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94-1257 O I I NAL Council File # 7'7 './ S' Green Sheet # 27801 RESOLUTION CITY OF E. AINT PAUL, MINNESOTA g■ Presented By :/r1 , .1/0.z,-.-- ,�,,z,,.-- Referred To Committee: Date RESOLVED: That application (I.D. *16213) for a Malt Off Sale License applied for by SuperAmerica Group - Division of Ashland Oil Inc. DBA SuperAmerica #4430 at 846 Johnson Parkway be and the same is hereby approved. Requested by Department of: Yeas Nave Abgent Blakey Grimm .e. Office of License, Inspections and Guerin T Environmental Protection Harris t/ Megqard v Rettman 1/ . y- Thune L/&44. O By: R iter......-/ Adopted by Council: Dat: AUG A Adopt' Certifie -uncil Secretary Form Approved by City Attorney Air' B �V By: /2&J 4'za '7 y � Approved b 'lj yor: Date 77/ / ( Approved by Mayor for Submission to Council ' -e- 2tc ? 1 DEPARTMENT/OFFICE/COUNCIL DAV INITIATED No_ 2 I. 8 C 4 LIEF - Licensing GREEN PHONE IaiTlAlm�rE CONTACT PERSON PHONE ED DEPARTMENT DIRECTOR f1 CITY COUNCIL Christine Rozek. /266- 9114 ASSIGN D ernY ATTCIRNEY ( CITY CLERIC MUST BE ON COUNCIL AGENDA 6Y (DATE) jjamtiG BUDGET DIRECTOR ED FIN. & MOT. SERVICES'DIR. For Hearing: gl a 4(9 1 OMER D MAYOR (OR ASSISTANT) TOTAL # OF SIGNATURE PAGES (CLP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: • Application (I.D. #16213) for a Malt )ff Sale License ; t z, RECOMMENDATIONS: Approve (A) or Reject (R) 0 ERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS: ) PLANNING COMMISSION _ CIVIL SERVICE COMMISSION • Has this peraon/firm ever wonted under a contract tor this department? CIE COMMITTEE YES NO . Has this person/firm ever been a city employee? _ STAFF ' YES NO — DISTRICT COURT I. Does this person/firm poetess a skgI not rmrma ty possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Explain all yea answers on separate sheet and attach to preen sheet • INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who. What. When, Where, Wfw): f SuperAnerica. Group - Division of Ashland Oil Inca DBA SuperAmerica #4430 (Robert C. Hardman Attorney -in -fact) requests Council approval of its application for a Malt Off Sale Licen - at 846 Johnson Parkway. All applications and fees have been submitted. All required r departments have reviewed and approve this application. ADVANTAGES IF APPROVED: ' t Council Research Centikr JUL 2 0 1994 { et : DISADVANTAGES IF APPROVED: DISADVANTAGES IF NOT APPROVED: 1 • • TOTAL AMOUNT OF TRANSACTION COST /REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDII&G SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION: (EXPLAIN) Greensheet # 27801 L.I.E.P, REVIEW CHECKLIST Date: / 4/20/94 In Tracker? App'n Received / App'n Processed License ID # 16213 Company Name: SuperAmerica Group -Div of Ashland Oil Inc DBA: SuperAmerica #4430 Business Addresss: 846 Johnson Parkway, Business Phone: xxrix 887 -6162 Contact Name /Address: Deb Johnson Home Phone: 1240 W 98th St Iloomington Date to Council Research: i 9 Public Hearing Date: ' d 4' ci Labels Ordered: n/A Notice Sent to Applicant: District Council #: 02 Notice Sent to Public: Ward #: 07 Department/ Date Inspections Comments App'ri Data / Veriflpri _ City Attorney VAky Environmental 7/$4 i f 0 Health Fire N /-h1-- License 7/4/9 C( Site Plan Received: C Lease Received: Police V AO /5 9 Zoning ' l N • 9q 7 SAINT CLASS III CITY OF SAINT PAUL " °' LICENSE APPLICATION Office of License, Inspections and Environmental Protection 8s0 St. Peter St. Suite 300 Sint Paul, Minnesota 55102 AAAA (612) 2669100 fax (612) 244,9124 IMPPROMMI License I.D. # (for office use only) THIS APPLICATIONlS SUBJECT TO REVIEW BY THE PUBLIC PLEA ;E TYPE OR PRINT IN INK Type of License being applied for: _ 3.2 Non intoxicating Malt Liquor Company Name: SuperATerica Group- Division of Ashland Oil, Inc. Corporation / Partnership / Sole Prnprietaship If business is incorporated, give date of incorporation: 10 - - Doing Business As: SuperAmerica Business Phone: 612-887-6100 Business Address: 1240 W 98th Street Bloomington, MN 55431 Street Address City State Zip Between what cross streets is the business located? Which side of the street? Are the premises now occupied? yes What Type of Business? Convienence Store Mail To Address: 1240 W 98th Street, Bloomington, MN 55431 • Street Address City State Zip Applicant Information: Name and Title: Robert C. Hardman Attorney -in -fact First Middle (Maiden) Last Title Home Address: 54 E Sandralee Drive, St. Paul, MN 55119 Street Address City State Zi P Date of Birth: 9 - 12 - 42 Place of Birth: St. Paul, MN Home Phone: 735 - 0541 Are you a citizen of the United States? Native? Yes Naturalized? If you are not a U.S. citizen, you must have work authorization from the U.S. Immigration & Naturalization Service. Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffic? YES NO X , Date of arrest: Wbere? Charge: Conviction: Sentence: List the names and residences of three persons of g )od moral character, living within the Twin Cities Metro Area, not related to the applicant or financially interested in the premises or business, who may be referred to as to the applicant's character: NAME ADDRESS PHONE Leonard A. Feilmeier 18090 Judicial Way North, Lakeville, MN 890 -6366 David P. Phillippi 55337 llth Ave South, Minneapolis, MN 887 -6100 Delores Wiesner 66 Juniper Street, Mahtorrledi, MN 426 -3627 List licenses which you currently bold, formerly held or may have an interest in: City of Minneapolis, Blocnington, Eden Prairie, etc... Have any of the above named licenses ever been revoked? _ YES X NO If yes, list the dates and reasons for revocation: Are you going to operate this business personally? YES X NO If not, who will operate it? - . SuperAmerica Stores First Name Middle Initial (Maiden) Last Date of Binh Home Address: Street Name G:y State Zip Phone Number Are you going to have a manager or assistant in the business? X YES NO If the manager is not the same as the operator, please complete the following information First Name Middle Initial (Maiden) Last Date of Birth Home Address: Street Name G:y State Zip Phone Number Please list your employment history for the previous five (5) year period: Business /Employment • Address List all other officers of the corporation: OFFICER TITLE HOME HOME BUSINESS DATE OF NAME (Office Held) ADDRIFSS PHONE PHONE BIRTH See Attached 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 Gty State • Zip Phone Number First Name Middle Initial (Maiden) Last Dale of Birth Home Address: Street Name Gty State Zip Phone Number Attach to this application: 1) A detailed description of the design, location and square footage of the premises to be licensed (site plan). 2) A copy of your lease agreement or proof of ownership of the property. ANY FALSIFICATION OF 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 th already disclosed in the application which I herewith submitted. X / Subscribed and sworn to before me this�I��Y`(/*/ — 3 - 0 - 30th day pl March , 19 94 wP,nr nnh, ,nr �fi p cat Date - - - -� . (.t . 4111 4 ., „ DEBRA A. JOHNSON KODert C. Hardman Notary Public Dako County, MN. ? NOIARV PUBLIC - MINNESOTA My Commission expires: 1 DAKOTA COUNTY My Conmission apes Jan. 6, 1998 .' .hNAAMAAII,.✓vAnnnnn AAAAAN ivWV u