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95-278OP1GoNAL Council File # ������ Green Sheet # 30712 Presented F.eferred To RESOLUTION SAINT PAUL, MINNESOTA yy RESOLVED: That application (I.D. #21113) for an Auto Repair Garage License applied for by John T. Faughn DBA Auto Craft at 1202 N. Da1e Street, be and the same is hereby approved. Requested by Department of: _ Yeas Navs Absent O£fice of License, Insnections and Environmental Protection Adopted by C c 1: Adoption ertified By: C Approved May r: EtY � �� ���� $y: C,�,�.�; � �,� ' Form Approved by City Attorney Secretary By: 1"(�i�✓J�' �i�i".`'� �°O'i/'l95 _% / / � Approved by Mayor for Submission to Council By: �s-��8' DEPARTMENT/OFFICFJCOU�NpL DATEINITIATED GREEN SHEET � �-�� � � LIEP/Licensin CANTACT PERSON & PHONE INITIAVDATE INRIALIDATE � OEPAR'iMENT DIRE O CT' COUNCIL Christine Rozek/266-911G nsswx �cmarroeNev �CR1'CLERK NUYBERFON MUST BE ON WUNC�L AGENDA BY (D p���N� O BUOGET DIRECTOR O FIN, 8 MGT. SERVICES �IR. FOT Hearing: � �s' C�j�"" ONOEfl �Mpypp�OqpS$�S1ANn � TOTAL # OF SIGNATURE PAGES ' (CLIP ALL LOCATIONS POR SIGNATURE) ACT10N RE�UESTED: ' John T. Faughn DBA Auto Craft requests Council approval of his application for an Auto Repair Garage License aY 1202 N. Dale Street (I.D: �k21113) RECAMMENDATIIXJS: Approve (A) or Reject (R) PEHSONAL SERVICE CONTpACTS MUST ANSWER THE FOLLOWING QUESTIONS: __ PLANNING COMMISSiON _ qV{L SERViCE fAMA71$S10T1 �� ��� ParsonRirm ever worked under a contract for this departmeat? _ qB CoMMI7TEE _ YES NO _ STAFF 2. Has this persontfirm ever been a ciry empbyee? — YES NO _ DISTRICT COUflT _ 3. D025 th5 pef50n�(rtt Sess 2 Ski1f ttOt il0fit1211 pos y possessed by any curreM ciry emplqree? SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Explafn a0 yes answere on separeta sheei and etlach to green 8heet INITIATING PROBLEM, ISSUE. OPP�RTUNIN (Who, What, WM1en, WPere, Why): �Q;�S"?�� �5�����3 �:�tt�uC F�� 3. 3 s��� AOYANTHCaE$ IF APPROVED: -' � � Y DISADVANTAGES IF APPROVED: DISAOVANTAGES IF NOT APPROVED: TOTAL AMOUNT OFTRANSACTION $ COST/REVENUE BUUGETED (CIRCLE ONE) VES NO FUNDING SOURCE ACTIVITV NUMBER FINANCIAL INFORMATION: (E%PLAIN) . 9537� Greensheet # 30712 In Tracker? L.I.E.P. REVIEIN CHECKLIST Date: 1/5/95 / E+PP'n Received / APP'n Processed License ID # 21113 CompanylJBmB: John T. Faughn DBA: Auto Craft BusinBSS Addresss: 1202 N_ Dale Street BuSiness Phone: 538-9230 Contact Name/Address: .Tohn T_ Fanghn /436 Sheggard Road Home Phone: 224-2101 Date to Council Research: Public Hearing Date: � � ��iS Notice Sent to Applicant: Notice Sent to Public: Labels N/A District Council #: nF Ward Department/ Date Inspections Comments City Attorney Q�- �/a7/�/ S �%�--' '�a�/�� Environmental Health � j � Fire '��f/(��j j � License a f f' �� � f � S�ce �an ra�ce��ea:_ � Lease aeceived: Po�i�e � � ��61 �{`� � Zoning �(pC�!'� �� S - � I I CLASS III LICENSE APPLICATION LicenSe I.D. � (tor o�ce use on7y) Type of Licevice b� Company I�Tame: If business is incorporated, Doing Business As: ` Business Address: �� of $tzeet Address Recx�een what aoss streets is the business located? .Are tbe premises now occupied? 4 � } �What Mail To Address: 1 Z(`��� � U� a Street Address �,ppli�;,t Iafo;na.:cn: Name and Title: . J Y< �v c�� Susiness Phoae: CITY OP SAI?�T PAUL Of�ce of licer,se, Inspcciions 2nd Es�+ironnental Protenion 35J &. Puer SL $uiic iJ0 c-:-.Pau1,M'�m:a ST1D2 (617) 3569100 :az (611) 2SS91iJ State Zip of the street? � � �ennc�� � Statc Zip '..liddie (D4aiden) � n �'�zst Tit]e HomeAddress: `'t�Lo ��^�QPa�.�l ��c'�c, aD � FYce��.J� vV�v� _^,:�IVC, S[reec Address v Ciry State Zip Date of Birth: r 1 � i Q`.^�, t-1 Place of B [S: ���c�e�J. Home Phone: Z='-1 -Z•1 O� Are you a citizen of the United States? I3ative? Wr 4 c Naturalized? If you are aot a U.S. citizen, }'ou must ha��e work authorization irom the US. Immigration & A�atunliTation Senice. Have you ever been com�cted of any felony, aime or ��iolauon of any ciry ordinance other than tr�c? YES � I�O �5 ._ Date of arrest: R'here? Chazge: Conviction: �Sentence: List tbe names and residences of three persons of good moral chuac2er, living v.�ithin the Twin Cities Metro Area, not reIated to tbe applicant or financially interested in the premises or business, who may be referred to as to the applicanYs characler: . NAME ,� ADDRESS PHO2�B List licenses which you currently hold, formerly he]d, or may have an interest in: Have any of the above named licenses ever been revoked? ` YES _ NO If yes, list the dates and reasons for revocation: of Business? _� � ` City _ _ (over) THTS APPLICATION 1S SL3IECT TO RbVTE�'J BY THE PUBLI� . PLEASE TY�t E OR PRINT IN L\'K ' Are }'ou going to operate this business personzlly? � l rS _ NO If not, v.ho will operate it? ���� � fist lzme !�4iddle Initial ('.Szi3cn} Iast Datc of Binh Honc Addrecc S;rect �amc Cr Stzte Zip Phone tiumbcr Are you going to have a manzger or 2ssistznt in this bis::ess? ___, YES _� NO If the manager is aot the same as the operator, please complete the following infor�ztion: Fxst'�ame '.liddte Tnitial Hone Addruss: S:reet Kzme (�.`tiden) GT Please list your employment history for tl�e pre�4oas five (�� yeaz period; BusinessJEm_plocment � n -t-- c-� _ C' ! � � Last Statc Zip Address Da:e of Bi:th Phone �umbet L'ut all other o�cers of the corporation: OFFICER TITLE HOME HOME BUSII�'ESS DATE OF I�TAME (O�ce Held) ADDRESS PH02�'E PHOI��E BIRTH If business is a paztnership, please include the following information for each paztner (use additional pages if necessary): firsi \ame ?.4iddlc Initial (!.:ziden) Last Daie of Binh Zip Phone 7�`umber pate of Binh Home Address: Street Namc fir,t ?�`2me Middle Initial �Ty (!�Saiden) Sta1e Last Hone Address: Street Name Gty State Zip Phone :vumbet Attach to tLis application: ' 1) A detailed descriptio¢ of the design, location and square footage of the premises to be licensed (site plan). 2) A copy of your ]ease agreement or proof of owvenhip of t6e properfy. a.i�'Y FALSIFICATION OF ANSF�'ERS GIVEN OR MATERIAL SUBMITT£D Y1ILL RESL3LT IN DE:�IAL OF THIS APPLLCATION I hereby state uader oath that I bave answered all of the above questions, and that the informatioa coatained herein u true and correct to the best of my knowledge and belief. I hereby state further under oath that I bave received no money or other consideration, by way of loan, gift, contribution, or otherwue, otber than already disclosed in the application which I hereu5th submitted. Subscribed and sworn to before me this � day of ���, 19 �� = a�- Publi C unty, MN My ommission expues: __Z� Applicant �� �,�urnav Pu�! �onsin�v �� �`���=�y raasevcou�arv � :`._P : c;cmisEiT Ggcires 3�;:t. C3 ? �' ' hM1M.Na.P.4'YN'�•�.'+en.'.1n�l.n�yy"\