95-280� 0 P! G►. N A L Council File # "'�S �
Green Sheet # 30711
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA y6
Presented By , �'�A°'""
�
Referred To
Committee: Date
RESOLVED: That application (I.D. #21049) for an Off Sale Malt License applied for by
Touni E1 Bazi DBA Sally's Food Market at 1046 Arcade Street, be and the same
is hereby approved.
Yeas Navs Absent Requested by Department o£:
B a� �—
rxmm � Office of License, Inspections and
Guerin — T Environmental Protection
Harzzs ✓
Meaar ✓
Ret tman �— ����� / J �_" 4L
T un� —�� � By:
Adopted by�2oa}zcil: D e � �-� � F �955
Adopti n Certified y il Secretary Form Approved by City Attorney
i
B�:
B ��a� i-a7-95
Anproved b ayor: Date ,5�� G� v,7 Approved by Mayor for Submission to
n �7
. /. �r id . .j7 COURCI.l
$y: �' l�
By:
9s•a��
DEPARTMENTPoFFICFJCOUNCIL DATEINRIA7ED �REEN SHEE � � �� � �
LIEPjLicensing -
CqNTACT PE0.50N S PNONE INITIALIDATE INfT1AVDATE
� DEPHHSMEM DIRECTOR O CIS`/ COUNCIL
Cfizistine Roaekf266-9114 "���" OC�TYATTOflNEY �CT'CLERK
NUYBER WN
MUST BE ON COUNCIL AGENDA BY (DATE) pOUTING � BUOGET DIqECTOR � FIN. & M6T, SERVICES DIR.
1''OT Hearin : �- 1S 9� OflDEN ❑ MqyOp (�p p�ryy�q� �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SICaNATURE)
ACiION FiEDUESTED:
Touni E1 Bazi DBA Sally's Food Market at 1046 Arcade Street requests Council approval of
its application for an Off Sale Malt License (I,D. �/21049)
RECOMMENDA710NS: Approva (A) or Rejeci (F} pE(tSON0.L SEEIYICE CONTRACTS MUST ANSWER TNE POLLOWING QUESTIONS:
_ PLANN�NG COMMISSION _ CNIL SERVICE COMMISSION �� H251his pBfSOn/filln eVer woAced untler a COntf2Ct fOr this tlBpdRment?
_ C�B COMMIT7EE _ YES "NO
_ STAFF 2. Has this personftirm ever been a ciry empfoyeel
— VES NO
_ oiS7pICT COURT _ 3. Does this person/Firm possess a skill not normally possessetl by any current city employee?
SUPPORTS WHICH COUNGL O&IECTIVE9 �� YES NO
Explein all yes anawers on separate sheet antl atteeh to gfeee sheet
INITIATING PflOBLEM, ISSUE, OPPORNNITY (Who, What, When, Where, WM1y1'
ADVANTAGES IFAPPROVED:
DISADVANTAGES IFAPPROVED:
G S .� i.1 $'�:.�i.�e 4w'mSy�G
yqzP+�ta..i..
��� i s� ��g�
__--- -"'
DISADVANTAGES IF NOT APPflOVEO:
TOTAL AMOUNT OF TRANSACTfON $ COSTfREVENUE BUDGETEO (CIRCtE 9NE) YES NO
FUNDIWG SOUflCE AC71VI7Y NUMBER
FINANpAL INFORMATION: (EXPLAIN)
Greensheet # so��� L.I.E.P. REVIEW CHECKLIST Date: 12/28/94 / 9 �� 3 �
In TraCke(! App'n Received / App'n Processed
License ID # 21049
Company Name: Touni E1 Bazi DBA: Sallv`s Eood Market
BUSiness Addresss: 1046 Arcade S[reet Business PhOne: 781-5124, 774-8692
Contact Name/Address: Touni El Bazi/1805 Garfield St. NE Home Phone: 781-5124
Mpls.
Date to Council Research:
PubiicHearingDate: �-�tS�gS�
Notice Sent to
Labels Ordered: N/A
District Councif #:
Notice Sent to Public: Ward #: 03
Department/ Date Inspections Comments
City Attorney %�1 /�/ � �f-�'
Environmental
Health � ��1 �(S ���
Fire a ����� ��
License �/ � �� �/— Site Plan Received:
Lease Received:
POIiCe �1�71 % S
Zoning �f (Gl�� �/'�J
9�-��ra
CLASS III
LICENSE APPLICATION
License I.D. �
(for officc uu oniy)
THfS APPLICATION IS SL?JECT TO REVIE�V BY THE PUBLIC
PLEASE T1 rE OR PRI23T I23 II�'1{
Type of License being applied for: _
�
Company hTame: �\\�� s =E
Cor�orztion J Pzrtncahip / Solc Propriete��ip ✓
If business is incorporated, give date of incosporation:
Doing Business As. �;,` =", �,\ �\-,^ „-
Business Address: lv�iC /�rto.���- I ��`
CITY OF SAINT PAUL
Office of Licenu, Inspettio:is
znd Fr�imnmental Protettion
i5J St Pe�u St.Stiic 300
c ;"• Pau1, ]J.i;.acou 3102
(6'.]) 256<100 :� (612) 2�b91it
Business Phone:
.�1,1
—;%� �JT
_ `I e_ F_,
Street Address ' City State Zip
Betu�een what cross streets is the buiness ]ocated? �'.-, a�•, `� � �.��. Which side of tbe street? \a� ���-
Are the premises now oceupied? �� What T}pe of Business? �� ^ �`�= �°
MailToAddress - ,i'�o I� s�- ?� �;;�� \ \\r� esi -�-
Sireet Address Gry S:ate Zip
Applicant Iaf'ormation:
Name and Title: � "��v�� � ;1��y� -� '�! CU� ' �"L- U:a'--1- ( ; ��� d1e l'
Fust Afiddle (.�4aiden) Iast Tit]e
� ..
HomeAddress: I�C� � l':r !�'t��� !1�,, ->r:�fcF_t
Stz Addm.ss City State l Zip
Date of Birth: o tz 1" ` Place of B'uth: r�'�� Home Pbone: �'�< <-1 7 t31- S�"° �
Are you a citiun of the United States? Native? ATaturalized? r/ 'Y=.�:ttP: �,,.�, ti��
If you are not a U.S. citizen, }'ou must have w•ork author'uation from the U.S. Immigration & A'aturalization Ser�ice.
Have you ever been com�icted of any felony, crime or ��olavon of any ciry ordinance other than tr�c? YES � NO �
Date of arrest: -~' Where? �-
Charge: '—
Convictioa: —" Sentence: —
SJ
L'ut licenses which you currently bold, formerly he1d, or may have an interest in:
- , � � C �ff �
r• ; ro� C-r• �sc Ct�,a.r �'o�� �,��• � L� , c
H e any of tbe above named licenses ever been revoked? _ YES i
yes, list the dates and reasons for revocation:
/,,.•0,-1
List t6e names and residences of tluee persons of good aoral chazacter, living wiTlun ihe Twin Cities Metro Area, not re]ated
to the applicant or financially interested in the premues or business, who may be referred to as to the applican['s character:
NAME ADDRESS PHOI�'E
�� q�.
Are you going to operate this busmess personally? "! YES _ NO If not, wbo v.•ill operate it? / r
� ,`,��� �,�1, � i:� �-�'f/6(C
f �ti �' 1 \ - - — ^
Frs[ �2mG Middlc Initixl (.'.fsidcn) Iast Dzic of BiIIh
_ r,
lSv� ��-=rcJ � � � ir,-<< /l�lv �s�r��f. �F�-�i;-�
HoncAddxcs� Street Vamc Gq Statc Zip Phonc:dumbcz
Are you going to have a manager or assistant in this busuess? _ YES � NO If the manager is not the sane zs the
opesator, please camplete the follow�ing information: �
�I \ !-�
fiat T'ame
HoneAddress: Street�zme
G:p
Please list your employment history For the prelious five (�� year period:
Business /Emplo�m�ent
— �<,, ��
List all otber officers of the corporation:
OFFICER TITLE HOME
I�TAME , (Office I-Teld} ADDRFSS
tr !'
Last
State Tip
Address
��- �,lo•l/� ��sr „
5
H�ME BUSII�'ESS
PHONE PHOI�'E
.'�tiddle Iniri:,l (.'�:udcn)
Date of Binh
Phane \cmbex
� ho��,
DATE OF
BIRTH
If business is a paztqership, please include tbe follouing information tor each paztner (use additional pages if necessary):
nt'�"�
Atst Name Middle Initiat (.'✓.ziden) Las[ Date of Binh
HomeAddress: Strept:�ame
Fust T'ame Middie Initiai
�--
Home Address: S[met Name
Gry
��
(!.!aiden)
G.y
State 2ip
Iast
State tip
Phone Numbcr
Daie of Binh
Phone Number
Atfach to this application: '
1) A defailed description of tbe design, localion and square footage of t6e premises to be licensed (site plan).
2) A copy of your lease agreement or proof of ownership of tLe properfy.
ANY FALS7FICATION OF AI�S`�T.'ERS GI�'EN OR D'fATERIAI, SUBMITTED
WILL RESULT IN DENIA.L OF THIS APPLICATION
I hereby state undet oath that I have answered all of the above quesdons, and that tbe information contained herein is true and
correci to tbe best of my knowledge and belief. I hereby state further under oath that I have received no money or other
consideration, by way of loan, gift, contribu[ion, or othernice, other than already disclosed in the application which I herewith
submitted. � ^ `'- ,
,r- a r., ,
Sub cr' ed and swor o befoce me this
� � �/ day of ' FCf-�'s�d' 9 �
/ �f1.i. �. . �w��
Not'�blic ,: c , � County
My Commission expves: __�1�� S�
�
�
�oP:�UCan[��!:Gt�If�hESOTA .�
� ��'���/ ,... t;�i�,�`tY COUtCTY ^)
<:yvc�mrztc ses=e7�- 78:
: ..�i�..J✓�iJ. � n.Y✓ +„ . � r�✓/�IJ/VvbW
Date