87-1552 WHITE - CITV CLERK
PINK - FINANCE G I TY OF SA I NT PAU L Council �7�/S��
CANARV - DEPARTMENT
� BLUE - MAVOR . Flle NO.
�
nci Resolution ;- -
Presented By
,�' ��
Referr To Committee: Date
Out o�' Committee By Date
RESOLVED: T'hat Application (I.D.#23843) for a Game Room License applied
for by Joseph Lombardo DBA Super Fun at 345 North Wabasha be
and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas �YO�� Nays
Nicosis c .�� [n Favor
Rettman
Scheibel �
Sonnen _ Against BY
L�a
WllSOri QCT 2 7 �J87 Form A prove by it ttorney
Adopted by Council: Date
Certified Pa s y ouncil Sec ry BY
By
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A►pp ve Mavor. Date � �T � ��`, �t�� Approved by Mayor for Submission to Coancil
By
Pl1�I....IS�1ED ;i�V 7 - 198�
R' �O /���
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E DEPARTMLNT
CONTACT NAI��B
�- - " - PHONE
' _
DATE . .
AS G RD (See reverse side.)
_ Depar ent Director Mayor (or Assistant)
_ Finan e and Iianagament Services Director � Citq Clerk
, Budge Director ,� ��a��,� ��0.
� City ttorney _ �—�
(Clip all locations for signature.)
W - D ? (Purpose/Rationale)
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C � B AND C S A
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I C G C D D T I R C G D O
(Mayor's s gnature not required if under $10,000.)
Total t of Trans�ction: �� �c � Activity Number: � `�"
�unding ource: t�.I f}'
A A MENT : (List and number all attaehments.)
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ADM N S'. V PROCE U S � ,�
_Yes No Rules, Regulations, Procedures, or Budget Amendment required?
_Yes No If yes, are they or timetable attached?
D�F_PA TME T R W CITY ATTORNEY REVIE6T
'✓ Yes No Council.resolution required? Resolution required? �Yes _No
_Yss. No Insurance required? Insurance suEficient? _Yes _No
_Yes No Insurance attached?
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DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �U� �5 � g1
INTERDE�ARTMENTAL REVIEW CHECKLIST
�cls����-F-�=- G 1 t�t C�
Applicant C Home Address �5�i 5� ]��Cc-v..�_�cX. �
�y►'�c�-� - . � s , ��
Business Name ,�, `�,,�� Home Phone �4 - 35 �3
Business Address ?��� �, , a�1��� Type of License(s) ,����-.-�
Business Phone �ola.���5�►J
Public Hearing Date . ' � � License I.D. � �3 �� 3
at lO:Ob a.m. in the CY� +C "" �lm ers,
3rd Floor Citq Hall and Courthouse State Tax I.D. # �(�� q�(oL3 ,
�/ ��/� �,.
REVIEW DATE DATE INSPECTION
APPN REC'D VERFIID COMPUTER) CO1�Il�IENTS
�oved Not ed
Housing & Bldg �
Code Enf orcement � �� 1 l7 I �� i
Public Health 1
� I� -� �
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Fire Prevention 4
� I.� � � ac� �
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Police � � /� � I 2 �� i
Y�t� �LA C_� rdL
City Attorney �
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I
ENS �
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300 Foot Notice � I� j
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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.
... ...�.. . - }. .. ... ., . _ . . .. .. y. . . -.,
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CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporafion Name:
�
s
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
New Officers:
Stockholders:
. �., ;'i,� ' , ���7/S.5�
CI'PY Or ST. PAuL
•� DE"r'r1RTf�1FT OF F�I10E AND MARAGEM�"iT S�tVICES
LICENSE AND P'F�.IT DIVISION
These s�atemen� °or-1s are issuea in d�uglicate. Please ansver all questions �l�y and
compl.etely. :'.:is appl:cation is thorougt�]y clsecked. Any °alsification will be cause
for denial. • ��
� �. Date T_��?i � � 19
1.. Application °or ��I l ,� J 11�Q � (I,icense) (Permit)
2. Name oP applicant �/ � J � � � � � � ��� � � �.�� U
_ If BDDlicent isihas been a �as_*-ried .°emale, list maiden name
c f
s. Date of birth '� � �� � � �? Age � � Place oP birth � l � ` �L ` i� ��_
� �/ �
5. Are you e c_tizen oP the United States /`l�ative ��S AaturaZized
,/,// �j ) � �
5. Are you a reg:ste� voter y l� � Where � l�lV '` v��� � �1/ ��i�����
� �/��r � 7 �
'. Home address �� � �� /Y � � � Home te2ephone _�3.� $�
2 �f, _-.
°. Present business address 3 /� ���u�, W' �1 ����3us3neas telephone ��3�`'�
9. Including yo��r present businesa/emnlvyment, vhat business/employme� have yau
fo�lo�ed for the psst Pive yea.rs.
Bus i nes s/E.,�-:oloyment Addresa
J ;/ �'il��u '�� '7i� 'l� �"� S�
l� '� d L� 5 G//�i �L � --,�> �.a .��J � i�S f�
�
Go�1����- S G� �% i� I �� �;y�"iy� � 1 i�5 �1�
�
10. Marriec'. If ans�rer is "yes", Iist n�e and address �P �pouae J U �i �
� ;� � I l�l✓�, r l��. � /�2����v-f'� v � ��� ff�
11. �iave you eve� been arrested for an oPPense that has resuZted in a cflnviction?�Cr�
IP anss+er is ",yes", list dates o£ arrests, w�ere, c�arges, comictiona aad
sentences.
Bate o_* arrest 19 Where
�.R�
CQNVTCTIOI�T $�j'�Ij(,',Lr'
Ds�e �: arres� 19 W!�ere "�
C!i�",RGE
C�IV�'I�'��:" S��'?'f:R�
,
� 7-�s�5�-
12. List *'r.e names an: a���msses (i° narried, name oP spouse also) oP �11 persons,
cor�orat'_ons, pa.T�nerstti�,s, associations or orgenizations Which in ar.y xay have:.
a. A mortga e interest in th� lice sed pr �ise
S���ti�� ' ��i`` ' 1�1���U �� �
1
b. A sect:rity interest in ti�e�Iice ed premises, license, or �rnishi�.�s :,: �he
licensed premise, �� /� I/
c. � pr�s:issory note Por Punds loaned Por the op�+rstion of the licensed presaise
� ) �/ �
or the purchase oP �he license, V/V �
d. Financially op r �u* to the purchase of the oremise or the license it-
s eZ*_' �a' /� �� /
T
e. Any ot^er interest eithe� direct or indirect, e=tF.er .°inancial�¢r otherwise
i
in �he licensed premise cr the license itseZf, ��� j� /V 'v
�.ttac^ a copy hereto of any and all �o�.:ments rePerred to �n this affidavit.
1? Give names and addresses cf tao persons, :esidents oP St. Pau1, Minnesota, vho
can give ins`arnation concerning you.
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�)1��`�- � � TL �� t� ! 1'� - �C i'.�I� 1��� ��5( ���(��
�k. Address o� premises Pa �hi h Lice e or Pe�i± is made � /y'~`Y`J- �� ���� �t ��
l/g �.
Address � �V �• � � � ��� � � ?one classi�ication
i � ' ,�`
?5. 3et�een what cross streets � �� � ���. +lhi:h side of street VV�S�
7. � .� L� rl �/
16. �Ta�e under which this business will he conducte� �] l� j � h � 1 V j1
/
1?. Business telephone n�ber ���✓�i� � � ��
�¢. Attac!� to this application, a detailed description of the desiEtn, location, and
square :°�ota�e oP t:�e pre�ises to be licerss�
� � �
� �i � � t�'t�� ��-i� = �
:. . �.re �reTises noW occupied / ,�� What oLSiness H�� lon�
-- .,- . . � ���is.5-�
20. List license w'.:ich you c�.LTrently hold, or fozzaer� held, or may have an intere
. .
� i n /1
��� G
,
21. xave any of the licenses listed by you in No. 20 ever been revoked. Yes
No IP ansr+er is "yes", list dates and reasons:
?_2. TJo you have an interest oP aay type in arLy o�.her business or� business premises.
I.° ansWer is "yes", list busi�ess, business ad�e/s and tele h ne number.
L. C �i 'S � i� 51 L � � �l�l� I���l i�� �� "-� ��z ��5
� � .� �
2?. IF business is incorporated, give date of incorporation 19
and attach caoy oP Articles oP Incarporation artd mimrtes or r�st meeting..
2�. List a1Z of��cQrs of the corporation giving their names, oPPice held, home
address, and home and business telephone numbers:
25. If business is partnership, list partner(s) address and telephone ntffibezs:
N� � Address 1'�l.Ro.
25. Is there arLyone else who will have an interest in this busineas or premiaes?
;f answer is "yes", give name, home address, telephone nu�bers and in a�at
manner is their interest:
27• Are yvu goin� to ope ate yhis business peraonal�y��,v if not, rr�o vQerata
1t: + f , � a /� � ?
Aar�e 1 I �U/� � �}�I�'�I� H�sae address � ��� �
� � � )>l�?�n�.xo���
� r , �'��l� ����
Are you �oing to have a '�anager or assistaat in this busir.ess? I? ans�er is
°yes", give na..�^.e an�i ho::�e a�dress and home telephoae numbe :
Name � (�j� ' "li �� I��'� Home address?�'������j�Te1.No�Z� / �0
�
'9. :ias ariyone you have named in questions 22 throu�h 25 ever been arrested? If
ansrer is "yes", list name oP person, dates oP arrest, where, cha.rges, convic-
tions and sentence
t�
�
?�. I understand this premise ms�y be in-
spe�ed by � e police, :ire, health and other city oP°icials at ar� and aii
�im wnen the business is in aoeration.
State of �linnesota)
)SS �
Con::ty of Ramsey ) J� ��`�l/�n✓�
� ,� ��. ��! (.�'
// Si ature oP Applicant
I
being irst du2y sworn, deposes and says �.ipon
oath t:�at he has read the _°oregoing state�nent bearing his signatuxe and !ciows the
conter.ts thereo.°, and tha.t the same is true o£ his own knowledge except as to those
3atters tnerein stated uoon infor.aati�n and belieP and as to thos ters he be-
lieves them to be trse.
.,� �
Subscribed and sWOrn to bePoze me � ! i
� ,Sig,nat' oP Applicant
� : '
��'rri-s� ,i�day .of� 19� �f'
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Notary ?ublic, �amsev C�unty, Minnesota
�v co�nission expires J - �- �f �
�,�� JULIANA J. P,a.'.'�_��:
NOTARY PU'-!�'C—MINNESUtA
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-_�_.�=------------------------- AGENDA ITEMS --------------------------- ----
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ID#: [3�5 ] DATE REC: [10/15/87] AGENDA DATE: [00/00/00] ITEM #: [ ]
SUBJECT: [GAME ROOM LICENSE - SUPER FUN - 345 NORTH WABASNA ]
STAFF A5SIGNED: [NONE ] SIG:[RETTMAN ] OUT-[X] TO CLERK [00/00/00]
ORIGINATOR:[LICENSE DIV. ] CONTACT:[SCHWEINL.ER - 5056 ]
ACTION:[ ]
C ]
C.F.� [ ] ORD.# [ ] FILE COMPLETE="X" [ ]
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FILE INFO: [RESOLUTION/CHECKLIST/APPLICATION ]
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