88-2019 WHITE - CITV CLERK COURCII O� ��0��
PINK - FINANCE GITY OF SAINT PALTL
CANARV - OEPARTMENT
BLUE - MAVOR File NO. d
Council Resolution 3�;
�_�
Presented By
Referred To Committee: Date ������
Out of Committee By Date
RESOLVED: That application (ID #27248) for a Gas Station to 3 Pumps
License, 15 Additional Punips anc; an A2 Grocery License by
Total Petroleun Inc. DBA Total at 1529 4•Jhite Bear Avenue,
be and the same is hereby approved�e�i-ec�—
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
�� [n Favor
Goswitz
Rettman v
Scheibel A gai n s t BY
Sonnen
Wilson �C � � R7iJ�J
Form App ved by C� ttorney
Adopted by Council: Date
Cert�f�ed Passe unc' S cr t BY �
By
Approve iNavo • e _ �GC � 1 ���� Approved by Mayor for Submission to Council
gy BY
pU�1�S�B D�C �11988_
� �� ao,9
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ���.� ���
INTF,RDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant�C3�Q��YO�U�, �h,�• Home Address ((� �' . �J1�v
---•T
Rusiness Name ��-rG�sG Home Phone ��� - C.�(.��3
�
Business Address � 5a�, �,��,,, �,, Type of License(s) � �J��,p�
Business Phone `'�`��D-��a,� � Y}- � � `� ,,,,,,�rv� • l�w• i� -L � ���� �
Public Hearing Date "-1�I00 License I.D. 4{ a�a�C g
at 9:00 a.m. in the �ouncil Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �t �?� � l-lC��
llate Notice Sent; `�� I�� � � �Z�l Dealer �� 1� �A
to Applicant � J
rederal Fi_rearms �� � �A
Public Hearing
DATE IIv'SP�:CTION
REVIEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D +` �\ rol �
� ��6�> , (� ��
Health Divn. I
��� ;
� G�
:
Fire Dept. i � I �
� l 5' � � k
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Yolice. Dept. � � � 1� I
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License Divn. a � �
I 5' � p.�
City Attorney �� a3 �� � //
(c�
Date Received:
Site Plan a I ��)�
To Council Research 1 Z � �
Lease or Letter D te
f rom Landlord � ����( �
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
� . e ..•y,... _ t..'.;y.��:J,-N.�.. . .. w y..s.� v-.�w�:,s�C'.+Tw'PY,'. . `Y:T^- , n . � - °'. ` % , ". �. .s�� � ' .... "' " .
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City of Saint Paul ' `
' � Department of Finance and Management Services a,����_
:
License and Permit Oivision
, _ 203 City Halt •
� St. Paul, Minnesota 55102-298-5056 ,
� - APPLiCATION FOR LICENSE
CASH ` CHECK CIASS NO. � �� ,,.A ,r New Renew ,�. � :f _ ^ -:�;,
� 0 0 � � : 0 0 ����� ,�
. , ' ' Date ` � 19 o n
Code No. Title of License From 19�To � 19�
`• ,.,�s , ,
" �r�t.v `1 . � _
� _ ,� �>-���.�-►��� ���'� .
� a � � 1 � �� Applicant/Company Namt
_ — ' �
�1 _ � �t � �S� U�
100 Bualneaa Nams
,� _ aPSa .�°` �`-'Ua
- Businesa Address PhoM N�_
100 ' �,
�, � � s ��t�� .�. I -
100 n'Ma 1 to Addrma Phons Na r��
� yt� �
�oo c� n'Ir�,� .
� ManaqerlOw •Nama C(Ua
100 i -� `/
_ :;ti�,.f L.sc"5( ' �R o v h�� �� IL� • �.v� ��l
100 AtanaperlGwner-HomrAddreas Phone No.
. 4098 Application Fee 2. 50 • _�'�-j� � , �
elved the um of 1� ;• `C:{�Q,V1 �YGtA.�..'e., �� '
.
_ .Z� :
• � .�� _ :�. ManaqeHOwner-City,Stafe 3 Zip Codf
' _ ., .;- �
.
;•_� s� = .,, :100 :` ;; :Total ;100 :,�,� � `; .:, `� . _ • . .
. T . ::. -�;., _ . �.._ . , . _-`� .
. _ . . . . . � . . , . . . � ����� �
License Inspector � ' By:�� / Si ture of App�icant
BOnd• ,. : , _ _ _.
. • Company Name Policy No. Expir�tion Date
Insurance•
Company Name • Pollcy No. Expinqon Oab .
Minnesota State Identification No. 5 3�� ��� Sociai Security No.
, , - .
Vehtcle Information:
' � Serlal Number . � Plats umber ,
Other. -
- THIS IS A RECEIPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your application for i(cense wilt either be granted or rejected subject to the provisions of the zoning
ordinance and completion of the inspections by the Health, Fire,Zoning and/or License Inspectora.
� $15.00 CHARGE FOR ALL RETURNED CHECKS
.,P,r�CY'� 9-�"SS� l�
� r � � ' C�4 S �a°�9
CITY OF ST. PAUL
DEPAR'I'h�A'P aF' FIlqANCE AAD MA1qAC� SffitVIC�S
` LICERSE ARD PIIiI�II'r DIY�SIOli .
,
�ese statemerrt torms are issued in d�aplicste. plea�e aas�+er all questions ltiilly aad
campletely. This application ia thorougt�y c5ecked. Arry falsilicaLioa +rill be csuse
for deaial.
�� S�ntannhAr 8. 19 88
1. Applicatioa for Grocerv/Gas Station License (����) (Pe�t�
2. aame or a�,pl��ant __ Doua Mast fTa7�,c. �E'TT,�o,�ECIM rNC�. �
3. If applicant is/has be�ta a m�s�ried fe�s].e, list saiden name
�+. Dste of b izth 7/13/5 5 Age 3 3 place of bir�h A 11 e q a n, M I
-
5. Are yvu a citizen ot the United Statea es Aati�re _turalizad _
6- Are you a registered voter yes Where Northcille, M.T
7. Aame addreaa 11688 Thornhill Rd. Aame l.elephoae 612/,942 F244
8. Preserrt business a+ddress __8148 Pillsbury Ave, S Business te].�phooe 612_8_4483_
9. Including yovr present business/employmeat, v�at basiaess/e�loqment bt�s you
fo2lowed !or the past live years. ,
Business/E�Pls'Y�� Address
Total Petroleum, Inc. ._ P.O. F3ox 500 Denver, CO 80201
10. Married e s If ans�+er ia "yea", list name a� address ot spouse
Patricia J. Mast 11688 Thornhill Road, Eden Prairie, NIl�T 55344
11. �iave you ever been arreated tor ar� oltense that haa reaulted in s co�nviction!No
It ans�+�er is "yes", list dates of arnsts, rbes�, cbarg�s, comrictions and
aentences. -
Date of arrest 19 �ere
—
CAAF?CE
COfiVIC'PION SSN'1�l�CE
Dnte of arrest i9 Where
CRARGr
CJNV ICTIOi1 g��
12. List the nsmes and addresses (if marrfed, name o! spouse also) of all peraans, '
corporations, partnerships, assaciations cr orgaaizations Wt�ich in say v�y have:�
a. A mortgage interest ia the l.icenaed premise, �
,
b. A security interest in the licensed premises, license, or 21u�aiahings ot the
licensed premise, �/1'1.C�-7c-�.�
c. A prvmissory note for ltuids loaried 2'or the operatioa of the Iicens�d premise
or the parchase ot'the licease,
d. Financislly contribut�d to the purchaae of the premise or the licease it-
self � ,+�� /
.
e. Ar�y other interest either direct or indirect, either financial or otherwise
in the licensed premise or the licenae itself,
,��1
Attach a copy hereto of aaq aad all documenta referred to in thia a2Yidavit.
• Lease Attached
I?. Give names aad addresses of two persons, reaideata o! St. Psul, Minnesota, pho
can give intormation coacerning you.
RAI� AD�S
Ja�r�e s P. H i 11 1707 Tavlor, St. Paul, N�I 55104
Scott Fisher 812 - 17th� St., Newport, �i 55055
24. Addreaa of premises far Wh3ch License or Permit is ma�de 1529 White Bear Ave.
Addreas 1529 White Bear Ave., St. Paul, NIlV 55106 Zoae claaaificstio�n �'-
15. Betveen rhst rroas streeta Nebraska & Montana Which side of street West Side
16. Ra�e under vhich thia business aill be conducted To tal
I7. Business Lelephone ntnnber 612/776-5422
lp. Attach to this application, a detailed description oP the design, location, and
square footage of the premises to be licensed
Concrete Block
19. �re oremises now occupied yes What business Qas/c-store H� 2ong
;
_ . r�-�✓o?a��
. 20: List license wtiich you currently hold, or !ozmerly held, or may have an iatere
, " in
N[A�ROUS
,
21. Have arry of the licenses listed by you in No. 20 ever been revolaed. Yea_
Na _�_. If ausrer is "yes", list dates aad restoas:
- -
22. Do you have an interest of a�► type in a� o�ber busintas or businesa premiaes.
I: ansWer is "yes", list business, business address aad telapho� numb�r._
No
23. If business is incorporated, give date of incorporation 2/6 19 36
and at�ach capy of Articles o* Zncarporation and miautes ot first meeting.
2�. List all ofSicers of the corparation giving their aames, otYice beld, h�e
� address, and home snd business telephone numbers:
• 3Q3/399-6601
Philippe Dunoyer, President - 2000 E 12th Ave., Denver, CO 80206 303/291-2085
303/771-2571
C. Gary Jones, Vice President - 5927 E Jamison Lane, EnQleti�ood, CO 80112 303/2Q1-2862
303/799-0?93
T�?�?�! C. Ross, SecretaYV - 8749 E Otero Cr., Enqlewood, CO 80112 303/291-2145
303/690-6137
Raymond Leeks, Treasurer - 14656 E Grand Ave., Aurora, CO 8Q115 303/291-2079
29. If business is partnership, list partner(s) addreas and telephone a�bers:
Name .., Addnss � �l.Ro._
-
26. Is there arlyone elae vho will have nn iutereet i.n �hia buainess a� pre�isesY
Ir answer ia "yes", give asme, home address, telephaa�e n�bers aad in M6at
manner is their intereat: No �
27. Are yon goin�t to opernte this businesa peraonal7y �j� i! nat, x�o �rill aperste
it: p.0. Box SQO
Aame Total Petrole�n, Inc. Home address Denver, �0 80201 �1.Ro}03/291-2000
Are you goin� to have a Manager or assistant in this businesa? It ansWer is
"yes�t, give natne and home address and home te3ephoae rnimber:
1100 Wi1sQn
Name Jov e Terrv Home address St. Paul, MN 55106 2tie1.No.612/772-1057
29. Has ar�yone yvu have named in questions 22 through 26 ever been arrested? If
answer is "yes", list na:ne of person, dates of arrest, vhere, charges, convic-
tions aad sentence No
30. I understaad this premise mey be in-
spe�ed " the olice, fire, health aad other city ofticisls at a� aad alI
times When the siness is in operation.
State of y1i. esota) '
G,(�,SS
Cowzty of j y )
being first du�y sworn, deposes ar�d s�ys upon
oath th he h read the �oregoing statement bearing his sigaature and l�o++s the
contents thereoP, aad that the same is true oP his o�n► l�c�rledge excrpt as to those �
matters therein stated upon informa.tion and belief aad as to those matters he be-
lieves them to be true.
Subscribed and sworn to beloze me
Gp Si sture of Applicaat
this �_day of I? O J
� d�
Notary Public, �sey Couaty, Minnesota j.�� MARLENE J. WALSTEN
/�G�/ ,,` �i�,t NOTARY PUBUC-MINNESOTA �-
�/ /L'��'�. � DAKOTA COUNTY
� CO!ffi1�8S�OA QJGp1PE8 _ AAy Commiaaon Facpirea Feb.24,1991
oR1�NA7+On o� , ��� (
� . : .. . ;.MIMT� - .DAR.COARLBXRD,. ' .- - � . �.
.. � . . . ..:' � �.. .� �- � .
�r.l �. ca�t►�a; : �'rf���l����"T -NO. 0 4�141 :
, , _ �„�� - �„��.;��, .
., Chr�istin�--�zek: -: � — ���►��. �"'�«.� ;
� ^� �°� � �� � �`Council -Resea�rch
: :. .' ��3�.�Q5r6 ' � cm�x�mw+�v —
�11�d1iG£ .�. :�
App icat�or� far a Gas S.tatior� to 3 Pe�m�s Licens�, :,15 Addi�ior�a� I�mps
and an A2 Grocery License: ' - '
Not'fi cation-�ate: 12��i-88� ; tte��i n D�te: i2-2o-88
__ a :.;
(M a�(FU) e H@dEAAd+NEPORt: .
•ruuw�o crvK sEm�� ai w a��c� u��t _ wa�r� ;
: � ,
aarrn oo��eia+ I . �ao s�a sctao�eauao -
sr�c cxv,nten� c�o��s is �om.�o.nnoEO* . . r�ro - oorleRruep.
, �_ _ �Faa�cot�".�` ��u�ac,moeo«
n�sracr oou+c�
•o��Nr,riori:
auarorrrs w�+��oe�CrrvE� _ _ �
�
'
_ _ �
_ .
NIM7#19�IIO�Li�, O!/ElR7lNiFY iWM.VY1rR when.wtw�.N�hY). . -
Tot�l Petroler�m Inc. DBA Tota] requests Cauncil approva� of its a�pplication
forathe liGenses listed above�.
, :;. �CAf10N �A�MAISR., ,.. , .. � , _ . _ . :
A11 fees and appTicattons have been submitted. A11 required departn�nts -
., Zqn�ng, F�alth, F�re,--Police and- ��censing:�fiave gi�ren their app�v�ls. ' ' �
: cow�a+e��wn•c+�:ane Te.�a:
; " ''-
� If �ounc�l approval is
given,: TQtaT �etrole�m =Tn�c. wi1l operate the,;���tion
at �529 I��e Bear Avenue. � _-
, �,
�r.�rrra►�:. . .. , . ,;: � vn� : . . �, . : i a.,�i i t8t
. . . i . . . - - i . . .. � . -
I .
�LL ,06 �°H8
,
.
� � �,�: ,
#OT�: Q Retroleum was the- fo�mer operator of the fiusiness at ].529 Whi�e. 8ear Avenue.�
.
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` $iJyCW 1pLDEAB(i;ip� ; oOSrnOn t+,-.o):�, �wa11E�r�r'r lvm) �u►no�ut,E(Summadze Rqan x�)
FINANCIAL 1MRACT wnar r�iw tswt o.c�> sECONO v�n r�res
o�u�ma euoc�r:
REVENUES OENERATfD ..........................::.:................................. ^ ' ;. , - �
EXPENSES:
Selaries/F�inge'Benefifs....................... . ' `
E4uiPment.......................................................:....................
. ,�.
SuppNes , ;
,
CoMrec+E�for Servioe .......................................... ;
Olher
PROFIT(LO�S) ..............................................................................
F[lNWMG S4?llRCE FOR ANY LOSS(Narne and M�oiuK) � - .
CAPITAL IIIPROVEAAE!(T 8UD(iET: ,
DESKiMCOST8................................................................................ '
ACQF1F61TtON Ei08T6.:...................................:.....: ..... '.
. .
CE)IiSTRUC'f10N COS'1'S..........:.....:................................... ....... , .
mra�.................................................................................................... . . , ,
_ ., - . _ :
SOURCE OF FlAlOMKi(Name arW Aur�ourd) . � _
NAPACT ON BUD(iET: ° �
': AMOUNT CURR2NTLY.BUO�D...............:. ...:..... ........ . _ _ . ;
. „ ,,.
� , �-' -
AIAOUWT qi EXCf88�txlRl�Ii BIlDOET , . ;: , , . '
. ., .,;.
SOIJRE�OF IIMUUlIT OYEii BI�DGET........................................
PRt1PERTY TAXES t�IENERA"1"ED (LO�'l. :,:..:...
II�L£1#ENTATION RESPOI�BdJTY: - _ ,
�PT/OFFlCE . � � � � - - OMSION . � . fU1��T17LE . . . .
. . ... ._ . _. _. . . ,. . . .. _._.. . . _. . .
BUDCiET NUMBER&Ti7'LE : . � ACTMT'
IIOW PERFORMANCH YYlll 8E MEASI�iEO?:
Pi�BRAM 08�iECnVES: PRaiRAM IMDICATORS 18T YR. 2ND YR.
BVALUATION�T11: � . . �
� oEar. _ wiorie r�. ": 7q C0U11K�1.OF a►
t#R81'0�7�.Y
,> �, . .. _ ... . ,_ . .
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