02-332�������,�
Presented By
Referred To
Council File # O'Z— � 3iti.
Green Sheet # C� 3 $S
SOLUTIO
CITY F S T PAUL, SOTA t �
Committee: Date
1
2
3
4
5
6
7
8
9
10
11
12
RESOLVED, that the Food/Institutional Facility license held by Twin Cities Urban
Ministries d/b/a Twin Cities Urban Ministries (License ID Number 20000004305) far the
premises located at 639 7ackson Street is hereby suspended immediately for failure to pay
delinquent license fees. Said suspension shall be in effect until such time as the license fees and
any late charges or penalties haue been paid in full and written notice of the lifting of said
suspension has been provided to the licensee by the Office of License, Inspections and
Environmental Protection.
This Resolution and the action taken above are based upon the facts contained in the March 12,
2002 Notice of Violation letter to the licensee. The licensee did not contest the facts of the
violation.
OFFICE OF LIEP Aprii ��, aooa GREEN SHEET
., Roger Curtis, Director
266-9013 No . 4 0 3 3 5 50�'��
EPARTfg:[�T DIRHCTOR 4 ZTY COUNCIL _
� ITY ATTORNHY ITY CLERR
x�sra
ust be 021 Council Agenda• �° ET DIRECTOR IN. & MGT. SVC. DIft.
. ,�
ril 24 2002 Consent Yox rox r.ssisTZSrr�
AL # OF SIGNATURE PAGE3 1 (CLIP ALL LOCATIONS FOR
- IGNATURE)
CTION REQUESTED: That the Food/Institutional Facility license held
y Twin Cities Urban Ministries d/b/a Twin Cities Urban Ministries
"`"(License ID # 20000004305) for the premises located at 639 Jackson
";- Street be suspended iinmediately.
CONMENDATIONS: APPROVE (A) OR REJECT (R) ERSONAL SERVICB CONTRIICTS MQST ANSWSR T88 FOLLOWING:
PLANNING COMMISSION _ CIVIL SERVICE Has the person/firm ever worked under a contract for this department?
� OMMISSION YES NO
� CIB COMMITTEE _ BUSINESS REVI&W Has this person/fixm ever been a City employee?
" OUNCIL YES NO
STAFF _ Does this person/firm possess a skill not normally possessed by any
Current City employee?
z=� DISTRZCT COURT _ - YES NO
� laia all YSS aasoaers oa a saparate sheet and attach.
SUPPORTS WHICH COUNCIL OBJECTIVE?
''.. INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, in�hy):
- icensee, after repeated notification, failed to pay 2001-2002 license
� �fees. __-
N, VANTAGES IF APPROVED:
� �;�n4et
ISADVANTAGES IF APPROVED:
�.
�- ISADVANTAGES IF NOT APPROVED:
OTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED YES
O _ . . .�
UNDING SOURCE ACTIVITY N[JMBER
INANCIAL INFORMATION: (EXPLAIN)
OFFICE OF THE CITY ATTORNEY
Manuet J. Cerv¢ntu, Ciry Atmrrsey
�� �� J�
CITY OF SAINT PAITL CivilDivision
Randy C Kel1y, Mnyor 400 City Ha/1
15 West Kellogg Blvd.
Saint Paul, Minnuota 55l02
i
Aprii 11, 2002
NOTICE OF COUNCIL MEETTNG
Mazk Jefferson, Director
Twin Ciries Urban Ministries
639 Jackson Street, Room 106
Saint Paul, Minnesota 55101
Telephone: 651 266-8710
Facsimile: 651198-5619
RE: Pood/Institutional Facility license held by Twin Cities Urban Ministries for the premises
at 639 Jackson Street, in Saint Paui
License ID #: 20000004305
Dear Mr. Jefferson:
Please take notice that this matter has been set on the Consent Agenda for the Council meeting
scheduled for 3:30 p.m., Wednesday, April 24, 2002 in the City Council Chambers, Third
Floor, Saint Paul City Aall and Ramsey County Courthouse.
Enclosed are copies of the proposed resolution and other documents which will be presented to
the City Council for their consideration. This is an uncontested matter, in that the facts
conceming the failure to pay license fees has not been denied. As indicated, this matter has been
placed on the consent agenda portion of the City Council meeting, during which no public
discussion is allowed. The recommendation of the license office will be for the immediate
suspension of your license.
If you have any questions, please call me at 266-871 Q.
Very truly yours,
�/ � ��
Virginia D.�
Assistant City Attomey
cc: Nancy Anderson, Assistant Council Secretary
Christine Rozek, LIEP
Mary Nelson, Community Organizer, Capitol River Council/Dist.#17, 332 Minnesota St.,
Suite W1250, St. Paul, MN 55101-1314 �
AA-ADA-EEO Employer
UNCONTESTED LICENSE MATTER o�.-�?s-
Licensee Name: Twin Cities Urban Ministries dJb/a Twin Cities
Urban Ministries
Address:
Council Date
Violation:
License Type:
639 Jackson Street
Wednesday, April 24, 2002
Failure to Pay 2001-2002 iicense fees
Food/Institutional Facility License
Recommendation of Assistant City Attorney on behalf of client, Office
of License, (nspections and Environmental Protection;
Immediate Suspension af Food/Institutional Facility License
Attachments:
1. Proposed resolution
2. Notice of Violation
3. License Information Report
4. February 12, 2002 letter from Christine Rozek to licensee
5. License information
AA-ADA-EEO Employer
OFFICr � THE CITY ATTORNEY
MnnrrelJ. a,e.vnntes, CiryAttorney Q �
�
CITY OF SAINT PAUL
Rnndy C. Ke1ly, Ma}'or
Mazch 12, 2002
Mark 7efferson, Director
Twin Cities Urban Ministries
639 Jackson Street, Room 106
Saint Paul, Minnesota 55101
civit Division
400 Ciry• Hnf1
t 5 West Xetlogg Blvd.
Saint Pnul, hlirtnesotn 55102
NOTICE OF VIOLATION
Telepkorte: 651 266-8710
Facsim il e: 651 298-5619
RE: Food/Institutional Facility license held by Twin Cities Urban Ministries for the premises
at 639 Jackson Street, in Saint Paul
License ID #: 20000004305
Dear Mr. Jefferson:
The Office of License, Inspections and Environmental Protection has recommended
adverse action against the Food/Institutional Facility license held by Twin Cities Urban
Ministries for the premises at 639 Jackson Street in Saint Paul, Minnesota. The basis for the
recommendation is as follows:
Ou February 12, 2002 a letter was sent to you by the Office of
LIEP advising you that your license fees for 2001-02 were
delinquent and that you had until February 22, 2002 to pay.
The fees have not been paid and you have not notified the
Office of LIEP that you are no longer operating in Saint Paul.
If you do not dispute the above facts, please send me a letter admittin� that they are true.
The matter will then be scheduled for a hearing before the Saint Paul City Council to determine
what penalty, if any, is appropriate. You will have an opportunity to appear before the Council
and make a statement on your own behalf. The recommendation from the licensing office is for
the immediate suspension of the license until all license fees and late fees have been paid in full.
You may also pay the sum to the Office of License, Inspections and Environmental Protection
immediately to take care of this matter.
If you wish to dispute the facts, you are entitled to an evidentiary hearing before an
administrative law judge. If you wish to have such a hearing, please send a letter stating that you
are contesting the facts. You will then be sent a notice of hearing with the date, time and place
for the hearing, the name of the administrative law jud�e, and an exp]anation of the procedures.
Page 2
Mark 7efferson
March 12, 2002
o �. - 33 �.
Please let me know in writing no later than Friday, March 22, 2002, how you wish to
proceed. If you have not contacted me by Friday, March 22, 2002, I will assume that you
are not contesting that the license fees have not been paid. I will then schedule this matter
for the St. Paul City Council and have it placed on the Consent Agenda during which no
public discussion is allowed and the recommended penalty will be imposed.
If you have questions about these options, please feel free to contact me at 266-8710 to
discuss them.
Sincerely,
���� ��.P�
Virginia D. Palmer
Assistant City Attorney
cc: Christine Rozek, LIEP
Mary Nelson, Community Organizer, Capitol River CounciUDist.#17, 332 Minnesota St.,
Suite W 1250, St. Paul, MN 55101-1314
0� - '3'� �
STATE OF MINNESOTA )
) ss.
COUNTY OF RAMSEY )
AFFIDAVIT OF SERVICE BY MAIL
JOANNE G. CLEMENTS, being first duly sworn, deposes and says
that on March 14, 2002, she served the attached NOTICE OF VIOLATION
on the following named person by placing a true and correct copy
thereof in an envelope addressed as follows:
Mark Jefferson
Twin Cities Urban Ministries
639 Jackson Street, Room 106
St. Paul, MN. 55101
(which is the last known address of said person) depositing the
same, with postage prepaid, in the United States mails at St. Paul,
Minnesota. �� _ / ��
G.
Subscribed and sworn to before me
this 14th day qflMarch 2002.
Notary Publi
PETER P PAtJGBORN
NOitv2Y PUOUC - MINNESOTA
MY COMMISSION
EXAlRES JAN. 31, 20�5
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CITY OF SAINT PAUL
Norm Coleman, M¢yor
February 12, 2002
Twin Cities Urban Muustries
1001 Penn Ave. N.
Minneapolis, MN 55411
RE: License ID #20000004305
OFFICE OF LICENSE, INSPECTIONS AND
ENVIRONMENTALPROTECTION
Roben Kessler, Director
LOWRYPROFESSIONALBUILDING Telephone:651-266-9090
350 St Peter Street, Suite 300 Farsimile: 651-266-9099
SaintPaul,Minnesota 55102-lSIO 651-2669124
On 09/14/2001 your license for a Food/Institutional Facility License expired in the City of
Saint Paul. The fees now due are:
$25.00
License Fee
These outstanding fees must be paid by February 22, 2002 or this matter will be sent to the
City Attorney's Office for fiuth.er action..
Please note that without a current license you are not authorized to conduct business
in the City of Saint Paul.
If you have any questions regarding this action or wish to notify this office of a change of -
business location or status, please contact me at (651) 266-9108.
Sincerely,
�� d
���i..�� ^l�iri.BJ �• �',3"r.-��+�,.o'
ii`
Christine A. Rozek
Deputy Director
CAR/jl
0�.-33�
I nvoice
❑ Check this box if making any name, mailing address
or phone # corrections. Please write the changes on
this form. If your business license address is changing,
please request a new business license application.
February 11, 2002
To: TWIN CITIES URBAN MINISTRIES
'100'f PENN AVE N
MINNEAPOLIS MN 55411
BUSINESS PHONE: 612-2513204
Transaction Description
000004305 Foodtinstitutional Facility Expires: 09/14/2001
@ 639 JACKSON ST RM 106
CITY OF SAINT PAUL
Office o4 License, Inspections &
Environmental Protection
350 St. Peter Street, Suite 300
Saint Paul, MN 55102-1510
PHONE: (651) 266-9090
FAX: (651) 266-9124
Invoice # : 280914
Invoice Due Date: Upon Receipt
Account Balance: $25.00
Pay this Amount: $25.00
Transaction Total
25.00
fteQuirements � .� � ; � . ' - �
� Invoice Amount Due: $25.00
DOG LICENSE AND COMPETENCY CARD RENEWALS DO NOT NEED TO COMPLETE THE WORKER'S COMPENSATION INFORM?7/ON
FOR BUSINESS LICFNSE RENEWAL ONLY:
CERTIFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE §176.186
I hereby certify that I, or my company, am in compliance with the workers' compensation insurance coverage requirements of Minnesota
statute §176.182, subdivision 2. I also understand that provision of false information in this certification constitutes sufficient grounds for
adverse action against alt licenses held, including revocation and suspension of said licenses.
Name of Insurance Company:
Policy Number.
Coverage from
Licensee / Applicant Signature (REQUIRED FOR ALL RENEWALS)
Remit Payment to:
The City of Saint Paul Office of LIEP
350 St. Peter Street, Suite 300
Saint Paul, MN 55102-1510
Make Checks Payable to: The City of Saint Paul
to
Date
Dog Licenses and Alarm Permits may be renewed online at
<www.ci.stpaul.mn.us/liep> Click the ONLINE LICENSES link.
*��"******�***** PAYMENT CAN NOW BE MADE BY CREDIT CARD!!! "'***��*""*"*�`
IF PAYING BY CREDIT CARD PLEASE COMPLETE THE FOLLOWING INFORMATION:
Date:
� MasterCard
Name of Cardholder (please print)
❑Visa ��
V.� Amount of
Char�e:
$
Signature of Card Holder (required for ail charges)
EXPIRATION DATE: ACCOUNT NUMBER:
�License Group Comments Text
Licensee: TIry�N CITIES URBAN MINISTRIES
�BA� 7WIN CITIES URBAN MINISTRIES
License #: 20000004305
03/02/2002
O�-�3�
03/02/2002 Fees not paid. To CAO for adverse adion. CAR
02/12/2002 Delinquent letter sent - must submit fees by 02/22/2002.JL
D �- a3 a.
address � �icensee 1 Corrtac[ � License � Cerdhalder (
Type: r Property �' Licensee C Unoffiael r All
^�treet tt: �39
Street Name: ACfCSON
$Ireet TYPe: eAll> �
Directiort <All> i:?
I�nrt # �—
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i �G�ouPWae MaiL.,`.;�ECt{QSAP,PUcah. f�jEkY�1PSlicens;�y,.�'�} �`,: a s_�� 724
,�. e..u�.- .
OZ•�3�
�. � �� � �.;� �censee CITIESURBANMWISTWES
Typf ��,° ���°�� �� DBA N CITIES URBAN MWISTRIES
Stre E
Stre � License � Licensee l Lic Types � 4�surance 1 Bmd � Requireme(RS �
Si!e, C' Property C ucensee � Unoi5cisll� PrqectFaCdit�m: ASUNCbP3,CORINf3E
Dire� Street #. 39 Adverse AcGOn CommeMS _
UnR �reet Namz: ACNSON (
�� Street Type ST DirecLOn ��
UnA Ind: RM Und # 06 �
Crty. T PAUL j License Group Commzrds
! 3l02R002 Pees nct paitl To CAO for advarse action.
Slate .��W Lp SS101 ' AR
Wartl. � �Jp'�e;; � 2M 2R002 D�nquerit letter serd - must submd fees by
� Disl CaunciL 7�7 2R2R002JL
; _ _ ' ' ' _ ___"""
- '_._- '_""_'_ __'__'__'_"'_______"'__'_'_""' __."'_' _
Ucensee N CITIES URBAN MINISTRIES 4censee
� DBA N CITIES URBAN MINtSTRIES CommeMs
I"_^�` Sales Tax id �— Bus Phone: 61212�
'ecilny �R 09tI4R00� 09p92001 N $250�
Total: $25.00�
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Llcwsee Name N GTIES URBAN MWISTRIES !`���� -�='�;'
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Other A enc Lic enses Financiel Hoid Reesons
Otl]ef`l�cF[es�n9.�P�'.,��i��1'Rei , � _ .. _ _
... _. .....�.�� - . ��. ��ACttY�� �Ee�--',„'.
ousv�essimuwos�ewo ooioo�ww
� Olher 09�OBROOOOOAONONJEFFERSON MPRV( DIRECTOR
+Licei
9800C
���
� _ _ .t�, :.�. .. . .
BackgrountlCheck�Required � r�p�ga �
.,:n:.�-; -�,v^. -o� _4uxa;''�.
'License# 00004305 SaveChengesiaH'rstoryjJ
-Med license To: —�
� °� t' Mail To CaMact �
� „�. froite;.`?'1�0�
(612) 251-3204 � C' License Atltlress �
I ) - t61<_ __�
MeAlnvo�ce To:—�
�f Mal To CaMact ,
rLicenze.4ddress j
.� ...,, -'�_—_'—'_ '
�������,�
Presented By
Referred To
Council File # O'Z— � 3iti.
Green Sheet # C� 3 $S
SOLUTIO
CITY F S T PAUL, SOTA t �
Committee: Date
1
2
3
4
5
6
7
8
9
10
11
12
RESOLVED, that the Food/Institutional Facility license held by Twin Cities Urban
Ministries d/b/a Twin Cities Urban Ministries (License ID Number 20000004305) far the
premises located at 639 7ackson Street is hereby suspended immediately for failure to pay
delinquent license fees. Said suspension shall be in effect until such time as the license fees and
any late charges or penalties haue been paid in full and written notice of the lifting of said
suspension has been provided to the licensee by the Office of License, Inspections and
Environmental Protection.
This Resolution and the action taken above are based upon the facts contained in the March 12,
2002 Notice of Violation letter to the licensee. The licensee did not contest the facts of the
violation.
OFFICE OF LIEP Aprii ��, aooa GREEN SHEET
., Roger Curtis, Director
266-9013 No . 4 0 3 3 5 50�'��
EPARTfg:[�T DIRHCTOR 4 ZTY COUNCIL _
� ITY ATTORNHY ITY CLERR
x�sra
ust be 021 Council Agenda• �° ET DIRECTOR IN. & MGT. SVC. DIft.
. ,�
ril 24 2002 Consent Yox rox r.ssisTZSrr�
AL # OF SIGNATURE PAGE3 1 (CLIP ALL LOCATIONS FOR
- IGNATURE)
CTION REQUESTED: That the Food/Institutional Facility license held
y Twin Cities Urban Ministries d/b/a Twin Cities Urban Ministries
"`"(License ID # 20000004305) for the premises located at 639 Jackson
";- Street be suspended iinmediately.
CONMENDATIONS: APPROVE (A) OR REJECT (R) ERSONAL SERVICB CONTRIICTS MQST ANSWSR T88 FOLLOWING:
PLANNING COMMISSION _ CIVIL SERVICE Has the person/firm ever worked under a contract for this department?
� OMMISSION YES NO
� CIB COMMITTEE _ BUSINESS REVI&W Has this person/fixm ever been a City employee?
" OUNCIL YES NO
STAFF _ Does this person/firm possess a skill not normally possessed by any
Current City employee?
z=� DISTRZCT COURT _ - YES NO
� laia all YSS aasoaers oa a saparate sheet and attach.
SUPPORTS WHICH COUNCIL OBJECTIVE?
''.. INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, in�hy):
- icensee, after repeated notification, failed to pay 2001-2002 license
� �fees. __-
N, VANTAGES IF APPROVED:
� �;�n4et
ISADVANTAGES IF APPROVED:
�.
�- ISADVANTAGES IF NOT APPROVED:
OTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED YES
O _ . . .�
UNDING SOURCE ACTIVITY N[JMBER
INANCIAL INFORMATION: (EXPLAIN)
OFFICE OF THE CITY ATTORNEY
Manuet J. Cerv¢ntu, Ciry Atmrrsey
�� �� J�
CITY OF SAINT PAITL CivilDivision
Randy C Kel1y, Mnyor 400 City Ha/1
15 West Kellogg Blvd.
Saint Paul, Minnuota 55l02
i
Aprii 11, 2002
NOTICE OF COUNCIL MEETTNG
Mazk Jefferson, Director
Twin Ciries Urban Ministries
639 Jackson Street, Room 106
Saint Paul, Minnesota 55101
Telephone: 651 266-8710
Facsimile: 651198-5619
RE: Pood/Institutional Facility license held by Twin Cities Urban Ministries for the premises
at 639 Jackson Street, in Saint Paui
License ID #: 20000004305
Dear Mr. Jefferson:
Please take notice that this matter has been set on the Consent Agenda for the Council meeting
scheduled for 3:30 p.m., Wednesday, April 24, 2002 in the City Council Chambers, Third
Floor, Saint Paul City Aall and Ramsey County Courthouse.
Enclosed are copies of the proposed resolution and other documents which will be presented to
the City Council for their consideration. This is an uncontested matter, in that the facts
conceming the failure to pay license fees has not been denied. As indicated, this matter has been
placed on the consent agenda portion of the City Council meeting, during which no public
discussion is allowed. The recommendation of the license office will be for the immediate
suspension of your license.
If you have any questions, please call me at 266-871 Q.
Very truly yours,
�/ � ��
Virginia D.�
Assistant City Attomey
cc: Nancy Anderson, Assistant Council Secretary
Christine Rozek, LIEP
Mary Nelson, Community Organizer, Capitol River Council/Dist.#17, 332 Minnesota St.,
Suite W1250, St. Paul, MN 55101-1314 �
AA-ADA-EEO Employer
UNCONTESTED LICENSE MATTER o�.-�?s-
Licensee Name: Twin Cities Urban Ministries dJb/a Twin Cities
Urban Ministries
Address:
Council Date
Violation:
License Type:
639 Jackson Street
Wednesday, April 24, 2002
Failure to Pay 2001-2002 iicense fees
Food/Institutional Facility License
Recommendation of Assistant City Attorney on behalf of client, Office
of License, (nspections and Environmental Protection;
Immediate Suspension af Food/Institutional Facility License
Attachments:
1. Proposed resolution
2. Notice of Violation
3. License Information Report
4. February 12, 2002 letter from Christine Rozek to licensee
5. License information
AA-ADA-EEO Employer
OFFICr � THE CITY ATTORNEY
MnnrrelJ. a,e.vnntes, CiryAttorney Q �
�
CITY OF SAINT PAUL
Rnndy C. Ke1ly, Ma}'or
Mazch 12, 2002
Mark 7efferson, Director
Twin Cities Urban Ministries
639 Jackson Street, Room 106
Saint Paul, Minnesota 55101
civit Division
400 Ciry• Hnf1
t 5 West Xetlogg Blvd.
Saint Pnul, hlirtnesotn 55102
NOTICE OF VIOLATION
Telepkorte: 651 266-8710
Facsim il e: 651 298-5619
RE: Food/Institutional Facility license held by Twin Cities Urban Ministries for the premises
at 639 Jackson Street, in Saint Paul
License ID #: 20000004305
Dear Mr. Jefferson:
The Office of License, Inspections and Environmental Protection has recommended
adverse action against the Food/Institutional Facility license held by Twin Cities Urban
Ministries for the premises at 639 Jackson Street in Saint Paul, Minnesota. The basis for the
recommendation is as follows:
Ou February 12, 2002 a letter was sent to you by the Office of
LIEP advising you that your license fees for 2001-02 were
delinquent and that you had until February 22, 2002 to pay.
The fees have not been paid and you have not notified the
Office of LIEP that you are no longer operating in Saint Paul.
If you do not dispute the above facts, please send me a letter admittin� that they are true.
The matter will then be scheduled for a hearing before the Saint Paul City Council to determine
what penalty, if any, is appropriate. You will have an opportunity to appear before the Council
and make a statement on your own behalf. The recommendation from the licensing office is for
the immediate suspension of the license until all license fees and late fees have been paid in full.
You may also pay the sum to the Office of License, Inspections and Environmental Protection
immediately to take care of this matter.
If you wish to dispute the facts, you are entitled to an evidentiary hearing before an
administrative law judge. If you wish to have such a hearing, please send a letter stating that you
are contesting the facts. You will then be sent a notice of hearing with the date, time and place
for the hearing, the name of the administrative law jud�e, and an exp]anation of the procedures.
Page 2
Mark 7efferson
March 12, 2002
o �. - 33 �.
Please let me know in writing no later than Friday, March 22, 2002, how you wish to
proceed. If you have not contacted me by Friday, March 22, 2002, I will assume that you
are not contesting that the license fees have not been paid. I will then schedule this matter
for the St. Paul City Council and have it placed on the Consent Agenda during which no
public discussion is allowed and the recommended penalty will be imposed.
If you have questions about these options, please feel free to contact me at 266-8710 to
discuss them.
Sincerely,
���� ��.P�
Virginia D. Palmer
Assistant City Attorney
cc: Christine Rozek, LIEP
Mary Nelson, Community Organizer, Capitol River CounciUDist.#17, 332 Minnesota St.,
Suite W 1250, St. Paul, MN 55101-1314
0� - '3'� �
STATE OF MINNESOTA )
) ss.
COUNTY OF RAMSEY )
AFFIDAVIT OF SERVICE BY MAIL
JOANNE G. CLEMENTS, being first duly sworn, deposes and says
that on March 14, 2002, she served the attached NOTICE OF VIOLATION
on the following named person by placing a true and correct copy
thereof in an envelope addressed as follows:
Mark Jefferson
Twin Cities Urban Ministries
639 Jackson Street, Room 106
St. Paul, MN. 55101
(which is the last known address of said person) depositing the
same, with postage prepaid, in the United States mails at St. Paul,
Minnesota. �� _ / ��
G.
Subscribed and sworn to before me
this 14th day qflMarch 2002.
Notary Publi
PETER P PAtJGBORN
NOitv2Y PUOUC - MINNESOTA
MY COMMISSION
EXAlRES JAN. 31, 20�5
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CITY OF SAINT PAUL
Norm Coleman, M¢yor
February 12, 2002
Twin Cities Urban Muustries
1001 Penn Ave. N.
Minneapolis, MN 55411
RE: License ID #20000004305
OFFICE OF LICENSE, INSPECTIONS AND
ENVIRONMENTALPROTECTION
Roben Kessler, Director
LOWRYPROFESSIONALBUILDING Telephone:651-266-9090
350 St Peter Street, Suite 300 Farsimile: 651-266-9099
SaintPaul,Minnesota 55102-lSIO 651-2669124
On 09/14/2001 your license for a Food/Institutional Facility License expired in the City of
Saint Paul. The fees now due are:
$25.00
License Fee
These outstanding fees must be paid by February 22, 2002 or this matter will be sent to the
City Attorney's Office for fiuth.er action..
Please note that without a current license you are not authorized to conduct business
in the City of Saint Paul.
If you have any questions regarding this action or wish to notify this office of a change of -
business location or status, please contact me at (651) 266-9108.
Sincerely,
�� d
���i..�� ^l�iri.BJ �• �',3"r.-��+�,.o'
ii`
Christine A. Rozek
Deputy Director
CAR/jl
0�.-33�
I nvoice
❑ Check this box if making any name, mailing address
or phone # corrections. Please write the changes on
this form. If your business license address is changing,
please request a new business license application.
February 11, 2002
To: TWIN CITIES URBAN MINISTRIES
'100'f PENN AVE N
MINNEAPOLIS MN 55411
BUSINESS PHONE: 612-2513204
Transaction Description
000004305 Foodtinstitutional Facility Expires: 09/14/2001
@ 639 JACKSON ST RM 106
CITY OF SAINT PAUL
Office o4 License, Inspections &
Environmental Protection
350 St. Peter Street, Suite 300
Saint Paul, MN 55102-1510
PHONE: (651) 266-9090
FAX: (651) 266-9124
Invoice # : 280914
Invoice Due Date: Upon Receipt
Account Balance: $25.00
Pay this Amount: $25.00
Transaction Total
25.00
fteQuirements � .� � ; � . ' - �
� Invoice Amount Due: $25.00
DOG LICENSE AND COMPETENCY CARD RENEWALS DO NOT NEED TO COMPLETE THE WORKER'S COMPENSATION INFORM?7/ON
FOR BUSINESS LICFNSE RENEWAL ONLY:
CERTIFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE §176.186
I hereby certify that I, or my company, am in compliance with the workers' compensation insurance coverage requirements of Minnesota
statute §176.182, subdivision 2. I also understand that provision of false information in this certification constitutes sufficient grounds for
adverse action against alt licenses held, including revocation and suspension of said licenses.
Name of Insurance Company:
Policy Number.
Coverage from
Licensee / Applicant Signature (REQUIRED FOR ALL RENEWALS)
Remit Payment to:
The City of Saint Paul Office of LIEP
350 St. Peter Street, Suite 300
Saint Paul, MN 55102-1510
Make Checks Payable to: The City of Saint Paul
to
Date
Dog Licenses and Alarm Permits may be renewed online at
<www.ci.stpaul.mn.us/liep> Click the ONLINE LICENSES link.
*��"******�***** PAYMENT CAN NOW BE MADE BY CREDIT CARD!!! "'***��*""*"*�`
IF PAYING BY CREDIT CARD PLEASE COMPLETE THE FOLLOWING INFORMATION:
Date:
� MasterCard
Name of Cardholder (please print)
❑Visa ��
V.� Amount of
Char�e:
$
Signature of Card Holder (required for ail charges)
EXPIRATION DATE: ACCOUNT NUMBER:
�License Group Comments Text
Licensee: TIry�N CITIES URBAN MINISTRIES
�BA� 7WIN CITIES URBAN MINISTRIES
License #: 20000004305
03/02/2002
O�-�3�
03/02/2002 Fees not paid. To CAO for adverse adion. CAR
02/12/2002 Delinquent letter sent - must submit fees by 02/22/2002.JL
D �- a3 a.
address � �icensee 1 Corrtac[ � License � Cerdhalder (
Type: r Property �' Licensee C Unoffiael r All
^�treet tt: �39
Street Name: ACfCSON
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Typf ��,° ���°�� �� DBA N CITIES URBAN MWISTRIES
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Si!e, C' Property C ucensee � Unoi5cisll� PrqectFaCdit�m: ASUNCbP3,CORINf3E
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; _ _ ' ' ' _ ___"""
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Ucensee N CITIES URBAN MINISTRIES 4censee
� DBA N CITIES URBAN MINtSTRIES CommeMs
I"_^�` Sales Tax id �— Bus Phone: 61212�
'ecilny �R 09tI4R00� 09p92001 N $250�
Total: $25.00�
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