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88-2021 WMITt" - CITV CLERK PINK - FINANCE COURCZI A/ BLUERV - MAVORTMENT GITY OF SAINT PAUL File NO. � _" D�/ Council Reso ution 5 �_�- Presented By Referred To Committee: Date Out of Committee By Date RESOLVED: That application (ID #94963) for the transfer of an On Sale Liquor License (C) , A Sunday On Sale Liquor License, and a Restaurant (B) License currently held by Bruce E. Anderson and Leonard P. DeConcini DBA The Quik Stop Lounge at 828 E. 7th Street, be and the same is hereby transferred to Darp Corporation DBA D�el�s at the same address. �Fi-�-F� 15 COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond Long In Favor �� Rettman (� s�6e;n�1 _ Against BY Sonnen Wilson �p� �C 2 2 AW Form Ap oved by C' A orney Adopted by Council: Date ' - Certified Passed C '1 e r BY ,ll,` I � B}� dlpproved � or: at� �� Approved by Mayor for Submission to Council By ��"_� ` BY ��'`r`� ��C � 1 1988 � � ��ao�� UIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /�o�.�� ue INTEItDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud +cci Applicant ��_�r � Home Address ��'�[� ��`�,� �� Aus ine s s Name � ti� = �-- - �--` �1-f'f'1 js Home Phone 1?,� - �C��S TT Business Address �a,� �, �� ,• Type of License(s)�Y,�tv� �r� Sc.�_ � � Business Phone �h �_ �,,,� . ;� �t , 313► �Y�j - r Public Hearing Date la �,D License I.D. �� q� ��3 at 9:00 a.m, in the Council Cha bers, 3rd floor City Hall and Courthouse State Tax I.D. �t a3�� 3('j�1 llate Notice Sent; '� I��U V ��u) Dealer � h� A to Applicant /�� .�/ y��,p Federal Firearms 4� n � Public Hearing -� DATE INSPECTION REVIEW VERFIED (COMPUTER) COMMENTS A roved Not A roved Bldg I & D �j � d '�'D 6� � , i Health Divn. ' , � 0 �� ! b� � � Fire Dept. I � � ,Q ,� � o�C.� � Police Dept. 1�� I �� r License Divn. ,�� , L ° � 6 �i � City Attorney � I� Ic� � � � � Date Received: Site Plan ��aUl� �i To Council Research ` D Lease or Letter �'�ul� te from Landlord ,_ ,. ,.__ .� . _ , . . .. . .. , . �a.. .. .. .. . . ...:..cr-. .. . , .�-.ry*;� .. .�a.= a._. , _ _ . . . .. CURRENT INFORMATION NEW INFORMATION Current Corporation Name: New Corporation Name: �Q,�p G,�n; l�nmfdl �! � �r�j Cu r P • �nd_ex�o,-, �Ur� 4- ' . Current DBA: �,� (�� New DBA: SC�.�� op �---��---�-�-- �c.k � ��'e-S Current Officers: Insurance: �.n ur��1 . ��Y,e�.-�- �� `��13 v�3t��j �rc,,L�. � . 1(�.dl.�r-sc� Bond: �-�-�"I.c� �`^'`'`"`� e..� ' �,- �} �o v s� ��l '(,�,��- Workers Compensation: �lA New Officers: �� 1 1 2" �,p n �.JC C� � � r- - � � �z�� Stockholders: ��c.�ttird� `�-i 4-z.c�e�cQ. SO�/a i�� -,-�-Zr�,x�.. So°/� i'` � �. .. . ' T City of Saint Paul , . " �� Department of Finance and Management Services ' � License and Permit Division ��0� j 203 Ctty Malt • St.Paul, Minnesota 55102•298-5056 � � � APPLtCAT10N FOR LICENSE � ; CASH CHECK CLASS NO. - . New Renew � ; �a o . ; �:�� ::o o � -�. . _ � ' - ` - Date �•o�U 19� i. � . != Code No. Title of License --�i ��To � 19� ` Fro `' I�,;� C /��, �Co t 3� � ' ,00 r, ,� • �.ora • E�� O� �K. 4�� ' 1 a�� PPIICariUCompanyName 100 ` a � � ��+' ' ''� �, � r�. SO d0 ` �;�"-�� ' 3 ' 100 Business Name J � �\ 3 � �ti , 3 � . ,o'o/ �l �, . +`' Cs.E-_T- , �, 4 ` •� /r� • SS (�5 Business Address ��G� PAone No. ^^ �J i+ � ' �VV a�^�.� �..�-l. 3L� �� ?-� r,� S� ll��,� t :I 5��5- � . 100 Mail to Addross PAOne No. ! � 100 �'< �jy r f � • � ��1(.i,�Yt� �G� ManaperlOwner•Nam� � � ,00 a--�US �-F;�� t..�c�{�� cC ; 100 ' AtanapedGw�er•Home ACdress P�one No. ; 4098 Application Fee y. 50 . � j . : qecelved t e Sum of - 100 � � � � " ::�� 1 h �, .� ��,. F`�'�`'�� p I 3'�1 .ManaqsnOwner-Gty.s�a�e a �.. �, n r ,r_ Q.�..rc�1, 4t-i. 3� > r� ,, � ,ao �m . rocai - ,00 ' ._ . . �, . _ .:� � � . C . ; . ..- _ . . . � i liCense Inspector dy: �.�J y � Siynature ot Applieant I ': i ' Bond• � � . :: 1�� - i �. ' Compamry ame . .- . :. Policy No. Expiration Oate -.- '' �nsurance• 4 'h la �� ' �13 31�t � k 4 � Compaey Namt PoBey No. ExpinNon Oate t �Mtnnesota State Identification Nv.��?S, �� Social Security No ; . . � Vehicle Information: ~ ` '� � S�rial NumOu te Numbu ' Other j � THIS IS A RECEIPT FOR APPLICATION E THIS lS NOT A LICENSE TO OPERATE Your appiication for Ucenae wiil either be granted or rejected subject to the provisions of the toning • `'� ordinancs and complation of the inspections by tAe Health, Firs.Zoning artd/or Licenss inspectora. ' } _ i i � $15.00 CHARGE FOR ALL RETURNED CHECKS �<% C `C-� ! �� "-� � J . ��-��a� . . ,. � .; Applicat�on No. Date Received By CITY OF ST. PAUL, MINNESOTA APPLICATION FOR ON SALE INTOXICATING LIQUOR LICENSE SUNDAY ON SALE INTOXICATING LIQUOR LICENSE PRIVATE CLUB INTOXICATING LIQUOR LICENSE OFF SALE INTOXICATING LIQUOR LICENSE � ON SALE MALT BEVERAGE LICENSE ON SALE WINE LICENSE � Directions: This form must be filled out with typewriter or by printing in ink by the sole owner, by each partner, by each person who has interest in excess of 5% in the corporation and/or association in which the name of the license will be issued. THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC 1. Application for (name of license) On Sale Intoxicatina Liauor License 2. Located at (address) 828 E. Seventh st. 3. Name under which business will be operated Dick and Ancries 4. True Name Richard Paul Fitz erald Phone 738-8045 �rst � M dd e � Maiden Last 5. Oate of Bi rth Au 2 3, 19 4� P1 ace of Bi rth st. Paul, rzri onth, Day, ear 6. Are you a citizen of the United States? Yes Native- Naturalized 7. Home Address 2705 E. stillwater Rd. Home Telephone 738-8045 8. Including your present business/employment, what business/e�loyment have you followed for the past five years? Business/Employment Address Bartender at Flaritvs Bar 499 Pavne Ave. S _. a �l Owner Operator Video Movies 1899 Stillwater Ave. 9. Married? Ye s If answer is "yes", list the name and address of spouse. AnQie D. Fitzcrerald 2705 Stillwater Ave St Pa �l MN 10. Have you ever been convicted of any felony, crime or violatio� of any city ordinan��a! other,than traffic? e�f s� No X , ' � Date of arrest rt/A 19 Where rt/A Charge N/A Conviction rt/A • Sentence N/A Date af arrest N/A 19,_ Where N/A Charge N1A Conviction N/A Sentence N/A 11. Retail Beer Federal Tax Stamp Retail Liquor Federal Tax Stamp x will be used. 12. Closest 3.2 Place Church School 13. Closest intoxicating liquor place. On Sale x Off Sale 14. List the names and residences of three persons of Ramsey County of good moral character, not related to the applicant or financially interested in the premises or business, who may be referred to as to the applicant's character. N� � Address Kevin .Bresnahan 1740 E. 4th St. WIlliam C. Martineau 1993 Nortonia � __Pat Flarity 12171 Parade Ave. 15. Address of premises for which application is made 82 8 E. Sevent h St. Zone Classification B-3 Phone � 16. 6etween what cross streets? Arcade and seech Which side of Street south � l7. Are premises now occupied? Yes What Business? sar How Long? At i Pas 20 vrs_ .8. List licenses which you currently hold, or formerly held, or may have an interest in. . -- . NONE ' ,9. Have any of the licenses listed by you in No. 18 ever been revoked? Yes No x If answer is "yes", list the dates and reasons N/A . , .. (,,��aeat 20. �If .business is incorporated, give date of incorporation 8��1 19 RR • � . hn� attach copy of Articles of Incorporation and minutes of � rst.meeting. � 21. Li.st all officers of the corporation, giving their names, office held, home address and home and business telephone numbers. Richard Fitzgerald (President) An ela Fitzqerald (Treasurer) 2705 Stillwater Rd. 2705 Stillwater Rd. St. Paul, MN 55119 St. Paul MN 55119 738-8045 738-8045 � 22. If business is partnership, list partner(s), address and telephone numbers. Name Address Phone 23. Is there anyone else who will have an interest in this business or premises? No 24. Are you going to operate this business personally? YES . If not, who will operate •it? Name N/A Home Address__ N,�A Phone N[n , 25. Are you going to have a manager or assistant in thi3 business? YES . If answer is "yes", give name, home address, and home telephone number. Name Angela Fitzqerald Home Address 2075 Stiliwater Phone ��_Rna� ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED WILL RfSULT IN DENIAL OF THIS APPLICATION. I hereby state under oath that I have answered all of the above questions, and that the information contained therein is true and correct to the best of my knowledge and belief. I hereby state further under oath that I have received no money or other consideration, directly, or indirectly, in connection with the transfer of this license, from any person by way of loan, gift, contribution or otherwise, other than already disclosed in the application which I have herewith submitted. State of Minnesota) ) County of Ramsey ) �"`- i gna re o pp c t Subscrib�nd sworn to efore m this ay o 19� �__._ -- _�_ __. _. � �--� � ��'`_ R. ��'!'� L.;;;C�� ;. � �p`if_� . _ N•:TA]Y"rU�LIC-bII�:C+:�O�A ' Notar Pub i c, Ramsey ounty Mi nnesota � ` RAMSEY COUtvTY � � �� M�•commiss�on ezpires 7-1-92 � My comnission expires �-- / S z . � . . ��=a�a� '`��* '' CITY OF SAINT PAUL •4� '' ' DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES . t. . � � » A�� t �... DIVISION OF UCENSE AND PERMIT ADMINISTRATION Room 203, City Hall (',eO�(,�tj�� Saim Paul,Minnesots 55102 �r« 1) Have you, Richard & Angela Fitzgeralc� completed qour financial obligation to BrLCe Anderson & Leonard Deconcini ? Although Mr. Deconcini is paid off there is a contract for deed to Bruce Anderson. 2) Was there anq other consideration other than the original sale price of ]:85 , 000 NO 7 � Deconcini 3) Does gruce Anderson & Leonard have any security interest in the business known 8S _ Ouik Stop Lounqe or property where the busineas ia located? Mr. Deconcini has no security interest in the business. Mr. Anderson • will carry a contract for deed on the -building and business. 4) List all persons having a 5 percent interest or more in thia Liquor License. Richard Fitzgerald 50� Angela Fitzgerald 50� State of Minnesota) ) SS County of Ramsey ) - being first dulq sworn, deposes and says upon oath that e has ead th regoing statement bearing his signature aad knows the contents thereof, and that Che e is true of hie own kaowlsdge except as to those matters therein stated upon information and belief and as to those mattera he believes them to be true. Subscribed and sworn before me � this _. �L day of , 19�� ....._...r... ... _ c _'_' ''° :� '.. . � ' � ; <. . :c .: ;�,: L ,.� c 4� n�laav:r. �--;..i,:,:_c�:n � ,��' No Public, Ramsey County, Mi esota �� -" - ?P.MS:Y COLh�r �"�'' Mv co;r.:nissica exAires 7-1-92 j. My Co�ission expirea 7 � Z � � . . . � ��a�� *, . . , - App�licatYOn No. Date Received By CITY OF ST. PAUL, MINNESOTA APPLICATION FOR ON SALE INTOXICATING LIQUOR LICENSE SUNOAY ON SALE INTOXICATING LIQUOR LICENSE PRIVATE CLUB INTOXICATING LIQUOR LICENSE OFF SALE INTOXICATING LIQUOR LICENSE OM SALE MAIT BEVERAGE LICENSE ON SALE WINE LICENSE � Directions: This form must be filled out with typewriter or by printing in ink by the sole owner, by each partner, by each person who has interest in excess of 5X in the corporation and/or association in which the name of the license will be issued. THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC 1. Application for (name of license) on Sale Intoxicatina Liguor T,i censP 2, Located at (address) 828 E. Seventh St. 3. Name under which business will be opera�ed Di ck and AnQies 4. True Name Angela � Dianne Schurhammer Fitz erald PhOne 738-8045 �rst � M�dd e . Maiden Last 5. Date of Bi rth June 2 2, 194 7 Pl ace of Bi rth ___st. Pau� . r�u �Month, Day, Year� 6. Are you a citizen of the United States? YES Native� Naturalized 7. Home Address 2705 stiliwater Rd. Home Telephone ��Q_QndS 8. Including your present business/employment, what business/employmeRt have you followed for the past five years? Business/Employment Address Housewife 27�5 StiliwatPr u�a 9. Married? YES If answer is "yes", list the name and address of spouse. Richard Fitzgerald 2705 Stillwater Rd. St. Paul. MN 5Sttq ��a�� 10. Have you�ever been convicted of any felony, crime or violatio� of any city ordinanc�. , other,than traffic? e� s� No x -_ 'Date bf arrest N/A 19_ Where N/A Charge r1/A Conviction N/A • Sentence N/A Date of arrest N/A 19_ Where __ N/A Charge _ N/A Conviction _ N/A Sentence N/A 11. Retail Beer Federal Tax Stamp _ Retail Liquor Federal Tax Stamp x will be used. 12. Closest 3.2 Place Church School 13. Closest intoxicating liquor place. On Sale x Off Sale 14, list the names and residences of three persons of Ramsey County of good moral character, not related to the applicant or financially interested in the premises or business, who may be referred to as to the applicant's character. N� . Address Kevin Bresnahan 1740 E. 4th ST. William C. Martineau 1993 Nortonia _ Pat Flarity 12171 Parade Ave. 15. Address of premises for which application is made 828 E. Seventh st. ' Zone Classification B-3 Phone � 16. Between what cross streets? Arcade and aeech Whicfi side of Street south 17. Are premises now occupied? YES What Business? BAR How Long? At Least 20 vrs. 18. List licenses which you currently hold, or formerly heid, or may have an interest in. __ NOEN 19. Have any of the licenses listed by you in No. 18 ever been revoked? Yes No X If answer is "yes", list the dates and reasons N/A � io.� . y .. �'�-oZoal If business is incorporated, give date of incorporation 8-1g �g g8 . , and attach copy of Articles of Incorporation and minutes o rst.meet�ng. 2�. List all officers of the corporation, giving their names, office held, home address and � h�me and business telephone numbers. RiChard i or ra 1 d (Prcac;,ae„a- Anno 7 �''' ald (`i'reaa� r-. ; 2705 STillwatr�r Rd_ �n R illwatcr v.a St. PaL1 , MN 55119 St pa»� MN 5511U 738-8045 7"�8 A04S � 22. If business is partnership, list partner(s), address and telephone numbers. Name Address Phone 23. Is there anyone else who will have an interest in this business or premises?_�� 24. Are you going to operate this business personally? yES . If not, who will operate •it? Name_ N/A Home Address_ N/p, Phone 25. Are you going to have a manager or assistant in this business? yES . If answer is "yes", give nart�e, home address, and home telephone number. Name Richard FitzQerald Home Address_27o5 stilieat r Phone �3s-soa5 ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION. I hereby state under oath that I have answered all of the above questions, and that the information contained therein is true and correct to the best of my knowledge and belief. I hereby state further under oath that I have received no money or other consideration, directly, or indirectly, in connection with the transfer of this license, from any person by way of ioan, gift, con�ribution or otherwise, other than already disclosed in the application which I have herewith submitted. State of Minnesota) .._ , � County of Ramsey ) , SubscribJed and sworn to before me this gnature o icant `' ay of -c 19�—. ._.._ . .....,._.r.�r_..�..._._.r_ , - � G�C>� y �,,, R. �AV�� L,��K�N� - . �� Notary ub i c, amsey oun y Mi nnesota �� ,/'. N•�TARY DU3LIC—MINNc50TA � ,, RAMSEY COUNTY M�/ COII�II1SS1011 expires � i / M�commisaion expires 7-1-92 � �',�-�al �,.,.. ' ''t = CITY OF SAINT PAUL . �� ; � y DEPARTMENT OF fINANCE AND MANAGEMENT SERVICES . �. •. . w ,... DIVISION OF UCENSE AND PERMIT AOMINISTRi1TION ��t,�f Room 203. Ciry Hall Ssint Paul,Minnewu 55102 �a 1) Have you. Richard & Angela Fitz eralc� g completad your finaacial obligatioa to gr?,ce Anderson & LeonarA neconcini p Although Mr. Deconcini is paid off there is a contract for deed to Bruce Anderson. Z) Wae there aay other consideration other than the original sale price of 185 NO ,000 ? - 3) Doea gruce Anderson & LeonardDeconcini have any security interest in the businasa known 88 uik St op Loun e or property where the bueineas is located? Mr. Deconcini has no security interest in the business. Mr. Anderson will carry a contract for deed on the •building and business. 4) List all persons having a 5 percent intereat or more in thie Liquor Licenae. Richard Fitzgerald 50$ Angela Fitzgerald Sb� State of Minnesota) ) SS - County of Ramsey ) , he s resd�th oregoing statementnbearing his�aiwnaturee�oses and says upon oath that aad that the same ia true of hie owa lcnowledga ezcept as t othosswmattare�therei thereof, �upon information and belief and as to those matters hs believes them to be t�e.n stated Subscribed and sworn before me � � � this day o �<<, , I9 � - i Not rq blic, Ramsey Ccunty, Miaaesota My Commission expirea . / � � � ��aoai August 15, 1988 License Division Ramsey County Court House St. Paul, MN To Whom it May Concern: We, Bruce E. Anderson and Leonard P. DeConcini, now named on the on sale liquor licence known to you as the Quik Stop Lounge, 828 E. Seventh St, do hereby request that the Licence Division recommend and the St. Paul City Council acting on those recommendations transfer our licence to Angela D. and Richard P. Fitzgerald. � Bruce E. Anderson �" . � � Leonard P. DeConcini . . ��y-aoa� August 15, 1988 Licence Division Ramsey County Court House St. Paul, MN To Whom it May Concern: We Richard and Angela Fitzgerald request the on sale liquor licence now doing business as Quik Stop Liquor Lounge, 828 E. Seventh St. , be transferred from Bruce E. Anderson and Leonard P. DeConcini to us. We plan to change the name to Dick and Angies and be owner operators. c ichard P. itzg a � ' Ang a D. Fitz ald . . - �'�`�� S.�ZNfi P ALTI� C ITY C 0 UN�IL P UB I�Z� H�ARIi�� NO'�I C� �ECEIVED �Z�� P�Z��Z�N NOV 0 9 1988 CITY CLEkK � E'IGE NO. Dear Property Ownerci L94968 Application for the transfer of an On sale Liquor-C License, On Sale Sunday Liquor License, and a Restaruant-B License. PBRP 0 SE CiL�lil�13,LY 1. DARP Corporation (Richard F�.tzgerald-Pres.) doing business as Dick � Angies �dC,��ZQ� 828 E. Seventh Street �� December 20, 1988 9:U0 a.m. Citp Cauacf,l Clzambers, 3rd floor City Ba11 — Court House By Licease aad pezmit Division, Department of Finaace aad �Q�=�� 5��*� Maaagemeat Serv�icas, B,00� 203 City Ha.Ll — Court House, Saiat Panl, Miaaesota 298—Sa56 � Tliis date may be chaaged without the conseat aad/or knowledge of the License and Permit Division. It is suggested that you call the Cit�� Cler�' s Office at 298-4231 if you wish confir,aation. o�eruraR , . . ! w►�[wrunm cp��car�eroo . �•'� �� ; �� : . . .Mr. J. Car.chedi , ��' No. 0(��3 �� ►, � ,. 3 GMrtsti�ne Rozek �� — �.�� a.� �� ; �� .� . �. — - , . novnNO �a� � , : h , .�in � �b t, : 29$�'�Q.��b_ °�te` �':«��,� _ _ ApQlication for the �ransf�r of an On Sale l.iquvr ti.cense,` fln Sale Sunday . _ Liq�or License and a Restalurant (B) License. . i�€oti f i catf�n-f)atte: � 11-16-�8 � #�ring �ate: �2-20-88 ° .G+oo•o»iN o►nu.a(�11 `:� oour��cE+ : . : . . _ - a��wo oo�eeaN ava sc�nv��orr f o�re� o�rE cur �ru�rsT w+o�_r�o. no�w+o� �eo ees�rno�eoneo t 4- ��.BTAFF� .. . �� . �pMRIER�IOPI..: � ;i—CdAPLETE.l1S iS --ADDi MN�O.ADD�*. . AETD TO OOMiA�T� �. . . �� _fOR A170'L lNFO. __ Ot� IIAGt A[i0lD; —�•016THICTmIINqI :S !EXPLANATION: � � . . . . - � . -. . � � . .� -.BIIPrORi8�NI1Nfx1 COUNCIL 0ldBC7TlE?� . � . � :�� . . " � .� . . . . . .. . . . � . . . � . . , . . . . `s . . . _ . . . , . . . . ._ . . . � , . . _ .. .�.,;. . .- . .. _ .. .,�. . -: � - � . � � . . . . �. . .. _., , � .. . �.. . ;e: � �f � . ,_ � - ._ � :. . ;:'_ -. . .. . � . . . . , ��i� . . . . � . . . . . ' � � .. - ... ., . . � - . . . .. 1 . . . - . . . . - . . ... . :.,. .�. _,. . . . . . . � . . . .:. , i � .. �... - . _. . . � . , . �. .,: M4N'1�� :�'1�Y tVYAO�W11�f.VNIlIF;W11�[ar 1 = . � � F� �� 3 �� Da� CQrpara,tion {Richard �itzgerald-Pres.j RB� [#e�-#�s re�ues�s -: C�.nci'1 �p�p�^o�al�of thei r eq�est far the__tra�s�er of an t3�;.Sa1e Lfiquor °��errse, �rr'`�a1e Sunday #:i uor Llcense and Restaura�nt (B) t�icense current�y ` ` � � hel� by 8rut� E. Anders�n Leonard R. DeCar�ci�i DSA '€he f��* Stop Lounge �° at 828 f. 7th Street. ' - - . ; . ��ow��..�.,�: - _ E _ - . , , . All, fe�es and applications �ve been submitted. A�l req�est�d departaients - Hea1�1�, Fire, Z�ning, Lic sinq ,and Police have given their approvat. � -.45� Day EN5 notices �h��e b� �s�nt. , . . _ . � � ; :e�n�aswo�r a�ac wa�.r�,Ne ro wneeea: ' -_. . ;. , .; _ . _ : ; ; If Cauncil roval �� c�iv�en, �arp �orporation wi1} operat� Dick � Ang��'� at 828 E. 7�Street. z � �.. : ' { . ,. ;. : , . _ , � ; ; :: _ . . , < . , _ ,, _ : •- �: - � � �_r - � m . ; . � Ci�t��f �es��rcf� Cen#er. � i� ��QV 21 ��88 - : � - , . . : � � , � � � �u wa,es: �' ��— ; � �_� , � , . i- - . - i : � � �Mstonr oF_ . ��►r.s: _. , : k , . . . . . " . - . . � . . . � ��.� .f . . .. . . . � ' . . . � .. . . . . . ' . . . . . . . �_.t � . .. � . STAI�LOE�(l.I�t) �I710N�+.'.� + r WN1 TEST1F11f9(Y/N) ,. RA?IONAI:E(Sum�al MYb Mp�wrob) , � . : . ' i . ��'� ��. - . . - ... � . � . � t#Ib7YFA11�j9W.tDtle) - 86COND�YL+AR - ; NOTES: � _r,�. . - . . . � - _ . . � -_ .- _ �- ��: . . . . . . t�Yf�H1E3(iB�RA7ED ............................................................... _ , E7(P6MBES: \ Sslaries/Fri��................................. ...... . x EQuiPment........................................................:................... - �PP�� ....... .......... .... ... : CoMracts for Service , - . �. : . , : Other PROFIT(LOBS) .....:..................:....................................................... _._ : i�- PUNDIN(�SOURCE FOR RNY l�S(Nt�rt�e and Nnou� . CAPrTAL HIPNOVEMENT 9UO�ET: DES�f!t�STS............... ................................................ ... I1t�ti1�l10ti�7'S....................:................... CCN37AUC7161i$OSTS � . _ . :T�TAt.,................................................................................................... _ , •s�oF F�nrna+c;paeme and ti„cunt> : i, : • - � 1111R#CT ON BtlDCiEr: __ AMOUNT�IiIY BUDOETED _ _ `. � ,.. .. . , ... . A#IOUIfT MI EXCE�OF C�RAENT BUDBET _ , : _ , ± 80URCE OF AMOURi OYER BUDGET........... : _ P#�PERTY TAXES GENERATEQ tL.OS71 ......... • A710N RESPOl�41BILR1f: DEPT/OFF�E DIVIS�ON fl1W T11LE - . . ; . BUDOET AC77VfTY NUMBER&TITLE J��(iT1Y173[#A71NMiER ' IIOW�MM.L'BE'MEA$I�t: PRO�iiRAM OB.tECT1VE8• PpOORAM M�IClITORS 7ST YR. 21�YR. . fVliLUA710N R68POI�JTY: i' � PEq60M. ' DEPt. PHONE NO. REPORT 11D OF F�P&T QKlAR7ERLY