96-1256 Council File # � �
Ordinance #
Green Sheet # � J y S�
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By G��-� ��r��
Referred To Committee: Date
i RESOLVED: That application(ID#70164) for a Cigarette, Grocery-C, and Off Sale Malt License by
a Bee and May Vang DBA Super Minni Market(Bee and May Vang, Owners) at 1187
3 Minnehaha Avenue East be and the same is hereby approved.
4 _____________________________________________________
5 ______________—______=_____
q,L���s �
� ����T� � GREEN SHEET �° 3 5 4 5 8
LIEP Licensin - - � - r
8 Q DER4ti'FMENT DIRECTOR ����� �CITV COUNCIL ����
hr �N �CITY ATTORNEY �CIIY CLERK
IL �� �BUD(�E?DIRECT�I �FIN.A IAOT.SERVICE8 DIR.
�� " � �MAYOFi,(OR A88�8TAN'n ❑
TOTAL�OF 813NATURE PIl�iEB (CLIP ALL WCATIONS F R 81GNATUR�
ACTION REGUE8TE0:
Bee and�May Vang DBA Super Minni. Market requesCs Council approval of its application
for a C�garette, Grocery-C, and Off Sale Malt�I�icense located at 1187 Minnehaha Avenue
East (ID ��70164) . '
:Appow(A)a ReJ�Ot(R) pERSONAL SERVICE CIONTRACTS MUST ANSWER TNE FOlLO1MING�tlESTIONS:
_P�ANNMrO G01AAA1SSI0N _CiVII.8ERVICE COMMISS�t 1. Has this perswVfirm�vsr vrorlud undsr a ca�hect fw thls dlpBrpMrd? -
_C�COMMIITEE _ YES NI�
2. Hes Mis peroon/Ilrm ever bssn.dty employeel
—�� — YES Np
_oIBTRICT COURT _ 3. Does this psrsoNfirm�poessss s�klll not normally Pcessssed bY�nY cu►►eM citY en�ploy�s9
SUPPORTS WNICFI C�IINC�OBJECfIVE4 YES NI�
ExplNn all ya�nsw�on�rob�M�t�nd�thch to pn�e►sM�t
INITUTIPK�Mi00LEM.ISSUE.OPPORTIHdITY(Who.N1h�,Wfwn.Whsro�WhYY
. , RECEIVED
� Av� 27 �
� C��r aTTORHEY
�����:
DISADVANTAOE8 IF 11PPROVED: '
VQU�C� ��i�1�1, 4�i,tK
' SEP 16 1996
�
.,
�,�,�s��,��o:
�,
�
,
TOTAL A1/OUNT OF TRANSACTION = C087!/REVENUE BUDdETED(ClRCLE ONE) YES NO
FUNDINO SOURCE ACTI I'rY NUMSEfi
FINANCIAL INFOFM�ATION:(EXPLAMI)
.
�,�%�
Greensheet # 35458 L.I.E.P. REVIEW CHECKLIST Date: 8/22/96 /
In TraCker? App'n Received / App'n Processed
License ID # 70164 Llcense Type: Cigarette, Grocery-C, Off Sale Ma.lt
��- ��6
Company Name: Bee and May Vang DBA: Super Minni Market
Business Addresss: 1187 Minnehaha Avenue East Business Phone: 771-8690
Contact Name/Address: Bee and May Vang, 955 Hazelwood St, Home Phone: 771-6451
Date to Council Research: 55106 �������9���,/ v�p/
Public Hearing Date: � � 9 Labels Ordered:
Notice Sent to Applicant: � District Council #:
9 G�!,,� ��J %��'
Notice Sent to Public: /`�//Cl� �/��"'"' Ward #: �
Department/ Date Inspections Comments
�
City Attorney
� •3 •°l 10 O .� .
Environmental
Health
°t •� •-! � d` � .
Fire
1 • � • ` � �� � '
License I`-' �'��' �� Site Pian Fteceived:
r . ���� Lease Received:
l.�J
��,�, �,�,►'� ,�,,,�,� ,�.�.
� `12 "�i �
Police
� .��� ���.
Zoning
� - 3•�'� D•� .
1 - _
, .
«----o ' '
CL�SS III CITY OF�AL�TT PAliI.
' OYa of Lice^se,,L^s�+ectiors
LICENSE �PFLICATIO\z �*�d Ern•L�orune�.al l''r.+:u�on
3!0 5�Par St Su*ie:�J
$sim Au1.1!i•.na.v"iw
l61'.).',(�°??J falbl_):,v�.c1:1
� � �- �as
TH1S �PPL1CATi0\IS St'BJECT TO RE\%1EW BY'rJ�Pt'BLIC
PLEASE TYPE OR PRL�'T N L\K
� �Q i'D
T�t+t of License(s)bei�g ciplied for: � "�'
��'f'!'� �r0�trv �C) ��00.°0 . ��l1��' 'a�t� �317.'0
� .
c����y��.:.--�: �=t1 ;;�v� ,��.�„�,�i M2�-�P+-
� CO.�:aUO.:/p�^iL':}lip�C�G�O'�.'7GG��--t�"
e
If bLSiness is ince rorated, p��e�;e of inco;poration:
DcinE Bcsin:ss As: Cd)�� Nie�►-,cG- �'-'�vo Business Phone: 77�-sr�; s_7
BL�iness Aad-esc: i i 9-� :1 ` � �, P ;'�, 1, r f�w - � S�-r a�:n� /�. S:f'l��
�
S�xt.4��-us Ci.y S:�te Zip
Betu�cen R�at cress�teeu is�e':;:s:�ess la�te.�? u'hich�ide of Lhe steet?
.4re tbe premises ncW o:.CLr1PG? `'r� .- ��bat T�r� of nusiness? `'•,_,,�.,,-errc� �, �
� � .� i;f� r'° ' -�
,.�1 To Ad3-esc: ! ,�. --� ��' - _,- r i �'� - ! o✓' �1 '��
5_.xt.4ccess City S:�ie Zip
A�p:ici�t Info.-r-�.•,zvon: ' �
��.:�eandTiJe: �e-e � ,, i 1'�- ;�=?,�-� C , r�/
^.�st ?�:i3�;e ('�:tid�) Ltu G Tiile
� � ; 1
He�e Address: �5..�,_ , ., � � � ( <.- / ,� I i?I�L^� �f-�/� b _
s��t.a�.-�: c�.y s:�u z�p
Dzte of Bu-.h: `-�- 3�-�tr PIaa of Bir.h: L-Gi-a�' Heme Pbone: �77►�.�LC-�
Ha.•e;��u e.•er been co �•ict- of a.�y felony,ctime or�tio:�ioa of any city ordinan:e otber than traf5c? YES_ :�O X
D�u of a*rest �'bere? �
� ,
Charge:
� Cen�•iction: Senuace:
List tbe n�s and residences of th:ee persons of good�r�ral character, li�•ing �•ithin tbe TW�in Cities Meuo Area, not rclated to tbe
apglic�nt or fmanciaUy inurested in the premises or business,w�ho may be referred to zs to tbe applicant's characur.
:�A'� ADDRESS PHO��
�IhG ULirig �� r '
� ^ �•2 O W ✓i f,'; r�n t.%�.4 i ,/J..,,c S�.-��t.� � �'�`!h/�, Q--t-�1-,3' � 6�
� ,, � �'�'. �( � 'Nr , G � z/
\ ' -� ti . ��- � , !1'ti1r� C'�-,u �.2 �. ! •
List licenses w�hich you currendy hold,formerly be)d,or may have an ir�terest in:
,�c' er' 1� . ar .� �'I,�r��".'-
Ha�•e any of tbe above named licenses era been revoked? YES „�\O lf yes,list tbe dates aad reasons for revocatioa:
f
Are you going to openu this business persoaally? �YES ;�O lf not,Wbo Will operate it? �• �-�' � � Y
�� �-Mn.,, � i/,�-z; rs^- �....-f'• S�`.?
Fi�st:�ame-T *liddic Initial � (!�Stiden) Last Dam of Birth
/ �� �i12 ! ! r�F/JY/� S� i �'f-► �c'.1 itti" 'M//' ��G`�� 7�%`���r
Ncr.rc Addrax Saea,unc � Gy Suu Z�p Phone;.�um`xr
�--- . , 4'�
�o��:
, ' • ;re�•ou voing ta hz�'e a mana�er or�«:«t in ihis business? �1� �0 lf�he mana,er is net L5e sar:x a.s ti'�e or+er::tot, Lt� ��
�' 'C���s��
coa�leu the felle�'ing infort;�tioa: `�� e�':�
I y— '� �
_. �a �
c�y, ,�..:
� '�!�der, 1��t � ,�.�:e of Eir � .
Fi:'SI�ll71G �SSO�I L^JJi.I l• � �7 �
S�r ��� !1�����1�' f �7—�c 6 / / }� ���. ? �O
!�c<z�1;•.��-, ��—� ��;� z�� ��,.��:,��:�
;; .�a��5: �::.���� c:,•
�.:� �
Ple��e list��o�u e�le;�ment histery for the gre�•ious fi��e(�);ear perie3: ' � (
Bu��ness/Er:ulc�-xr.t Add;ess ^ I
! Ir�a 1 t�^'7 �A` ` � � �'° ° �� C �r{ ✓ r�' �&'J F..r��� S'r �•'- r�7�C/' i�` �.� .,� 1
!f'.t. ,� ` w
\ �r � . . '� c ��f 1. ..� � i ,t f,�� v$�%� �''�� ���.l.V� -1�. .i 1� ) .er - -
� ��,1 �� 1 �rl.« �
1 � r, . > C t t., �. �5'��� �i v � C i AJ�^1, � ���f t ���, / ��
� r F r r.:` � _
List all otber�:�c::s of;he co;per��e�: H�.�,� BI;SI'�-FSS DATE OF
OFFICER TITLE HO'�TE BIRTH
�,��,� (Q;fice Hel::) ADDFtESS PHO�`E PHO��E
lf besiness is a r�'�-.�h�P,F�e��e i-?:l�de tbe fel)eW�ing i�e-m::von for ea:b pa:�er(use additiona]p��es;f neressar�):
� �• �,�:��:n) !fsi �ou o!Birch
IL'SI,'�a^1C �.l��,t.'.7::2�
�� Zjp �:1C:1t�117S15U
?ie:ne Sd�as: S�.'':�..—�e ��7
� �.. � � ' Da:e of Binh
First\�.�ne `�:id�e i-.i::al '� �d•n
Hor.�e Addr� S�'��.."ti
Ci.y St�se tip Pbone'�`um5v
?����SOTA T.4X IDE.'�7IF1C.4T10ti�'L?��ER-Pn.'suz�t to the I.aws of'�'finncsota, 198d,Chapw 502,Article 8,Section 2(270.72)
(�'a.z Clearance;Issuaa.e of Licenses),licensing autborities a*�e required to proride to tbe State of'�'tinnesota Commission�r of Re�•enue,
` � , the'�Iinnesota busi�ess ta�c identifica�on number and the saial security numxr of each license applic�t
L:ndrr the Wfinneso:a Government Da:a Practices Act and Lh:Federal Pri�'acy.4ct of 19i4,we are required to ad��ise you of t6e follov��ing
regarding the use of cbe'vI'ianesota T�z ldenafication:�'um5er:
-This informavon may be usad to daay tbe issuaace or renew•al of your license in the event you oa�e�'linnesota sales,employei s
Withholding or motor��ehide excise t�zes;
_LTpon recei�•ing this informa:ioa,tbe licensing aut6ority u•ill supply it only to t6e Minnesota Depaz'tm�nt of Re�'enua However. ;
under t6e Federal Ezchange of Information Ageement,tbe Department of Re�•enve may supply this information to tbe Inurnal �'
. .�..�..iR
• Re��enue Sen7ct.
1�tinnesota Tax Jdcntification T`umbers (Sales �Use'TEZ Number) may be obtaiaed from cbe Stau of'�4'innesota, Business Records �
Departmeot,l0 Ri��u Park Plaza(612-296-6181). �"�
� r V 0 r��� � � � ��x�`
. Saial Securiry;�'umber. �� .
x;�
,,,.
Minnesota Tax Identification:�*umber: •Z-��I O'f f j' , �;`
- lf a��innesota Tax Identification Number is Dot requued for the business being operated,indicau so by placin8� X ln� ;�.
boz. ��"
���-�
c � ;-
�
., _ �����.
. G RTIF1CATl0\OF��'ORKERS'CO�iPE�S.�TIO\'CO��ER�,GE PL�SL'A.\T TO'�4L�:�`ESOTA STATU'IE 176.182
� I hereby cers,5�that 1,or n��ce��ay,�n in ce:npli::nce��:;�tbe�•erkers'co;.,��,^s�tion insurance te�'erage requires,�ns of'�4innesota
� ct�tute I�6.1g2,sub3i�•ision 2. I��o undent�d ibat prc�:s:.�of f�lse info;m:�on in this cenificatien constitutes sufficient grounds for
ad�•ene acuea��ainst a11 licen�es beld,including re��oca�=c��d suspensien of��d licenses. � / ` Ias-�
�...r �� � (
�' 1'�r�e of Insur��ce Cerr��.ny: ��ti'��� �_ -"` s N , a,�. �t--�1 �'h+..� °
Policy:�um:�:r: CI �i - 5 e-+ - r�i S"1'�-- C� � r Ce�•era�e from��f- 9� to_4='�T_
I ha��e no e�lo,�ees co�ered under��o:kers'co��ensatic�i�l;ra�ce /f,J `
A'�Y FAI,SffICATIO\OF A.�S«�ERS GI«\OR>LATERIAL St��IITTED
R�.L RESLZT L\DE\ZAL OF THIS APPLICATIOV
I hereby s�u that I ha�'e�as��ered all of the p;eceding ques�oas,�d tbat the infe.-sat�on contained he;ein is We a.*�d correct to the best
of my 3;noW;edse aDd belief. I hereby state fiutber that I����e recei��ed no mone�•or ot6er consideratiea,by v�•ay of lo�n,gift,conn-ibution,
or otberwi�e,o�er tban alread�•disclosed in cbe�plicatien F�hich I bereu•ith subm:ned. I also unde:st�d this premise may�be inspected
b��police,fire,bealth and oiber ci��effici�ls at any and z:l�es��ben the bus;a:ss is in operatiea.
�/��/ .
^ Si�a���e� 'IRED fer�11 applications) Date
""�ou: If th:s a�plic�tion is Foa�itiquor rel�,:d.pJeas�ce�:a:t a Cit��of S�int Pa;il Hea]tb Inspe:tor,Su�•e Olson(2G5-91?9),to re�•iew
p:a:s.
lf aay substantial changes to s�uctune are aaticipa:�,plezce conta^t a G7•of Saint Pau]Plan Ezaminer at 266-9�7 w apply for
building permiu.
if tbere are an��cbanges to the pal;ing]ot,floor sya:e,or for new ope;a5oas,please conta:t a City of Saint Paul Zoning Inspector
at 26�9008.
Additional appUcation requirementc,please ariach:
A detaited description of the destgn,Jocation and square footage of the gremises to be licensed(site plan).
T6e foUow-ing data sbould be on the site pIan(preterably on an 81R"a 11"or 81/2"x 14"paper):
-T'ame,�ddress,and phone number. '
-Tbe scale should be stated svch as 1"_�4'•^\'should be indicated to�ard the top.
-Plxement of all perttnent leatures of the interior of the licensrd facility such as seating areas,I�tchens,oft5ces,repafr
area,parl-ing,rest rooms,ei� : -
- 1f a request is for sn addition or expans�on of the 13censed facility, ind3cate both the current area and the proposed
eaparuion
A copy of}�our lease agreement or proof of o�nership of the propertp.
FOR SPECIFIC APPLICATION REQUIR�?�iE:�'TS, PLEASE SEE REVERSE >>>>