96-311� Council File # 9 c. ' 3 1�
? ��'J ! � i � . y���� • t -_ Ordinance $
Green Sheet � 3Sa ��
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA 3S
Presented By
Referred To
Committee: Date
1 RESOLVED: That application (ID #37401) for a Wine On Sale and On Sale Malt (strong
2 beer) License by Mi11 City Cafe, Inc. DBA Mill City Cafe (Jack Whittemore,
3 President) at 791 Raymond Avenue be and the same is hereby approved.
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16 Adopted by Council:
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18 Adoption Certified by Council Secretary
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21 By:
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23 App�
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26 By:
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Requested by Department of:
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By: (}i�� � ._"
Form Approved by City Attorney
BY: ���,,.. � � ��D.-�..e,.
Approved by Mayor for Submission to
Council
By:
Date \' \o,,., �. �+'1 LS`�
LIEP
Bl�.l
For
FON
GREEN SHEET
q�-3�l
N_ 35278
� INRIAUDATE 1NRIAUDATE
DEPARTMENi DIRECTOP � CRV COUNCIL
GRY ATTORNEY Q CT' CLEflK
BUDGEi' DIRECTQR � FIN. & MGT. SERVICES DIR.
ANYOFi IOR ASSISU+Nn O
TOTAL # OF SIGNATURE PAGES (CUP ALL LOCA710NS FOR SIGNATURE7
Mill City Cafe, Inc. DBA Mill City Cafe requests Gouncil approval of its application
for a Wine On Sale and On Sale Ma1t (Strong Beer) License at 791 Raymond Avenue
{ID I137401).
_ PLANNMG COMMISSION _ CML SERVICE CAMMISSION
_ q8 COMMITTEE _
_ STAFF _
_ DISTRICT COUAT _
SUPPORIS WHICH CAUNCiI O&IECTIVE7
IFAPPqOVED:
PEHSONAL SERVICE CONTpACTS MUST ANSWER TME FOLLOWING QUESTIONS:
i. Has this pe„so�rm ever workeC untler a ConVact tor fhis tlepaAment? -
YES NO
2. Has this personlfirm ever been a City empioyee,?
YES NO
3. Does this personffirm possess a sk81 rrot normally possessed by any cument ciry employse?
YES NO
Erzplain all yrts answers on separete sheet and atteeh N green sheet
R�cErvE�
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���CY A�'tURHEY
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✓
NOTAPPflOVEO:
TOTAL AMOUNT OF TNANSACTION $
COST/REVENUE BUDGETED (CIRCLE ONE)
YES NO
FUNDING SOURCE ACTtVITY NUMBER
FINANCfAL INFOfiMAT10N, (EXPLAfN)
Greensheet # 35278
In TrackeR
License iD # 374Q1
L.I.E.P. REVIEW CHECKLIST date: 1-26-96 J q L' 3 ��
qaP'n Received / ApP'n Processed
License Type: � Sale Malt (stron�) and Wine On Sale
Company Name: Mill Citv Ca£e Inc. DBA: rr; i t �tr� rafa
Business AddresSS: 791 Raymond Avenue BuSineSS Phone: 646—i379
Contact Name/Address: Jack Whittemore (P) , 934 Hampden Ave Home Phone: 659-0464
SSI14
Date to Councit Research:
Pubiic Hearing Date: �` 7 Labels Ordered:
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Notice Sent to Appiicant: � District Council #: ��
o � /� �� m , �
Notice Seni to Pubiic: /��I �U/ ...�3 t �1 r j Ward #: �
Date Inspections
Attorney
Z -I z -Q'6
Environmentai
Health
Fire
License
Police
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Comments
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Lease Received:
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Zoning
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CITY OF SAINT PAUL
Norm Coleman, dfayor
THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
MALT/WINE ON SALE
LICENSE APPLICATION
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.
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Business Address
Business Name
.�� yGl
OFFICE OF LICENSE, INSPECTIONS AND ��`^�`
ENVIRONh4N�AL PROTECftON S
Ro6esf Kessler, Director
UCETSE AND
INSPEC770A'S
350 St Peter Street
Suite 300
Saint Paul, dTnnesota 55/02
Telephone: 612-166-9100
Fatsimile: 612•166-9124
rnr� 55►��
If business is incorporated, give date o£ incorporation
�II�V'G� �o , i9 .95
Doing Susiness As
Business Phone # ( ��k6- �3�9
Mail to Address (if different than business address)
Your Name
Title
Home Address
Phone # �05 ���(1�
9. Date of Birth (MOnth, Day, Year) � J������
Place of Birth �� oY��'( �'e`/A � I• `�
10. Are you a U. S. citizen? YiJ Native Naturalized
If naturalized, submit pro f of naturalization or valid documentation of
resident alien status. *( n accordance with MN Statute 340.402A, no On
Sale or Off Sale Liquor License may be issued to anyone who is not a U. S.
citizen or resident alien.)
� �._:,. _ .�. �__.:. _ -. _ .._�._ .. _._ .... r,�.�,�
11. Have you ever been convicted of_a�y felony, crime, or violation of any city ,
ordinance other than traffic? �V U
Date of arrest , 19 q t� ��"
Where Charge
Conviction Sentence
Date of arrest . 19
where Charge
Conviction Sentence
12. List licenses which you currently hold, or formerly held, or may have an
interest in.
Re ���ran�- �� more f�ah �2 se��-s �v� `J�tziZ
13. Have any of the licenses listed in #14 ever been revoked? yy�
If yes, list the dates and reasons.
14. Are you going to operate this business personally? e S If no, who will
operate it?
Name
Aome Address
Phone #
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Are you going to have a manager or assistant in this business? y.'C��
If yes, give name, home address, phone #, and date of birth. 1
Name
Home
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17. List all other officers of the corporation. (Name, Title-Office held, Home
address, Home phone, Business phone) ..
including your present business/employment, what business/employment have
you followed for the past five years? (Business/Employment, Address)
�a
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If business is partnership, list partner(s) name(s), home address, home
phone, business phone.
Between what cross streets is business located?
Which side of street?
Are premises now occupied?
What type of business? �v��
How long? ✓ I�W'��L7
�(,-3\�
You will be required to obtain a Retail Liquor Dealers Tax Stamp. (See
attached)
ANY FALSIFICATION Or ANSWERS GIVEN OR MATERIAL
SUBMITTED WILL RESULT IN DENZAL 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, gi£t, contribution, or otherwise,
other than already disclosed in the application which � I y � e with submitted.
���(N6•��D?G �I23��6
State of Minnesota) Signature of Applicant / Dat
)
County of Ramsey )
Subscribed and sworn to before me this
ay of �1 W �� . 19.�
Notary ubli County, MN
My Commission expires �.� — � �
ABIGAIL L SMtTH
NOTAflY PUBUC- MINNESOTA
HENNEPIN COUN'fY
My Comm. Eapires,lan. 31. ZOpp