96-232council File � � �- a 3 .1
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Green Sheet # ��� / /
Ordinance #
RESOLUTION
SAINT PAUL, MINNESOTA 37
Presented Hy
Referred To
Committee: Date
1 RESOLVED: That application (ID #40299) foi an On Sa1e Malt (strong beer), Wine On Sale,
2 Grocery-c, and Restaurant-B License applied for by Mozz, Inc. DBA Lastrada
3 Trattoria (Andrea Gambino, President) at 175 Sth Street East be and the same
4 is hereby approved.
5
6
7 e Nays Absent �equested by Department of:
8 BSa —
9 Gueri_�n Office of License. Ins ectione and
10 Harris g
11 � ard � Environmental Protection
12 Re tt man
16 �ax.x� asrtow� � �
17 Adopted by Council: Date (v�,,,.,�„ � B y' `� �� �� ' l.—�
18 �—
19 Adoption Certified by Council Secretary
20 Form Approved by City Attorney
21 /"'�
22 BY: , ,�� � g ,/ � \Ja���t/\
23 Y° l��L`CP�n� t/
24 Approved by yor: Date �� �
25 //
26 G ��� /f ,��� �� n Approved by Mayor for Submission to
27 gy: �Ll�(�/l� �c./ Council
28
By:
9�-z�z�
DEPARTMENT/OFFICE/COUNCIL DATEINRIATED GREEN SHEE N� 35271
LIEP/Licensing INITIAVDATE INRIAVDATE
CONTACT PERSON & PHONE � DEPARTMENT DIRECTOR � CRY CAUNQL
Bill Gunther, 266-9132 ���N �cmarroaHer OCITYCLEAK
NUYBEfl FOfl
MUST BE ON COUNCIL AGENDA BV (DATE)j pOUfING � gUOGET DIRECTOfl � FlN. & MGT. SERVICES Dlfl.
FOr hearing: � (O G�j ORDER �MAYOR(ORASSISTAN77 �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
AC710N REpUESTED:
Mozz, Inc. DBA Lastrada Trattoria requests Council approval of its application for an On
Sale Malt (Strong Beer), Wine On Sale, Grocery-C, and Restaurant-B License at 175 Sth
Street East (ID �I40299).
9ECOMMENDnnoNS;Approve tA)a Reiact (RJ -- -� �� - pERSONAL SERVICE OONTRACTS MUST ANSWER TNE POLLOWING QUES710NS:
_ PLANNING COMMI$$ION _ CIVIL SERVICE COMMISSION �� Has this person/firm ever worketl under a conhad for this departmeM?
_ C18 CAMMt7TEE _ YES NO
_�� — 2. Has this person/firm ever been a city employee?
YES NO
_ DISTRICi COUR7 _ 3. Does this personRirm possess a skill not normally possessed by any current c'rty employee?
SUPPOATSNMICHCOUNCILOB,IECl'1VE? YES NO
Exple�n all yas answers on seperate shcet and attaeh to green sheet
INITIATING PROBLEM, ISSUE. OPP�FiTUNITY (Who, Whet, NTen, Where. Why): .
ADVANTAGESIFAPPROVED: �
T�L3 LL 1��3�
� ���� �� �m��������
DISADVANiAGES IF(�PPROVED: .. .
y {�"' R4:� i�I: Y...�a 3
t..''t� � � e�: 9 u`� � �l
J,ylfl � � aJ�U
�b°�=�;� ����"����
DISADVANiAGES IF NOT APPROVED. y � 5 � yy_,,,§��
� g�e:yeyY� P;,�t�.��..,"�3°sed �dP�{i
ht�3it 29
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TOTAL AMOUNT OFTRANSACTION S COS7/HEVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfdG SOURCE AC7IVITY NUMBER
FINANCIAL INFORMATION: (E%PLAIN)
Greensheet# 35271 L.I.E.P. REVIEW CHECKLIST Date: 1/23/96 i �I L �
In Tracker? �aP'n aecervea / App'n Processed
License ID # 40299 License Type: On Sale Malt (atrong�, w;nP n�, sai P r_r
Company Name: Mozz, Inc. Restaurant—B pBA: Lastrada Trattoria
Business Addresss: 175 Sth St E. 55101 Business Phone:
Coniact Name/Address: Andrea Gambino. 1884 Kenwood nr w Home Phone: 772-3435
Date to Council Research: 55117
Public Hearing Date: � — "Q6 labeis Ordered: '�u °�' " /�
Notice Sent to Applicant: o � District Council #: �/
n� , r� � 3 �
Notice Sent to
Department/
City Attorney
Environmentai
Health
Fire
License
Police
Date Inspeciions
1- �O - yl�
�-ls� q�
�-1��9G
2-15-��
/—�6' ��
Ward
Commenis
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Site Pian Received:_
��e aeca��ad:
Zoning
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CLASS III
LICENSE APPLICATION
CITY OF SAINT PAl
0f3ice of License, Inspections
and Environmentat Protection
350 SL Ptla Sl Suim i00
Svnt Paul, rfinnoou 55102
(612) 2669090 fu I613) 2669124
'I'HIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
PLEASE TYPE OR PRINT IN INK
Type of License(s)
Company Name:
�Z3:
applied for: �1✓ 1 ��C O 1'1 SLL � P 1 � � P �'� SC�
Corporation / Partnership / Sole Proprietor5hip
I�u , i . s . inr�orporated, give date of incorporation: P� '�'" �J
� �'�"''' ``� �--�T � �^ Q,� . Business Phone:
D m usmess As: a
��owaes— �'75 � 5�h S+ �"SU"rl 1�5
Busmess Address: /'P P �(11( J� ���Al�� m I(Y1PSr��Gt J 5/(} /
Strect Address City Siate Zip
Between what cross streets is the business located? � I� Which side of the street? N I�
Are the premises now occupied? �E,S
Mail To Address:
Sveet Address
Applicant Infonnation:
Name and Tide: �l� r
. First
City
Middle
iYlYl@Sc��"cL �SJ` ���
Sta[e Zip
v
i nn �r� s�c�en�f'
Lazt Title
Home Address: /�'"i 6 Y Il PYl fa/!� DlY. d�1' V'I�ST ��I • I�ffU I �' I I! t/ It �U ��-�-- -�-� // /
� Sveet Address � Ciry State Zip
Date of Birth: /� c2 9 Ptace of Birth: �T���l Home Phone: r J r lo2 - 3'i �S
Have you ever been convicted of any felony, crime or violation of any city ordinance other than tra�c? YES _ NO �
Date of arrest:
Charge: _
Conviction:
Where?
Sentence:
List the names and residences of three persons of good 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 refetted to as to the app]icant's character:
NAME
What Type of Business?
ADDRESS
List licenses which you currently hold, formerly held, or may have an interest in:
Last
Ilave 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 _ NO If not, who will operate it?
First Name
Home Address: Sireet Name
Middle Initial
(Maiden)
City
PHONE
Datc of Birlh
State Zip Pho�e Number
Are you going to have a mana�er or assistant in this business? _ YbS � NO If the manager is not the same as the operator,
p]ease complete the following information: �y L_ a , 3 �
�t
First Name Mddle Initial
Home Address: Street Name
(!.faiden)
Ciry
Please ]ist your employment history for the previous five (�) year period:
�� �
Last
State
Address
Date of Birih
Phone Number
List all other officers of the corporation:
OFFICER TITLE HOME HOME BUSINESS DATE OF
NAME (Office Held) ADDRESS PHONE PHONE BIRTH
J
If business is a partngrship, please include the followin� information for each partner (use additional pages if necessary):
First Name
Middle Ini[ial
(Afaiden)
City
(Maiden)
Ciry
LaSt
$tate Z�P
Laa[
Home Address: Sveet Narne
First Name
Middle Initial
Home Address: SVeet Name
Sta[e Zip
Date ot BiM
Phone Number
Date of Birih
Phone Number
MINNESOTA SAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1484, Chapter 502, Article 8, Section 2
(270.72) (7ax Clearance; Issuance of Licenses), licensing authorities are required to provide to the State of Minnesota Commissioner
of Revenue, the Minnesota business tax identification number and the social security number of each license applicant.
Under the Minnesota Govemment Data Practices Act and the Federal Privacy Act of 1974, we are required to advise you of the
following regardina the use of the Minnesota Tax Identification Number:
- This information may be used to deny the issuance or renewal of your license in the event you owe Minnesota sales,
employer's withholding or motor vehicle excise taxes;
- Upon receiving this information, the licensing authority will supply it only to the Minnesota Department of Revenue.
Howeves, under the Federal Exchange of Information Agreement, the Department of Revenue may supply this information
[o the Intemal Revenue Service. �
Minnesota Tax Identification Numbers (Sales & Use Tax Number) may be obtained from the Staie of Minnesota, Buslness Records
Department, 10 River Park Plaza (612-296-6181).
Social Security Number: �/�' S U q�� �
Minnesota Tax Identification Number:
If a Minnesota Tax Identification Number is not required for the business being operated, indicate so by placing an "X" in
the box.
CERTIFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE 176.182
I hereby certify that I, or my company, am in compliance with the workers' compensation insurance covera�e requirements of
Minnesota Statute 176.182, subdivision 2. I also understandthat provision of false information in this certificationconscitutes sufficient
grounds for adverse action a�ainst all licenses held, includin� revocation and suspension of said licenses. �y � r � 3 .�
�..�
Name of Insurance Company:
Policy Number. Covera�e from� to
I have no employees covered under worken' compensation insurance
ANY FALSIFICATION OF ANSIYERS GIVEN OR MATERIAL SUBMITTED
WILL RESULT IN DENIAL OF THIS APPLICATION
I hereby state that I have answered all of the preceding questions, and that the information contained herein is true and correct to the
best of my knowled�e and belief. I hereby state further that I have received no money or other consideration, by �vay of loan, gift,
contribution, or otherwise, other than already disclosed in the application which I herewith submitted. I also understand this premise
may be inspected by police, fire, health and other city officials at any and all times when the business is in operation.
•"Note: If this application is Food/Liquor related, please contact a Ciry of Saint Paul Health Inspector, Steve Olson (266-9139), to
review plans. �
If any sobsiantia] changes to structure are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply
for building permits.
If there are any changes to the parking lot, floor space, or for new opemtions, please contact a City of Saint Paul Zoning
Inspector at 266-9008.
Additional application requirements, please attach:
A detailed description of the design, location and square footage of the premises to be licensed (sife plan).
'fhe foltowing data should be on the site plan (preferably on an 8 1/2" x I1" or 8 1/2" x 14" paper):
- Name, address, and phone number.
- T6e scale should be stated such as 1" = 20'. ^N should be indicated toward the top.
- Placement of all pertinent features of the interior of the licensed facility such as seating areas, kitchens, offices, repair
area, parking, rest rooms, etc.
- If a request is for an addition or expansion of t6e licensed facility, indicate both the current area and the proposed
ezpansion.
A copy of your lease agreement or proof of ownership of the property.
FOR SPECIFIC APPLICATION REQUIREMENTS, PLEASE SEE REVERSE >>>>