87-1263 J
WHITE - GITV CLERK
PINK - FINANCE GITY OF SAINT PAUL Council /
CANARV - DEPARTMENT File NO• ��-�� " �
Bl_UE - MAYOR
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Council Resolution -�
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Presented Hy -��� '�'�
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Referre o Committee:-. Date
Out of Committee By Date
RESOLVED: That Application (I.D.#30529) for two Temporary On Sale 3.2 Malt
Beverage Licenses applied for by the Nativity Adult Social Club
at 1900 Stanford for September 19, 1987 between the hours of
12:00 Noon and 12:00 Midnight, and for September 20, 1987,
between the hours of 12:00 Noon and 6:00 P.M, be and the same
is hereby approved.
COUIVCILME[�1 Requested by Department of:
Yeas Dr't'W Nays �
Nicosia
Rettman In Favor
Scheibel �
Sonnen Against BY
Weida
WilsOri SEP - 1 1887 Form Approved by City Attorney
Adopted by Council: Date
Certified Pas• uncil Sec ry BY
By
A►pprove y Mavor: Date ���� APP�oved by Mayor for Submission to Council
By �— BY
PU&ISt�D S�P 12 1987
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- DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE
INTERDEPARTMENTAL REVIEW CHECKLIST
A licant � � �q �,,�,,,Q.� �oc.�a�L,��,,� Home Address � �
PP C.�--�r ;, � c
Business Name �C,�r,-,� Home Phone �9�1`6 - �� �
Business Address �Gl t�6 J-�-u�v�,��� 1�j - Type of License(s) c� �1. ��,�, �n �X�-
Business Phone � �j � -�(� �1 �( 3 •01 �(Y�.c;��k ,�.lul;`c;� �.C;._.�,...��
Public Hearing Date � License I.D. � ���� '���
at 10:00 a.m. in the Coun il C ambers,
3rd Floor City Hall and Courthouse State Tax I.D. # I� �?�
REVIEW DATE DATE INSPECTION
APPN REC'D VERFIED COMPUTER) COPIIdENTS
�oved Not ed
Housing & Bldg �
Code Enforcement � t �3� � • '
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Public Health �-1 I.�� I
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Fire Prevention � ( .3� 4
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Police � I �
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City Attorney � �
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300 Foot Notice e� �� I
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License Inspector's Comments:
I HAVE BEEN GIVEN A COPY OF THIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT
THE PUBLIC HEARING IS REQUIRID.
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CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Curreat DBA: New DBA:
Current Officers: Iasurance:
Bond:
New Officers:
Stockholders:
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CITY OF ST. PAUL, MINNESOTA
A.PPLICATION FOR TEMPORARY ON-SALE MALT BEVERAGE LICENSE
NOTE: This application must be filled out and signed at the time of your interview
with the License Investigator, 30 days rp ior to the date of the event.
,
1. Name of organization - �f✓)/ � S,� L
2. Address of organization l g Q V � �}/'Q. S , ' L �j5 I Q�
3. Type of organization - check one which is applicable.
CIVIC ( ) CHARITABI.E ( ) RELIGIOUS � VETERANS ( )
4. List all officers and directors.
President
� �- , ��✓ � R� s��� 69��g� 8�
N� ADDRE PHONE N0.
Vice President �-P/��N'-� ' R � ���� � . �� S�`��� �� �- �G� t�
NAME �
ADD PHONE N0.
SecretarY Y��vl�) � ���j�ll �� �5 J� 11��� ���.� a��`% �%
N� ADDRESS PHONE N0. �
Treasurer 1 $ / � ►r �I, f�/-� •�h 11�B� �.S�dS �i� y % T(�
N� ADDRESS PHONE N0.
Others
N� ADDRESS PHONE N0.
N� ADDRESS PHONE N0.
S. Location of premises for which application is made � 9prf ��j�,/�Q� ���
St. Paul, 1`IId S� I ��(Zip Code)
6. Date(s) and hours during which the non-intoxicating malt liquor will be sold
� r ��
N ��-a 6��- �- 8�vo m��N�
�� �q N'od� �ti 6�°� ,ni • �. ,
7. For what will p ofits be used? S
How will rofits. be disbursed p � � �
P (or s ent) . /b � 1%h �� d �A
8. Upon completion of�"events you will be required to submit a�financi�al statement showing
expenses for event and use made of profits.
9. Attach to this application a letter of consent from the owner and/or a person with
lawful responsibility for the premises for which this license is being requested.
(OVER)
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10. Every applicant for a temporary On Sale Malt Beverage License shall file with his
application therefore, a bond with a valid Power of Attorney attached, in the sum
of Two Thousand Dollars ($2,000.00) . The surety on suc� bond shall be a surety
company licensed to do business in the State of Minnesota, and the bond shall be
approved as to form and execution by the Corporation Counsel. Said bond shall be
conditioned as follows:
a.) That the licensee will pay� to the municipality, when due, all taxes, license
fees, penalties and other charges as provided by law.
b. ) That the licensee will obey the law relating to such licensed business, and
that in the event of any violation of the provisions of such law, the licensee
will pay all fines, penalties and other charges as provided by law.
c.) That the licensee will pay, to the extent of the principal amount of such
bond, any damages for death or injury caused by or resulting from the violation
of any provisions of law relating to the business for which such licensee has
been granted a license, and conditioned that such recovery may be had from the
surety on the bond. The amount recoverable shall be measured by the actual
damages, provided, however, that in no case shall such surety be liable for any
amount in excess of the amount of the bond.
STATE OF MINNESOTA )
) ss
COUNTY OF RAMSEY )
��Y��S � ��L�^ ��� being first duly sworn, deposes and says that he
has read the foregoing application and knows the contents thereof, aa that th same is
true to the best of his knowledge, information and belief.
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Subcribed and sworn to before me
this l� day of 19D`� '`�.�.r.l./V��IMJJM✓V.AAfJ✓VJe�✓WYV�,n;v,.r,�.
KRISTINA L.St�iWpNLER
C'���- <-��-.-��- ��� . NOTARY PUBIJC-�►1MIIYESOTA
DAKOTA CpAJTY
Notary Public County, Minnesota A�YO0I�MI.e�RES�pw•2. t�2
My commission expires , a. l �l�
y �,c`�'7-t� �3
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' _______________________________ AGENDA ITEMS =����=w__=��—_____—_—____—_______
ID#: C191 7 AATE kEC.: C08/20/87] AGENPA IiATE: C00/00/00] ITEM #: C ]
SURJECT: C2—LiAY pM—SALE 3.2 MALT BEVEaAGE LICENSE--NATIVITY ADULT SOCIAL CLUB]
STAFF ASSIGNED: C ] SIG:C ]OUT—C ] TO CLEkK:C08/20/87]
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ORIGINATOk:CLICENSE DIVISION ] CONTACT:C ]
ACTION:C �
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ORD/RES #:C ] FILED:C00/00/00 ] LOC.:C ]
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FILE IMFO: CkESOLUTION/CHECKLIST/AFPLICATION �
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