96-487� �.`�J�'\ - � - W��,�, � 5' g ( 9 �O Council File ,�` �� — � O_.. I
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Ordinance #
Green Sheet # 35280
RESOLUTION
CI, SAINT PAUL, MINNESOTA
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Presented By
Referred To
Committee: Date
RESOLVED: That application, ZD #17792, for a Restaurant-C, Sunday On Sale Liquor,
Liquor On Sale-C, Gambling Location-C, Entertainment-A, Off-Sale Malt, and
Cigarette License by Mr. C's Inc. DBA Mr. C's (Rudolph Cervantez, President)
at 429 Robest Stzeet South, be and the same is heieby approved, with the
following condition:
1) Additional lighting shall be installed in the parking lot to increase
neighborhood safety without being obtrusive to adjoining properties.
Requested by Department of:
B �'' � ��
Approved by Mayo . Date 5 Q/s
By: ! �(. {r < /�l"�w"v>
Form Approved by City Attorney
By: � ,(il�LC� v �/
. , 1 �X�xn��
Approved by Mayor for Submission to
Council
Bye
Adopted by Council: Date ��p� . g_, � q0.fe
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Adoption Certified by Council Secretary
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DEPARTMENT/OFFICE/COUNCIL DATEINITIATED �REEN SHEE N� � S G V O
LIEP/Licensin iNmavonre iNrtwma�
CANTACf PEASON 8 PHONE � DEPARTMENT DIRECTOR O CIT'( CAUNCIL
Christine Rozek, 266-9108 �" OC�fYA170RNEY �CRYCLERK
MUST BE �N C�UNCII AGENOA BY (DA� N O BUDGET 41RECiOP � FtN. & MCaT. SERYICES �IR.
/ (j OPOER O MqYOp (OR ASSISTAPfn �
For hearin : J p
TOTAL # OF SIGNATURE PAGES (Cl1P ALL LOCATIONS FOR StGNATURE)
ACTIONREQUE5TED: M2. C�S Inc. DBA Mr. C's requests Council approval of its application for a
Restaurant-C, Sunday On Sale Liquor, Liquor On:Sale-C, Gambling Location-C, Entertainment-
A, Off Sale Malt, and Cigarette License at 429 Robert Street South (ID I/17792).
aECOMMENDATioNS: nppmve (A) or Rajeec (R) pEiiSONAL SEHVICE CONTHACTS MUST ANSWER THE FOLLOWING �UESTIONS:
_ PLANNING COMMISSION _ GIVIL SERVICE COMMISSION �� Has this personRirm ever worked under a contract for thi5 deparhnent?
_ CIB COMMITTEE YES NO
_ STAFF 2. Has this perwnffirm ever been a city employee?
— YES NO
_ DIS7RIC7 CAURT — 3. Does this person/firm possess a skill not normall �
y possessetl by any current ciry employee.
SUPPoRT$ WNICH COUNCfL OSJECTIVE4 YES NO
Explain all yes answers on separate sheet anA attach to green aheet
INITIATING PROBLEM, ISSUE, OPPORTUNITY (WM, Whet, WnBn. Where. Why).
ADVANTACaESIFAPPPOVED:
�������V
�aR � s �s�s
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DISADVANTAGESIFAPPROVED: '� �'
��� ��`3as�„"��i a�+��$���
A�R fl 4 ����
DISADVANTAGES IF NOTAPPfiOVED:
TOTAL AMOUNT OF THANSACTION $ COS7/REVENUE BUDGETED (CIHCLE ONE) YES NO
FUNDING SOURCE ACTIVITV NUMBER
F7NANCIAL INFORMATION� (EXPLAIPf)
Council File $ � � � � 0 �
Presented By
Council Secretary
Green Sheet #
Referred To
RESOLUTION
AIPJ,T'(�AUL, MINNESOTA
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RESOLVED: That application (TD #17792) for a Restaurant-C, Sunday n Sale Liquor,
I,iquor On Sale-C, Gambling Location-C, Entertainment-A, Off Sale Malt, and
Cigarette License by Mr. C's Inc. DBA Mr. C's (Rudolp Cervantez, President)
at 429 Robext Street South be and the same is hezebyfapproved.
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ordinance #
Committee:
Requested by Department of:
Office of License Inspections and
Environmental Protection
By: ���-r-�- � �,�
FoYm Approved by City Attorney
By: �A �` J \d CAl��.u�
Date
Approved by Mayor for Submission to
Council
By:
�ree�sneet # ss2so L.I.E.P. REVIEW CHECKLIST Date: 3/5/96 /��'�'��'
In 7racke�? App'n Received / App'n Processed
License ID # 17792 License Type: Rest —C Sunday On Sale_ Liq, A Liq� On Sale—C,
z a,, r,. �., ��— , ,.
Company Name: Mr. C's inc. v "`�""` •° --------
Business Addresss: 429 Robert St So Business Phone: ZZ�-0911
ContactName/Address: Rudolph Cervantez, 6362 Ballatine AveHome PhOne: 457-6563
Inver grove ts 5�677
Date to Council Research: (,
Public Hearing Date: S g � Labels Ordered:
Notice Sent to Applicant: �o�/�o District Council #: -
� - — r.a
/O� �.�. �9:.,�us�.
Notice Sent to Public: �� � Ward #: �
Department/ Date Inspections Comments
City Attomey
Environmental �' Z � � � � � �
Heaith
Fire � ' 2 � � � � O ` {� �
License � ' �� •� V� �' �' � Site a�an Fteceivea:
lease aacetved:
!�
Po�ice 3• 20 �9 b �- �•
Zoning `�j • �- 1 • t � � ` � '
�
"o P�cciih MA��I 1,1
�uiausly 191,�a3 cLass 1u c�� oF S��
LICENSE APPLICATIOI�T ' ' ° �,a�,Wa�� ���
350 A Paa SL Suite 300
Saim Peu4 Mio�csata 55102
(61n ]b69�0 fu (61n 266912d
��r
THIS APPLICATION IS SUBJECI' TO REVIEW BY Tf� PUBLIC
PLEASE TYPE OR PRINT IN INK
� ao+{� f t'qu.►�.fi�hcs ,�a 176 0�' sc�te Akt �'
Type of License(s) being applied for:
Company Name:
Parmership / Sole Proprietorship
If business is incorporated, give date of
Doing Business As:
Business Address:
Business Phone: 2z ^- 09��
Stree[ Addrus City Su[e Zip
J
NameaudTifle: �Sll���/�f/ ///e'Y.9���k-,e C�.E'l��Ii�T'�
First Middle (Maiden) Iast TiOe
HomaAddress: ��l<� .����/�i���/ilC' ��/'c' ��fC�1 ��(�i�t�P ����1 �IJid'n: uSnJ�
�? Su'ee A J /J City S Zip
Date of Birth: / /�4- /'Ys5 Place of Birth: ,�i� �'!I« L �7-�� �l' �`J ���
Home Pbone:
Have y u evec been convicted of any felony, crime oc viotation of any city ocdinance other than hafficl YEE�� NO �
Cq �E dvf ��,� >'.uS�
Date of arrest: �2���"7'���ES Where? -- �"'� "— �/��
Chazge:
Conviction: r'I L�_� Sentence: ��� � /'"��F'
List the names a�d residences of three persons of good moral chazacter, living within the Twin Cities Metro Area, not related to t6e
applicant or financiatiy interested in the pTemises or business, who may be cefeaed to as to the applicant s chazacter:
NAME �
�5/C` �/��v`!/!L f-. 7_
T
List licenses which you
Z
ADDRESS
/U_3�
.lt/i.�o�i�
formerly held, or may 6ave an interest in:
PHONE
�,2`/- ��%� "l
�� �� � I-
Have any of the above named licenses ever been revoked? _ YES X NO If yes, list the dates and reasons for revocaGon:
Ar� ou� �oinj to operate this busine�s personally? � YFS _ NO If not, w will ope it?
J�/<�iCO.s /> C e fl�/Jn i �2 "�l �6
first Name
!o�/>a? ,�/i
Home Addcess: Streec Nazre
Middle Inidal (Maiden)
City
La
_ �f1'
State
Zip Phone Number
Street Addrus 7- � � City State Zip
Between what cross streets is the business located? ��r ��n�d'�'� Which side of the str �
Are the pcemises now� , o / ccupied? � lfs p WhatType of Business? On B ..sa/e L i yitdr� /3Ati- �!�C?S'�lt,u /'c+„J'�"
Mait To Address: _ °7� '�1 ..�J_/i.4�n-T_ �J'� Hft��� �iiln ���d7
. : .�� vaJ �* �
J 9 3°
Are you going to have a manager or usistant in this business? _ YES � NO If the manager is not the same as the operaz�.��, Ja �,r
complete the following inforn�ation: �
�Gf__U�r! ,
Fi�st Narre
HmneAddress: StrcetName
Middle Initial
Ias[
State Zip
Date of Binh
Phone Number
Ctty
Please list your employmeut tristory for the previous five (� year period: �� ��, �� Cl ��
��,�
r �6�;�t�
List all other ofEcers of t6e corporation:
OFFICER T'ITLE
(Office fteld)
�, J�s,� r
,� S/� /
HOME HOME BUSINESS AATE OF
ADDRESS PHONE PHONE BIRTH
l,�'�� .�'��/�n/�� �df 4��-6� 63 - z93-32 9��c/y,�
If business is a par[netship, please include the following info�btion for each paz[ner (use additional pages if necessary):
Date of Birth
Home Address: Street Name
First Name
Home Address: Street Name
Middle IniGai
<Maiden)
City
Last
State Zip
LaSt
State ?rp
Date of airth
PhaneNumber
MINNESOTA TAX IDENTIFTCATION NUMBER - Pursuant to tt�e Laws of Minnesota, 1984, Chapter $02, Article 8, Secdon 2(270.72)
(Tax Clearance; Issuance of Licenses), licensing authorities are cequued to pcovide to the State of Minnesota Coaunissionec of Revenue,
the Minnesota business ta� identi£cation 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 ue required to advise you of the followiug
regazding the use of the Minnesota Tax Identificadon Number:
- Ttris infocmation may be used to deny the issuance oc renewal of your ticense in the event you owe Minnesota sales, employer s
withholding or motor velricle excise taees;
- Upon receiving Uvs infom�ation, Ure licensing authority will supply it only to the Minnesota Depucment of Revenue. I�owever,
under the Federal Bxchange of Information Agreement, the Departu�ent of Revenue may supply this informaaon to the Intemal
Revenue Service.
Minnesota Tax Identificafion Numbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records
Department, 10 River Pazk Piaza (612-296-6181j.
Social Security Numbei: y�� �� 4 7 y�
Minnesota Taz Identification Number: 3 ��� i��'�6 �� � / j7 f
If a Minnesota Tax Identification Number is not required for We business being operated, indicate so by ptacing an "X" in the
— boz.
c�ry
Ynone rvuinDer
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,;�t7FICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STA'CUTE 176.182 r
i hereby certify that I, or my company, am in compliance with the workers compensation insurance coverage requiremenu of Minnesota
'� Statute 176.182, subdivision 2. I also understand that provision of false informafion in this certification consfitutes sufficient grounds for
adverse action against all licenses held, including revocation and suspension of said licenses.
Name of Insurance Company:
PolicyNumber: 031�-OG-/a/3�3 Coveragefrom ��/S, to
I have no employees covered under workers compensation insurance �� S
ANY FALSIFICATION OF ANS�VERS GIVEN OR MATERIAL SUBMITTEA
WILL RESULT IN DEIVIAL OF THIS APPLICATION
I bereby state that I have answered all of the preceding questions, and that the information contained herein is tcue and cotrect to the best
of my knowiedge and belief. I hereby state further tha[ I have received no money or other consideration, by way of loan, gifr, conaibudon,
or otherwise, other than alteady disclosed in the applicaGon a�luch I Lerewid� submitted. I also understaod this premise may be inspected
by police, fue, health and othex city officials at any and all times when the business is in operation.
**Note: If this applicafion is FoaULiquor related, please contact a City of Saint Paul Heaith Inspector, Steve Olson (266-9139), to review
plans.
If any substantial changes to structure are aniicipated, please contact a Ciry of Saint Paul Plan Ezaminer at 266-9007 to apply for
building permiu.
If tl�ere are any changes to the pazking loi, floor space, or for new operatiops, please contact a City of Saint Paul Zoning Inspector
at266-90�8.
AdditionaI applicatfon requirements, please attach:
A detailed description of the design,,location and squue footage of the premises to be licensed (site plan).
The following data should be on the site plan (preferably on an 8 U2" x 11" or S 1/l" x 14" paper):
- Name, address, and phone number.
- The scale should be stated such as 1" = 20'. ^N should be indicated towazd the top.
- Placement of all pertinent features of the interior of the licensed facitity such as seating areas, ldtchens, oRices� repair
acea, parldng, rest rooms, etc
- If a request is for an addition or expansion of the licensed facility, indipte both the current azea and the proposed
e�cpansion. "
A copy of your lease agreement or proof of ownership of the property.
FOR SPECIFIC APPLICATION REQUIREMENTS, PLEASE SEE REVERSE >>>>.