96-63Council File � 9f�-!o3
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��..a e.�.e„ � j,� i" 1�
ordinance �
Green Sheet �
MINNESOTA
Presented By
Referred To
Committee: Date
1 RESOLVED: That application (ID #16550) for a Dance or Rental Hall
2 by National Guard Armory DBA National Guard Armory (Tho
3 Cedar Street be and the same is hereby approved.
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i+�nse applied for
Wilharber) at 600
Requested by Department of:
Adopted by Council: Date
Adoption Certified by
By:
Secretary
Approved by Mayor
By:
Date
Office of License. Inspections and
Environmental Protection
By: �' a�
Form Approved by City Attorney
By: � i,-i3-ys
Approved by Mayor for Submission to
Council
By:
96-�3
DEPAFTMENT/OFFICElCOUNCIL DATE INITIATED GREEN SHEE N� 3 5 5 5 0
LIEP/Licensing �NITIAVDATE INRIAVDATE
CONTACT PEFSON & PHONE O DEPAHTMENT DIFECfOR � CRY COUNCIL
Bill Gunther, 266-9132 ���N �c�naTror�rvev �cirvc�aK
MUST BE ON CAUNCIL AGENDA BY (MTE) RO B�FOfl O BUDGET DIRECTOR O FIN. & MGT. SERVICES DIR.
r'OT Heaxing: j t� OflDER I a
LI
TOTAL # OF S1CaNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACT70N RE�UESTED:
Nationai C-uard 4rmor� BBA Natsonal. �uard Armory requests Council approval"5f i�s appl3cafion"
for a Dance or Rental Ha11 License at 600 Cedar Street (ID 16550}.
RECOMMENDATiONS: Apprwe (a) a Reject (R) pERSONAL SERVICE CON7qACTS MUST ANSWER THE FOLLOWING UUESTIONS:
_ PLANNING COMMISSION _ C1VR SERVICE COMMISSION �� H35 �his pe[SpnflirT evec Wo[kEd unde� a WnVaCt fOr this dep&rtment? �
_ CIB CAMMITTEE _
YES NO
_ S7AFF Z• Has this personffirm ever been a c�ty empioyee?
— YES NO
_ o�SiRiCi CpUfii _ 3. Does Mis personttirm possess a skill not normally possessed by any current ciry employee?
SUPPOFTTS WHICH CAUNCtL OBJEGTIVE7 YES NO
Explain all yes answers on separate sheet and attach to green sheet
INITIATING PROBLEM, ISSUE, OPPORTUNITY (W�o, Wha1, When, WM1ere, Why�:
2vr.;3 ",,_._..__.;�, �`�Ftui��
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ADVANTAGESIFAPPAOVED'
DISAOVANTAGES �FAPPFOVED:
DISADVANTAGES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION S CO57/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIHG SOUHCE AC71VI7Y NUMB@R
FINANCIAL INFORMATION: (EXPLAIN)
Greensheet # 35550
in Tracke(.
L.I.E.P. REVIEW CHECKLIST Date: 12/04/95 / g�l�
ApP'n Received / ApP'n Processed
License ID # 16550 License Type: a Dance or Rental Ha11
Companyf3ame: National Guaxd Armorv DBA: National Guard Armorv
Business Addresss: 600 Cedar St, 101 Business Phone: 282-4041
Contact Nam2JAdd�ess: Thomas k�ilharber,
Public Hearing Date: �� � j 7 - �I ( Labels Ordered: � //� /-��
Notice Sent to Applicant: ���/fY District Council #: ��
''� �1�i�t, 3,z'D,
Notice Sent to Public: 3 ��rn Ward #: �
Department/ Date Inspections Comments
City Attorney
l�_�s �'s a�
Environmental
Heaith
/ Z"/�_ 9 aV/9 .
Fire
l�- /S- �S �
License site Plan Fleceived:_
Lease Received:
/a-/s �s �
Police
/�-/S• Q'S p�
Zoning
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PAUL`
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CLASS III CITY OF SAINT PAUL
LICENSE APPLICATION �ce of License, ����o�
and Firvironmrntal Protection
350 Sc Paa Sc Surts 3�
Sint Pw4lMmneon 55102
(612) 266-9090 fu (612J 2669126
THIS APPLICATION IS SUBJECT TO RE�W BY TI-IE PUBLIC
PLEASE TYPE OR PRINI' IN INK
Type of License being applied for. Dance Hall License �,}.L�o�
Company Name: national Guard Axmory (Government Building)
Corporation / Partnership / Sole Proprictorship
If business is incorponted, give date of incorporation: N/A
Doing Business As: National Guard Armorv Business Phone: (612) 282-4041
Business Address: 600 Cedar Street St Pau1 MN 55101-2597
Stree[ Address Ciry State Zio
Between what cross streets is the business located? 12th & Columbus ��ch side of the street? East
Are the premises now occupied? YeS What Type of Business? National Guard Armory __
Mail To Address: 600 Cedar St (Room 138) St Paul MN 55101-2597
Street Address Ciry Stau Zip
Applicant Information: `�
Name and Title: Thomas David (N/A) Wilharber Garrison Commander
First Ayddle (Maidrn) Last TiBe
Home Address:
Street Address Ciry Stau Zip
Date of Birth: Place of Birth: Home Phone: (
Are you a citizen of the United States? Native? Yes Naturalized?
If you are not a U.S. citizen, you must dave work aut6orization from the YJ.S. Immigration & Naturalization Service.
Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffic?
Date of armst: N/A Where? N/A
Chazge: _
Conviction:
YES _ NO XX
Sentence: N/A
List the names and residences of three persons of good moral character, living within the Twin Cities Metro tlrea, not related to the
appiicant or financially interested in the premises or business, who may be referred to as to the applicanYs character:
NAME ADDRESS PHONE
Euaene Andreotti
List licenses which you currently hold, formerly held, or may have an interest in:
Have any of the above named licenses ever been revoked? _ YES _ NO If yes, list the dates and reasons for revocation:
Are you going to operate this business personally? �_ YES _ NO If not, who will opernte it?
Fvst Name
Middie Ini6a1
(Maidrn)
Last
Home Addrcss: StreetName C'ny State
Date of H'uth
� Phone Numba
Are you going to have a manager or azsistant in this business? � YES _ NO
pleaze complete the following information: �
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If the manager is not the same as t'he opemtor,
Anthony (N/A) Zammarripa �
F'vst Name 1,�idd]c Initial (Maiden) Lazt Date of Birth
State Zip Phone Number
Please list your employment history for the previous five (5) yeaz period:
Business/Emnlovment
National Guard Technician — Property Book Officer
at this location since Apr 79.
List all other officers of the corporation:
OFFICER TITLE HUME
NAME (Office Heid) ADDRESS
Address
600 Cedar St, st Paul, MN 55101
HOME BUSINESS DATE OF
PHONE PHONE BIRTH
If business is a parmership, pleaze include the foilowing information for each parmer (use additional pages if necessary):
N/A
First Name
Middle Inilial
Home Address: Street Name
First Name
M'iddk Inival
Home Address: Street Name
(Maiden)
City
(Maiden)
I.att
State Z�p
Last
Stau Zip
Daze ofB'v[h
Phone Number
Daze of Birth
Phone Number
MINNESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2
(270.72) (Tax 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 Fedenl Privacy AM of 1974, we are required to advise you of the
following regazding 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 vehicie excise taaces;
- Upon receiving this information, the licensing authority will supply it oniy to the Minnesota Depaztrnent of Revenue.
However, under the Federal Exchange of Informarion Ageement, the Deparhnent of Revenue may supply this information
to the Intemal Revenue Service.
Minnesota Tax Identification Numbers (Sales 8c Use Tax Number) may be obtained from the State of Minnesota, Business Records
Depar�ent, 10 River Pazk Plaza (612-296-6181).
Social Security Number.
Minnesota Tax Idenrification Number:
_� If a Minnesota Tax Identification NumbeP is not required for the business being opented, indicate so by placing an"X" in
the box.
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� CER'TIFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE ]76182
� I, here3ycertify that I, or my company, am in compliance with the workers' compensation insurance covemge requiremems of
, Minnesota Statute 116.182, subdivision 2. I aLso understandthat provision of false information in this certificarionconstiNtes snfficient
� grounds for adverse action against all licenses held, including revocarion and suspension of said licenses.
NameoflnsuranceCom Department of Military Affairs, State of Minnesota
P�Y=
Policy Number. N/A
Coyerage from
I have no employees covered under workers' compensarion insurance
to
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED
WILL RESULT IN DENLIL 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 ]rnowledge and belief. I hereby state further that I have received no money or other considention, by way of Ioan, gift,
contribution, ot otherwise, othet than already disclosed in the application which I herewith submitted.
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Attach to this application:
Signature (REQUIRED for all applications)
0 1 y�v�.s�'�
Date
2) A deailed deszription of the design, ioration and square footage of Yhe premises to be iicensed {sife pian}.
The tollowing data shnuld be on the site ptan (preferably on an 8 1!2" x Ii" or 8 1t2" x 14" psper):
- Name, address, and phone number.
- TLe scale should be stated such as 1" = 20'. ^N should be indicated toward the top.
- Placement of sll pertinent features of the interior of the licensed facility such as seating areas, kitchens,
o�ces, repair area, parking, rest rooms, etc.
- If a request is for an addition or ezpansion of the licensed facility, indicate both t6e current area and the
proposed eapansion.
2) A copy of your tease agreeme¢t or prouf uf ownership of the property.