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97-1332Council File # � j - �'33 � 1 2 3 4 S 6 7 g 9 10 il 12 13 14 15 16 17 ig 19 2� 21 22 23 24 25 26 27 28 29 S �.�s�;-�-.�� rti�sj�� CITY Presented By Re£erred To Committee: Date RESOLVED: That application, ID #41775, for an Auto Repair Garage License by Capitol Auto Repair Inc. DBA Capitol Auto Repair, Inc. (Dean Nephew, Preaident) at 525 7th Street East, be and the same is hereby approved with the following conditions: 1) Parking for customers and employees sha11 be arranged on the lot as shown on the attached site plan. No more than 47 vehicles shall be parked out doors on the lot. The licensee is responsible for managing the number of customer vehicles to that which may be reasonably repaired and returned to their owners in the shortest period. there ahall be no long term storage of vehiclea on the lot. 2) 3) 4) All vehicles parked outdoors on the lot must appear to be completely assemUled with no parts missing. Vehicle salvage is not permitted. Vehicle parts, tires, oil or similar items will not be stored outdoors. Trash will be stored in the dumpster or in the existing encloaed area. No repair of vehicles will occur on the exterior of the lot or on the public right-of-way. Requested by Department of: Adoption Certi£ied by Council Secretary By: � a _ _� -� / Approved by Mayor: Date /i/JZlF� Ey: � � Ordinance # Green Sheet # 50317 RESOLUTION SAINT PAUL, MINNESOTA O+ o � ens 7n�ections and Environmental Protec±ion By: t/!.-ia-ci� Y"7 ��.QAZ - — Form Approved by City At�t9�� By: .1/ Approved Mayor £or Submission to Council Sy: Adopted by Council: Date N° 5031� DEF11RiMEN7�OFFICE/COUNCII. DATEINITIATED � " s �� LIEPiLl�ensin GREEN SHEE CONTACT PERSON 8 PHONE INITIAVDATE INITIAUDATE � DEPARTMENTDIRECTOR � CITYCOUNC�L Christine Rozek, 266-9108 assicN �cirrnrroeNer �cRVC��K MUST BE ON COUNCIL AGENDN BY (DATE) NIIMBER FOp ❑ BUDGET DIRECTOR � FIN. 8 MGT SERVICES OIR. NOUTING F'OT hearing:%/ „�'o� OPOEH OMAYOR(ORA$$ISTANT) � TOTAL # OF SIGNATURE AGES (CLIP ALL LOCATIONS FOR SICaNATURE) AGTION PEQUESTED: Capitol Auto Repair Inc. DBA Capitol Auto Repair Inc. requests Council approval of its application for an Auto Repair Garage License located at 525 7th Street East (ID 9I41775): (Dean Nephew, President) RECOMMENDATIONS: Approve (A) a Reject (R) pERSONAI SERVICE CONTRACTS MUST ANSWER 7NE FOL�OWING QUESTIONS: _ PLANNING COMMI$$ION _ CIVIL SERVICE COMMISSION �� Has this personttirm ever worked untler a contrect tor this tlepartmentt ._ CIB COMMITfEE _ YES NO _ S7AFF 2� Has this personftirm ever been a city emplcyee? — YES NO _ OISTRiCiCWRi _ 3. Does this Dersonttirm possess a skill not normally posse5setl by a�y curcent city employee� SUPPOqTSWHICNCOUNCILOBJECTIVE� YES NO Explain all yes answers on separate shoet and attach to green sheet INITATING PROBLEM, ISSUE. OPPORTUNITV (Who, What. When. Whare. Wlry): ADYANTAGES IF APPROVED: ��;m�a .�k�,:„tt i��.i� QC? � � ��:�7 �ISADVANTAGESIFAPPROVE� "" ""'""'" DISADVANTAGES IF NOTAPPROVED: TOTAL AMOUNT Of THANSACTION $ COST/REVENUE 6UDGETED (CIRCIE ONE) VES NO FUNDIWG SOURCE ACTIVITY NUMeER FINANCIAL INFORHiATION (EXPLAIN) ' Council File # �� Ordinance # presented By Referred To 1 RESOLVED: 2 3 4 5 6 7 8 9 D 1 � i E Requested by Department of: • - • -..- �..- ... ,�. . .�u - •� Adopted by Adoption Certif By: Approved b7,f Mayor: J, �� _ ,L II , II ,/� BY: i� !'�" �� Date by Council Secretary Date Form Approved by City Atto By: C/ Approved by Mayor for Submission to Council By: Green Sheet # RESOLUTION �INT PAUL, MINNESOTA t1 �� . Date That application (ID #41775) far an Auto Repair DBA Capitol Auto Repair Ina (Dean Nephew, P is hereby approved with the following c< �icense by Capitol Auto Repair Inc. at 525 7th Street East be and the same ns: i) Parking for customers and emplo es shall be arranged on the lot as shown on the attached site pla . No more than 21 vehicles shall be parked out doors on the lot. The licensee is responsible for managing the number of customer veh les to that which may be reasonably repaired and returned to eir owners in the shortest period. There shall be no long term st xage of vehicles on the lot. 2) All vehicles parked assembled with no p 3) Vehicle parts, t Trash will be st 4) No repair of public right oors on the lot must appear to be completely missing. Vehicle salvage is not permitted. , oil or similar items will not be stozed outdoors. in the dumpster or in the existing enclosed area. will occur on the exCerior of the lot or on the By_ SEF-�2-195? 1� _' '� , ` � �'v'-T't � � 7�' cs�� i �? °t'1-t73�— C:ir_OF ST FHUL LIEr^ CLASS �IT ��eE� �3�?��1T10� F12 ^ _-6E CiTY flc SAI?vT PA'v? CC>ff,ee of L"uense, Ir3prr.ir.s azd Fs:virezxr.rts3 $rrtcc:im 310 SC PCC [C Sim 3�0 Sac¢2.:::,Mi,viesoa SSIO2 ' (6:'<)]66Ji�AG fiz(61Z)]Co-9:2s ��. � i i • ! • . y� . FiEASE 7�E OR PRIyIT �T i�'K T}�e o. Liccnse(s) being anplied fo*: .�.1 � � — lil.r�� .c �. 5 S_�/ 7. � . Company Nrsne: C� f� ,'1"c7 � /�' �-l�' � �� p A i R � rv c. -- CorponCan / Pa�lamhip / Sote Propeiertrt�{up If business is incorporatcd, give date of ir,corporation: �-� �� 7 i3o:ng Busi�ess As: �� P�`t'a 1 �w�o � rY i�1 T r� C. $i:siness Phoa�: 2 Z� (`� t(�f Busincss Address: _ J�uJ �,'> 5`�' 7 7 �' S k-�'�'" .S'�'• pi�✓..Q, � , j �/ c� / . SCCCt Addias . City 5a:: 2iP . Between u;�at cross strerts is the business tocated� �� J� 7 7 ^ �9 F �r,� e WUick side of tne sKreeT? �� `�� Are the prem�ses now occupied9 � VJhat Ty�e of Btumes>? !�1 u� �°-� 14 � R '� �' �� L� � �'� �h✓�4 �� M��xoaa�«: Sz5 �,�srt ��", s-` � �t'J� SS�� svo:: aad�s c�ry sw< zsp Applicar.t L2f'ormztion: Name and I[1e: p� Fl n? ? 2�� N� P!� F= t�J ,1�� . Fssst ;�Sidi7e (uzidtn) Lf Lwrt Trti< Home Address: 1 Z 20�_��J p� R �-`-st a' r� s� rt � cl �/V u• 1�' 1.�..r, ,;�, �:.J �\ � 3 •c� s�c� Aaa .-u ctry succ zip DateofBirth: ��-�- S 1 PlsceofButh: C�J��tS�J�^1� �.-v` HomePhone yG�7v�t�( Have you e4�er bean convycfed of any felony, crime o: vialaCOn of any ciry ordir.anee other than ffafi'ic? YES NO � Date of artest: Charge' � Con�ictioq: Wh�;re7 Srntence: Lis� tne na.-nes and residences of three persons of goal moral characier, tivin� a�ithin thc Twin Cities M�tro Area, noi rela;ed tu the appiicanc or finalciall} interested in the premisas or business, who may be refe:red to as tb Ihe apptica,yt's charaeter: NA.iv� 2 � z�_ /�'lA-I �'E�Q' F AT>BRESS -,� �-� 2 �, / ] g� `� � Z l� � ��OW i a. I< �t>O c..1��' Cist licenses w•hich,you cturently hold, formerly held, or may have a� intzrz,t m: PHO:VB o �iz J�h 0�5 �ave etty of iht s�ot'e namtd iieensts ever bcrn rccoiczd? 'YES ?v:) Ifyes, list the dates a�n� reasons for revoca;ior,� SEF'-52-15'37 13 � 29 � I TY i�F ST F'AiJL L I EF 612 �56 4'_�4 P.G2iGJ4 —1 !`�'J'3� A:c }'oL going Fo ope: zte tnis business pe; s.^.r,zlly? � YS ;�0 Lf ro=., w�ho �il; ope: a;e it? �ira[\sJC l:id�IcL (�=a�Ca:) Lart +7amo!3iri Home Ad2re� : Stroe: \S CS,y S�:e Zip Fho,-.c \�bc; A.�;�ou goin� to ha� e z r-•z.z�er or ass:st2�t i:. Ehis buir.es,? � YES ?� Q Lf �:c :::s:ag;7 is r.oc *hc s�.^±e as ti�e opc: ztor; plrzs: wmp!cce L'�e follot� infor.natio7: � ''<�� .,. � • �' C /�-21� �7-a �� Y Fin:?:s.�� ?.fidElcLi:isi (�`�:Er.) :,+st De::o, ��v� N�. �+��.� s-r-. �p�.� _ m� .ss✓�� r�� F.'oae A�r�+: St-s:i �me Pleasc lst your e5p�e; :ien: h,�sto;y for i: e p*e��ow II�•e (3 j�'r,sr pr.ioe: $usi�eS�molO�Tn?*+t �reSs ,Sn�`t�l, ��,,,.�., � rn fl�na�. �-��-� c�� w List a'.l oL�a v�ce;s of L�e co:perxtion: OrfiCER_ TITLE HOMfE E NA.�(E (O�ice Held) AI�B.'�.ESS HO� PHO;�� S[vL- 2ip Phor.c �a^.Sn —t\ �' �C (�1�cn�.: BUS1;�t5S PHO;� L`buu:ess is a Qart,zershin, p;ease include the :olloaiz:g i�.`o*.r.:acon for eac� pa.-tner (tut edditional p.:gcs u`nressz�}_ Fi-s: �a�c Midd;c Yti'v¢; (�feidea} Lest DATE OF B72 �?-I � �J�Y� i-ia�eP,rldce.s: S'.rcc.Ra:ae C:.y Salc Zip Phca�\uabr. Fi-at \me !.tidc'Ic s':�sl (Usidc:tt) Las: Drt� Hepe ilddrzas: SCCCt \ate Ciiy S:A:e Z'r� PSone \�� MLv�'ESOTq TAX IDcNT3F7CA7ION ;vJ��R - P•,�.-suant to the Laws of Min,�es�ta 19&4, Chapter 502, A.ticic S, Sectzon 2(2 i0.72} (Tati Ctearance; Issuance of Lica:ses) ISCfT;Slilg HSIS�lORf1C5 fl'G YCCil117P.d (O PfO��dt LO L SS2C8 O�M��SOt3 CoTI1nll5510:.6i OIRCVGriUC� tha Minnesota business ts.i ideatificauoc number end tne socia? seeurity n.unber of ezch licr.vse applie2nt. U�der the Minncsota Govem.ryeni TJats Praotioes Act �.d the Federal Ftivzcy Act of ] 97d, wc s:e recuirzd to edrise. }'ou of thc follow�.�� regudi,zg the us� of the 2�.inzesota 7ax Identi5cation i�c-r.ber: • Tbis informalion may be used to der:y the iss�ance or rrnzwal of your license in L�,e event yoe owe Minnesoa sales, employe%s u�tF�hofdi�g ot e�iotor veh�cle ezcise ta�es; - Upon receicing this i,zformatio:i, the Iice:is<:ng au�horiry u'iti suppIy it only to Lhe Minnesoia DeparL�ent of Revenue. Hot; ever, under tht Federal Exchzng� of 3nfotmaiio� A�eemcnt, the Dep�-'�ent of Re�enue may supply this informz��on .o t.he inter, z: itevrnue Srnicc. Mu�nesata Te� 3dzati5caton N�..TMnbers (Sales & LSse Ta�c Nezmi,er) may be obtain�d �om thz State of !v3iru�esoa, Business Rcco:.�',s Atpaztmer.c, 20 Ri�•er Park Plsza (6I2-24b•6181). Social Sxuriry Number: `77 7(oO I Io S3 Minnesoia Ta� Idrn:ifieation I�TUmber: �� `� (oJ 3��- -— SEP-�2-g5_v7 g�:�g CIT'r DF =T PAIJL LIEF 9'1-la� s- �12 2E=, 5124 rcRTIFICATTOIV OF WORKERS' CO,UiPENSATTO'_V CO VERAG$ PURSL'AIv i TO MIN?VESOTA STA'Ii;TE 176.? 8 I hereby ee�tif�� thaz I, a my eemoa^.}�, am tn eompliance wi;h the uor`�ccrs' eompencaticm !nsurznce eovtragt raqui e;ne:tis oti Mi= 176.I82, subdivision 2. I g]sp undec5�d tl+at pro�'ISion oi false iifarm2tirn in L`�.is cezufication w:vytiri:tv, suft'iciea: �ounds .o: agains; s]! lieenses l:eld, inclading revocauon and su�ension �f sid ti�nse,s. Name of 5nsvrance Company�: `7 n�r. /,1 ! o� Q/� 1�( � u.}:,�c �.�. �,.,1� C� f Policy Number• _� ...r Coverage frrni �c� I �i ; to `v T � I have no employees co�>ered under vrorkets' compensarian i�surance {INITL�,S} Ah�' FALSIFfCATiOiti OFANSWERS GXVEN OR hLATFAZAL SUBAITTTEB WILI, RESULT �'V DEi4'IAL OF THIS AYpLICATIpiV I hese�vy state rhat I have �zasw�ered a11 of tke preceding Guestions, and ttzaL the informston eontained herein is uue and �r_ea my knowledgc and belizf, I hereby a-tate further that T have received no r.wney or other considzratzon, by way oi ioan, gift, cc otherwase other than a3reac3�r disetosed in the applicatioa whic'r, I herewitl: subr.�itted. I also ttridetstand this prc�lvse .:,ay be inspec fue, heztth and other city offuials at any and a!1 tiznes u�her, ihe b,uine5s is in operation �� G��i��,,..� , -�� Signature (REQUIRED o� i oa �l We will accept payment by cash, cLeek {made pa�'abte xa C1ty of Saint Psal) or cr¢dit card {IKlC or Visa). fF,PAYINGBYC REZ 3 ITCARDPL� 4 SECOeYfYLETETFYE'FOLLOGi�NC'+INFOTt�11ATCON: � Mastc�Card C EXPIRATION I1ATE: ACCOUN'f NVN��,12� C1�7/Cl❑ ❑L7C1t� C7Cli�fl ❑�C.�❑ �E� for �*�7a2e: If this appliextion is Fooc3/Liquor related, pieaae contact a City oi S2int Pau? Heaith Inspector, Stevc Olsnn (266A13 plsns. If any substanval changes to structure ue anucipatul, p7ea�e consact a Cin� of Saint Paul plan Examine; at 266-9GD7 buildu�g pzru�iis. If the�'e �e any changes to th� parking �ot, floor space, or for new op�ations, glease contact a Cirr of Sain: Pau! Zoz�zng 266-4008. A!1 appGcations require the tollowiug documents. Please attactz Llsese docaments when submitYing your app1�� 1. A detailed description of the design,laaGon and squsre footage of 4'�e premises to be licerued {site p:zn}, The fotlo,ving data should be on the sitc plan (,�referabiy on an � 2!2" x I 1" or 8 2/2" x 14" papzr;; - Name, address, and phone number, - The seala shoutd be stated such as 1"= 20'. ^\ shouid he mdicated toward the top. - Plact�nent of all pertinent �eatures of the interior of the I�censed �acilaTy such as sca:ing a; eas, kitcke::s, ��'ice5, parlung, rest rooms, etc. - Zf a request is fot an addition ot expansion of the lieensed facilin•, �r;dicate both thc currcnt area snd Lhe proposec 2. A copy of youz Itase aer�mznt o: proof of owners?up of tha progrrtp. SFECIFIC LXC�NSE APPI,ICATTONS �tEQU3RE ApbTT`Tp:VAI, I'�i ,'k'pR'�IA'£IO;'�*. �T.EA$� SEE RE VERSE FO�2 AET'A�.S >> 7> A 'S: Council File # � j - �'33 � 1 2 3 4 S 6 7 g 9 10 il 12 13 14 15 16 17 ig 19 2� 21 22 23 24 25 26 27 28 29 S �.�s�;-�-.�� rti�sj�� CITY Presented By Re£erred To Committee: Date RESOLVED: That application, ID #41775, for an Auto Repair Garage License by Capitol Auto Repair Inc. DBA Capitol Auto Repair, Inc. (Dean Nephew, Preaident) at 525 7th Street East, be and the same is hereby approved with the following conditions: 1) Parking for customers and employees sha11 be arranged on the lot as shown on the attached site plan. No more than 47 vehicles shall be parked out doors on the lot. The licensee is responsible for managing the number of customer vehicles to that which may be reasonably repaired and returned to their owners in the shortest period. there ahall be no long term storage of vehiclea on the lot. 2) 3) 4) All vehicles parked outdoors on the lot must appear to be completely assemUled with no parts missing. Vehicle salvage is not permitted. Vehicle parts, tires, oil or similar items will not be stored outdoors. Trash will be stored in the dumpster or in the existing encloaed area. No repair of vehicles will occur on the exterior of the lot or on the public right-of-way. Requested by Department of: Adoption Certi£ied by Council Secretary By: � a _ _� -� / Approved by Mayor: Date /i/JZlF� Ey: � � Ordinance # Green Sheet # 50317 RESOLUTION SAINT PAUL, MINNESOTA O+ o � ens 7n�ections and Environmental Protec±ion By: t/!.-ia-ci� Y"7 ��.QAZ - — Form Approved by City At�t9�� By: .1/ Approved Mayor £or Submission to Council Sy: Adopted by Council: Date N° 5031� DEF11RiMEN7�OFFICE/COUNCII. DATEINITIATED � " s �� LIEPiLl�ensin GREEN SHEE CONTACT PERSON 8 PHONE INITIAVDATE INITIAUDATE � DEPARTMENTDIRECTOR � CITYCOUNC�L Christine Rozek, 266-9108 assicN �cirrnrroeNer �cRVC��K MUST BE ON COUNCIL AGENDN BY (DATE) NIIMBER FOp ❑ BUDGET DIRECTOR � FIN. 8 MGT SERVICES OIR. NOUTING F'OT hearing:%/ „�'o� OPOEH OMAYOR(ORA$$ISTANT) � TOTAL # OF SIGNATURE AGES (CLIP ALL LOCATIONS FOR SICaNATURE) AGTION PEQUESTED: Capitol Auto Repair Inc. DBA Capitol Auto Repair Inc. requests Council approval of its application for an Auto Repair Garage License located at 525 7th Street East (ID 9I41775): (Dean Nephew, President) RECOMMENDATIONS: Approve (A) a Reject (R) pERSONAI SERVICE CONTRACTS MUST ANSWER 7NE FOL�OWING QUESTIONS: _ PLANNING COMMI$$ION _ CIVIL SERVICE COMMISSION �� Has this personttirm ever worked untler a contrect tor this tlepartmentt ._ CIB COMMITfEE _ YES NO _ S7AFF 2� Has this personftirm ever been a city emplcyee? — YES NO _ OISTRiCiCWRi _ 3. Does this Dersonttirm possess a skill not normally posse5setl by a�y curcent city employee� SUPPOqTSWHICNCOUNCILOBJECTIVE� YES NO Explain all yes answers on separate shoet and attach to green sheet INITATING PROBLEM, ISSUE. OPPORTUNITV (Who, What. When. Whare. Wlry): ADYANTAGES IF APPROVED: ��;m�a .�k�,:„tt i��.i� QC? � � ��:�7 �ISADVANTAGESIFAPPROVE� "" ""'""'" DISADVANTAGES IF NOTAPPROVED: TOTAL AMOUNT Of THANSACTION $ COST/REVENUE 6UDGETED (CIRCIE ONE) VES NO FUNDIWG SOURCE ACTIVITY NUMeER FINANCIAL INFORHiATION (EXPLAIN) ' Council File # �� Ordinance # presented By Referred To 1 RESOLVED: 2 3 4 5 6 7 8 9 D 1 � i E Requested by Department of: • - • -..- �..- ... ,�. . .�u - •� Adopted by Adoption Certif By: Approved b7,f Mayor: J, �� _ ,L II , II ,/� BY: i� !'�" �� Date by Council Secretary Date Form Approved by City Atto By: C/ Approved by Mayor for Submission to Council By: Green Sheet # RESOLUTION �INT PAUL, MINNESOTA t1 �� . Date That application (ID #41775) far an Auto Repair DBA Capitol Auto Repair Ina (Dean Nephew, P is hereby approved with the following c< �icense by Capitol Auto Repair Inc. at 525 7th Street East be and the same ns: i) Parking for customers and emplo es shall be arranged on the lot as shown on the attached site pla . No more than 21 vehicles shall be parked out doors on the lot. The licensee is responsible for managing the number of customer veh les to that which may be reasonably repaired and returned to eir owners in the shortest period. There shall be no long term st xage of vehicles on the lot. 2) All vehicles parked assembled with no p 3) Vehicle parts, t Trash will be st 4) No repair of public right oors on the lot must appear to be completely missing. Vehicle salvage is not permitted. , oil or similar items will not be stozed outdoors. in the dumpster or in the existing enclosed area. will occur on the exCerior of the lot or on the By_ SEF-�2-195? 1� _' '� , ` � �'v'-T't � � 7�' cs�� i �? °t'1-t73�— C:ir_OF ST FHUL LIEr^ CLASS �IT ��eE� �3�?��1T10� F12 ^ _-6E CiTY flc SAI?vT PA'v? CC>ff,ee of L"uense, Ir3prr.ir.s azd Fs:virezxr.rts3 $rrtcc:im 310 SC PCC [C Sim 3�0 Sac¢2.:::,Mi,viesoa SSIO2 ' (6:'<)]66Ji�AG fiz(61Z)]Co-9:2s ��. � i i • ! • . y� . FiEASE 7�E OR PRIyIT �T i�'K T}�e o. Liccnse(s) being anplied fo*: .�.1 � � — lil.r�� .c �. 5 S_�/ 7. � . Company Nrsne: C� f� ,'1"c7 � /�' �-l�' � �� p A i R � rv c. -- CorponCan / Pa�lamhip / Sote Propeiertrt�{up If business is incorporatcd, give date of ir,corporation: �-� �� 7 i3o:ng Busi�ess As: �� P�`t'a 1 �w�o � rY i�1 T r� C. $i:siness Phoa�: 2 Z� (`� t(�f Busincss Address: _ J�uJ �,'> 5`�' 7 7 �' S k-�'�'" .S'�'• pi�✓..Q, � , j �/ c� / . SCCCt Addias . City 5a:: 2iP . Between u;�at cross strerts is the business tocated� �� J� 7 7 ^ �9 F �r,� e WUick side of tne sKreeT? �� `�� Are the prem�ses now occupied9 � VJhat Ty�e of Btumes>? !�1 u� �°-� 14 � R '� �' �� L� � �'� �h✓�4 �� M��xoaa�«: Sz5 �,�srt ��", s-` � �t'J� SS�� svo:: aad�s c�ry sw< zsp Applicar.t L2f'ormztion: Name and I[1e: p� Fl n? ? 2�� N� P!� F= t�J ,1�� . Fssst ;�Sidi7e (uzidtn) Lf Lwrt Trti< Home Address: 1 Z 20�_��J p� R �-`-st a' r� s� rt � cl �/V u• 1�' 1.�..r, ,;�, �:.J �\ � 3 •c� s�c� Aaa .-u ctry succ zip DateofBirth: ��-�- S 1 PlsceofButh: C�J��tS�J�^1� �.-v` HomePhone yG�7v�t�( Have you e4�er bean convycfed of any felony, crime o: vialaCOn of any ciry ordir.anee other than ffafi'ic? YES NO � Date of artest: Charge' � Con�ictioq: Wh�;re7 Srntence: Lis� tne na.-nes and residences of three persons of goal moral characier, tivin� a�ithin thc Twin Cities M�tro Area, noi rela;ed tu the appiicanc or finalciall} interested in the premisas or business, who may be refe:red to as tb Ihe apptica,yt's charaeter: NA.iv� 2 � z�_ /�'lA-I �'E�Q' F AT>BRESS -,� �-� 2 �, / ] g� `� � Z l� � ��OW i a. I< �t>O c..1��' Cist licenses w•hich,you cturently hold, formerly held, or may have a� intzrz,t m: PHO:VB o �iz J�h 0�5 �ave etty of iht s�ot'e namtd iieensts ever bcrn rccoiczd? 'YES ?v:) Ifyes, list the dates a�n� reasons for revoca;ior,� SEF'-52-15'37 13 � 29 � I TY i�F ST F'AiJL L I EF 612 �56 4'_�4 P.G2iGJ4 —1 !`�'J'3� A:c }'oL going Fo ope: zte tnis business pe; s.^.r,zlly? � YS ;�0 Lf ro=., w�ho �il; ope: a;e it? �ira[\sJC l:id�IcL (�=a�Ca:) Lart +7amo!3iri Home Ad2re� : Stroe: \S CS,y S�:e Zip Fho,-.c \�bc; A.�;�ou goin� to ha� e z r-•z.z�er or ass:st2�t i:. Ehis buir.es,? � YES ?� Q Lf �:c :::s:ag;7 is r.oc *hc s�.^±e as ti�e opc: ztor; plrzs: wmp!cce L'�e follot� infor.natio7: � ''<�� .,. � • �' C /�-21� �7-a �� Y Fin:?:s.�� ?.fidElcLi:isi (�`�:Er.) :,+st De::o, ��v� N�. �+��.� s-r-. �p�.� _ m� .ss✓�� r�� F.'oae A�r�+: St-s:i �me Pleasc lst your e5p�e; :ien: h,�sto;y for i: e p*e��ow II�•e (3 j�'r,sr pr.ioe: $usi�eS�molO�Tn?*+t �reSs ,Sn�`t�l, ��,,,.�., � rn fl�na�. �-��-� c�� w List a'.l oL�a v�ce;s of L�e co:perxtion: OrfiCER_ TITLE HOMfE E NA.�(E (O�ice Held) AI�B.'�.ESS HO� PHO;�� S[vL- 2ip Phor.c �a^.Sn —t\ �' �C (�1�cn�.: BUS1;�t5S PHO;� L`buu:ess is a Qart,zershin, p;ease include the :olloaiz:g i�.`o*.r.:acon for eac� pa.-tner (tut edditional p.:gcs u`nressz�}_ Fi-s: �a�c Midd;c Yti'v¢; (�feidea} Lest DATE OF B72 �?-I � �J�Y� i-ia�eP,rldce.s: S'.rcc.Ra:ae C:.y Salc Zip Phca�\uabr. Fi-at \me !.tidc'Ic s':�sl (Usidc:tt) Las: Drt� Hepe ilddrzas: SCCCt \ate Ciiy S:A:e Z'r� PSone \�� MLv�'ESOTq TAX IDcNT3F7CA7ION ;vJ��R - P•,�.-suant to the Laws of Min,�es�ta 19&4, Chapter 502, A.ticic S, Sectzon 2(2 i0.72} (Tati Ctearance; Issuance of Lica:ses) ISCfT;Slilg HSIS�lORf1C5 fl'G YCCil117P.d (O PfO��dt LO L SS2C8 O�M��SOt3 CoTI1nll5510:.6i OIRCVGriUC� tha Minnesota business ts.i ideatificauoc number end tne socia? seeurity n.unber of ezch licr.vse applie2nt. U�der the Minncsota Govem.ryeni TJats Praotioes Act �.d the Federal Ftivzcy Act of ] 97d, wc s:e recuirzd to edrise. }'ou of thc follow�.�� regudi,zg the us� of the 2�.inzesota 7ax Identi5cation i�c-r.ber: • Tbis informalion may be used to der:y the iss�ance or rrnzwal of your license in L�,e event yoe owe Minnesoa sales, employe%s u�tF�hofdi�g ot e�iotor veh�cle ezcise ta�es; - Upon receicing this i,zformatio:i, the Iice:is<:ng au�horiry u'iti suppIy it only to Lhe Minnesoia DeparL�ent of Revenue. Hot; ever, under tht Federal Exchzng� of 3nfotmaiio� A�eemcnt, the Dep�-'�ent of Re�enue may supply this informz��on .o t.he inter, z: itevrnue Srnicc. Mu�nesata Te� 3dzati5caton N�..TMnbers (Sales & LSse Ta�c Nezmi,er) may be obtain�d �om thz State of !v3iru�esoa, Business Rcco:.�',s Atpaztmer.c, 20 Ri�•er Park Plsza (6I2-24b•6181). Social Sxuriry Number: `77 7(oO I Io S3 Minnesoia Ta� Idrn:ifieation I�TUmber: �� `� (oJ 3��- -— SEP-�2-g5_v7 g�:�g CIT'r DF =T PAIJL LIEF 9'1-la� s- �12 2E=, 5124 rcRTIFICATTOIV OF WORKERS' CO,UiPENSATTO'_V CO VERAG$ PURSL'AIv i TO MIN?VESOTA STA'Ii;TE 176.? 8 I hereby ee�tif�� thaz I, a my eemoa^.}�, am tn eompliance wi;h the uor`�ccrs' eompencaticm !nsurznce eovtragt raqui e;ne:tis oti Mi= 176.I82, subdivision 2. I g]sp undec5�d tl+at pro�'ISion oi false iifarm2tirn in L`�.is cezufication w:vytiri:tv, suft'iciea: �ounds .o: agains; s]! lieenses l:eld, inclading revocauon and su�ension �f sid ti�nse,s. Name of 5nsvrance Company�: `7 n�r. /,1 ! o� Q/� 1�( � u.}:,�c �.�. �,.,1� C� f Policy Number• _� ...r Coverage frrni �c� I �i ; to `v T � I have no employees co�>ered under vrorkets' compensarian i�surance {INITL�,S} Ah�' FALSIFfCATiOiti OFANSWERS GXVEN OR hLATFAZAL SUBAITTTEB WILI, RESULT �'V DEi4'IAL OF THIS AYpLICATIpiV I hese�vy state rhat I have �zasw�ered a11 of tke preceding Guestions, and ttzaL the informston eontained herein is uue and �r_ea my knowledgc and belizf, I hereby a-tate further that T have received no r.wney or other considzratzon, by way oi ioan, gift, cc otherwase other than a3reac3�r disetosed in the applicatioa whic'r, I herewitl: subr.�itted. I also ttridetstand this prc�lvse .:,ay be inspec fue, heztth and other city offuials at any and a!1 tiznes u�her, ihe b,uine5s is in operation �� G��i��,,..� , -�� Signature (REQUIRED o� i oa �l We will accept payment by cash, cLeek {made pa�'abte xa C1ty of Saint Psal) or cr¢dit card {IKlC or Visa). fF,PAYINGBYC REZ 3 ITCARDPL� 4 SECOeYfYLETETFYE'FOLLOGi�NC'+INFOTt�11ATCON: � Mastc�Card C EXPIRATION I1ATE: ACCOUN'f NVN��,12� C1�7/Cl❑ ❑L7C1t� C7Cli�fl ❑�C.�❑ �E� for �*�7a2e: If this appliextion is Fooc3/Liquor related, pieaae contact a City oi S2int Pau? Heaith Inspector, Stevc Olsnn (266A13 plsns. If any substanval changes to structure ue anucipatul, p7ea�e consact a Cin� of Saint Paul plan Examine; at 266-9GD7 buildu�g pzru�iis. If the�'e �e any changes to th� parking �ot, floor space, or for new op�ations, glease contact a Cirr of Sain: Pau! Zoz�zng 266-4008. A!1 appGcations require the tollowiug documents. Please attactz Llsese docaments when submitYing your app1�� 1. A detailed description of the design,laaGon and squsre footage of 4'�e premises to be licerued {site p:zn}, The fotlo,ving data should be on the sitc plan (,�referabiy on an � 2!2" x I 1" or 8 2/2" x 14" papzr;; - Name, address, and phone number, - The seala shoutd be stated such as 1"= 20'. ^\ shouid he mdicated toward the top. - Plact�nent of all pertinent �eatures of the interior of the I�censed �acilaTy such as sca:ing a; eas, kitcke::s, ��'ice5, parlung, rest rooms, etc. - Zf a request is fot an addition ot expansion of the lieensed facilin•, �r;dicate both thc currcnt area snd Lhe proposec 2. A copy of youz Itase aer�mznt o: proof of owners?up of tha progrrtp. SFECIFIC LXC�NSE APPI,ICATTONS �tEQU3RE ApbTT`Tp:VAI, I'�i ,'k'pR'�IA'£IO;'�*. �T.EA$� SEE RE VERSE FO�2 AET'A�.S >> 7> A 'S: Council File # � j - �'33 � 1 2 3 4 S 6 7 g 9 10 il 12 13 14 15 16 17 ig 19 2� 21 22 23 24 25 26 27 28 29 S �.�s�;-�-.�� rti�sj�� CITY Presented By Re£erred To Committee: Date RESOLVED: That application, ID #41775, for an Auto Repair Garage License by Capitol Auto Repair Inc. DBA Capitol Auto Repair, Inc. (Dean Nephew, Preaident) at 525 7th Street East, be and the same is hereby approved with the following conditions: 1) Parking for customers and employees sha11 be arranged on the lot as shown on the attached site plan. No more than 47 vehicles shall be parked out doors on the lot. The licensee is responsible for managing the number of customer vehicles to that which may be reasonably repaired and returned to their owners in the shortest period. there ahall be no long term storage of vehiclea on the lot. 2) 3) 4) All vehicles parked outdoors on the lot must appear to be completely assemUled with no parts missing. Vehicle salvage is not permitted. Vehicle parts, tires, oil or similar items will not be stored outdoors. Trash will be stored in the dumpster or in the existing encloaed area. No repair of vehicles will occur on the exterior of the lot or on the public right-of-way. Requested by Department of: Adoption Certi£ied by Council Secretary By: � a _ _� -� / Approved by Mayor: Date /i/JZlF� Ey: � � Ordinance # Green Sheet # 50317 RESOLUTION SAINT PAUL, MINNESOTA O+ o � ens 7n�ections and Environmental Protec±ion By: t/!.-ia-ci� Y"7 ��.QAZ - — Form Approved by City At�t9�� By: .1/ Approved Mayor £or Submission to Council Sy: Adopted by Council: Date N° 5031� DEF11RiMEN7�OFFICE/COUNCII. DATEINITIATED � " s �� LIEPiLl�ensin GREEN SHEE CONTACT PERSON 8 PHONE INITIAVDATE INITIAUDATE � DEPARTMENTDIRECTOR � CITYCOUNC�L Christine Rozek, 266-9108 assicN �cirrnrroeNer �cRVC��K MUST BE ON COUNCIL AGENDN BY (DATE) NIIMBER FOp ❑ BUDGET DIRECTOR � FIN. 8 MGT SERVICES OIR. NOUTING F'OT hearing:%/ „�'o� OPOEH OMAYOR(ORA$$ISTANT) � TOTAL # OF SIGNATURE AGES (CLIP ALL LOCATIONS FOR SICaNATURE) AGTION PEQUESTED: Capitol Auto Repair Inc. DBA Capitol Auto Repair Inc. requests Council approval of its application for an Auto Repair Garage License located at 525 7th Street East (ID 9I41775): (Dean Nephew, President) RECOMMENDATIONS: Approve (A) a Reject (R) pERSONAI SERVICE CONTRACTS MUST ANSWER 7NE FOL�OWING QUESTIONS: _ PLANNING COMMI$$ION _ CIVIL SERVICE COMMISSION �� Has this personttirm ever worked untler a contrect tor this tlepartmentt ._ CIB COMMITfEE _ YES NO _ S7AFF 2� Has this personftirm ever been a city emplcyee? — YES NO _ OISTRiCiCWRi _ 3. Does this Dersonttirm possess a skill not normally posse5setl by a�y curcent city employee� SUPPOqTSWHICNCOUNCILOBJECTIVE� YES NO Explain all yes answers on separate shoet and attach to green sheet INITATING PROBLEM, ISSUE. OPPORTUNITV (Who, What. When. Whare. Wlry): ADYANTAGES IF APPROVED: ��;m�a .�k�,:„tt i��.i� QC? � � ��:�7 �ISADVANTAGESIFAPPROVE� "" ""'""'" DISADVANTAGES IF NOTAPPROVED: TOTAL AMOUNT Of THANSACTION $ COST/REVENUE 6UDGETED (CIRCIE ONE) VES NO FUNDIWG SOURCE ACTIVITY NUMeER FINANCIAL INFORHiATION (EXPLAIN) ' Council File # �� Ordinance # presented By Referred To 1 RESOLVED: 2 3 4 5 6 7 8 9 D 1 � i E Requested by Department of: • - • -..- �..- ... ,�. . .�u - •� Adopted by Adoption Certif By: Approved b7,f Mayor: J, �� _ ,L II , II ,/� BY: i� !'�" �� Date by Council Secretary Date Form Approved by City Atto By: C/ Approved by Mayor for Submission to Council By: Green Sheet # RESOLUTION �INT PAUL, MINNESOTA t1 �� . Date That application (ID #41775) far an Auto Repair DBA Capitol Auto Repair Ina (Dean Nephew, P is hereby approved with the following c< �icense by Capitol Auto Repair Inc. at 525 7th Street East be and the same ns: i) Parking for customers and emplo es shall be arranged on the lot as shown on the attached site pla . No more than 21 vehicles shall be parked out doors on the lot. The licensee is responsible for managing the number of customer veh les to that which may be reasonably repaired and returned to eir owners in the shortest period. There shall be no long term st xage of vehicles on the lot. 2) All vehicles parked assembled with no p 3) Vehicle parts, t Trash will be st 4) No repair of public right oors on the lot must appear to be completely missing. Vehicle salvage is not permitted. , oil or similar items will not be stozed outdoors. in the dumpster or in the existing enclosed area. will occur on the exCerior of the lot or on the By_ SEF-�2-195? 1� _' '� , ` � �'v'-T't � � 7�' cs�� i �? °t'1-t73�— C:ir_OF ST FHUL LIEr^ CLASS �IT ��eE� �3�?��1T10� F12 ^ _-6E CiTY flc SAI?vT PA'v? CC>ff,ee of L"uense, Ir3prr.ir.s azd Fs:virezxr.rts3 $rrtcc:im 310 SC PCC [C Sim 3�0 Sac¢2.:::,Mi,viesoa SSIO2 ' (6:'<)]66Ji�AG fiz(61Z)]Co-9:2s ��. � i i • ! • . y� . FiEASE 7�E OR PRIyIT �T i�'K T}�e o. Liccnse(s) being anplied fo*: .�.1 � � — lil.r�� .c �. 5 S_�/ 7. � . Company Nrsne: C� f� ,'1"c7 � /�' �-l�' � �� p A i R � rv c. -- CorponCan / Pa�lamhip / Sote Propeiertrt�{up If business is incorporatcd, give date of ir,corporation: �-� �� 7 i3o:ng Busi�ess As: �� P�`t'a 1 �w�o � rY i�1 T r� C. $i:siness Phoa�: 2 Z� (`� t(�f Busincss Address: _ J�uJ �,'> 5`�' 7 7 �' S k-�'�'" .S'�'• pi�✓..Q, � , j �/ c� / . SCCCt Addias . City 5a:: 2iP . Between u;�at cross strerts is the business tocated� �� J� 7 7 ^ �9 F �r,� e WUick side of tne sKreeT? �� `�� Are the prem�ses now occupied9 � VJhat Ty�e of Btumes>? !�1 u� �°-� 14 � R '� �' �� L� � �'� �h✓�4 �� M��xoaa�«: Sz5 �,�srt ��", s-` � �t'J� SS�� svo:: aad�s c�ry sw< zsp Applicar.t L2f'ormztion: Name and I[1e: p� Fl n? ? 2�� N� P!� F= t�J ,1�� . Fssst ;�Sidi7e (uzidtn) Lf Lwrt Trti< Home Address: 1 Z 20�_��J p� R �-`-st a' r� s� rt � cl �/V u• 1�' 1.�..r, ,;�, �:.J �\ � 3 •c� s�c� Aaa .-u ctry succ zip DateofBirth: ��-�- S 1 PlsceofButh: C�J��tS�J�^1� �.-v` HomePhone yG�7v�t�( Have you e4�er bean convycfed of any felony, crime o: vialaCOn of any ciry ordir.anee other than ffafi'ic? YES NO � Date of artest: Charge' � Con�ictioq: Wh�;re7 Srntence: Lis� tne na.-nes and residences of three persons of goal moral characier, tivin� a�ithin thc Twin Cities M�tro Area, noi rela;ed tu the appiicanc or finalciall} interested in the premisas or business, who may be refe:red to as tb Ihe apptica,yt's charaeter: NA.iv� 2 � z�_ /�'lA-I �'E�Q' F AT>BRESS -,� �-� 2 �, / ] g� `� � Z l� � ��OW i a. I< �t>O c..1��' Cist licenses w•hich,you cturently hold, formerly held, or may have a� intzrz,t m: PHO:VB o �iz J�h 0�5 �ave etty of iht s�ot'e namtd iieensts ever bcrn rccoiczd? 'YES ?v:) Ifyes, list the dates a�n� reasons for revoca;ior,� SEF'-52-15'37 13 � 29 � I TY i�F ST F'AiJL L I EF 612 �56 4'_�4 P.G2iGJ4 —1 !`�'J'3� A:c }'oL going Fo ope: zte tnis business pe; s.^.r,zlly? � YS ;�0 Lf ro=., w�ho �il; ope: a;e it? �ira[\sJC l:id�IcL (�=a�Ca:) Lart +7amo!3iri Home Ad2re� : Stroe: \S CS,y S�:e Zip Fho,-.c \�bc; A.�;�ou goin� to ha� e z r-•z.z�er or ass:st2�t i:. Ehis buir.es,? � YES ?� Q Lf �:c :::s:ag;7 is r.oc *hc s�.^±e as ti�e opc: ztor; plrzs: wmp!cce L'�e follot� infor.natio7: � ''<�� .,. � • �' C /�-21� �7-a �� Y Fin:?:s.�� ?.fidElcLi:isi (�`�:Er.) :,+st De::o, ��v� N�. �+��.� s-r-. �p�.� _ m� .ss✓�� r�� F.'oae A�r�+: St-s:i �me Pleasc lst your e5p�e; :ien: h,�sto;y for i: e p*e��ow II�•e (3 j�'r,sr pr.ioe: $usi�eS�molO�Tn?*+t �reSs ,Sn�`t�l, ��,,,.�., � rn fl�na�. �-��-� c�� w List a'.l oL�a v�ce;s of L�e co:perxtion: OrfiCER_ TITLE HOMfE E NA.�(E (O�ice Held) AI�B.'�.ESS HO� PHO;�� S[vL- 2ip Phor.c �a^.Sn —t\ �' �C (�1�cn�.: BUS1;�t5S PHO;� L`buu:ess is a Qart,zershin, p;ease include the :olloaiz:g i�.`o*.r.:acon for eac� pa.-tner (tut edditional p.:gcs u`nressz�}_ Fi-s: �a�c Midd;c Yti'v¢; (�feidea} Lest DATE OF B72 �?-I � �J�Y� i-ia�eP,rldce.s: S'.rcc.Ra:ae C:.y Salc Zip Phca�\uabr. Fi-at \me !.tidc'Ic s':�sl (Usidc:tt) Las: Drt� Hepe ilddrzas: SCCCt \ate Ciiy S:A:e Z'r� PSone \�� MLv�'ESOTq TAX IDcNT3F7CA7ION ;vJ��R - P•,�.-suant to the Laws of Min,�es�ta 19&4, Chapter 502, A.ticic S, Sectzon 2(2 i0.72} (Tati Ctearance; Issuance of Lica:ses) ISCfT;Slilg HSIS�lORf1C5 fl'G YCCil117P.d (O PfO��dt LO L SS2C8 O�M��SOt3 CoTI1nll5510:.6i OIRCVGriUC� tha Minnesota business ts.i ideatificauoc number end tne socia? seeurity n.unber of ezch licr.vse applie2nt. U�der the Minncsota Govem.ryeni TJats Praotioes Act �.d the Federal Ftivzcy Act of ] 97d, wc s:e recuirzd to edrise. }'ou of thc follow�.�� regudi,zg the us� of the 2�.inzesota 7ax Identi5cation i�c-r.ber: • Tbis informalion may be used to der:y the iss�ance or rrnzwal of your license in L�,e event yoe owe Minnesoa sales, employe%s u�tF�hofdi�g ot e�iotor veh�cle ezcise ta�es; - Upon receicing this i,zformatio:i, the Iice:is<:ng au�horiry u'iti suppIy it only to Lhe Minnesoia DeparL�ent of Revenue. Hot; ever, under tht Federal Exchzng� of 3nfotmaiio� A�eemcnt, the Dep�-'�ent of Re�enue may supply this informz��on .o t.he inter, z: itevrnue Srnicc. Mu�nesata Te� 3dzati5caton N�..TMnbers (Sales & LSse Ta�c Nezmi,er) may be obtain�d �om thz State of !v3iru�esoa, Business Rcco:.�',s Atpaztmer.c, 20 Ri�•er Park Plsza (6I2-24b•6181). Social Sxuriry Number: `77 7(oO I Io S3 Minnesoia Ta� Idrn:ifieation I�TUmber: �� `� (oJ 3��- -— SEP-�2-g5_v7 g�:�g CIT'r DF =T PAIJL LIEF 9'1-la� s- �12 2E=, 5124 rcRTIFICATTOIV OF WORKERS' CO,UiPENSATTO'_V CO VERAG$ PURSL'AIv i TO MIN?VESOTA STA'Ii;TE 176.? 8 I hereby ee�tif�� thaz I, a my eemoa^.}�, am tn eompliance wi;h the uor`�ccrs' eompencaticm !nsurznce eovtragt raqui e;ne:tis oti Mi= 176.I82, subdivision 2. I g]sp undec5�d tl+at pro�'ISion oi false iifarm2tirn in L`�.is cezufication w:vytiri:tv, suft'iciea: �ounds .o: agains; s]! lieenses l:eld, inclading revocauon and su�ension �f sid ti�nse,s. Name of 5nsvrance Company�: `7 n�r. /,1 ! o� Q/� 1�( � u.}:,�c �.�. �,.,1� C� f Policy Number• _� ...r Coverage frrni �c� I �i ; to `v T � I have no employees co�>ered under vrorkets' compensarian i�surance {INITL�,S} Ah�' FALSIFfCATiOiti OFANSWERS GXVEN OR hLATFAZAL SUBAITTTEB WILI, RESULT �'V DEi4'IAL OF THIS AYpLICATIpiV I hese�vy state rhat I have �zasw�ered a11 of tke preceding Guestions, and ttzaL the informston eontained herein is uue and �r_ea my knowledgc and belizf, I hereby a-tate further that T have received no r.wney or other considzratzon, by way oi ioan, gift, cc otherwase other than a3reac3�r disetosed in the applicatioa whic'r, I herewitl: subr.�itted. I also ttridetstand this prc�lvse .:,ay be inspec fue, heztth and other city offuials at any and a!1 tiznes u�her, ihe b,uine5s is in operation �� G��i��,,..� , -�� Signature (REQUIRED o� i oa �l We will accept payment by cash, cLeek {made pa�'abte xa C1ty of Saint Psal) or cr¢dit card {IKlC or Visa). fF,PAYINGBYC REZ 3 ITCARDPL� 4 SECOeYfYLETETFYE'FOLLOGi�NC'+INFOTt�11ATCON: � Mastc�Card C EXPIRATION I1ATE: ACCOUN'f NVN��,12� C1�7/Cl❑ ❑L7C1t� C7Cli�fl ❑�C.�❑ �E� for �*�7a2e: If this appliextion is Fooc3/Liquor related, pieaae contact a City oi S2int Pau? Heaith Inspector, Stevc Olsnn (266A13 plsns. If any substanval changes to structure ue anucipatul, p7ea�e consact a Cin� of Saint Paul plan Examine; at 266-9GD7 buildu�g pzru�iis. If the�'e �e any changes to th� parking �ot, floor space, or for new op�ations, glease contact a Cirr of Sain: Pau! Zoz�zng 266-4008. A!1 appGcations require the tollowiug documents. Please attactz Llsese docaments when submitYing your app1�� 1. A detailed description of the design,laaGon and squsre footage of 4'�e premises to be licerued {site p:zn}, The fotlo,ving data should be on the sitc plan (,�referabiy on an � 2!2" x I 1" or 8 2/2" x 14" papzr;; - Name, address, and phone number, - The seala shoutd be stated such as 1"= 20'. ^\ shouid he mdicated toward the top. - Plact�nent of all pertinent �eatures of the interior of the I�censed �acilaTy such as sca:ing a; eas, kitcke::s, ��'ice5, parlung, rest rooms, etc. - Zf a request is fot an addition ot expansion of the lieensed facilin•, �r;dicate both thc currcnt area snd Lhe proposec 2. A copy of youz Itase aer�mznt o: proof of owners?up of tha progrrtp. SFECIFIC LXC�NSE APPI,ICATTONS �tEQU3RE ApbTT`Tp:VAI, I'�i ,'k'pR'�IA'£IO;'�*. �T.EA$� SEE RE VERSE FO�2 AET'A�.S >> 7> A 'S: