95-320Council File # ��� �� �
Q R i G�(� A L Green Sheet # 30713
RESOLUTION
� CIT�OF SAINT PAUL, MINNESOTA aD
Presented
Referred To
Committee: Date
RESOLVED: That application (I.D. #11288) for an On Sale Liquor, Sunday On Sale Liquor,
Gambling Location-C, Entertainment-B and Restaurant-C License applied for by
Bomo Inc. DBA Kuby's Place (Sheila A. Palermo, President) at 1141 Rice Street
be and the same is hereby approved.
Requested by Department of:
Adopted by Council: Date ` aq ����y j
`-�
Adoption Certified by Council Secretary
By:
APF
By
Office of License, Insnections and
Environmental Protection
B ('�'�.��� � ��
Form Approved by City Attorney
By , , �r �j �-��- �'OJ
Approved by Mayor for Submission to
Council
By:
�, tS-3ab
DEPARTMENT/OFFICE/COUNCIL DATEINfTIATED �REEN SHEET �� � O � � �
LIEP j Licensin �NITIAVpATE INRIAVDATE
CONTACf PERSON & PHONE � DEPAFTMENT DIPECTOR � CRV COUNCIL
KY15 Van Horn/266-9110 ��� �CYfYATfOpNEY OqNCLERK
NUYBERPOR
MUST BE ON COUNCIL AGENDA BV (DAT� p��� � BUDGEf D�RECTO � FIN. & MGT. SERVICES OIR.
Hearin : J� aZ 5 S �R� ��YOR (OR ASSi5TAHn O
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUE5fE0:
Bomo Inc. DBA Kuby's Place (Sheila A. Palermo President) requests Council approval of its
application for an On Sale Liquor-G, Sunday On Sale Liquor, Entertainment-B, Gambling
Location-C and Restaurant-C License at 1141 Rice Street (I.D. �111288).
RECOMMENDA710NS: Appwe (A) a Re7eef (R) pEHSONAL SERVICE CONTRACTS MUS7 ANSWER TNE FOLLOW ING �UESTIONS:
_ PtANNING COMMISSION _ CIVIL SERVICE COMMISSION 1. Has Nis persoNfirm ever worked under a conVact for this department? -
_ CIB COMMITTEE _ YES "NO
_ SiAFF 2. Has this persoNhrm ever been a ciry employee?
— YES NO
_ DISiRICT COUR7 _ 3. Does this personKrm possess a skill not normally possessed by any curreM city employee?
SUPPORTSWHICNCAUNCILO&IECTIVE? VES NO
Explain all yes answers on separate shcet antl aKaeh to green sheet
INITIATING PROB4EM, ISSUE, OPPORTUNITV (Who, What, Whan. Where, Why):
ADVANTAGESIFAPPROVED:
DISAWANTAGES IFAPPROVED.
��3L�fG@6 �,B��t�$1
;=�� � � �995
- - -- --�
�ISADVANTAGES �F NOTAPPROVED'
TOTAL AMOUNT OFTRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDING SOURCE AC7IVITY NUMBER
FINANCIAL INFORMATION: �EXPLAIN)
9s-3�r�
Greensheet # 30713
In Tracker?
L.I.E.P. REVIEW CHECKLIST
Date: 1/23/95 L
FWP'n Paceived / APP'n Processed
License ID # 11288
Company Name:Bomo Inc. DBA: Kubv`s Place
Business Addresss: 1141 Rice Street Business Phone: 488-9380
Contact Name/Address: Sam BonQiovanni, 37 Mid Oaks Lane Home Phone: 644-6467
Roseville, 55113
Date to Council Research:
Public Hearing Date:_� � 9�
Notice Sent to Appiipnt:
Notice Sent to
Labeis Ordered
District Council
Ward #:
1/18/95
OS
Department/ Date Inspections Comments
City Attorney
��a�l�is 6 ��
a ���- C��,�1-a �.:.<4 C,���� ��ri,u hn � tl ,� �.-
Environmental ,�,��
Health � � � �
Fire �
�lf � �i
License 1 �-�✓� i'�"�� �Y CU C� Site Plan Fieceived:_
� �G� i��+. b. tsase Received:
Police �'� ll l�l �C(5
1
Zoning
�j� o�i:
q� 3�0
c�i•t or s:._s� �;LL, :!a��=so.a
O:tIC� 0: L�CS�SE, ItiSPL�-=O�S F�J �\J?iCti;:EVTAL PRO'1ECZ's0�1
��?L?C:.7iCN :C� Oy S:.L= ?'�_0:{?CAi?5G L=QlC� LIC=�S�
Sti�:=Y OV S:L� ?�. L?QL'•0� L?CEtiSE
iti=CX:CATi'��- CLC�3 L:Qi)C� L?Cc�Sfi
Oac S::E I�iTG�:=C�7i\G L?QL'CZ L=Ca\SS
G`i S=L� Y_=ta �-J=3=.G? L_C=\5�
OV S :__ `%r?\3 L?CE�S�
Directions: i:iIS FC3'1 ".`u5T 5°_ FiL?E� Ov_ �:iT:i i�'?i.��IIE� C� 3Y ?3:STi\G I.�T I�{ 3Y Tri�
SOL3 OG1=�, 3Y F-Ci ?=�TtiE�, �Y E?_CN PE�SGV :.r0 i??S I�Te�=ST IN �XCESS OF 58.
iy 7: 3 CC3?v^�>__CV ?��/0� .::=OCI�i?OV I`i �'^_Ci i::� :�:== °_ 0: TY.3 L?CE\cg , ,��tT
.,., ISSL•=�.
�-�$ %?L=CAT:OV IS 5°::?=CT -0 B�i'IE`.7 3Y Tc� ?L'•3L?C -
1� A;J��1Cfli=0� iOL ��}?'�- CL �?CcG58�
2) Located ac (busi^zss aZe:ess)
5:�:=T:
3) 3usir.ess '.:z,.
er Sar..a Ty?a D+_rzccion
4)__ Ii busir.ess ?s z-cor?cr�ted, �•:vz Z o� i-coz;,ora�ic� ��- �_. ?� �
5)� Doir.g 3�sir:ess .4s 7( U b"v '� �i���Cl�-'� 3LSiness ?`cr.z �`��Si'-`�3g0
_�
6). '�ail co :.ccrzss (i_ cziiere.^.� c;:e:� b�_s:�ess �Lcrzss)
S7�EcT
l !/ I � C7- /
�bzr Sa,-..z
oc�vi Il�-
��
7) Your ";a-z ar.d Ti��z �yY�
�: 1:SL
8) Y.or_e P.zZ;zss � �
$1�L=1: �L':.CeI
�
?ar�r.e:si•:�, ... So1z ?zo�tiacorshi?
�
��
Scz�z
�a
(vl.�C12� (uc1C
2ip CoZe
n)� (Lssc) (Ti�le)
L-l2
.cor.e - ��V--C.,'-f�C7
:Vc^2 1�'�2 l�il_*cC
, ) � L' �I � 5 .�i
Scac2 L?? C
9) Date of 3irt?� � � i y a i Plzca of 3irch �f� � V
;;onth. D>y. � Year
10) P.re you a cicizea of �ha U^i�ed Scaces?� °� �acive ?.'aturelized _�,
If natvralized, p!ease subr..i� p:ooi oi nsc raliz�Lioz or valid docL:.enta�io� oi
residen� aliea staccs. *(In zccordarce vith :;inr.esoca Scztvte 3�0.402A, So On Se?e or
Off Sale L?qvor License r,.ay be issued �o anyor.e Lho is r.o� a Lni�ed Staces citizen or
residenc zlien.)
11) Harried? �_ If zr.s•�zr is "}•es", lisz name znd zddress of spovse.
��ph; ,�� P t3o���0�����; 3� iyl;d ��KS ��
l�os�v i9v,J 5�/r�.
Direccion
qs.�
12) Ha }cu eve: beez conv'_cted ot =ny _'elor.y, crir,.z, or violztio;t oi a�y cicy ordi��. ce
o�het ;.hz:t cra£iic? YxS ?�0 �
l72L2 OI eSIESL
Charge
Co ;vic�ioa
D�te o= �rrest
Chzrge
Coaviccicn
, 1?
t?
13) Lis� ctia n�...es znd rzs:ce.^.ces o t?:_ea ; =rso-s vitn:� �na -"•ztro Arza o= �ood r..orzl
characcar, roc :z?z�ad co �::e ap�lic_-, :i;ancizlly inczrzsced :n cl:z p.-eaiszs or
tJti51^255� �++0 i:.dY ti J2 I2'27Lcd LO c5 ;J �G2 c��l!CcP.L�S C�cIcCL'cT.
\ _`! i
D
i���
S��v�.1� 13� �-� ��- 9�{r I�. r/;.�r ��� t?d i��� �a�q'ti �,r�r� .�_5 ���
noti �i �cfi lft3 �cJGtife e3c.�pAdr.,rJ >t.%z�/.i"d. ���o�
14) Lis� licenszs �:hich.yeu c��rzzatly ho'_�, cr forrzriy ?:e?d, or ray havz an ir.�zresL ia.
�v P ���'2G<�k.�S C9-M-A tr'�1 e�c? ���L°S
15� ::c\'2 c:.�`J' Oi L}:2 Z�Cci:ScS L15CEd s Jy �J'1 1:] �O. Li EVET �c21 fc�'OiCcC� Yc5 __ �O �
Is �ns•.:er is "�es", 1?s;. the d=ces z,3 reasor.s
�6� l�SL2 }'O`S b01i� i0 072Tc:2 �+1=5 i JL'Sli.2_<5 y°I50^Z11�'� 1..5 If AOC� '=I10 �?�L O�c!"cL2 �L�
Vc=Z ..C�2 nCCC255 ='•O"�
1�� t'.r2 �'OII ,i�0_P.G� i.0 �c�'2 d:^..c^c�2T OT c5515L'c^L _il L}1?5 �US1P.255� /V T �
If aas::e: is "yes, givz r.ar.:e, nos.z accress, zr.d date cf bir�h.
Var..e
i�or.e
:.�17�=$$
I,';ere
Se�te.^.cz
l.'hzra _
Ser.te,^.ce
:.z2ress
�a:z of 3irc!�
18) Tr.cludir.3 yovr presenc cusi-ess/er,.�!c;�aenc, �•hat business/emplo;•r..enc hace you
follo�sed ior tne pasc fi'�e yeers?
nusiness/E�olo�r:znt Aaa�ess
�P +1 12� �
19) List all other officers of cha coZpo:ation.
N2`Sz TIiLE (Ofiice Y.zld) ::C`:E ADD4ESS
�i'/'o L
HOME PkOtiE
3y
�s-.�a�
I✓G•r� �
�BtSTKFS�S 2Y.O�:E
24) Ii business is partnezship list par�. address, ho,�.e and busir.ess phone number.
Nane
Hor,.e Phor.z
Name
Home Pho.^.e
�CCTZSS
5c=_f,^.zss Phor.e
?.ccrzss
3csi::zss ?ho,^.e
21) Liquot will be served in the fo11o:::c.g areas (roons) �f}�, _'
22) Between vh2t cross streets is busir.ess locztzd? (�e2a�/ • �t r `'*� ]c55am i Nz S�s,
kliich siZe of s�reet? \�s-1-
23) Are przniszs no•.� occvpied? � S :aac cr•?e oi busir.zss? � F� �
Y.ow lor.g? � �13 � _
24) Closest 3.2 Pl�ce 1� �^, N e_ �^-��h S`� �� 12�Y udS School �f {3� �,h/1�/7o�'z
25) ClosesL intoxicacing liGuoc p12ce. Cn Sa1a c�dfse Oii Sale
26) You vi11 be required to obta:n a Rz��!1 L?q�.:or Dealzrs Ta�c S�=r..�. (Sea .�tt2ched)
P`'Y FALSIFICATIOV Gi P`�S«c�S GIVEy 0� P?�TERIAL
SUS`1ITTED wILL RESULT IV DE\?AL OF THIS A??LICATIOV
I hereby state under oath that I have ar.=�ered all of ena aSo�•z quesLions, �nd thac the
inforr�ztion con:ained herein is trLe and correcc �o che besc o£ r,.y kr.o::ledgz ar.d beliei.
I hexeby state further under oa�h cha� Z na�a rzczived r.o roney or ochzr cor.sideraLion, by
vay of loan, gift, contribution, or other•.isz, oc�er than alre�dy discloszd in the
application cnicn I hzras:ich subc:icczd.
Stzte of Mir.r.esota}
)
County of Ransey )
Subscribed and sworn to before mz this
�� day of , I i� , 19 �
2:otary
Rev. 5/92
� � �%�-�- ,� � �S
S?�nature of App LC4i�L / Date
����i
— •: a r.� :��..,.
+'�,•�,a_. >��„
� A � :1i'°• . r �i�
?,�.;;
9s- .�
::P?L_CAY?OV iC2 G:. c:._°_ i'�?G%ICAii�G LiQL'�C� LICE�S�
��\:=Y OV SnLE ?�-nX?CATI�G L?QL'•0� LIC:tiSE
?�aCX?CATI2:G tLL3 L=QL'G3 L?CE�S�
Oc? 5-._3 Iti=G?::C�TiSG L?QL'02 LICcS53
GV S :L� u=: _ �E'v_3=.G� L?CE\SB
OV S=L= li?\3 L?Ci\SE
Directions: Z�IS FCti'i "."�Si 5? FiLLE� Ou= ';?T:� i�'?F.:.`3i=EZ 02 3Y F�i�:i\G Iy I�l 3Y ?nE
SOL3 01.'�_3, 3Y =?_Ci ??3Tti=3, SY F?_Ci ?E35GV �r0 N_?S I�:E3_ST ?V �XCESS OF 58
iV T-? CC3?v^3.,?=CV :��/03 =:=CC?AT?OV I`i '�r,_C:� i:i� :�:_';' Cr' T'r.? LICESSE W?LL
�3 ISSL•=�.
�-�5 A'?L:C�Z:O\` IS ��_??�CT =0 B='�'IEU 3Y T'r.S ?L'.3LSG _
1) A�p�icecioa _'or (cypa o� lice-se) On Sa�° Liquor License
2) Located �t (busine=_s aLc*ess) 1141 N Rice StrP t
S=Z:_i:
\c.=zr \a-.z iyra �+_rzc�+_on
3) ..�asir.ess :�a,.
Cor_oYacica, ?arcr.e:sii�, c: So?e P:o�i?acorsni?
4)_ is busi^ess is _ccor�c:a.zd, �fve �a_z o= ir.co*?oracioi December 29 �� �_
5)� Doir.g 3usir.ess :;s Kuby�S P1dCe 3usiness P`cr.a � q�R-9'iR(1
6�. Nd11 LO .=.CC�255 �1_ C:'a-2:c':L Li:cZ ti J'_S1i72SS cCCLc55�
37 ✓�'I rd �a✓5 l.anL _
s7�E?T: �u.. �ar..e iY?
�OS�,tJ� ��r- �'l1J'
ci�y s���z
/ 1=
Zip
D�rection
7) Yovr `:ara ar.d Tic?z Sheila Ann Hos�er Pal rmo nrac;APnt
(i?rsc) (�iddle) (�aic<n) (L�sc) (7icle)
8) Hor_e .�.Z�ress 1469 Snow Goose Trail ?:^•orz ^ 653-7555
ST�cEI: Sc..�zr Ssrz i�•�a Diraccic�
Lino Lakes, MN. 55038
C+_cy S�acz Z=2 Co�e
9) D�te of 3irca 10/23/59 Place of 3irch e+ r1rn,r��7N
;;o�ch. �sy. � 1'esr
10) Are you a cit?zen of chz L^ited Scates?= yes �stivz X Neturalized
If na�uralized, p?zzse subni� p.00f oi nsturalizaLion or valid docL�encacion oi
resider.t aliez szatvs. �(?� accord�r.ca vith `7inr.esota Statute 3G0.402A, \o On Szle or
Off Sale L?qLOr License r.:ay be issued to �nyo, e�:ho is r.ot a L'�nited Staces citizen or
resident al?en.)
Cii'i OF SAe1;Y ?�L'L, MIS�:SOTA
O:IiC's 0: L?C=?i5z� I5S?E.�e=OSS i-�J �\JIi20�Y.s1TnL ?RO:�CZi09
11) tiarried? YeS If zr,s�er is "}'es", list nar,.e and address of spouse.
Michael S. Palermo 1469 Snow Goose Trail Lino Lakes,t�iN. 55038
9s .�- �
12) Have ycu evzr beea conv^cted ot` any _=_?o^y, crire, or violatio:� oi =r.y ci[y o.d?nzr.ce
other :h=z crafiic? YES ?�0 X
Date o� arrest
Gharge
Convictica
De�e o: arrzst
Ch�rge
Cor.vict+_cn
, 14
� t?
1."hare
Szr.�e^cz
G"nzre
Ser.ce. ca
13) Lis� t:`.a r.=-as and rasice.^.cas o� �`__a i=rsons vicni� tne �etro :.rea o� good r..oral
ch�racter, r.o� rz?a;.ed co �'.:z zpplicz-� or :ir.zncially inLZrestzd ia t}:e p:zaiszs or
buir.e=_s �t0 !.:c}' } JP. 72=2IIc(3 i0 c5 :� L� 2 e?�1=G2. cnarac
\:: �
n�DR=$$
Mr. Bernie Witzman 630 62nd St. Lino Lakes
PAS Shirley Muelken 2251 Mannina Trai] LakP �lm�
Mr Dave Bercilund 3266 W dwasso Sh�rPV;Pw
14) Lis� licenszs Ghici.}cu currzncly l:o_d, or _orr,.erly �:eld, or r,.zy nsve sa ir.cz:esc in.
• N/A
15� i:cV2 c:.y O' i.�:Z Z-C2�Sc5 �15�EQ �Jy �J'1 ?:7 �O. 1� EVEC tiJ2c:1 tc\"Oi:cC� V25 _�O __
IL 'c75'.:2r 15 ° �25 ° , �?SC Li:2 �cL25 c::.j *Ac50i 5
1b) ?re }ou go:r.g co o;erace cn±s busirz=s �z*sor.zlly? yes If ,oc, '-LO �-i11 opera�e it?
\a=a 'r.cr..e =ccress `.or.e
Z�� n?"2 �'O'1 �O:P.F� CO �c�'z a mz�ager OT c55!SL'c^L 1❑ L}7=5 �JU51':c55�
I� �as•:e. is "}•es, give r.zr,.>_, nos.e accress, =^d d=ce of bizch.
\sce
Y:70r0
:.zzress
�c:2 OL �1TLC1
18) Ir.clud'zng yo�r presen;. bvsir:ess/zr,.plc;•,ent, th=c business/emplo;,enc hava you
folloved ior �ne pas[ five yzzrs?
5vsiness/En�?ov-ent
?.ddrzss
Jubilee Foods 1075 Hw 26
9��-v
i9) List all other officers of thz corpo:ation.
NAME TITL: (Oiiicz Y.alc) ::C`fE nD��ESS H0:!E Pk:OtiE BUSINESS PY.OtiE
Mr Sam Bonaiovann; SPr 37 Mid Oaks Lane Roseville 644-6467 _
20) If business is partnership lis� parc-er(s), address, home and busir.ess phone nunber.
Nane
!ior,.e Phor.e _ _
�Tame
AcL:ess
5csi, ass Phor.e
,4cc:zss
Home Phor.e � 3�_s_�zss Phor.e
21) Liquor vi11 ba servzd in tha follov?-� arzas (rooms) R _
22) Bet•:een uhat cross stre�ts is busi::ess locaced'?1�5j(LM'/�v /Geranium- on Rice St_
�.�hich s+_da oi scrzet? c.-.,,+r., �+ ('nrnPr
23) Are preniszs r.o•.r occu�izd? ves '^•^•zL Ly�e of Susir.zss? �-,_
Y.oW long? 40 vrs.
24) Closest 3.2 ?lace N/A C^�_rch St Bernarde School _,�mo
25) Closest intoxicztin3 liq�or place. Ca Sale VFW Ozi Sale
26) You will be required to obtain a Re[�il LiGvor Dea!zrs Tax S[�n�. (Sez Attached)
p`'Y eALSIFICATION G= :`'S:+EicS GIV�V OR C?4TERIAL
Sli5`".ITTED WILL RESULT IV DE\?AL OF Ti?IS AP?LICATI09
I hereby stzte undzr ozcn thzt I have �r.s=zrzd all of the c questior.s, and that the
inforr_ation containzd herein is trLe ar,d correcc co che bes� oi r,.y kr.o::ledge sr.d belief.
I herzby state :urther uader oath cnat I^�ve rzceived r.o money or ocher consideration, by
vay of loan, giit, conLribut?on, or other•.:ise, oc�zr chaz already disclosed in the
application uhich I hzra�.ith subr.�:tted.
State of Minr.esota)
)
County of Ransey )
Subscribed and sworn to befo,re me this,
� day of Jl.�nu/��y . 19 �J
tary PUb
Rev. 5/92
�,� �1� �- ��, �'� '/s/�.s
Si�nature of Applicant / Date
County, M.�' � ��
Ky mmu� apia 372�J6