87-873 WMITE - CITV CLERK
PINK - FINANCE GITY OF SAINT PAUL Council
CANARV - DEPARTMENT 7
BLUE - MAVOR File NO. �/ ��
Council esoluti n
.
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#85521) for a Firearms License by James L. Heroff
DBA Jack's Gun Shop at 2190 West Seventh Street be and the same is
hereby approved.
COU(VCILMEIV Requested by Department of:
Yeas � Nays
�� ��(.�t�iv In Favor
�c�sa
scr,e�be+ _ � __ Against BY — --
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Tedeseo q�p
Nh1� JU� � 7 I�a7 Form Appro ed y C' y tt y
Adopted by Council: Date —
Certified Pas• uncil S ar BY
By, :J
Appro by Mayor: Date °���� Approved by Mayor for Submission to Council
_ By
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� FIREARMS
CITY OF ST. PAUL
DEPARTi�NT OF FINANCE AND MANAGEMENT SERVICES
LICENSE AND PERMIT DIVISION
�pplication to be completed by each individual, partner or officer. Please answer all
questions fully and completely. This application is thoroughly checked. Any falsification
will be cause for denial.
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Date � �•� 19 C' 7�
1. Application for: ( ) sale of firearms � gun repair only
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2. Federal Firearms License Number .�` `"' - (:�� l ��C%" � � C �� ( � C
3. Applicant business is � individually owned, ( ) partnership, or ( ) Corporation.
4. Name of applicant (individual, partnership or corporation) .
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5. Address of premises for which License is made:
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6. Between what cross streets? �ii(�l/LL � � -
Which side of street? � �� ��1,� �` ` ��
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7. Name under which this business will be conducted: - ��� �� I� �� LC.Iti ����t� "
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8. Business telephone number IC I L- �� �� � ` l• J �
9. Are premises aow occupied? ` � � What business?
xoW �ong� � �l�C' •
10. Lis license(s) which you currently hold, formerly held; or may have an interest in:
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11. Have any of the Licenses listed by you in No. 10 ever been revoked? Yes No �
If the answer is "yes", list the dates and reasons:
12. Do you have an interest of any type in any other business or business premises?
If the answer is "yes", list business, business address and telephone number:
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13. If partnership or corporation, name of person completing this form
14. If applicant is/has been a married female, list maiden name
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) , ° ! � , Age Y . "�
1S. Date of birth � Place of birth - ��� � -'� �
16. Are you a citizen of the United States? ��:' �> Native 1Naturalized
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17. Are you a registered voter? �r �� Where? `�� � ���'��1�- �
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18. Type of Armed Services discharge: ( ) Honorable, ( ) General, ( ) Bad Conduct,
( ) Undesirable, ( ) Dishonorable, or (� No Military service.
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19. Home address: � �(L � L � �� Home phone:
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20. Present business address: � � �i L (,� �'°� � �-� Bus. phone: � (`� C. � � }
21. Including your present business/employment, what business/employment have you followed
for the past five years?
Business/Employment Address
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22. Married �l �% If answer is "yes", list name and address of spouse:
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23. Have you ever been arrested for an offense that has resulted in a conviction? ni�-,
If the answer is "yes", list dates of arrests, where, charges, convictions and
sentences:
Date of arrest: 19 Where?
CHARGE: \
CONVICTION: � SENTENCE:
Date of arrest: \ 19 SJhere?
CHARGE:
CONVICTION: SENTENCE:
24. List all officers of the corporation giving their names, office held, home address,
and home and business telephone numbers:
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' ousiness is partnership, list partner(s) address and telephone numbers:
' � �ame:
Address: Phone:
Name:
Address: Phone:
' 26. Are you going to operate this business personally? �/ L, If not, who will operate it?
Name:
Home address: Phone:
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27. I, ' ? � � , understand this premise may be inspected
by p 1 ce, fire, health and other city officials at any and all times when the
busi s is in operation.
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