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94-1186 Council File # 9 11 --7 1 ORIGINAL , Green Sheet # 27809 RESOLUTION CITY • F SAINT PAUL, MINNESOTA <3, Presented ByAlt,_ /L -- -- Referred To Committee: Date 1 RESOLVED: That application (I. #11244) for a Grocery (D), Malt Off Sale, and Cigarette License ap for by Chong M. Kwak DBA Kellogg Square Market at 111 East Kellogg Bou evard be and the same is hereby approved. I 1 1 1 1 1 1 Requested by Department of: Yeas Nays Absept Grimm � ✓ Office of License, Inspections and Grimm /' Guerin ✓ Environmental Protection Harris Megqand / Rettman � L,-- / / y - Thune i.../ l i k p � 1 4 • *Z By: 1 a c .r 'J Adopted by Council: Date WW _ \ri V cI L) 14 1 Form Approved by City Attorney Adoption Certified by Council Se.retary , By: ilk IL -- _ By: ilifa - -/&-91-, Approved by 12•x• Date i Approved by Mayor for Submission to Co u ncil By ���� By: i .� DEPAIRTMENT/OFFICE/COUNCIL DATE INITIATED N° 2 7 8 0 LIEF - Licensing GREEN SHEET CONTACT PERSON & PHONE DEPARTMENT DIRECTOR TIA E CITY COUNCIL • Christine Rozek /266 -9114 OUT IHR iNG RASSIttN u FOR CmATTORNEV 0 cm( CLERK MUST BE ON COUNCIL AGENDA BY ( TE) R y � q ouy BUDGET DIRECTOR 0 FIN. & MGT. SERVICES . IMIN For Hearing: : $'` i / R Q MAYOR (oR ASSISTANT) TOTAL # OF SIGNATURE PAGES 1 (CLIP ALL LOCATIONS FOR SIGNATURE) t ACTION REQUESTED: I Application (I.D. #11244) for a 3rocery (D), Malt Off Sale, and Cig s g arette Licen a ' 1 , REOOMMENUATIONS: Approve (A) or Reject (R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS I PLANNING COMMISSION CIVIL SERVICE COmMiSsIDN 1. Has this person/firm ever worked under a contract for this department? CM COMMITTEE YES NO _ STAFF 2. Has this peraon/fkm ever been a city employee? 1 . YES NO DISTRICT COURT 3. 0oea this person/firm possess a skiff city . ee? not normally possessed by any current ) ;., SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Explain all yes enamors on Nper.ts sheet and attach to great shoat INITIATING PROBLEM, ISSUE, OPPQRTtNJITY (Who: What. When, WI'ere, Why): Chong M. Kwak DBA Kellogg Square Market (Chong M. Kwak, Owner) requests Council` approval «_ its application for a Grocery (D;, Malt Off Sale, and Cigarette License at 111 East Ke11o:.t, Boulevard. All applications and fees have been submitted. All required departments; have reviewed and approved this application. ADVANTAGES IF APPROVED: ' i DISADVANTAGES IF APPROVED: 3 1 i • $ ' s . 3 ' } a DISADVANTAGES IF NOT APPROVED: °a 1 I z i TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO i ! j < FUNDING SOURCE ACTIVITY NUMBER I .FINANCIAL INFORMATION: (EXPLAIN) SAINT " CLASS III CITY OF SAINT PAUL PAUL LICEN.E APPLICATION Office of License, Inspections Alli and Environmental Protection 350 St. Peter St. Suite 333 Saint Paul, Minnesota S5302 MAIM I ( 2660100 tat (612) 256 -0124 License I.D. # (for office use only) THIS APPLICAT • N IS SUBJECT TO REVIEW BY THE PUBLIC , P EASE TYPE OR PRINT IN INK - I Type of License being applied for: 6 4 -' Company Name: `ej,'l,(S' fvue, 6 / 1 I.GT/Le_e 0;..0 I € ? o I p / e ±or, / Corporation Partnership / , le Proprietorship If business is incorporated, give date of incorp''ration: I Doing Business As: I Business Phone: Business Address: Street Address nn �1� City State Zip Between what cross streets is the business loca / ed? /Q 0 -elei- Pil/��� / Which side of the street? (52tt S 6 Are the premises now occupied? `Z / ' ! What Type of Business? r 6) -oC Mail To Address: / 1 ( <el / oq- cs 13 ( tit 5t, I a4A-t / in Dv 5 to / Street Address City State Zip Applicant Information: / Name and Title: C 0 it@ 0 K .t/t.)/4 /C (� liu ti_CZA First /, Mid le (Maiden) Last Title Home Address: ( , Gt ' J t (10 ( 7 4, Pow / /%7il) cS - /G1 / Street Address City State Q b 4 Zip Date of Birth: 7( / s' - P1-' e of Birth: V V Home Phone: > q ( 2 I Are you a citizen of the United States? Native Naturalized? f/ If you are not a U.S. citizen, you must have w. k authorization from the U.S. Immigration & Naturalization Service. Have you ever been convicted of any felony, crt e or violation of any city ordinance other than traffic? YES NO v Date of arrest: I Where? Charge: Conviction: Sentence: List the names and residences of three persons •f good moral character, living within the Twin Cities Metro Area, not related to the applicant or financially interested in the !remises or business, who may be referred to as to the applicant's character: NAME ADDRESS PHONE -6/ii 1✓t 7/t ' - JU d _ g24 - 70 6,5 J f Sa=, I lnukn i/ s - 7 t/ uovLv J 0L. n VIA T] s 3 ?, �. eg 6 I List licenses which you currently hold, formerly teld, or may have an interest in: r e �: vt.� , , I ' C k-- 1 ' ') i ; eq 6rcz -ut_ vu 113 C Have any of the' above named licenses ever bee. revoked? — YES v NO If yes, list the dates and reasons for revocation: 1 1 qtj -1 /S6 Are you going to operate this business personally? YES ,/ NO If not, who will operate it? YOU 1')1 i w /6. . = 3P - Ci / 3 First Name Middle Initial (Maiden) Last Date of Binh 54 Home Address: Street Name Cy State Zip Phone Number Are you going to have a manager or assistant ii this business? YES V NO If the manager is not the same as the operator, please complete the following inform2 tion: First Name Middle Initial (Maiden) Last Date of Birth Home Address: Street Name Cry State Zip Phone Number Please list your employment history for the previous five (5) year period: Business /Employment • Address fflikAnjA r C t ey1 s (r l �v� c �� 6 ro oeiv� �{ C_��� dou t/,e_ S /Pt' 0,, - - GIU 3 � <-7 41 7 CdcAJL_ i z_ ; - MA - S lo S w s-h2,/, L-1-b 41c. ` v CO List all other officers of the corporation: OFFICER TITLE HOME HOME BUSINESS DATE OF NAME (Office Held) AI: DRESS PHONE PHONE BIRTH c1 siL p p r ,k Y r- If business is a partnership, please include the following information for each partner (use additional pages if necessary): First Name Middle Initial (Maiden) Last Date of Birth Horne Address Street Name Cy State Zip Phone Number First Name Middle initial (Maiden) Last Date of Birth Home Address: Street Name Cy State Zip Phone Number , , , , . . i v t r . , . h'.. . , a. e1121i. , : _deetai e' ,. e�cnptioa of the' slgn, 1oc tt and. square _ foob g e o the premises to be licen site 7aa c2 �� - ' pyof your Tease a greement or proof of ownership of the property' :` ANY FALSIFICATION )F ANSWERS GIVEN OR MATERIAL SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION I hereby state under oath that I have answered all of the above questions, and that the information contained herein is true and correct to the 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, contribution, or otherwise, other than already disclosed in the application which I herewith submitted. Subscribed and sworn to before me this / ( ,./ — —? 4 1 e 1 da , L 19 S- , Signature pf, ,,plicant Date Cfle „,-vi. / 11..t. 'L '; .F:F.s : tox Notary Public County, MN ' �' GORI;�NE A. MARTENS IS ` ' I .4:6 it,"r. l':OTAHY PUBLIC—MINNESOTA �> My Commission expires: /0 — i3 i7 ' ;k tt 4 2 v. COUNTY c Z My Commission Expires 10 -13.47 9g--1(q 4 Greensheet # 27809 L.I.E.P. REVIEW CHECKLIST Date: 4/29/94 / 5/10/94 In Tracker? App'n Received / App'n Processed License ID # 11244 Company Name: Chong M. Kwak DBA: Kellogg Square Market Business Addresss: 111 E. Kellogg Blvc Business Phone: 291 -1688 Contact Name /Address: Chong M. Kwak Home Phone: 298 -9842 Date to Council Research: 7 J J (/ 4.. Public Hearing Date: 8 11 ' `t4 Labels Ordered: N/A Notice Sent to Applicant: District Council #: 17 Notice Sent to Public: Ward #: 02 Department/ Date Inspection; Comments App'd Date Verified City Attorney Shihy OK. Environmental / I / 0 r___ Health Fire 7 /7: ly j oiC__, License 5/4/449k 4:41.1 " Site Plan Received: Lease Received: Police S-10lc� 9- Re � Neck iv r Zoning 5 1/501 CI 0/—.