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87-1182 WHITE - CITV CLERK PINK - FINANCE G I TY � OF SA I NT PAU L Council CANARV - OEPARTMENT . BLUE -MAVOR File NO. �_ �/�� Council Resolution ; ��., , , �-v-�-T ,,. Presented By Referre o Committee: Date Out of Committee By Date RESOLVED: That Application (I.D.#��1g7s) for the transfer of a General Repair Garage and Gas Station - to 3 Pumps License by David W, Wilbanks DBA Wilbur's Auto Service at 1138 Payne Avenue be and the same is hereby transferred from Richard Charboneau at the same address. COUNCILMEN Requested by Department of: Yeas Drew Nays � �a In Favor Rettman Scheibel � By Sonnen Against Weida V�11SOn AUG ! � �U7 Form Appro by City A orney Adopted by Council: Date Certified Pa s ncil S ta BY gy, Approved Mavor: Date � � 'T ��7 Approved b ayor for Submission to Council By BY Pti�11lSH�D AU G 2 ? 1987 _ � . ��i�� C, .2i - � 1�,� � � DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �I ` �� I $"-'� INTERDEPARTMENTAL REVIEW CHECRLIST Applicant �0.V�Ul V v 1- ��,`��_CY�n�.�5 Home Address ��oZ�l �e�y�C�h � L Business Name �-'� (,� � `h� A r 5 ��r:�vu�Home Phone '�� , "�)��j � e of License(s) C-�e.ne�l _ r�, r Business Address � �p Business Phone - \�-�CA� 5`t�-C1,CSYl �� S • Public Hearing Date � �a License I.D. # �.P �� 1� at 10:00 a.m. in the Cou il Chambera, 3rd Floor City Hall and Courthouse State Tax I.D. # ( (�oL�� °y�� ` ��7`�7 REVIEW DATE DATE INSPECTION APPN REC'D VERFIED (COMPUTER COMtiENTS �oved NOt roved Housing & Bldg / � Code Enforcement �lc�� I I Public Health 4 [a� � + I I Fire Prevention � ' 4 a� � � Police � ( � � a3 , , City Attorney �� / � I ENS � I i 300 Foot Notice I i I License Inspector's Comments: I HAVE BEEN GIVEN A COPY OF THIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT THE PUBLIC HEARING IS REQUIRID. � ' ' • , � ' ,0.,'s . _ ;a.^ .. � . . . . . � �. .. . . CURRENT INFORMATION NEW INFORMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Current Officers: Insurance: Bond: New Officers: Stockholders: . ► . �-- ^ _ � _s . � - .�- .�-'�� - -� 3�-i - • CI^'Y Ol� ST• ?/'+uL l>�y�� DEP�'P�L1VT Or FI.''IAIJCE AND MARAG^.l�iT S':HVICES LICENSE AND PERbQT DNISI�i �._; 'I'�ese s�atement °or-ts are issued ir. d�glicate. Please ansWer all questions ��and completely. T^.is application is thoro�gh]y checked. Any Pslsitication wi11�e cause Por deaial. ;=;=; + Date Z � lq � '�-�� . l. Application °or Av r� 2 ��°A�2 � � �4�2AL�,� �( �e?��) (License _ P 2. Name of applicant ,�,qL>/ (� ?7�G,�lo�� .. lL��}C-�/c� ~ �-,� �,J • �.t) _ If apglicent is/r.as been a m�Tried .°e�sle, list 9aiden name !�. Date of birth ' Age� Place oP birth �2s��•.r-�y LOv�"'� � 5. Are vou e citi.zen oP the United States �'��.� Rative Naturalized 5. Are you a reg;stered voter ��_ Where Fy,.�,�y`i4.,��,�.,�.1,,:�Z,u,w�,�,�7 ys2MOVP� 5Sio6 '. Home address fy�q �,��y_,q..�l� s %- Si,t��[�� Home teZephone ��j� A. °resent business address 1/ �S�2 P�4Y� Av r� Busineas teltphone ��CF 9. Including yo�.:r present business/emplayment, vhat business/emplayment have you fo?lowed .°or the past Pive yesrs. Business/�1oy�ent Address L�2�L,�c�.�S �kcl j� C�P_ U�c�.� L1 3 �C> >°�FY/�J� �4cJ� j SI v! 1 iK�c:r-<A/�JiG ��'f� L� �/.L�%+,�.5,�_ 10. `4arried �SIf ensWer is ';ves'�, list name and address oY spouse y/�f5 G �y,aiP v �Z��/ �v.�s.�.c�L�S f ��.9 e�-i �c_!/ �1-�cJ� C %, f?tl clt_ S i/'� -- :1. !-tave you ever been arrested Por an ofPease that has resulted in s co�viction?� If anss+er is ";,�es", list dates of arrests, �+here, chargea, convictions and sentences. Date o? arrest 19� Where S.'r� �p(J�. �.R� ,O�v � � �.�,�� .� n��f�.w�. ,. �� ,�� Iq GGf,+UL ;,�,� ti/00^�g� L!L.iGrt�,s� coxvTcrTo�T f/N� 4-,2 r�Uoc_.4.—�v,�cJ s�arrnvcr Ja�e �° arres� 19 4rfiere .. C?i�.RGr C�IV'�TI:'"_':�:' �E�'"_'�:1Vr'�,' I2. L:st the na�es an� a�:�esses !i.° rsarried, name oP sgouse also) of a1Z persons, ' coz-�orat:o�s, pz.r*nerships, associations or organizations Which in ar.y Way aave: a. A �ort age interest in the Licensed prerise, � • ; ,p ,B r�v�l�..�' rJ,�v i,p �^t 4- �t��y c,c x►`/ t.0 i c. ,q s��1S- S.�cz.Ef_e tGµ�a.Pl�_�,__�_ �L��,�1,r4,��l-�- �.�r�4..ePn.�r�r.ac 3 b. A security interest in tne Iicensed preaises, iicense, or ftu�nishings of the licensed premise, c. � pro^�issory note for funds loaned Por the aperation oY the licensed premise or the purchase oP �he license, d. r?nancially contributed to the purchase of the premise or the license it- self e. AnY ot'r.er interest eithe� direct or ?adirect, e�ther °inancial or otherwise i in t:�e licensed premise or the ?icense itse2f, =.ttac� a copy hereto of any and a1i do�,iments referred to in t;:is affidavit. s� � �.d�y Q � �.�o �a��a�� - 1? Cive names a.nd addresses of tao persons, residerrts oP St. Paul, Minnesotz, who ca.*� give izli`onaation concerning you. NAME ADDAESS �aa Y/�aoiJ,� .� v��.iv.�,C� � �;� �c�r,c� �4- ,4 ,—. �'.�lJ� /� Cl�.S S�L_ S iA[J�--'!�� / 7 �l ,��Ce�E�iZ��t1 • � i�/v / ?4. Address o_° premises Por Which License or Perni± is made 1/ �''�C� y�,q >/lJ�. k1U� Address ?one classi°icatior. '_5. 3etWeen What cross streets C�GPu��c7r+ `".{GSS,��v��t�aich side of street� 16. Ya�e under Which this business �rill be conducted (�t>/L�(�2�.5 .�tJ-�C S��U1G� I7. �+ssiness telephone n�ber 7 � /�- � ,� e/ � 1°. Attac:� to this application, a detailed description of the desi�n, location, and sguare :°ootage oP t:�e pre�ises to be licensed �-� � Go� / . _ _. . `re �re�nises noW OCCliDied _�What bLSinessAv� v ��ir/� Ho� lon� �(,�S 5��a'v� S..uG� � Cf�3v �,��,;�� ,�-��ii�.�. Are you �oin: to ::ave a M$n2�er or assistant in this business? If answer is ��yes", give na.�*.e an:� :�o.�e address and 'aome telephone nur.iber: Name Home adcLTess me1.N�. 29• `�as anyor.e you have named in questions 22 throu�h 26 ever been arrested? If answer is "yes't, list name of person, dates of arrest, where, cha.�ges, convic- tions and sentence ?�• I ��</� .� �Gk�4c�U C.c.1 •c, �AstJr•CS understand this premise may be in- spected by the oolice, �ire, health and other city of°icials at ac�y and aI.I times when the business is in aoeration. State of �linnesota) )�:J Cour.ty of Ramsey } ' , .�� Signature o Applicant '_;c'�v�cQ (.,) :.� �r� .ti��- being Pirst duly sworn, deposes and s�}rs upon oath that he r,as *ead the _°oregoing statement bearing his sigaature and !mows the conter.ts thereoF, and that the same is true of his own knowledge except as to those �aatters therein stated upon i:,formati�n and belief and as to �hose z•s�atters ae 5e- lieves them to be true. +. Subsc�ibed and sworn to bePoze me � Signature of Aoplicant this � � day of �. ,�, 1Q�� 9 � ,.��. - -� � - �` �'�. ` �� "`�'�'.. � KRISTINA L.SCHWEINLER Notaz-✓ ?ublic,--�a�ne� C�unty, Minnesota �� HOTAfiY PUBl1G-M6yNESUTA � L�-c�-k-c3t[--� DAKOTA COUNTY � t,�Y COMM.EXPIRES JAN.2. 1382 '�!y co�nission expires J . � ��i `� Y � a�..15 ' 20, List license w!:ich you cwTrently hold, or forAer� held, or may have an intere i n L.i G�sc,.tC�. � /7 � 7 l 21. xave of the licenses listed by you in No. 20 ever been revoked. Yes No �. If ar�sver is "yes", list dates and reaaons: Z� <2. Do you have an interest oP ariy type in a�y other business or business premises. I° ansuer is "yes", list business, business address and telephone number. �v�� 23• I`' business is incorporated, give date of incorooration 19 an� attach copy oP Articles of Zncorporation ar:d minutes oP first meeting. 2Z. List a11 oPficers oP the corooration giving their ,names, ofPice held, haae address, and home and business telephone numbers : 25• T_f business is oartnership, list partner(s) address and telephane n�bers: N� � Address 1�e1.Ro. 25. Is there ar�yone else who will have an interest in this business or premiaes? If answer is "yes", give name, home address, telephone n�bers aad in �at mauner is their interest: EN! � _ 27. Are you goin�z �o operate this business personally iG if not, xho vill operate it: R� H�me address '1�e1.Ao.