96-36Q�I�r!E'���
Council Eile # ! f0 - 3v
Ordinance #
Green Sheet # 35534
RESOLUT{ON
�1�4YPRI7L, MfNNESOTA
Presented By
Referred To
Committee: Ddte
3/
1 RESOLVAD: That application (I,D. #58797) for an On Sale Malt (3.2) and Restaurant-B
2 License applied for by Ga11es Restaurants Inc. DBA Seasons Inn (Daniel C.
3 Galles, Owner) at 1155 Montreal Avenue be and the same is hereby approved.
r--�r-�—��� Requested by Department o£:
Adopted by Council: Date
Adoption CertiEied by
&y
�
B y =
Secretary
OP£ice of License, Insoections and
finvironmental Protection
By: l�i�'ni � /'-'°L�tC�--^�
Form Approved by City Attorney
s ,r,YA,l9 � � ,��fi�2 I� is"�
Approved by Mayor for Submission to
Council
By:
LIEP
Bill Gunther/266-9132
For
FOB
y,G -3G
GREEN SHEET N_ 35534
INRIAUDATE INITiAVDqTE
DEPARTMENTDIRECTOR OCRYCAUNqL
CRY ATfOANEY O CRY CLERK
BUDGET DlRECTOR � F7N. & MGT. SEAVICE$ DIN.
MAYOR (OR ASSISTANT) O
TOTAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS POH SIGNATUR�
ACf70N RE�UESTED:
Galles Restaurants Inc. DBA Seasons Inn (Daniel C Galles, Owner) requests Council approval
of its application for an On Sale Malt (3.2) and Restaurant-B License at 1155 Montreal
Avenue. (I.D. 4i58797)
_ PLANNINGCOMMISSION _ CIVILSERVICECOMMISSiON
_CIBCOMMIITEE _
_ STAFF _
_ OISTRICTCAURT _
SUPPORTS WNICH COUNqL OBJECTIVE4
IF APPROVED:
PEqSONAt SEpY10E CONTHACTS MUSi ANSWE2 THE FOLLOWING �UESTIONS:
7. Has this person/Flrm ever worked under a coMract for this department? �
YES NO
2. Has this personHirm ever been a ciry employee?
YES NO �
3. Does ihis personttirm possess a sld�� not normally possessed by any current city employee?
YES NO
F�cplain all yes answers on separete aheM and attach to green sheet
"aE d i�=^S3;P� EA¢*aZE��
�"�'� ° � ' IJ�J
TOTAL AMOUNTOFTRANSACTION S
FUNDIlJG SOURCE
FINANCIAL INFORMATION' (EXPLAIN)
COST/REVENUE BUDGETED (CIRCLE ONE) VES NO
ACTIVI7Y NUMBER
Greensheet # s 3�4 L.I.E.P. REVIEW CHECKLIST
In Tracke�?
License ID #
Company
Date: 11/7/95 � �� _✓ `
App'n Received / App'n Processed
58797 License Type: dII Sale (3.2) Malt & Restaurant-B License
.Ga11es Restaurants Inc. nRA• Seasons Inn
Business Addresss: 1155 Montreal Ave. Business Phone: 698-0132
Contact Name/Address:
Daniel C. Galles �5Qp4�hland Ave. Home Phone: 659-9758
Date to Council Research:
Public Hearing Date: /� / Labels Ordered: / ��� 1y �
Notice Sent to Applicani: ' �O 2 District Council #: 09
02
Notice Sent to
Ward
Department/ Date Inspections Comments
City Attorney 1 � �� g5 �� "
Environmental . � t
Heaith '� +s�+
l/ 29 - �S 6�' S'c/��T T6 �/n�HL J,�/5�.
Fire
/I - �� 5�s 6�
License ���✓ °�'� ' � Site Plan Received:_
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�,.r s�c" �Iazr £ jee.o�
Police bK � �•� �
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Zoning
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1
CLASS III
LICENSE APPLICATION
iE'.rv sa., s 2.» .
THIS APPLICATION IS SUBJECT TO AEVIEW BY TF� PUBLIC
PLEASE TYPE OR PRINT IN INK
Type of License b
Company Name:
If business is incorpotated, give date of incorporation: �� �%`? ��
Doing Business As:
Business Address:
CITY OF SATNT PAUL
Ofkia of License, Inspectiora
�a ���„�w r���o
350 SL PEa 3[ Sunc 300
S+w[Pad, Mmnaon SStC2
(612) 2ES90�J fu (612) 266-9114
Business Phone: l" �3 �t - oi 3.z
-�-� .5511 re
Smet Add'ess Ciry State 7.ip
Benveea what cross �treeu is the business locate�? !<? 7' £ F�c�'�l� Nhicn side of t6e street� �id.s'rG
Are the premises now occupied? �g'S What Type of Business? S��E'
Mail To Address: ! 3�5 f/1��-.—m!�1.�,� .<9�g�ue�' .`�'s1. 'an-s�-� ��fr�
Street Addmss City Stau 2ip �
Applicant 7nformation:
Name and Title: , �� � �`�-:Sr�e �.�'.r C.s�//�� �<�.. �y
Fim bLddlt (Maiden) Last � Title
HomeAddress: .-aev� f�ss�"l�d�s�..�6 �.ryl��/ yiy�-i SS/o�/
' Shat Address Cily State Zip
Date of Birth: �-Z�t/7o Place of Birth: 4z1Lr�u / Home Phoae: 6 S� q'�r �
Are you a citizen of the United States? Native? � Naturalized?
lf you are not a U.S. citizen, you mast have work autLorizatioa from the U.S. Immigration & Naturalizstion Service.
Have you ever been convicted of any felony, crime or violario» of any city ordinance other than traffic? YES _ NO '�
Date of acsesr.
Charge: _
Conviaion:
Where?
Sentence:
List the names and residences of three persons of good moral cnaracter, tiving withia the Twin Cities Metro Area, not related to the
applicant or fmancially interested in the premises or business, who may be refeaed to as to the appiicanYs character.
NAME ` ADDRESS PHONE
� v v�'.�� �� �,__c,�-�-- /�%.�'� l�J �f.�_.=.�� v�' 5�i-z
ist licenses which you currently hold, foimerly held, or may have an interest in:
�`� lf"' C.��f.7zc.lJ' / G:..� Q1.s�E�f�E �/�1Ya .Yr,- r�r"�"•+� 7L
�
ive any of the above named licenses ever been revoked? _ YES .1 NO If yes, list the dates and reasons for revocation:
� you going to operate this business personatly? i YES _ NO If not, who will operate it?
'vst Namc
t+liddJt Jnitial
(Maiden)
: Addrets: Street Name Ciry Sute Zip
D2tt Df B1TiY1
Phone Numtxr
Cocporasion f Pazmcrship ! Sote Ropsietocsisip
I�,-:3�► :;._
Are you going to have a manager or assistant in this business? _ YES -! NO If the manager is not the same as ihe operato , ¢-
please comp3ete the following information:
�
Fus[ Name 3Yfiddle Initial (Maidrn) Last Uate oF Buth
Fimne Address: Strcet Narrn
City
State Zip
Phonc
Piease lirt your employmeat history for the previous five (5) year period:
Business/Emolovment
Address
List a33 other officers of the corpontion:
OFFICER TITLE HOME HOME BUSINESS DATE OF
TQAME (Office Held) ADDRESS PAONE PHONE BIRTH �/
/� � t r.✓�. 7 �/ ' i_,� �r,�//�Y' /.» s :.�--g'r / � n �� F� i�' cso/� -2�5�67
v
If business is a parmenhip, please include the following information for each partner (use additional pages if necessary):
F'vst Namc Tsddte lnitial
(Meiden)
it!",
Daa of BiN�
Hmne Addrcss: Sveet Name Ciry Srate Zip Phone Number
Fim Name bfiddle initial (Meiden) Last Date of Bitth
Homc Addrcu: Street Name Ctry State Zip Phone Number
MINNESOTA TAX IAENTIFICAI'ION NLTMBER - Pursuant to the Laws of Minnesota, 1484, Chapter 502, Article 8, Section 2
(270.72} (Tax Clearance; issuance of Licenses�, licensing authoriGes are required to provide to the State of Minnesota Commissioner
of Revenue, the Minnesora business tax identification n�amber and the social secarity nu�!ber of each liceese appticant.
7nder the Minnesota Government Data Pracfsces AM and the Fedenl Privacy Act of 1974, we are required to advise you of the
ollowing regazding the use of the Minnesota Tax Idenrificarion Number:
- This information may be used to deny the issuance or renewai of your license in the event you owe Minnesota sales,
employer's withholding or motor vehicle excise ta�ces;
- Upon receiving tLis information, the licensing au�hority will suppiy it only to the Minnesota Deparmrent of Revenue.
However, under the Federal Exchange of Infocmation Agreement, the Depactment of Revenue may supply tfiis 'rnformatson
to the Intema3 Revrnue Service.
nnesota Ta�c Identification I3umbers (Sales & Use Ta�c Number} may be obtained from the State of Minnesota, Business Records
partment, 10 River Park Plaza (612-246-b181).
ialSecurityNtttnber. �/7�-�" �'55��,
nesota Tax Identificatian l�tumber: �-� 6 � �-z t
_ If a Minnesota 7'ax Identification Number is not required for the business being opemted, indicate so by placing an "X" �n '
the box.
�
�.a�/�'r l 4 .i�c-�' ��-f� /�_��J t 3,..a� s/��,.�\����i.s'U,�
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CERTIFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE 176.182
1 hereby certify that I, or my company, am in compliance with the workers' compensation insurance coverage requiremenu of
MinnesotaStamte 176.182, subdivision 2. I ako understandthat provision of false information in this certificationconstitutes sufficient
grounds For adverse action against aS] licenses he7d, including revxarion and suspension of said licenses.
Name of Insurance Company:
Policy Number. Coyerage from to
I have no employees covered under workers' compensation insurance
ANY FALSIFICATION OF ANSWE?2S GIVEIV OR 7d1ATEP.L4L �UBMITTED
WII,L RESULT IN DENIAL OF THLS APPLICATION
I hereby state that I have answered alt of the preceding questions, and that the information contained herein is uue and coaect to the
best of my lmowledge and belief. I hereby state futther that I have received no money or other consideration, by way of loan, gift,
contribution, or otherwise, other than already disclased in the application which I herewith submitted.
(REQUIRED for all applications) " Aate
Attach to this application:
1) A detailed description of the design, location and square footage of the premises to be licensed (site plan).
The fo}lowing data should be on the site plan (preferably on aa 8 1/Z" z 11" or 8 1/2" z 14" paper):
- Name, address, and phone number.
- The scale shouid be stated sucL as 1" = 20'. ^N shonld be indicated toward the top.
- Placement of all pertinent features of the interior oi the licensed fscifity such as sesting areas, kitchens,
offices, repair area, parking, rest rooms, etc.
- If a request is for an addition or ezpansion of t6e licensed facility, indicate 6oth the current area and the
proposed expansion.
2) A copy of your lease agreemeat or proof of ownenLip of the property.