88-2017 WMITE - C�TY CLERK
PINK - FINANCE G I TY O F SA I NT PA U L Council
LANARV - DEPARTMENT ���D/�
BI.UE - MAVOR File �0• a a �
� C uncil Resolution 134��
Presented By � - — !� �' �
Referr To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #57576) for the transfer of a Gas
Station (to 3 Pumps) License, 9 Add'1 Pumps and an
Al Grocery (A) License currently held by Q Petroleum
Corporation DBA Q Petroleum at 300 E. Larpenteur, be
and the same is hereby approved for transfer to
Total Petroleum Inc. DBA Total at the same address.
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
�ng In Favor
Goswitz
Rettman p
s�6e;t�i _ Against BY
Sonnen
�Ison _
DEC 2 G 1988 Form Ap oved by City Attorney
Adopted by Council: Date ' - ,yl�/j�
r,�
Certified Pass o nci S c tary BY
B}�
A►pproved b � vor: at�'–�—
^ * Approved by Mayor for Submission to Council
�S \ B
B y P!l�.iS� D t C � 1 l _J�8_8_- Y
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� UIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ���S�j� /_((� �s'
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant���„��� ��.,�Q�_ Home Address �� ���� �l S�u -� . �. ��
Rusiness Ivame�(>-�7,� Home Phone �S(� - �.1�(�3
Business Address aG�t � � ����I�w�f •Type of License(s) ,��}L.,l ,3�p
!
Business Phone��� -�1 � � ,�d��, �tA� , � � �KX. •
Public Hearing Date � License I.D. �{ �1�1 (p
at 9:00 a.m. in the Counci Ch bers, �-/
3rd floor City Hall and Courthouse State Tax I.D. �t � 3 111 �b
llate Notice Sent; I��I�� /���C\ Dealer 4� h IA
to Applicant l �J�' )
�� Federal Firearms 4� �/�, �
Public Hearing
3G�! � �y
DATE I1�`SPECTIUN
REVIEW " VERFIED (CQMPUTER) CUMMENTS
Ap roved Not A roved
�
Bldg I & D � �
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Health Divn. i ,� 7 '
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Fire Dept. � � � �
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Police Dept. � � I
� t 3 d� rec.�,r .
License Divn. ,
i���I� ; a��
City Attorney �
�-�s�� ! a �
Date Received:
Site Plan ����(
To Council Research �o� �
Lease or Letter ���� D te
from Landlord
CURRENT INFORMATION NEW INFORMATION
,
�
Current CorporaCion Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
� � . . � � ; � ��ao�7
City of Saint Paul
Department of Finance and Management Services
' ' License and Permit Division
203 City Hail !- �
St. Paul, Minnesota 55102-2�-5056 � �J���
APPLICATION FOR LICENSE
CASH CHECK CLASS NO. New Renew
a o a a �.. � . _ .. ��.
� Date,�, ._��� ^•� 19
. �
, Code No. Title of License • l ;, '
Fromi: '�� 19�( To -1 � � 19�S
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, ^•.�'1� " r''� ., � =i( . • � �;� ApplltanNCOmPanY Nams �
I 100
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�:, ' ;; •i ` `'; � Z�n,�:( (�;�'..-�
' ' 100 Bualness Name
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100 ��� � L �..�, 4+ :_�: �
,
Busfnesa Addresa � Phon�No.
100 � \ t . '� r�4'1 ��� I
k.; ���C L'� 1 i, 'r-, , . ; �i� '`, �.r j ; -
100 Mail to Address ( PAOne No.
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} �oo �`�-. t ; �� ,-�
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� " Manaq�NOwner•Nams �-�
100 �'� ,; � �
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,h '�,`i�,�� ! ��; �� vt it l� � 1 . �, :�L���
100 �lanaqerlGwner•Hom�Address Phon�No.
� 4098 Appliestion Fee 2 � \
� Neceived the Sum of 100 � ��� ��l))` - � ` � (
� �, r!? - � ( � l+`��-l',i. f Y r_�Y\� ,���n . � `���-f
4 ` n �� .-Cc�., - t 7�i � �� ManaqK/Owner•Ciry,SIaM 3 ZIP Code
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� 100 Total 100
r- � ` � t .
license Inspector��� �•- By: �\ vl � Siqnsture ot Appiicant
Bond•
Company Name PoHey No. Expiratio�Date
Insurance•
Company Name Poliey Na ExpiraUon Dat�
� Minnesota State Identification No. 5 Z 1►��"'• Social Security No
! Vehicle Information:
S�rial Numbar ate NumbN
Other
; THIS IS A RECEIPT FOR APPLICATION
, THIS IS NOT A LICENSE TO OPERATE.Your application for licensa will either be granted or reiected subject to the provisions of ths zoning
ordinanca and completlon of the inspections by the Health, Fire,Zoning and/or License Inspectors.
$15.00 CHARGE FOR ALL RETURNEO CHECKS
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' CITY OF ST. PAUL
DF�AFt'PMAiT �' FIlYARCE AND MARAG'S�lPp SffitVICLS �'-,���;:--.
LICF.NSE ARD P�RI�T DIVISIOA !_;�-:'_:� -- . . •.
� , ��� c�a �7 ''' �I� I6
��v� .rL. Ni{
These statemerrt forms are iasved in dnplicate. Plesae aasaer all qnestio�s !"i�lly aad
campletely. This applicstion is thorough�y cbecked. Ar�y fal�iricatioa vi11 be csuse
!or deaisl.
�� September 14, 19 88
1. Applicstion for Grocerv/Gas Station License (Lioense) (permit)
2. Pame ot applicant __DouQ Mast (Total Petroleiun, Inc.)
�
3. I!' applicant is/hsa been a mnrried female, list maiden nem8
�+. Dnte of birth 7/13/55 Age 33 place ot bir�h Alleqan, �iZ
5. Are you a citizen of the Unfted States es Aative _�iy�
6- Are you a registered voter ve s Where Northville, M.T
—
7. Hame address 116 8 8 Thornhi 11 Rd. Aome teLephooe 612 942-6244
a. Present business address 8148 Pillsbury Ave, S Business te
- 3.�phao� 612 881-4483_
9. Inclndin6 Y�' P��nt b'ns3ness/emQloymeat, vhe,t busiaess/�loyteeat ha�t yan
follow+ed for the past tive years�
Busines�/E�ploymeat Addre�s
Total Petroleum, Inc. P.O. Aox 500 Denver, C)D 80201
10. Married ye s If anst+�er is "yea", list name and address ot spcuse _
Patricia J. Mast 11688 Thornhill Road, Eden Prairie, NIlV 55344
ZI. �Iave you ever lken arrested tor ar� otfease thst has reaulted in a coevietioa!_
It ansver is yes", liat .dates ot arrests, rhere, chargea, coavictioas and
aentences.
Dste of arreat 19_ �lhere
CZiAFCE
COI�V:t,'PION �
Dete o: arrest I9 Where
CRARGr
CONV ICT�OiJ 5�.��
c-., • ,
,�,r �.
�12. List the names and addresses (if married, name o! spause also) ot all persoDS, ' �
� �� corporations, partaerships, associations or orgasizatians which in aay w�y hsve:
�
a. A mortgage interest in the licensed premise, �
.
�/IZGL/LC�
b. A aecurity intere�t in the licensed premises, license, or hstn3shings of the
licensed premi"se, __
c. A prvmissory note tor 2�nds loaned for the aperatioa o! the licensed premise
or the pnrchase of'the license,
d. Finar�cially contributed to the purchaae of the premise or the licenae it-
self /J2o�c�. �
e. Ar�r other interest either direct or indirect, eith�r financial or otherwise
i
in the licenaed premise or the licenae itself,
../1'l.d�tp�
Attach a copy hereto of say and all documents referred to fn this affidavit.
. Lease Attached
1?. Give names aad addresses of two persons, residents of St. Paul, Miaaesata, vho
can give intormstion coacerning you.
AAt� AD�S
Janes P. Hill 1707 Tavlor, St. Paul, MN 55104
Scott Fisher 812 - 17th St., Newport, �1 55055
14. Address of presaiaes for Which Licease or Permit is made 304 E Larpenteur
Addreas �04 E Larpenteur Ave., St. Pau1,: i�MT 55117 Zoae clasaiticstSort_
15. Betvesa r�izat croas streets 35E & McEnet►y Whi�h side of street �_ide
16. Ra�e under which thia busineas �rill be conducted Total
17. Bnsi�ss Lelrphone manber 612/776-6744
1Q. Attach to this application, a detailed description of the design, locstion, and
square Pootage of the premises to be licensed
2400 sq ft section of wood frame building _
�9. ?re oremises now occupied ye=at business �1as/c-store H� long_
. . � . � ���aai7
. 2Q:, Liat license which you currently hold, ar !ormer�y beld, or may have an intere �
in
NiJ1�EtOUS
.
21. Have arry oP the licenses listtd by you in No. 20 ever been z�evoked. Yea_
Na �_. If nnsver is "yes��, list dstes and reasons:
22. Do you have an interest of ar�r type in a�r ot.�er buainess or busiaesa premises.
I' ansWer is "yes", list business, busi�as address and telephoae trumber.
No
23. I.* business is incorporatec, give _date of incorooration� 2/6 19 36
and at�ach capy of Arti.cles o* Incorporation and minutes ot firat meetiag.
2�+. List all officers ot the corporation giving their names, office held, hame
address, and home and business telephone n�bers:
3Q3/399-6601
Philippe Dunoyer, President - 2000 E 12th Ave., Denver, CO 80206 303/291-2085
303/7?1-2571
C. Gary Jones, Vice President - 5927 E Jamison Lane, EnQlewood, CO 80112 303/291-2862
303/799-0?93
Lar�v C. Ross. Secretazv - 8749 E Otero Cr., Enqlewood, CO 80112 303/2?1-2145
303/690-6137
�nd Leeks, Treasurer - 1a656 E Grand Ave., Aurora, CO 80115 303/291-2079
�_.
25. If business is partnersizip,. liat partnez(s) address aad te3�ephcne at�bers:
Name . . _ �. '.. � . -Addresa Tel.Ao.
_.,r_
r
26. Za there ar�yone else who will have an interest ia this busiaeea or premises4
If ansxer fa "yes", give name, home sddress, tele�pho�e a�bers and in wbst
manner is their intereat: No �
2T. Are you goinR to operate this buainesa peraonal�y �_ it not, vho Mill operate
it: p.0. Box SQO
Name Total Petroleum, Inc. Home address Denver, CO 80201 �l.Ao}03/291-2000
Are y�u going to have a t�ianager or assistaat in this business? If ansver is � � -
"yes't, give name and home address and home telephone mimber:
812 - 7th St.,
Name Scott Fisher Home address Newport,..I�T 55055 �1.No 612/458-3597
29. Has ar�yone yvu have named in ques�ions 22 through 2� ever been arrested? Zf
answer is "yes", list name of person, dates of arrest, where, charges, comic-
tions and sentence No
3a• I t ���I,�i� understand this premise mey be in-
specte by e p ice, Pire, health aad otber city oPficisls at aqyr aad a1I
times when t e bnsiness is in operation.
State of � 'nn sota) �
)SS
County o y
being lirst du�y sworn, deposes and says �pon
oatl� that e has ad the �'oregoing statement bearing his sigasture aad lmo�s the
coatents thereof, and tha.t the same is tsue ot` his o�rn l�ovledge except as to those
matters therein stated upon information and beliet and as to those matters he be-
lieves ttbem to be true.
Subscribed and svora to lone me
G Si ture Applicsat
this �day oP 1? d �
`�'� .-.:•• MARLENE J.WALSTEN
� Notar,� Public, C�13II�� M7.2111lSOt �"��'� NOTARYPUBLIC-M�NNESO
:�� DAKOT������
'�Fy co�ission expirea �/ My Comrt�iss�o^
�
� GF.�aa��
�, . o� �,m �„�� �� �R��� ��T No. 0 0 215� '
��� . �����
CE�ristine Rozek ��+� -'�.����� 3`��
.
- . . � �*� �`
F Ci 11C - , � crrr�**oar�v —
Application for the transfer of an A1 Grocery (A) License, a Gas Station
(�v 3 Pt�nps) License and 9 Add'1 Pumps.
; ,
Ptotification D,ate: 12-5-88 � liearin te: Ig-20-88
, �,►,�s:c+�t��a�t�► �+�ar►: . _ : - _ . ;.
reaN�wa ooM+re�or�' cnn��av�� a��w onre a►r nnK�r »ia�No.
za�r+o�rr�o�+ �ezs ecHOa eawn
stw� �va��aor� crnu���s�s irooL�a�ooEO* r�ro ra ooM�sr . co►�
OIMP
� � . � � �� . � _ . � � __IOAADDL�IF'D. _�������.
. . . . diTRICT ODIRICK '. . � .. •rf�UNATION: � . . . . � - �. '� .
�.lIJPPOR'TB�WMpICOUNCLOBd�T1V89� .. . � . � . . �r` ��� � �.
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7ota1 Petroleum Inc. DBA To�al requests Council appr 1 of its app'tication
for the transfer of the abo�ve licenses currently held by Q �etrole� Corporation
` D�A Q.Petroleum at 30Q E. Larpente�rr. Total Petroleum will aperate: at th� ;�
sa�.,:i+�cati on. ,
: , :
r _ :.: -- . �_ `
��uat�na+�traMttsa��ea�Mrs;�p..u�s►: � .. .
i ' a ions ave been submitted. All re uired divisi�ns- �
, A11. �ees and app �c t h q
. - . Zoni ng� Heai.tfi, Fi re, Pol i ce and Li cense have .gTVen thei r apprc�val.
,_ 00N�i(IAA#�E vq�eY►i lrid 7b"�Yl+om)e..; . . , . : .. . ,
If Council approva1 is given, Total Petroieum will �operate � service
station at 300 E. Larpentewr. `
:
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Co�;r�cil es�arch Center
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LEGAL 1�1lS: � ; --�
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N570RY CFN�Q�O�IMO�A7�ON�ldl�ltl.SC e
°si#IC4110LQ�S.(Uery �or►�+.-,o) —�, �,w�u.rESr�ri�riN� w►tbna.F�sw,u„arixe�n a�u> ,
, -
FINANCIAL iMPACT - - �+sr v�w cs,��re� s�o r�an worEs
�;, �,: -,
o�ernac�euoc�Er: .
REVENUES GEd1ERATED ........:..:................................................... �
EXPEI�B: . _ .
Salerfes/Fringe Berrefits.....................:::................................ ; . : , ..
E4��P�t � -, ,
..................:.:...........................r.......,..................... :
�PP��............. . . . ..... . ... ..
Catt�for Service
OMier
-, PROFIT(LQSS) ........................................ . :: ......................:...... � . .. ,
FUNDING SOURCE FOR MIY LOSS(Name and AmouM) .
CAPITAL IAIPROVEMEI�II BUDGET:
_ DESNiN COSTS.........................:................. ,
� ...........
., •
�- ' A�UISIi10N COSTS:........................ .::...... ......,,............. ,
CONSTRIlCT10N COSTS .................................... .....:..:. .:.... . , _
� TOTAL
S011RCE QF FUNDIN(d jName and MiouM) .
IMPACT ON BUD6ET:
A1M01/NT CURR2NiLY BUDGETEQ _ _ _
A#AdUNT IN EXCESS OF CINiRENT BUD(iET � _ ,.-
, ., ,
SOURL'E OF AIAOUNT OVfR BUDOET........................................ '
. PROPEIiTY TAXES GENERATED (L.OST! .........
IMPLE�IIENTATION RE�ONSIBILITY:
DEPTlOFFICE ON1S10N FUND TrtLE .,
_.
�BUDCiET ACTNITY�NUMBER&TlTLE � - � . �� ' .�. .. -� ACTIVITY ItifANA(iER �" �.. - . � °�...
HGW�MANCE YVILL 8E iIEASUREDZ:
PROGRAM OBJECI7VES: PROORAM INDICATORS 13T YR. 2ND YR. -
EVALUA710N RESPOI�BILPi1f: - •
PHi80N DEPT.. PHONE NO. q�ppiqT fQ. pF ' TE
H/tST Q(tARTERLY '
; _ . _ . _ . . _ _ y . . _ :