02-894O�iGINAL
Presented By
Refesed To
Committee: Date
1 WHEREAS, Harry F. Smith, d/b/a Mick's Body Shop, applied for an auto repair garage
2 license for the premises located at 453 7�' Street West in Saint Paul; and
4 WI3EREAS, the applicant was informed in April of 2002 that the location in which he
5 proposed to operate was zoned in such a way that he would need a non-conforming use perxnit;
6 and
8 WHEREAS, Applicant was advised by Notice of Intent to Deny License Application
9 dated July 24, 2002 that he could not be issued the license because he had not applied for or
10
11
12
13
14
15
16
17
18
19
20
21
obtained a non-conforming use permit; and
WHEREAS, subsequently Applicant submitted an application for a non-conforming use
permit which was retumed to him by the Department of Planning and Economic Development as
being incomplete and advised him on how to reapply; and
WHEREAS, to date, no application has been submitted and currently there is no non-
confornung use perxnit far the property at 453 7' Sh�eet West which would permit its use as an
auto repair garage license; now, therefore be it
RESOLVED, that the applicarion by Hany F. Smith, d/b/a Mick's Body Shop, for an
auto repair garage license far the premises located at 453 7�' Street West an Saint Paul, is denied.
�
Council File # ."L — 9 �{
Crreen Sheet # y � 3��
OFFICE OF LIEP Date: �jREEN SHEET
Roger Curtis, Director september 15, zoo2
266-9013 No . 403341 bar�`�
1 EPARTMENT DIRECIOR ITY COi1NCIL
'Z ZTY A1ZI�RNEY ITY Q.ERR
�tr«
ust be on Council Agenda • � �E'T Dixacmx ix. � Mcr. svc. nxx.
• �,
Se tembeY' 25, 2002 3 lOR (OR ASSISTZiNT)
OTAL # OF 5IGNATURPs PAGES 1 (CLIP ALL LOCATIONS FOR SIGNATURE)
CTION REQUESTED: That the application by Harry F. Smith, djb/a Mick's Body
Shop, for an auto repair garage license for the premises located at 453 Seventh
Street West be denied.
ECOMMENDATIONS: APPROVE (A) OR R&JECT (R) SRSONAL 58RVSC8 CONTRACPS MIiST ANSWER TH8 FOLLOWINGc
'PLANNING COtMfISSSON CNIL SERVICE COIMiIS510N 1. Has the person/firm evex woiked under a contiact for this depaitment?
CIB COtMiITTEE _ HUSSNESS REVIEW COUNCIL YES NO
STAea _ Has this personlfixm evez teen a City employee?
DISIRICT COUAT __ yES NO
3. ➢oes this person/firm possess a skill not normally possessed by any
UPPORTS WHICH COUNCIL OBSECTIVE? NiYent City emplOyee?
Y&S NO
lain all Y85 answers wi a aegarate sheet and attach.
INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, Why): The
applicant was informed in April of 2002 that the location in which he proposed
to operate was zoned in such a way that he would need a Non-Conforming Use
Permit. Applicant, after repeated notification, failed to submit a complete
pplication for a Non-Conforming Use Permit.
VANTAGES IF APPROVED:
�
ISADVANTAGES IF APPROVED: �e�. M'=�`
i a� �': � B
ISADVANTAGES IF NOT APPROVED: � � ""
�e
-TOTAL AMOUNT OF TRANSACTION S COSTfr�.�EVENUE BUDGETED YES NO
�`= �_' _ ., �.. _-. ' . - -
FUNDING SOURCE ACTIVITY�NUMBER
INANCIAL INFORMATION; (EXPLAIN)
CITY OF SAINT PAUL
Randy C. Ke11y, Mayor
September 16, 2002
Aazry F. Smith
Mick's Body Shop
453 7` Street West
Saint Paul, Minnesota 55102
OFFICE OF THE CITY ATTORNEY
Manuel J. Cervontes, Ciry A[torney b� ���
Civil Divisian
400CiryHall Telephone:651266-8710
ISWutKelloggBlvd. Facsimi1e:651298-5619
Saint Paul, Minnesota 55l02
NOTICE OF COUNCIL MEETING
RE: Auto Repair Garage License Application by Harry F. Smith d/b/a Mick's Body Shop for
the premises located at 453 7"' Street West in Saint Paul
License ID #: 20020001742
Dear Mr. Smith:
Please take notice that this matter has been set on the Consent Agenda for the Council
meeting scheduled for 3:30 p.m., Wednesday, September 25, 2002 in the City Council
Chambexs, Third Floor, Saint Paul City Hall 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 concerning your failure to obtain a Non-Conforming Use Permit as required for the
processing of your license application have 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 is for the denial of your license
application.
If you have any questions, please call me at 266-8710.
Very truly yours,
��/�-�- � P�.x�,
Virginia D. Palmer
Assistant City Attorney
cc: Nancy Anderson, Assistant Council Secretary
Christine Rozek, LIEP
Betty Moran, Community Organizer, West Seventh/Fort Road Federation, 974 W.
Seventh St., St. Paul, MN 55102-3520
oa-��
UNCONTESTED LICENSE MATTER
Licensee Name:
Address:
Council Date
License Type:
Violation:
Harry F. Smith d/b/a Mick's Body Shop
453 7"' Street West
September 25, 2002
Auto Repair Garage License Application
Failure to obtain a Non-Conforming Use Permit
apptication
Recommendation of Assistant City Attorney on behalf of client, Office
of License, Inspections and Environmental Protection:
Deniat of Auto Repair Garage License Application
Attachments:
1. Proposed resolution
2. Notice of Intent to Deny License Application
3. License information
4. 8/22/02 10-day rejection letter from PED
5. Non-Conforming Use Permit application
6. 4/17/02 letter form Jeffrey Hawkins to Harry Smith
7. License Application
CITY OF SAINT PAUL
Rnndy C. Kelly, lYfayor
July 24, 2002
OFFICE .�.- THE CITY ATTORDIEY `
Mnnuel J. Cervrsntu, City A1to�ney ��� f y�
CivilDirision
400CiryHa1! Telephone:651266-87l0
ISWes[Ke1(aggBh•d Facsimile:65l298-Sbl9
Saint P¢ul, .Lfinnesatrt 5510?
NOTICE OF INTENT TO DEi�Y LICENSE APPLICATION
Harry F. Smith
Mick's Body Shop
453 7` Street West
Saint Paul, Minnesota 55102
RE: Auto Repair Garage License Application by Harry F. Smith d/b/a Mick's Body Shop for
the premises located at 453 7t Street W. in Saint Paul
License ID #: 20020001742
Deaz Mr. Smith:
The Office of License Inspections and Environmental Protection has recommended denial
of the above-referenced license application. The basis for the recommendation is as follows:
On April 17, 2002, the Office of LIEP advised you by letter
that your business location would need a non conforming use
permit to allow an auto repair garage, and were told how to
apply for that. No such application has been received.
Accordingly, Saint Paul Legislative Code §310.06(b)(3) permits
denial of the license because the premises which are proposed
to be licensed do not comply with applicable zoning codes.
If you do not dispute the above facts, please send me a letter with a statement to that
effect. The matter will then be scheduled for a hearing before the Saint Paul City Council to
determine what penalty, if any, to impose. You will have an opportunity to appear before the
Council and make a statement on your own behalf. The recommendation from the licensin�
office is for the denial of your license application.
On the other hand, if you wish to dispute the above facts, you are entitled to an
evidentiary hearing before an administrative law jud�e. 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 la�v judge,
and an explanation of the procedures.
AA-ADA-EEO Employer
Page 2
Hany F. Smith
July 24, 2002
oa.- �ty
In either case, please let me know in writing no later than Monday, August 5, 2002, how
you would like to proceed. If you have not contacted me by Monday, August 5, 200?, I will
assume that you are not contesting the facts. I will then schedule this matter for the St.
Paul City Council and have it place on the Consent Agenda during which no pubiic
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,
� �����
��
Virginia D. Palmer
Assistant City Attomey
ca Christine Rozek, LIEP
Betty Moran, Community Organizer, West Seventh/Fort Road Federation, 974 W.
Seventh St., St. Paul, MN 55102-3520
AA-ADA-EEO Employer
oa-�qy
STATE OFNIINNESOTA)
) ss.
CO[JNTYOFRAMSEY )
AFFIDAVIT OF SERVICE BY MATL
JOANNE G. CI.EMENTS, being first duly swom, deposes and says that on July 24, 2002,
she served the attached NOTICE OF INTENT TO DENY L,ICENSE APPLICATION placing a true
and correct copy thereof in an envelope addressed as follows:
Hazry F. Smith
Mick's Body Shop
453 7`" Street W.
St. Paul, MN. 55102
(which is the last known address of said person) depositing the same, with postage prepaid, in the
United States mails at St. Paul, Minnesota. ��
Subscribed and sworn to before me
this 24th day of July, 2002.
Notary Public
PETER P. PANGSORtd
klOTl�nY Pl�BUG RAINNESO?A
NY wOMMISSiOh
EXriRES JAN.31. 2(JQS
License Group Comments Text
Licensee: HARRYFSMITH
�BA� M(CK'S BODY SHOP
License #: 20020001742
07/19/2002
oa-drY�
07l� 9Y2002 Business is open and no nonconfortning use application has been submitted. To CAO for license denial. CAR
04/17/2002 Appliqnt told that he needs to appty for the reestablishment of a noneonfortning use 6y letter from JHH, Zoning Speciatist CP32
Requirement Comments Teut
Licensee: HARRY F SMffH
DBA: M(CK'S SODY S410P
License #: 20020001742
07/1912002
Da-�'�Y
OS/092002 Pofice record sent to Roger Curtis per Dick Waehal. LKK
477-02-This property is zoned B-2, an auto body use is not allowed in a B-2. However this was a nonconfortning use in the past and the applipnt may
apply to the Planning Commission for restablishing that use. Met with Harry Smflh and gave him appliption for re�establisment of a non-confortning use
permiLJJH
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DEPARTMENT OF PLANYING
& ECONOMIC DEVE[APMENT
Tony Scfier[ler, fnterim Di�ecfor
CITY OF SAIN'T pAUL
Randy Kelly, Mayor -
Aub sf 22, 2002
Mr. Fiazry Smith
453 %a West Seventh Street
Saint Paul, Minnesota 55102
25 Wesi Fourih Sireet
Safni Paul, MN 55102
RE: 453 %z West Seventh Street; Estabfishment ofnonconforming use
Dear Mr. Smith:
oa� �9�
Telephone: 61 2-2 66-665 89
Fauimile: 6I2-218-3220
I am writing to follow up to your application to establish a legal nonconforming use at 453 %z
West Seventh Street, which Saint Paul PED received on Aud st 12, 2002. Pursuanf to
Minnesota Statutes Chapter 248, Article 18, Subd. 3, the City is required to determine whether
land use applications are sufficient within ten business days.
We have decided to return your application. �Ve cannot process your application because you
have not submitted enough information for the Plannin� Cormnission to make a decision. The
Planning Commission needs to make findings that are listed in the Zoning Code. These are: that
the nonconforming use has been continuously in existence for at least ten years prior to the
application; that off-street pazking is adequate to serve the use; that hardship would result if the
use were discontinued; that the use will not be detrimental to the existing chazacter of
development in the immediate neighborhood; and that the use will not endan�er the public
health, safery, or general welfare.
Your application should address each of the required findings. It needs to bave a site plan drawn
to scale showing the off-street pazking entrances and exits and showing how the City's parking
requirement wi11 be met. Lastly, a fee value of (5335.00) will need to be submitted as tvell.
If you want to reapply, I would be happy to tallc to you about what information should be
included. Please feel free to call me at (651) 266-6583.
Thank you for your time and cooperation.
Sincerely�
G'
Paul Dubruiel
Zoning Aide
AA-ADA-EEO Employer
6�.- ��
NONCONFORMING USE PERMIT APpLICATION
Department of Plannu:g arzd Economic DeveToparent
Zorzing Section
7400 Ciry Ha[Z Annex
25 YVest Fourtlz Street
Saint Pau1, MN SSIO2-I634
(65l) 266-6589
Na
APPLfCANT
Address `�'� � �a � � �" ��/g��
CitY ,5 / ��.i../ St. �Zip ���.5/0� Daytime
Name of Owner (if different)
Zoning office use oniy
File #
Tentative Hearing Date:
Contact Person (if different) Phone
Address / Location
PROPERTY Legal Description�
LOCATION
(attach additional sheet if necessary)
FeeT�e
TYPE OF PERMIT: Application is hereby made for a Nonconforming Use Permit under provisions of Chapter 62,
Section 102, Subsection i, Paragraph of the Zoning Code.
7he permit is for: ❑ Change from one nonconforming use to another (para. 3 in Zoning Code)
❑ River Corridor Condittonal Use Permit
� Legal establishment of a nonconforming use in existence at least 10 year (para. 1)
Enlargement of a nonconforming use (para. 4)
SUPPORTING INFORMATION: 5upply the information that is applicable to your type of permit.
CHANGE IN USE: Present/Past Use ��QPS'��� S
OR
RE Proposed
Additional infiormation for all applications (attach additionai sheets if necessary):
App{icant's
Date �' • City
CITY OF SAINT PAUL
CONSENT OF ADJOINING PROPERTY OWNERS POR A
NONCONFORMING USE PERMIT
oa-�`ty
l bVe, the undersi�ned, owners of property within 100 feet of the subject property, acknowledge that �ve have
been presented with the following �
A copy of the �pplication of.
to establish a /`7L.�
located at `���
�����F�,
(name of applicant)
�c�� ��rQ� �'�
p roposed use) �
'7 n .,--r— ��
��i{�C9� 7,?�
� �s
(address of property) '
requiringa nonconformin� use permit, alon� with any relevant site plans, diagrams, or o[herdocumentation.
We consent to the approval of this application as it was explained to us b�� the applicant or
his/her representative.
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ADDAESS OR PI:\' RF.CORD O�VNER crrn e�rr mc ........
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CITY OF SAINT PAUL
AFFTDAVIT OF PERSON CIRCULATING PETITION
STATE OF MIN�IESOTA)
COUNTY OF RAMSEI' )
:SS
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` r1j , being first duly sFVOrn, deposes and states that he/she is the person
�vho circu ted the �vithin petition and consent, consisting of / pa�es; that affiant is infomled and
believes that the parties described are the o�vners respectively of the lots placed immediately before
each name, that affiant is informed and believes that each of the parties described above is the owner
of the property which is �vitl�in 100 feet from any property o�vned or purchased y petitioner or soid by
petitioner within one (I) year preceding the date of this petition which is conti�uous to the property
described in the petition; that except for
none of the parties described above has purchased or is purchasin� property from the petitioner
contiguous to the above described property ���ithin one (I) year of the date of this petition; that this
consent �vas signed by each said owners in the presences of this affiant, and
true and conect si�natures of each and ali of the parties so describec�']
thatth sig� are the
/ �L
NAME /
_ ys3� �T�"�,ee�T'��.z.
ADDRESS
_ ��i
TELEPHONE NUMBER
Subscribed and sworn to bePore me this
� day of��, 200>?—
� W�
\OTAR1' PUBLIC �
_�»...
�� �� RIGNARD W. PASCHKE i a;
�, 1� Notary P�blic
�?� ��' Minnesota
`q x Mv :ommissmn Ex0��e5 Jan 37 2005
OFFICE OF LICENSE, INSPECTIONS AND �a `��
ENVIItONMENI'AL PROTECIION
Roger Cwtir, Director
CITY OF SAINT PAUL
Rmrdy Kelly, Mayor
IAWRYPROFESSIONAL BZ/ILDING Telephone: 651-266-9090
350 St Peter Street, Suite 300 Faa'i»ale: 651-266-9124
SaintPaul,Mfnnesota55102-l510 Web: wvnv.cistpaul.mr�vs/liep
April i'7"', 200�,.
Harry Smith
453 7`" Street West
St. Paul, Mn 55102
Re: License application at 453 7�' Street West
Dear Mr. Smith :
This office has received your application for a auto body repair license. This property is located in
a B-2 Zoning District, which does not allow for auto body repair facilities. An auto body repair
use is first allowed in an I-1 Zoning District. This property did at one time have an auto body
repair use which would haue been a non- conforming use. As we discussed earlier, you need to fill
out the application I gave you and submit it to PED for processing.
If the Plainiing Commission approves your appiication for re-establishment of a non- conforming
use, you will need to submit a business application(enclosed), a floor plan and a site plan of the
proper[y, showing the huilding(s), tenant space(s), the tenant space you aze occupying and all
available pazking spaces for your business. This site plan must also include dimensions (length,
width, etc.).
Please submit this site plan immediately so we can process your application in a timely manner.
r
If you have any questions, call me at 651-266-9083.
Sincerely;
�7�����
Jef&ey 7. Hawkins
Zoning Specialist
AA-ADA-EEO Emgloyec
RECEIPT FOR APPLICATION
Date of Appiication: Apr 17, 2002
Received From: 20020001742
HARRY F SMITH
CITY OF SA{NT PAUL
Office of License, Inspections /�t, � �
and Envi�onmenfal Prote�4on V �
3A St. Peter St. Suite 3�0
Samt Paul, Minnesota 5 51 024 51 0
(657J266-9090 Fa�c(657)266-9124
www.ci.stpaul.mn.uslliep
MICK'S BODY SHOP
453 7TH ST W
ST PAUL MN 55102
In application for:
Auto Body Repair Shop ('I )
EH Date: .lurt 15, 2�o2 - Ezp Oate: Jun t5, 2oo3 Lic Fee:
$317.�0 AmountPaid_$317.Q0
Total Due on this application $3�7.00
Other Fees Owed $0.00
Account 7otal Amount Due $317.00
Amount Paid $317.00
Date Received Apr 17, 2002
Outstanding Account Balance Due $0.00
Contacts: Project Facilitator. ASUNCION, CORINNE
Inspector(s): SCHWEINLER,KRISTfNA(KRIS) license (651)266-91�9
BERGMANN, DAVE (651) 228-6238
HAWKINS, JEFFREY (65'I) 2669083
Conditions:
Requirements:
30 Days/300 Feet Notifiqtion
Fire Inspector - 228-fi230
Lease Agreement, Purchase Agreement, or Proof f wnership
Notification letters to neighbors/orga,�izations � •� �
Notify DisVict and City Counciis �5� °� L'' G
Project Fac. Note: Response date for obje� ns expired /
Recard Check —o`lp.iti�
Site Plan
Zoning Inspec4on
NQTIFY:
MAIL.ED:
• si/ /i // / .
/ : ��i , r
�IL�
PHONE: H• W:�7'yc?%T
LIQUOR: CORINNE
LAURA
�/n� '�0/�:�:�3 ��-t��
This is not a License to operate
Page 7 of 1
- �I C`� � �'"'-� e D� O f I t ��--
CLASS N
CITY LICENSE APPLICATION
PLEASE TYPE OR PRINT IN P1K
_ _,d0 If not, who �vill opecate it?
�/1! r `��'[
Y��
Q LICENSES ARE NOT TRANSFERABLE
� PAY�IEYT NIUST BE RECEIVED WITH EACH APPLICATIOY
Type of License(�eing applied for: •�f ��c S�= ��<<- L t� C T 1� � L S � I ls (id
�c ,� r � � � . n
>
Projected date of openin�g: � �� � � �
Company Name: Ll,tt-�t'+--- fij= �
f r�'l �' Is-
CITY OF SAI.IT PAUL
Offce of License, Inspec[ions
and Environmenml Protection .
350 SC PacrSVCC45�+« JCO A y � � Y
$vntPavi,Mimao�a55102 V �
(651) 266-9(190 Fas (fi5p 36691?a
W<b: www.ci.ttpaulvi-�+s/�icp
F
Corporn[ion / Partnership / Sole Pmprietorshi� ' 1
If business is incorporated, give date of inc
Business Name(DBA): � r E. �s Uo� �/ c�h c Business Phone: (G�s � 1 �7. �•- 3 0 / `�
Business Address (business location): '� S3 y� �• 7% �_ �-�R-� �/L� SS/D a.
Strect (�, Name, Type, Direcuon) City $tate Zip+;
Between what cross streets is the business located? ,r't�t��l�� ��• Which side of the street? t�
0
Are the premises now occupied? � What Type of Business? �� tz Jt2 � � r i2)e7 �- ���"A 1� 1 rU 9
Mail To Address (if different than businzss address): t� i� n'L �
Strect (#, Rainc, Typc, Direcfion) Ciry S[atc �ip-�
Applicant Fnfo�
�Iame and Titte:
YES ,�' NO If yes, list the dates and reasons for revocation:
HomeAddress: �7 (.LK t � JT- �� t'RU� �vrv' -�-'�""�
Stra[(ri,Kame,Type,Directi .) Ciry S�>�e Zip+4
Date of Birth: ��- %S--/o3 Place of Birth: .•�• S`E = Pe,�.-� /}��U Home Phone: (Gal 1�S= 09c/ �
Driver License:�= 30 -� 9�` ��n/ � b� _ State of Issue: �'/�
Have you ever been convicted of any feSony, crime or violation of any city ocdinance ot6er than Vaffic? YES , I�O _�
Date of arrest: Where?
Charge:
Conviction: Sentence: _
List licenses wl�ich you currently hold, formerly held, or may have an interest in:
Have any of the above named licenses ever been revoked?
Are you going to operate this business personally? �__ YES
Rame � M�dd7e Initial
t
(�Iaiden)
Home Address: 5[reet (��iame, Type, Direction) City
Are you going to have a manager or assistant in this business? YES
operator, please complete the following information:
fint I�ame htiddle
LaSt
J�/S'<
Da�e oF Birth
Seate Zip+4 � PUone Number
�_ NO If the mana�er is not the same as tn_
Last
Hume Address: Street (#, Name, Type, Dircttion) Snee
�.- �F �l9 n2
t Middie (�laiden) n Last .,, 7itle
(1laidtn)
Phonc Ti�mbzr
D�[t of
� � t � � �� o � � � ! '� `-I a--�
Please tist your employment history for the previous five (� year period:
Business/Emolovment
Address
List all other officers of the coiporation: 1'� "�" '"'
OFFICEF2 TITLE HOME
NAME (Office Held) ADDRESS
�
�
aa-SKt4
HOME BUSIP IESS DATE OF
PHO`IE PHO�tE BIRTH
If business is a partnership, please include the following information for each partner (use additional pages if necessary): (L;� Yv c
FirstName Middfelnitial
Home Address: Strec[ (#, Name, Typc, Direction)
FirstName hliddle Initiat
Home Add�ess; Strez[ (#, Ttame, Type, Dirtttron)
(htaidzn)
City
(Maiden)
Ciry
Last A�te of I
� )
State Zip+; Phone Number
Last Dalt of
( �_
State Zip+4 Phone Numbtr
MINNESOTA TAX IDENTIFICATION NLJMBER - Punuant to the Laws of Minnesota,193k, Chaptzr SG2, Artic!z 8, Section 2(270.72)
(Tas C(earance; Issuance of Licenses), licensing authori[ies are required to provide To the State of blinnesota Commissioner of Revenue,
the Minnesota business tax identification number and the social security number of each license applicant.
Under the Minnesota Govemment Data Practices Act and the Federal Pcivacy Act oE 1974, we are required to advise you of the following
regarding the use of the Minnesota Tax Identification Number:
- This information may be used to deny the issuance or renewal of your license in the event you owe Minnesota sales, employe�'s
withholding or motor vehicle excise tases;
- Upon receiving this information, the licensing authority will supply it only to the Minnesota DepaRment of Revenue. Ho�vever,
under the Federal Exchange of Informa[ion Agreement, the Department of Rcvenue may supply [his information to the Intemat
Revenue Service.
Minnesota Tax Identification Numbers (Sates & Use Tax Number) may be obtained &om the State of Minnesota, Business Records
DepaRment, 10 River Park Plaza (651-296-61 S I).
Minnesota Tax Identification Number:
� If a Minnesota Tax Identification Number is not required for the business being opecated, indicatz so by placing an "X" in the bo:<.
CERTIFICATION OF WORKERS' COMPENSATIO�i COVERAGE PURSUANT TO MIN�`ESOTA STATUTE 176.132
I hereby certify that I, or my company, am in compliance with the �corkers' compensation insurance co�'erage requiremer.ts of bfinneseta
Statute 176.182, subdivision 2. I also understand that provision of false information in this certificatiun constitutes sufficiznt grour.�s
for ad��erse action against ail licenses held, 'sncluding revocation and suspension of said licenses.
Name of Insurance Company:
Policy Numbec: Coverage from t�
I have no employees covered under workers' compensation insurance �(INITIALS)
� i� ie.. �o l� o �L`��J" � i�' `{�--
ANY FALSIFICATION OF APiSWERS GIVEN OR MATERIAL SUB�III'TED
WILL RESULT Iti DENIAL OF THIS APPLICATIO�i
da-� C^i `t.
I hereby state that I have answered alt of the preceding questions, and that the information contained he:ein is true and coRect to thz best
of my l�owledge andbelief. I hereby siate further that I have received no money or other consideration, by way of loan, gift, contribution,
or otherwise, other than already disclosed in the application which I herewith submitted. I also understand this premise may be inspected
by police, fire, health and other city officials at any and al1 times when the business is in opecation.
Signature (RF�[JIR�,`D for all applications)
Prefeaed methods of communication frnm (his office (please rank in order of preference -"1" is most preferred):
_L Phone Number with area code: (�5�- ) ° 3 _ Extension
(Circle the type of phone nunber you have listed above: Business Home Cell Fax
_� Phone Number with area code: (� Sl 1��-S " v Y`I" %
(Circle [he type of phone number you have listed above: Business
� Mail: �fS3y tA� '7 '�' -�- .�, f
^ StreeC (#, Name, Type, Direction) ���Y
Intemet:
� E-Mail Addcess
Cell Fax
Slate
Date
Pager )
Pager )
�Ve will accept paymmt by cash, check (made payable to City of Saint Paul) or credit card (�fasterCard or Visa).
**Note: If this application is Food/Liquor related, ptease contact a City of Saint Paul Health InspecCOr, Steve Olson (651-266-4139), to
review plans.
If any substantial changes to structure are ancicipated, please contact a City of Saint Pauf Plan Examiner at (651-266-9007) to
apply for building permits.
If there are any changes to the packing lot, floor space, or for new operations, please contact a City of Saint Paul Zoning Inspzctor
at (b51-26b-9008).
All applications require tlie following documents. Please attach tliese Jocuments when submitting your application:
I. A detailcd description of the design, location and square footage of the premises to be licensed (sitc plan).
The following data should be on the site plan (preferably on an 8%z" x 11" or 8%z' x 14" paper):
- Name, address, and phone number.
- The scale should be stated such as I" = 20'. ^N should be indicated toward the top.
- Placement of all pertinent featuces of the interior of the licensed facility such as seating areas, kitchens, offices, repair area,
parking, rest rooms, etc. .
- If a request is for an addition or espansion of the licensed facility, indicate both the curcent area and the proposed espanson.
2. A copy of your lease agreement or proof of ownership of the property.
IF PAYLVG BY CREDIT CARD PLEASE COSlPLETE THE FOLLO iVING LVFOIt�IIATiO,\':
EXPIRATION DA't'E:
�� ��I
ACCOUNT Ni1MBER:
❑❑❑❑ ❑❑❑❑ ❑❑❑❑
Name of
of Card
❑ btasterCard
❑ ❑ ❑ ❑
Cor
❑ Visa
Date
Rc� iscS 011 la 2CMpib
� ��7
aa._ �t�
Lrc�. 2-r �� ��o ���} � a �,��,�
�� �
477 West Seventh St.
SY. Paul MN 55102
651-227-0654
City of St Paul
April 17, 2002
To Whom It May Concern:
Hany Smith dba Mick's Body Shop rents propaty at 4531/2 West Seventli St. Paul from me for a body
shop.
Sin erelYC� ��
re Ekbom