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96-597�€��r�,z r ^ i � � _, �.�1� .,, .�.. Council File # � S � ordinance # Green Sheet # !� � `� Presented By Referred To � Committee: Date 1 RESOLVED: That application (ID #10719) for a Parking Lot/Ramp License by Parking 2 Services, In.c DBA Spxuce Tree Centre Parking Ramp (DOUglas Aoskin, 3 President) at = s+� °'-^°�� �-°'- be and the same is hereby approved. l` uR�✓CQsiry /�✓6nJN6. �jjw 4 5 6 Yea Nays Absent 7 B a� 8 Guers_ a —� 9 Harris � 10 Me ar � 11 Re tman 12 T an� r 13 Bostrom 14 15 16 Adopted by Council: Date q G 17 18 Adoption Certified by Council Secretary 19 20 ` \ 21 BY � � � .r . � f V J�a..is �..�� 22 " \ /� p 23 Approved by Mayo� Date („� �� ! 24 25 Y " � _��� 26 By: 27 RESOLUTION CITY OF SAINT PAUL, MINNESOTA Requested by Department of: Office of License. Inspections and Environmental Protection By: �J��^-z-� �V �'�C,��� Form Approved by City Attorney BY � '�/ lr Di.«i,r,� /� ���z.�.-.�P/L Approved by Mayor for Submission to Council By: a `• sq'7 DEPARTMENT/OFFICEICOUNCIL DATEINITIATED GREEN SHEET "-O 35279 LIEP/Licensing _.- — CANTACT PEflSON 8 PHONE INRIAL/DATE INITIALIDATE O DEPARTMEM DIRECTOR � CRY COUNCIL Christine Rozek, 266-9108 ���N �CRYATTOFNEV �crrvc�wc NUYBERFOR MUSTBE ON COUNCILAGENDABV (DA'!� pp�� � BUDGET DIRECTOfi � FlN. & MGT. SERVICE$ DIR. For hearing: J4n¢, � / � O � �YOR (OPASSISTANn ❑ TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACiION REQUESTED: Parking Services, Inc. DBA Spruce Tree Centre Parking Ramp requests Council approval of its application for a Parking Lot/Ramp License at 1600 University Avenue (ID ,��10719). RECAMMENDA770NS: Approva (A) or Rejeet (R) PERSONAL SERVICE CONTfiACTS MUST ANSWER THE FOLLOW�NG QUESTIONS: _ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION 1. Has this Derson/firm ever worked under a coMrac! for this department? - _ CIBCOMMI7TEE YES NO — 2. Has this person/firm ever been a ciry employee? _ STAFF — YES NO _ DISTRiC7 GOURT _ 3. Does this personflirm possess a skill not normall � y possessetl by any current ciry employee. SUPPORTS WHICN COUNCIL O&IECT7VE? YES NO Explein all yes answers on separete sheet anC ettach to green sheet INITIATING PROBLEM, ISSUE, OPPORNNITY (Wlw, W�at, When, Whera, Why). ADVANTAGES IF APPROVED: �������� �"7�1R 1$ 153D ���� ��� ; DISADVANTAGES IF APPROVED: f F'x, f- �� �:. � ,� ' , DISADVANTAGES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDIHG SOURCE ACTIVITV NUMBER FINANCIAL INFORMATION: (EXPLAIN) Greensheet # 35 2 7 9 ln Tracker?� License ID # 10719 L.I.E.P. REVIEW CHECKLIS7 Date: 3/6/96 ��` ApP'n Fleceived / App'n Processed License Type: Parking Lot/Ramp Company Name: Parking Services, Inc. DBA: Spruce Tree Centre Parkine Ramp Business Addresss: 1600 Universitv Ave W Business Phone: 644-2280 Contact Name/Address: Doue Hoskin. 3640 Birch� Home Phone: 687-0463 Eagan 551 2 Date to Council Research: Pubiic Hearing Date: � � � Notice Sent to Applicant: �.��9�3s`io/�� Labels Ordered: District Council / � - ���, 31� � Notice Sent to Public: � `�/� Ward #: Departmentf Date lnspections Comments Cfty Attorney �'�' c� . z3 . q (� Environmental �' � � Health Fire "�'�� ��� License rj(� �i�(� ���--' Site Plan Received:�� f Lease Received: �� Police �� 3•2a•�t� Zoning � • 2 � . � �O O �v �� , SAtNi lAVL � AAAA cLass iu LICENSE APPLICATION CITY OF SAINT PAC3L Office of License, Inspections and Environmenla( Proteclion 3N1 Si Paa St Suue 300 Saim Pau4 Ninmsw 55102 (612J Zb69030 fu (612) 3669124 THIS APPLICATION IS SUBIECT TO REVIEW BY Tf� PUBLIC PLEASE TYPE OR PRINT IN INK Type of License(s) being applied for: � O� T c.7�! � �" �1'� , °�- � Company Name: , G'( �� Y�C.� (�J 1(�� i-�/�C.� � Cocporation / Parfiership / Soie Proprietorship I n If husiness is incorpocated, give date of incorporation: �O —_\ � t �� Doing Business As: �� (�a l0 fit� ��Qin��i.�� Q{ ��1 (,t �� Business Phone: �, M U Busioess Address: � U)( u C! � L E Y S ��'�� \)� �-� �U�D (� Vl • J�J I U`i Svcet Addrus City Sute Zip Between what cross streets is the business located?Sp(u �"�(PZ ��vifYe D f• d S/� I��•�,,(u side of the street? V.i �.Ci rl�r^�1 Are the pLemises now occupied?� U y..J What Twe of Business? {� U[1Gr�c, KQ Yn p SYUL � � �!'k /�{ Mail To Address: -'�� � �� t' �'� S�• � 3�'� �J S�' � t'C v.y r i�1 �� � f <1' SP f u �V Tf e� Street Addrus Applicant Infon Name and Tifle: City Sta�e Zip Fast � Middle _ (Maiden) Last Title HomeAddress: ��vy�i �il(�U�1�C) �i��� ���C lrin• �`7i7�o1� Street Address M City State Zip Date of Birth: S" I�—��� Place of Birtb: 1 1 1 �(1 Y�4G � 1 S S Home Phone: ��' ��� 3 Have you ever been convicted of any felony, crime or violazion of any city ordinance other than traffic? YES _ NO Date of arrest: Where? Chazge: ' Conviction: Seutence: List the names and residences of three persons of good moral chazacter, living within the Twin Cities Metro Area, not related to the applicant oi Financialiy interested in the pretnises ot business, who may be referred to as to [he applicanYs chazacter: NAME „ `-- ADDRESS PHONE Are you go' g to operate th business personally? YES _ NO If not, who will operate it? ��kin� lO(JiC�.Qn .-��1 �. Fust Name Home Address: Strea Narre Last Ciry t� Date of Zip Phoce Number J_,ist licenses which you currendy hold, fotmerly held, or may have an interest in: 0 ( � 8'.�i33 -�# 535�U �+�t ?,� S�1'�� 5 5 b 5ic7� ,..��bU �-`':�I7�i'c� Have any of the above named licenses ever been revoked? _ YES NO If yes, list the dates and reasons for revocation: Are you goin complete the Fint Narne Home Address: SUee[ Name Middle (Maiden) Iast Ciry Please list your employment lustory for the previous five (5) yeaz period: Bus,ifless(Emolovment �. Address LaSI List all other officers of the corporation: OFFICER TITLE NAME (Office Aeld) t HOME ADDRESS , � `6 1�S -1 �e����� \�x,,�,rN "ttPClS�cer � 7KFs=7�s7� �i-i6 If business is a pazmership, please include the following information for each pazfier (use addicional pages if necessary): Fvst Name Miatlle lnftial Home Addtess: Street Name FrstName Middlelnitial HomeAddcess: StreetNairc (Maiden) Ciry (Maiden) C3ty Last ;�-S9� Date of Binh Date of Binh rp Phone Number Date of Bi�th Zip Phone Number A�QNNE50TA TAX IDENTR�ICA'i'fON NUMBER - Pursuant to the Laws of Minnesota, 1984, Ctsapter �62, Article 8, Section 2(270.72) (TaY Cleazance; Issuance of Licenses), licensing authori6es are required to provide to tf�e State of MInnesota Couunissioner of Revenue, the IvIinnesota busiuess taz idenaficxdon nua:ber and the sex;ial sewrity aumber oi each license applicant. Under the Minnesota Govemment Data Praclices Act and the Federal Privacy Act of 1974 we aze required to advise you of ihe following regazding the use of the Minnesota Tae Identification Number: - TLis ioforuiation may be used to deny the issuance or reoewal of your licensein the event you owe Minnesota sales, employei s withholding or motor veiricle excise taYes; - Upon receiving this informalion, tl�e liceusing authority will supply it only to the Minnesota Departrnent of Revenue. However, under tl�e Federa] Exchange of Information Agreement, the Departtnent of Revenue may supply tlils information to [he Intemal Revenue Service. Minnesota Taz Identification Numbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department, 10 River Pazk Plaza (612-296-6181). Social Security Number: N ��` , Minnesota Taz Idenfificafion Number: !_ � (3 (�! � � O __ _ If a Minnesota Ta�c Identificaflon Number is not requ'ued for the basiness being operated, indicate so by ptacing an "X" in the box. to have a manager or assistant in Uus business? _ YES � NO If the manager is not the same as the operaror, nllnwin¢ infortnation: -- HOME BUSINESS DATE OF PHONE PHONE, BIRTH Sute Zip Phone Number Sta[e � �r � �RTIFTCATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE 176.I82�� J �� f 6ereby certify that I, or my company, am in compliance with [he workers' compensation insurance coverage cequirements of Minnesota Statute 17b.IS2, subdivisiou 2. I also understand that provision of fa]se infoLmadon in this certification coostimtes sufficient grounds for adverse action against all licenses 6eld, including revocation and suspension of d p licenses. A Name of Insurance Company: _ : - ! ' � � I� ( W.sc�lj.( � l� � (1 l J � t ��l �''[� (S --=� _ Polic Number: CJ U— U � r.� � q 5 q-q � Y � Coverage from to I have no employees covered under workers compensaaon insurance ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUB11aTTED WII,L RESULT IN DENIAL OF THIS APPLICATION I hereby state that I have answered all of the preceding questions, and [hat the information contained herein is tcue and co[rect to the bes[ of my knowiedge aod belief. I hereby state further that I have received no money ot other considera[ion, by way of loan, gift, contribution, or otherwise, orher than already disclosed in the application which I herewith submitted. I also uoderstand this premise may be inspected by police, fiie, health and other city officials at aoy and all times when the business is in operafion. h ' � � � Signature (REQUTRED for all applications) Date "*Note: If t}us applicafion is Food/Liquor related, please coatact a City of Saint Paul Health Inspector, Steve Olson (266-9139), to review plans. If any substandal cbanges to strucwre are andcipated, please contact a City of Saint Paul Plan Ezaminer at 266-9007 to apply for building pernvts. If there are any changes to the pazkiog lot, floor space, or for new opemtions, please contact a City of Saint Paul Zoning Inspec[or at 266-9008. Additional apptication requiremenfs, please attach: A detailed description of the desigry location and square footage of the premises to be licensed (site plan). The following data should be on the site plan (preferably on an 81/2" x 11" or 81l2" x t4" 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 interioc of the licensed facility such as seating areas, kitchens, offices, repair azea, parking, rest rooms, etc. - If a request is for an addition or expansion of the licensed facility, indicate both the current area and the proposed espansion. A copy of your lease agreement or proof of ownership of the property. FOR SPECIFIC APPLTCATION REQUIREMENTS, PLEASE SEE REVERSE >>>>,