262538 WH17E - CITV CLERK t I����
PINK - FINANCE CO1111C11
BLUERV-.MAVORTMENT GITY OF SAINT PAUL File NO.
� Council Resolu ion
Presented By LICENSE COMMITTEE 6
Referred To Committee: Date
Out of Committee By Date
WHENEAS: Gerald T. Simpson and James R. Paulsen desire to withdraw Application M 10l�81 for
Off Sale Liquor license at 777 �elby Avenue and request the return of the license
fee deposited thereon� therefore, be it
RESOLVED: That the proper City officers be and they are hereby authorized to refund to
Gerald T. Simpson and James R. Paulsen the fee of $1,000.00 and to cancel said
application for license.
WITHDRAWAL
(Refund)
Mailin� Address: Gerald T. Simpson z James R. Paulsen
c�o Gerald T� Simpson
145 Birchwood Avenue
White Bear La.ke, Minnesota 55110
COUNCILMEN
Yeas Nays Requested by Department of:
�pc Butler
Konopatzki , 7 [n Favor
Levine
Meredith � Against BY
� Roedler
Tedesco
Mme.President � Hunt •
Adopted by Council: Date
�OV 1 3 �973 Form Approved by City Attorney
Certifi ed by Co il r ary BY
By
Approv by Ma r: Date � Approved by Mayor for Submission to Council
gy By
QUBIISNED NQV Z 7 1973
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� � c�rY OF �AINT PAVL
' . .
APPLICATIUN FOR "OFF SALE" LIQUOR LICENSE
APPlication Na
('l1�1�torm mwt E� AU�d out la Itlon to the apu�IeatSon form �nd �worn �tat�nent requfred bs tbe Liduor COR�7'OI COmmIYSOAlt ot th� 9tat�ot 1[inatyota.)
Name f A licmnt �� lel� �V �c� � /v/ �1',U� ��9
• �r -�,
Residence Address_ f qd 7 /r�S�i��1 N f� h'Ve_ Telephone No- � 'yy'°?`���-'
Are you a citizen of the United Statea? �PS
Have you ever been engaged in operating a saloon, cafe, soft drink parlor, or busineas of similar nature?
�1�
When xnd Where?
1f corpc�ration, give date �vhen incorporater�
Name and address of all officers of corporation, and name and address of manager of premises upon which
liquor is to be sold " �
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Namcs and addresses of Stockholdera
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�. Name of surety company which will write bond,if known
Number St�eet Side Between What Cross Streeta Ward
(,(o • uJ -7 sT. � s�' C�A�R • S T- �'lti�'� . ,�'
How many Peet from an academy, college or university (measured along streets)? 'y ltit.� . g P�l��,�•
How many feet from church (measured along atreets) ? So o �e�T � �P�0 �(,
How many feet from closest public or parochial high or grade school (measured along streets)? S�pO �c�T �9�'PkoX.
Name of closeat school �� S"T-A N l� �F}U �
How are premises classifled under Zoning Ordinance?- ��a h� �"ND vsTl��A l
T "
On what floor located?- � s'
If leased, give name of owner- �o f�e�T S�✓f 0!� 1�
Is application for drugatore, general food store or exclusive liquor store? ��9 U�k S�R�-
How long have you operated present busineas at present site? �
Do you now have an "On Sale" non-intoxicating liquor licenae?— NO
(This application must be signed by the applicant, and if a corporation, by an oflicer of the corporation.)
(Note: The $tate application form and informatton must be veriSed.)
Iasuance oi license is not recommended.
Dated �g
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_ _ _______� __
o��ber 16, �.973
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