95-683Council File # %J '���
��1�4NA
Ordinance #
Green Sheet # 30852
RESOLUTION
�INT PAUL, MINNESOTA S�G
Presented By
Referred To
Committee: Date
1 RESOLVED: That application (I.D. #38652) for an On Sale Wine and On Sale Malt (Strong)
2 License applied for by Sakura Inc. DBA Sakura (Miyoko Omori, Owner) at 34 W.
3 6th Street be and the same is hereby approved.
���� xequested by Department of:
Adopted by Council: Date
adoption Certified by Cou
By: �- -
Approved by Ma Date
/ /
By: ! leir��9� ,1��
Secretazy
�/-,
Office of License, insoections and
Environmental Protection
By: (��,t,�-� ���
Form Approved by Cit Attorney
$y : 5-i5- 9�
Approved by Mayor for Submission to
COUncil
By:
Greensheet #
In Tracke�?
L.I.E.P. REVIEW CHECKLIST Date: 5/�/95 � 9s`�/d'
ApP'n Received / ApP'n Processed
License ID # 38652 License Type: � Sa1e Wine and On Sale Malt (Strong)
Company Name: Sakura Inc. DBA: Sakura
Business Addresss: 34 W. 6th Street
Business Phone: 224-0185
Contact Name/Address: M�Yoko Omori, 1707 Birch Lake Ave. Home Phone: 653-3727
Date to Councii Research: T �ite Bear Lake, 55110
Public Hearing Date: ��.t 2� ��i�r� Labels Ordered: 5 5 95
Notice Sent to Applicant: �� 7� District Council #: 17
—�- . .
I/� 3�� � � j �
Notice Sent to Public: (//� � 4LV Ward #: 02
pepartment/ Date Inspeciions Comments
City Attorney ��t S` � O b�-
Environmental �' 1 �' � ,�� �' -�y✓�
Heaith �� �� �
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License �, �� X S�te Pian aeceived:
lease Receivad:
Police � ` � ��-Q' �
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Zoning �,.b t�� 0� o�` a�'''�� 1P�'`t .
� 9'.���3
CITY OF SAINT PAUL
.1'o>m Coleman, .49ay�or
OFFICE OF LICE;�SE, INSPECT[ONS A.\D
�'VIRONA'�'TAL PROTECI70\
Robert Kessler, Direnor
LICEI�SE A;�'D
IA�SPECT/OFS
350 S[ Pe�er Sneet
Sui�e 300
Saint Pau7, �Tnnesota 55702
MALT/WI23E ON SALE
LICENS� APPLICATION
Telephane: 67?-166-9100
Facsimile: 61?-?66-97?;
This form must be typewritten or printed in ink by the sole
owner, by each partner, by each person who has interest in excess
of 5% in the corporation and/or association in which the name of
the license will be issued.
THIS APPLICATIO.N IS S'v'3JECT TO REVIEW BY THE PUBLIC
1
2
3
4
5
6
7
Business Address �� �t �-�-�?�. Co �� S T I�� �tX .��U �.� 5�� �
Business Name S�'�lu.Y'C+� �nC
If business is incorporated, c_re date of incorporation
, 19
Doing Business Ps �a,_K 1���-
Business Phone T .� :�'� - � ! � �
Mail to Address (if different than business address)
Your Name 1' 1� �/r•� t� () � Yl'� c� �^ t
Title l J � U V� �F '�
8 . Home Address � � � � r�- � �' � � � ct�� ��
_j,�'�P ' C7r( r �C/7D i m� �S/!C
Phone � ��o/� �i5. ` �7.�7
9. Date of Birth (Month, Day, Year) -�— I �— `'17
Place of Birth 1 o.�G�.�
10. Are you a U. S, citizen? if2 S Native Naturalized
If naturalized, submit p'roo of naturalization or vaZid documentation of
resident alien status. *(In accordance wiYh MN Statute 340.402A, no On
Sale or Off Sale Liquor License may be issued to anyone who is not a U. S.
ciCizen or resident alien.)
11
12
13
1?
�
Aave you ever been convicted o= any felony, crime, or violation of any city
ordinance other than traffic? IU/7
Date of arrest
Where
Conviction
Date of arrest
Where
Conviction
_, 19
Charge _
Sentence _
_, 19
Charge _
Sentence
List licenses which you curren�ly hold, or formerly he1d, or may have an
interest in.
Y.ave any of the Iicenses liste3 in YI4 ever been revoked? �
If yes, list the dates and re�=cas.
Are you coing to onerate this bLSiness personally? I�C�S If no, who will
operate it? T
tizme
Hone Address
Phone #
i5. Are you aoing to have a manager or assistant in this business? �
If yes, give name, home adcress, phone m, and date of birth. T
Name htirtYiP. <. �n�r✓InreY�
Home Address 7DO � l. rl�l�t'. S•
�y�is m� �5 �Q7
Phone � _ (�� S'i a7- ! 7 �!3 DOB � - �(�- 7 !
16
17
Includirg your present busines=/employment, what business/employment have
you followed for the past five years? (Susiness/Employment, Address}
+Jndv�c YJ:.:C:YIPSS Siv�ce jQQU
SaK�.r a�. � rs�,� n a r��
(�� �.7�' ST 5;�;�z�e 1�3 �oz-!e� �57� J�Cru� n'I�ss�ol
List all other officers of the corporation. (Name, Title-Office held, Home
address, Eome phone, Business phone)
�`nc1lP
I�
�� �
. i
I
. _ q� � �3
1'8. If business is partaershio, liet �artner(s) name(s), home adnress, home
ohone, business phone.
19. 3etween what cross streets is �::siaess located? n
S"f" " Ye��r c3 r� � l��S�i^P2C
''�' S�r�efi
Which sine of street? �a � -
20
21
Are premises now occupied? �,Q
What type of business? _
How long? '�-
You will be required to obtain a Retail I.,iq�or Dealers Tax St�mp. (See
attached)
ANY sALSIFICATSON C? PNSA*£RS GIV�N OR MATE4iAL
SUSMZTTED WILL RESUL3 =V DENIAL Oc THIS APPLICATION
I hereby state under oath that 2 have answered all of the above qvestions, and
that the information contaiaed herziz is true and correct to the yas.� of my
knowledge and belief. I hereby stace •°urther under oath that 7ilave re�ceived no
money or other consideratien, by way oi loan, gift, contribu�ion, or o�Cherwise,
other thzn already disclosed in the ap�licatr on whiclx, I h�Y,€with submyitted.
: �ii,�. �� ,/ f � / > i I��
State of N,innesota)
)
County of Ramsey )
Subscribed and sworn to before me t':?is
t T V} ����
I S day of --`1 _ -i � 19 9`J
9 -Y� o � . � r J�.Clr�.1��
Notary Public � m.� County, D'N
Ny Commissioa expires /-3i-�OOti
c>nt / Date
JANET A. FRANK
NOTARY PUBLIC- MINNESOTA
MY COMM. EXPIRE51-31-2000