95-685Council File � ( r����
ORiGIf�AL
ordinance #
Green Sheet # 30834
Presented By
Referred To
RESOLUTtON
CITY OF SAINT PAUL, MINNESOTA
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Committee: Date
1 RESOLVED: That application tI.D_ #1b475) for an On Sale Wine, On Sale Malt (Strong) and
2 Restaurant-B License applied for by Camdi Company DBA Wi11ow Gate Restaurant
3 at 767 S. Cleveland Avenue be and the same is hereby approved.
��---�� Requested by Department o£:
Office of License, Insgections and
Environmental Protection
By:
Approved bXi A�ayo •
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Form Approved by City Attorney
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Approved by Mayor for Submission to
Cauncil
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Adoption Certified by Council Secretary
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LIEP/Licensing
Bill Gunther/266-9132
For Hearing: Za � yt
TOTAL # OF SIGNATURE PAGES
GREEN SHEET
CITV ATfORNEV
BUDGET D1RECfOfl
MAYOp (OR ASSISTAN7)
(CLIP ALl LOCATIONS FQR SIGNATURE)
N_
O CRYCOIJNCIL
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O FIN. ffi MC�T. SEP
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30834
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Camdi Company DBA Willow Gate Restaurant (Kiet T..Phan, President) requests Council approval
of its application for an On Sale Wine, On Sale Malt (Strong) and Restaurant-B License at
767 S. Cleveland Avenue (I.D. 1615475)
ECAMMENDATIONS: Approve (A) ot Pajeci (R} PERSQNAL SERYICE CONTHACTS MUST ANSWER THE POILOWMG QUESTIONS•
__ PUINNING COMMISSION _ CIVIL SERVICE
_ d8 COMMRTEE _
_ STAFF _
_ DISSAICi COURT _
SUPPOfiT$ WHICH CqUNCII OBJECTNE4
1. Has this persoNfirm ever worKed under a contrect tor this department?
YES NO
2. Hes this personffirm ever bean a ciry employee?
YES NO
3. Does this personRirm possess a skill not normally possessed by any current ciry empioyee?
YES NO
Explain all yea answers on separate sheet and attaeh to green sheet
What, When, Where, Why�.
vdSS:E��Z4 s"�,'�i�v�4Fn�
f�i��Y �. � ���5
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IF APPROYED:
fOTAL AMOUNT OF TRANSAC710N
'UNDIfdG SOUHCE
1NANCIAL INFORMATION' (EXPLAIN)
CQST/REYENUE BUDGETEO (CIRCLE ONE) YES NO
ACTIVITV NUMBER
Greensheet # 30834
in Tracker?
License ID # 16475
L.I.E.P. REVIEW CHECKLIST Date: 3/30/95 J g✓�'� j�
APP'n Received / APP'n Processed
License Type: On Sale Wine, On Sale Malt (Stron�) & Restaurant-B
Company N1me: Camdi Company DBA: Wi11ow Gate Restaurant
Business Addfesss: �67 S. Cleveland Avenue, 55116 Business Phone: 331-4194
Contact Name/Address: Gamdi Phan, 17731 Sterling Terrace Home Phone: 934-2311
Eden Prairie, MI3 55346
Date to Council Reseas¢hvimfi�
Pubiic Hearing
Notice Sent to
Notice Sent to
Department/
Cfty Attomey
Environmental
Heaith
Fire
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Licens�� �„sZ '
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� , 4 �q3�
�lice
Date inspections
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Labefs Ordered: 4!3/95
District Council #: 15 � l" t�
Ward
Comments
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�te Pian Raceived:_
l.ease Received:
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OFFICE OF LICE\SE, INSPECTIO:.S A.1'D
EdVIRO\1.gT'TAL PROTEC170N
Robert Kess7er, Direcmr
CTIY OF SAINT PAUL
A'orm CoTeman, .Na}�or
TelepF,one: 671-266-9100
Facsim+le: 612-266-41?S
This form must be *_ypewritten or printed in ir.k 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 APPLTCATION IS Su3JECT TO REVIEW BY THE PUBLIC
1
2
3
a
5
6
Busiaess Address
Husiaess ?�zne
LICEVSE A.�D
1,�'SPEC110T'S
350 SJ. Pefer Stree!
Saite 300
Snint Pnv), .4�innesora �5102
MALijWINE ON SALE
LICENS� APPLICATION
If busine=s is iacorporated, g?�a date of incorporation
�G9 ../ � _ , 19 ���"
; _ ��X�'�Z�✓� C�� lG � J �P �'�"�e�c (
Doing 3us_ness P.s !
Business 2hone ,'1 �?'I� �fi �� /
Mail to Address tif different �ran business address)
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7 . Yovr A=ame �J C %. % � !�-� �`�
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Sitle %'TE Si c✓P��
e. xomeaddress 1773( �lcRl�l.l� 7F�s�.�' �Z=-
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Phone � °i �'�-� 3 //
9
Date of Birth (N,onth, Day, Year) t'ZI Z.L /S Y'.
� �
Place of Birth �/t�� �/✓�'l
.__._.. . .---- -----..
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10. Are you a i3. S. citizen? 1(r� Native Naturalized �
I£ natu=alized, submit pzoo£ o£ �aturalization or valid documentation of
resident alien status. *(In accordance with MN Statute 340.402A, no On
Sale or Off Sale Liauor License may be issued to anyone who is not a U. S.
citizen or resident alien.)
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18
19
Yd�l
21
3etween what cross streets is �tsir_ess located?
��� <ft C./_'y✓ I`� �!2`� S . �� � � � f1��'`�l .
WhSch side o_ =_treet?
P:e premises now occLpied? � E}�
W"�at type of bus+_r_ess? ����Rt�t�G+-�/� �
5ow long? !O :.�-C�cs^ S
Ycn will be requi=ed to obtaia a�etail Lirn.or Dealers Tax Stamo. (See
attachen)
FtiY FBLSIFICATSON O? ANSW:RS GIVEN OR A'in.T:R2P.L
SUSN?TTnD A'ILL RESIIL!^ =AT DENIAL OF THIS APPLIC?�T=O?S
I hereby state uader o�ch that I have answared all of t;e zbove questions, and
that the informatios cortzined herei� is true and correct to t�e best of my
knowlecce and belie=. 2 hereby state :urther under oath that I have received no
money or other co�=_icerzticn, by way oi loaa, gift, contribution, or otherwise,
other t,an already cisclosed in the a�plication whic' here th submitt�. /�`
___----. ��r���f�- 3 �a
State of Nirnesota) Signature of`A"pnlicant / Da"te '
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County oi Ramsey )
Subscribed znd sworz to befare me this
"" � �d of LZ V4't-__. 19 ��
( l -i'v�i�R / G"�L�yL_-�
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No[�� ?ublic ii?�� Cou ty, N�J
�
My Commission expires � � -� �`�
* UNDA KAY KORAN s
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� {i�rR E�Y�» AF ��� iA11�
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2i business is partrership, lisL partr_er(s) name(s), home address, home
phone, business phore.
q5 � �s
11. Y.ave you ever been convicted o= z^y felo�, crime, or violatioa of any city
ordinance other tnan traffic? ,/1/l�
Date of arrest , 19
4r"r_ere Charge
Co_^_victioa Sen�ence
Date or arrest 19
'v7here Charge
Co^viction .___ _ _ Ser_tence _
12. ?,ist licenses which you currently hold, or farmerly held, or may have an
ir_terest in.
13. Yave any of Che licenses listed in n14 ever been revoked? ��
if yes, list the dates and reascns.
14
Are you going to operate this nusi7ess perscnally? N� -2f r.o, who will
onerate it?
Name
Home
15. Are you going to have a manacer or assistant ia this business? �'
if yes, give name, home address, phone +�, and date o: bizth.
Name
hone Address
Fho^e #
DOB
ib. Including your present business/employment, what business/emnloymeat have
you £ollowed for the past iive years? (BusinessJEmployment, Address)
C'�`�/I�� �4 �.0 Ncv �
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f2,�_ �� ��Y� � �j �
17
6
Phoae # � �� � ? � �
List all other officers of the corporation. (i3ame, Title-Office held, Home
address, Home phone, Business phone)