peraon8l�j►� i! aot, tirt►o xill operste
it:
R�� q ' Hame aaaress I 2 7.S C r xi ce�� A�'�1.Ao.G=3 Z y3
Are you going to have a Mana�er or assistant in this business? If aas�er is � �
"yes��, give name and ho:ne address and home telephone number�
Name � ' l ' Home address Ttiel.No.
29. Has ar�yone you have named in questions 22 throu�h 25 ever b�en ar.�ested? If
answer is "yes", list name of person, dates of arrest, where, charges, comric-
tions and sentence
i
3p. I ' understaad this premise me�y b� in-
spected y t pol ce, fire, hea th and other city ofticials at ax�r and all
times when t business is in op ration.
State of Winnesota)
)SS
Cowzty of Ramsey )
being first du�y sworn, deposes and s�ys upon
oath that he has read the Poregoing statement bearing his si�ature and lmars the
coatents thereof, and that the same is true of his own l�ewledge exctpt as to those
matters therein stated upon information and lief a.nd es to those matters he be-
lieves them to be true.
Subscribed and sxora to Poze me
�/ Signature oP Applics.a
thi s � da�y of 1?�a
� �'
`
No Public, County, Minnesota
,
!�fy ca�ission expins .�, ��a.ODA�N
A
DAI�TA CWNTY
� MY COhAM.EXPIRES AU6.21. 1991
r
0
� '
�� .
�'������'.
� � CI'TY OF ST. PAUL
DEPARTI�AT dF FIl�AHCE APD MAAAGS�!!t 38RYICFS
LICEI�SE ARD FERMIT DIVISIOA
These stateme:rt forrns are issued in d�glicata. Pleaae aasirer all queations iti31�y a�
completely. This application is thorougti]y checked. Any falaification vill be csuse
for denial. --
Dste _�,i,��;" � �� 19 ���
1. ApplicatioD Por ( ?�l✓E�:%n.t_ l�C�+r,? �^r?•1l>!= ....
(License) (Permit)
2. Aame of appii cant v�rT�� �J�,,:`,;2�) rl/�N�. i?
3. IP applicant is/haa been a married female, list maidea name
�., r.
b. Date of birth � �i� �/ 1 Age �� Place of birth N�.c,i�G;ic , �/<�•,' ,�r' .� ,, �,.,.
-�._ � � rl+.
5. Are you a citizen ot the United States `.'C� Rstiv�e ;'�.S Aaturalized ---
i
6. Are yau a registered voter `�C:� Where ;�1�+,2t c i �r��
�� il�
7. Hove addnas �`� � `' �' "- ,, . `'`., ` �y
''(1�� �i�i: c.�_ � ��i'� `/ �;, ,��� f'��N,�/ AC�e �.l�A�d �- �`U '�
� i
8. Present busineas a,ddreas Buainess telephone -- .
�.
9. IACluding yaur present business/emQloyment, vhat bnsiness/ea�loyoeat ha�s yon
followed for the past five years.
Bus inea s/F�ployment p,d�*a
I o✓✓�ZC�S✓�.�.`.' i�l/c�.n. �-s�t, G.1� ?�j� i��n/�,.��j ?�`7 ^^ ,/.c ����- �". � i
..�✓� � /'� C J� . :llL�' /'7rIVA�
r3,��«r���� S WccNC� �A�ac.✓ '�6 ,�a. ���C �; �` r�:.� ,�„�,✓
,.,
�'" � .�_--
10, i�(arried !C� IP ans�rer is ',vea", list name and address ot spouse Cu��, JC�,�1 �''�s:-�
�r�. j��l.�,'� nv; =: f , i�i`b�- �vI/N��/• ,.�jJ/��X
21. Fiave you ever been arrested for an olfense ttiat has resul.ted in a coaviction! .�%Cs,
It answ�er is "yes", list dates of arrests, where, cbarges, comrictioas and �
aentences.
Date ot arrest _ �!/2,�c� lg Where
CAAFGE� ---
COPVICTION S8i4TIInCE
Date o£ arrest -- 19 Where
Cf�ARGr _._.
CONVIGTIOi1 — S��
12. List the names and addresses (iP married, name of spanse also) ot all perao�na,
corporations, partnerships, associations or organizations W�ich in aay wsy hav�: '
a. A mortgage interest in the licensed premise, ,�✓:>-��'
b. A security interest in the licensed prrmises, license, or it�rnishings of the
�
licensed premise, �i,,.t C�„c /%�•4."kC_"Ti N�, ��/C _
c. A promissory note tor funds loaned for the aperation o! the licensed premise
or the purchase o! 'the license, ���:✓�
d. Financially contributed to the purchase of the premise or the license it-
self .�A�-�C� C �r�N�.c:� �L:��c: �;;�����5 - ✓/IY.vLCNt ;�= �,��.-�c: �C��,
^
e. ArLy other interest either direct or indirect, either Pinancial or otherwise
i
in the licensed premise or the� license itaelf, iv�s.�i�
Attack a copy hereto of any at�d all documenta referred to in this affidavit.
1?. Give aamea and a�cldresses oP t�o pez�ons, resideats of St. Paul, Minnesota, Wtio
can give intormation concerning you.
NAME AD�R'FSS
Av��,S;��`��} 1��si 33 �'-o, /;/,�,�t��,��r" .�✓ S�, ;='�-%., ,�,,,u,�,
_
�
�J�n:;3�2/Q �• �V�.;� /'/5�l �i.✓Cac..,.� :Z:! ji• nie�c../�/ei-✓
14. Addreas of premfses tor ahich License or Permit is made
Address j 7�,/S �c��`�4,[� ��Q Zone clasaificati��
15. Bet�reen wizat croas streets � r ���I,ep`�./�Which side oY street��VA6`�"�
16. Na�e under vhich this business r+ill be conducted C ,r4*�'_ 1 l�l ��a'� �Q���e
��
17. Busiaess telephcne munber �
1�. Attach to this application, a detailed description of the design, location, aad
square Pootage of the premises to be 1.icensed
19. '�.re oremises now occupied What business H� long
.. • , ��0� /���
. - . �
.` 2,0.. List l�cense Which you currently hold, or Pormerly held, or may have an iatere
in �C '�_
i�J'�
21. Have a of the licenses listed by you in No. 20 ever been revoked. Yes
No � . IP anawer is "yes", list dates aad reaaona:
:^/ =;
22. Do you have an interest of ar�r type in a� other busineaa or business premises.
I° answer is "yes", list business, busineas address aad telephone- aumber.
r�/Q;Jc�
23. If business is incorporated, give da�e of incorporation �� — �C 19��
and attach capy oP Articles of Incarporation and mi�tes of f3rat meeting.
2�. List all ofPicers of the corporation giving their names, oP2ice held, heme
address, and home and business telephone numbers:
-✓�C
�
25. If business is partnership, list partner(s) address and teleph� nt�bers:
N� Address Z1e1.Ao.
_�
��
26. Is therr ar�yone e who will have an iuterest in thia businesa or premisesY
Zr answer is yes"� give name, hame- addreas, telepho�e n�bers and in rrhst
manner is tbeir ntereat: ;C'�c.< <�,,���r- � ,o� t� , , c`- n_
-,,.�c:� ,✓ ,�„ � � .��
�C'�o -,3.���
1
��._/,�c J :i.l�iC / 9�? ,�/.s'� ,'�+.':2 iU•r.` I; ;� <,��r�'" S�d o'��C�
27. Are you goinq to operate this business peraonal�y ��/o if not, xho vi11 vperate
it:
Name Home address Te1.Ao.
Are y�u going to have a t�ana.ger or assistant in this business? IS ans�er is
��yes", give name and ho:ae address and home telephone number:
Name NU Home address Te1.No.
29. Has arLyone yau have named in questions 22 �hrough 26 ever been arrested? If
answer is "yes", list name of person, dates of arrest, where, cherges, comic-
tions aad sentence �o
-�
, �
' �/?��/
30. I _,�._ ,�-�� understand this premise mey be in-
spect'ed by the police, fire, ealth and other city oP2icials at a�r and a13.
:times when the business is in aQeration.
i��,\
State of �linnesota)
)SS
County of Ramsey )
C - ing first duly sworn, deposes and says upon
oath th has read the foregoing statement bearing his sigaature and lmrnrs the
content� thereof, and that the same is true of his own 1�oWledge exctpt a to those .
matters therein state3 �pon information and beZieP and. as to those matt�s he be-
lieves them to be true.
c
Subscribed and svora to bePeze me ��
� Signature oP Applica.at
this day of 19
rrot blic, �����%o--��untv Miz�nesota
My c�mnission expires �� -� ��A• ODAlE(r
;�'�-`• ���CWNTY�OTA
MY(�p�.EXPIRES AtNi.21. 19G1
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