97-1360council File ,f `f7 - /�3lo v
ordinance #
Green Sheet # 50245
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r•:
Presented By
Referred To
Committee: Date
33
RESOLVED: That application, ID #89316, for an On-Sale Malt (Strong Beer) and Wine On-
Sale License by Ruam Mit Thai Cafe, Inc. DBA Ruam Mit Thai Cafe, (Suthavilay
Vongkhamdeng, President), at 475 St. Peter Street, be and the same is hereby
approved.
Requested by Department of:
• -�-- �- - e- �
Adoption Certified by Council Secretary
$y' —�-�—� � T —"
Approved by Mayor: Date ft L �-
� By : �S.
RESOLUTION
�NT PAUL, MINNESOTA
g �,
Form Approv
By: �
Approved by
Council
By:
by City
for Submiesion to
Adopted by Council: Date '� q� �
N° 50245
OEPARTMENTNFFICE/COUNCIL DATE INITIATED � � � �`� � �
LiEr � GREEN SHEE
CONTACT PERSON 8 PHONE INITIAUDATE INRIAUDATE
� DEPARTMENT DIRE � CITY COUNCIL
Christine A. Rozek - 266-9108 nssicx �aTVaTroaNev �QTYCLERK
NUMBERFOfl
MUST BE ON CqUNCIL AGENDA BY (DATEI pOtRING O BUOGET OIRECTOR � FIN. S MGT SERVICES DIR.
Hearing: � �� Ofl�ER a MAYOR (ORqSSISTAIJn �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACr10N RE�UESTED
Ruam Mit Thai Cafe, Inc. DBA Ruam Mit Thai Cafe, (Suthavilay Vongkhamdeng,
President), requests Council approval of their application for:an'On=Sa�e Mait�(Strong)
Beer) and a Wine On-Sale License at 475 St. Peter Street. (ID �689316)
FECAMMENDATIONS Approve (A1 or Rejec[ (R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING UUESTIONS:
_ PLANNING CAMMISSION _ CIVIL SEMICE COMMISSION �� Ha5 ihis pefSOnHirm ever Wofked under a contraC� fOr ihls tlepartment?
_ CIB CqMMlTTEE _ YES NO
2. Has ihis personflirm ever been a city emD�oyea?
_ STAFF
— YES NO
_ DIS7HIC7 COU�ti _ 3. Does this personlFirm possess a skiil not normally possessed by any cunent ciry employee?
SUPPORTS WHICH CAUNCIL OBJECTIVE'+ YES NO
Explain all yes answera on separate aheet enC enach to green aheet
IN/TIATING PROBLEM, ISSUE. OPPORTUNITV (Who. W�at, When. Where. Why):
ADVANTAGESIFAPPROVED: '
n�%3lsi=,:� �.?`u��t °S.I� �i(�
Q�i� �: � �d�7
�ISADVANTAGES IF APPROVED' _�.___ _ � �
. _ . �.uV..�-�' '..JY�.:�v.�i
OISADVANTAC>ES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION 5 COSTlREVENUE BUDGETED (CIRCLE ONE) VES NO
FUNDIIdG SOURCE AC7IVI7Y NUMBER
FINANCIAL INFORF.fATION (EXPLAIN)
7 -� a
,�+'""'`� Mmnesot a Departmeut of Public Safety �v±t� 4
r �' LIQUORCONTROLDIVISION ����;�� s
� ' i y\yy� X31
� � 4�4d Cedar St., Suite 100L S[.Pau1,MN 55101-21% 4
�-.,�� �:
''L �� (612)296-b�134 TTY (612)282-b5�5 =��-, �
�-, -
AFPLICATTON FOR COIJI�TY/CITY ON-SALE WINE LICENSE
(Not to exceed 1�4%of alcohol b}'ti olume)
EVERY QUESTION MUST BE A1\'SW ERED. If a corporation, an officer shall esecute this applicaiion. If a paztnership, a parmer
shall e�ecufethis application.(PS 9114-9�1)
��`orkerscompensaYionm�rancecompany. i3ame �Worker Comp Assinged Ri ��c�J', 6n WC 0059li8—Ol
LICENSEE'SSALES&USETAXII?n 586-26-2472 To �forsa]estaY�,call296-6181bi 1-800-b57-3777
Applic�tsNazne(Business,Paztuership,Corporafion) Tradel�IameorDBA
Ruam Mit Thai Cafe
BusinessAddress BusluessPhone ApplicanYsHomePhone
475 St. Peter St. �12 � 290-0067 (12 ) 891-3798
City Counts� Staze Zip Code
St. Paul Ramsey Mn 55102
Is this application If a tran�er give name of fonner o«ner License period
� 11'eR� «a ❑ Transfer Ftvm To
If a co oration. ��e name, title, address �d d�e ofburh of each officcx. If a artnershi ,' name, address and date of bath of each artner.
Partner/�cer I�Tame znd title Address DOB
Suthavila Suvan hir Bon khamden Pres. 14189 F1a stone Tr. A 1eValle 12-19-57
Pazmerl�cerh'ame �d Title Address DOB
Thongsy Suvanphim V.P. 718 Dlizabeth La. M ls Mn. 8-12-32
Pazmer/Officer Name and Title Address DOB
Sommana MonthisaneV.P. 2381 Stone Creek La W Chanhassen 8-15—b3
Parmer/�cer Name and Title Address DOB
� CORPORATIONS
IYdzofncapwaim � fl3eofnoxporaim Ca[�cae'.�umber Iswryaaimau[horizzdtodobusnessn\3au�esaa?
- °'6-25-96 Mn 9F-829 Ycs ❑xo
If a sibsidiazy� of a�ah a curyoraim, gn�z name � d addrzu ofparart cocporaim
BUILDING Al�'D RESTAURANT
\arneofbuildmgaana � p,i-ner'saddres
Archie L. Gringold 475 St. Peter St.
AreProppEyTaxesde3nquaE? Hasthebui7dngo.mera�yarme¢im,direCCrndaed, Re3awartseangcapac'Ly
❑ Yes f� No Kihchea�ti�c? � Yes �,'! No 7-160
HoursCoodwillbea��ailablz :`o.ofpecplere3aurardemploys \o.ofmm[hspayearresaurara. R'illfoodservicebetheprnciplebussess?
w�ill be cpat �'7 Yes ❑ No
Dasmbethepranisesto be lice�sed
Ground Floor of 473-475 St.Peter St.
Iflhere3aura�Il is n cmjimaimw)h ar�ciherbusness(resoR,�c.), desmbebusness
OTHER INFORMATTON
t�}Yes D23o I. Has the applicant or associates been granted an on-sale non-intoucating malt beverage (32) and/or a"set-up"
license m co� vnction with this �j°ine license?
1� Yes I�No 2. Is the app3icant or a[ry of tLe associates m this application a member of the count�� boad ar tLe city council
which will issue dtis licease? Ifyes, m tti$at capacity? .(If the applicant
is the spouse of amember ofthe govemmg body, or �otha fmmily relationship exists, the member shall not
��ote on this application.)
OYes�iNo 3_ Duringthepa3license}�ear,hasasummonsbeenissuedundestheliquorcivilliability(DramShop)(M.S.
340A.802). Ifycs, attach a copy of the am�mans.
NO LICENSE W ILL BE APPROVED OR RELEASED UNTIL THE S20 RETAILER ID CARD FEE IS RECEIVED BY MLC.
-i
❑ Ycs � No
❑ Yes � I�TO �.
Has applic�t. par[�ers, offieers or emplo}'ees e�•er had any liquor la�v cio]ations in Minnesota or e]se��'hzrz.
If so, �rve narnes, dates, violations and fmal outcome.
Does azry person other th� the applicants ba�-e anc right, title or interest in the furuilure, Fixtures or equipment
in the licensed premises? If }'es � e nazues and dztails.
❑ Yes �Iv�o b. Hm�e the applicants any mterests, directIp or ind'uecth', in anV other liquor e�ablishments m Minnesota? if} es,
2ice name and address of the establishment
BESTOFr4YOWNKNOWLEDGE�A��Q�.��,.'yS 1 ��SR'ERSARETf��ANi), p C�_ IIIE,
U'I�CI i t y
� Si�afure fAovlic� t Date
The licensee must ha��e one of the folloiring:
Qieck me
� A.
G� B
❑ C
❑ Yes G No
Liquar Liabilfi� Insurance (Dram Shop} $50,000 per person; $100.000 more tl�an one person; S 10,000 properly destruction;
$50,000 and $100,000 for ]oss ofineans of support. ATTACH "CERIIFICA'IE OF INSC7RAI�TCE" TO TFIIS FORM.
A Siuet}� bond from a suret�� company «�ith mn�imum co��erage as spec'�ed aboti�e in A.
A cert�cate from the Staie Treasurer that the Licensee has deposited ��i1h the State, 1Yus Funds hacing a market �•alue of
�]00,000 or $]fl0,000 in cash or securities.
IF LICENSE IS ISSUED BY THE COUi�TY BOARD, REPORT OF COUNTY ATTORNEY
I ceriit} that to the best of m5 I;nottiledge thz applicants named abo�'e aze elipble to be licen�d.
If no, state reason.
Signature Count}• Attomey
Counry
REPORT BY POLICE OR SHERIFF`S DEPARTMEN'f
Date
lhis is to certif}• thaf the applicant and tLe assa;iates, named herein havc not bcen coneicte� w ithm the pas! frve }'ears for any violation of
Latcs of the State of Mmnesota, Municipal or County.
Ordinances ielaTiug to Into�icating I,iquor, except as folloH�s
1MPORTANT NOTiCE
ALL RETAIL LIQUOR LICEriSEES MUST HAVE A L'URRENT �'EDERAL SPECIAL
OCCUPATIONAL STAMP. THIS STAMP IS ISSUED BY THE BUREAU OF ALCOHOL, TOBACCO
AND R'IREARMS. FOR INFORMATION, CALL (612)290-3496
council File ,f `f7 - /�3lo v
ordinance #
Green Sheet # 50245
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19
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21
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23
24
25
26
27
28
29
r•:
Presented By
Referred To
Committee: Date
33
RESOLVED: That application, ID #89316, for an On-Sale Malt (Strong Beer) and Wine On-
Sale License by Ruam Mit Thai Cafe, Inc. DBA Ruam Mit Thai Cafe, (Suthavilay
Vongkhamdeng, President), at 475 St. Peter Street, be and the same is hereby
approved.
Requested by Department of:
• -�-- �- - e- �
Adoption Certified by Council Secretary
$y' —�-�—� � T —"
Approved by Mayor: Date ft L �-
� By : �S.
RESOLUTION
�NT PAUL, MINNESOTA
g �,
Form Approv
By: �
Approved by
Council
By:
by City
for Submiesion to
Adopted by Council: Date '� q� �
N° 50245
OEPARTMENTNFFICE/COUNCIL DATE INITIATED � � � �`� � �
LiEr � GREEN SHEE
CONTACT PERSON 8 PHONE INITIAUDATE INRIAUDATE
� DEPARTMENT DIRE � CITY COUNCIL
Christine A. Rozek - 266-9108 nssicx �aTVaTroaNev �QTYCLERK
NUMBERFOfl
MUST BE ON CqUNCIL AGENDA BY (DATEI pOtRING O BUOGET OIRECTOR � FIN. S MGT SERVICES DIR.
Hearing: � �� Ofl�ER a MAYOR (ORqSSISTAIJn �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACr10N RE�UESTED
Ruam Mit Thai Cafe, Inc. DBA Ruam Mit Thai Cafe, (Suthavilay Vongkhamdeng,
President), requests Council approval of their application for:an'On=Sa�e Mait�(Strong)
Beer) and a Wine On-Sale License at 475 St. Peter Street. (ID �689316)
FECAMMENDATIONS Approve (A1 or Rejec[ (R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING UUESTIONS:
_ PLANNING CAMMISSION _ CIVIL SEMICE COMMISSION �� Ha5 ihis pefSOnHirm ever Wofked under a contraC� fOr ihls tlepartment?
_ CIB CqMMlTTEE _ YES NO
2. Has ihis personflirm ever been a city emD�oyea?
_ STAFF
— YES NO
_ DIS7HIC7 COU�ti _ 3. Does this personlFirm possess a skiil not normally possessed by any cunent ciry employee?
SUPPORTS WHICH CAUNCIL OBJECTIVE'+ YES NO
Explain all yes answera on separate aheet enC enach to green aheet
IN/TIATING PROBLEM, ISSUE. OPPORTUNITV (Who. W�at, When. Where. Why):
ADVANTAGESIFAPPROVED: '
n�%3lsi=,:� �.?`u��t °S.I� �i(�
Q�i� �: � �d�7
�ISADVANTAGES IF APPROVED' _�.___ _ � �
. _ . �.uV..�-�' '..JY�.:�v.�i
OISADVANTAC>ES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION 5 COSTlREVENUE BUDGETED (CIRCLE ONE) VES NO
FUNDIIdG SOURCE AC7IVI7Y NUMBER
FINANCIAL INFORF.fATION (EXPLAIN)
7 -� a
,�+'""'`� Mmnesot a Departmeut of Public Safety �v±t� 4
r �' LIQUORCONTROLDIVISION ����;�� s
� ' i y\yy� X31
� � 4�4d Cedar St., Suite 100L S[.Pau1,MN 55101-21% 4
�-.,�� �:
''L �� (612)296-b�134 TTY (612)282-b5�5 =��-, �
�-, -
AFPLICATTON FOR COIJI�TY/CITY ON-SALE WINE LICENSE
(Not to exceed 1�4%of alcohol b}'ti olume)
EVERY QUESTION MUST BE A1\'SW ERED. If a corporation, an officer shall esecute this applicaiion. If a paztnership, a parmer
shall e�ecufethis application.(PS 9114-9�1)
��`orkerscompensaYionm�rancecompany. i3ame �Worker Comp Assinged Ri ��c�J', 6n WC 0059li8—Ol
LICENSEE'SSALES&USETAXII?n 586-26-2472 To �forsa]estaY�,call296-6181bi 1-800-b57-3777
Applic�tsNazne(Business,Paztuership,Corporafion) Tradel�IameorDBA
Ruam Mit Thai Cafe
BusinessAddress BusluessPhone ApplicanYsHomePhone
475 St. Peter St. �12 � 290-0067 (12 ) 891-3798
City Counts� Staze Zip Code
St. Paul Ramsey Mn 55102
Is this application If a tran�er give name of fonner o«ner License period
� 11'eR� «a ❑ Transfer Ftvm To
If a co oration. ��e name, title, address �d d�e ofburh of each officcx. If a artnershi ,' name, address and date of bath of each artner.
Partner/�cer I�Tame znd title Address DOB
Suthavila Suvan hir Bon khamden Pres. 14189 F1a stone Tr. A 1eValle 12-19-57
Pazmerl�cerh'ame �d Title Address DOB
Thongsy Suvanphim V.P. 718 Dlizabeth La. M ls Mn. 8-12-32
Pazmer/Officer Name and Title Address DOB
Sommana MonthisaneV.P. 2381 Stone Creek La W Chanhassen 8-15—b3
Parmer/�cer Name and Title Address DOB
� CORPORATIONS
IYdzofncapwaim � fl3eofnoxporaim Ca[�cae'.�umber Iswryaaimau[horizzdtodobusnessn\3au�esaa?
- °'6-25-96 Mn 9F-829 Ycs ❑xo
If a sibsidiazy� of a�ah a curyoraim, gn�z name � d addrzu ofparart cocporaim
BUILDING Al�'D RESTAURANT
\arneofbuildmgaana � p,i-ner'saddres
Archie L. Gringold 475 St. Peter St.
AreProppEyTaxesde3nquaE? Hasthebui7dngo.mera�yarme¢im,direCCrndaed, Re3awartseangcapac'Ly
❑ Yes f� No Kihchea�ti�c? � Yes �,'! No 7-160
HoursCoodwillbea��ailablz :`o.ofpecplere3aurardemploys \o.ofmm[hspayearresaurara. R'illfoodservicebetheprnciplebussess?
w�ill be cpat �'7 Yes ❑ No
Dasmbethepranisesto be lice�sed
Ground Floor of 473-475 St.Peter St.
Iflhere3aura�Il is n cmjimaimw)h ar�ciherbusness(resoR,�c.), desmbebusness
OTHER INFORMATTON
t�}Yes D23o I. Has the applicant or associates been granted an on-sale non-intoucating malt beverage (32) and/or a"set-up"
license m co� vnction with this �j°ine license?
1� Yes I�No 2. Is the app3icant or a[ry of tLe associates m this application a member of the count�� boad ar tLe city council
which will issue dtis licease? Ifyes, m tti$at capacity? .(If the applicant
is the spouse of amember ofthe govemmg body, or �otha fmmily relationship exists, the member shall not
��ote on this application.)
OYes�iNo 3_ Duringthepa3license}�ear,hasasummonsbeenissuedundestheliquorcivilliability(DramShop)(M.S.
340A.802). Ifycs, attach a copy of the am�mans.
NO LICENSE W ILL BE APPROVED OR RELEASED UNTIL THE S20 RETAILER ID CARD FEE IS RECEIVED BY MLC.
-i
❑ Ycs � No
❑ Yes � I�TO �.
Has applic�t. par[�ers, offieers or emplo}'ees e�•er had any liquor la�v cio]ations in Minnesota or e]se��'hzrz.
If so, �rve narnes, dates, violations and fmal outcome.
Does azry person other th� the applicants ba�-e anc right, title or interest in the furuilure, Fixtures or equipment
in the licensed premises? If }'es � e nazues and dztails.
❑ Yes �Iv�o b. Hm�e the applicants any mterests, directIp or ind'uecth', in anV other liquor e�ablishments m Minnesota? if} es,
2ice name and address of the establishment
BESTOFr4YOWNKNOWLEDGE�A��Q�.��,.'yS 1 ��SR'ERSARETf��ANi), p C�_ IIIE,
U'I�CI i t y
� Si�afure fAovlic� t Date
The licensee must ha��e one of the folloiring:
Qieck me
� A.
G� B
❑ C
❑ Yes G No
Liquar Liabilfi� Insurance (Dram Shop} $50,000 per person; $100.000 more tl�an one person; S 10,000 properly destruction;
$50,000 and $100,000 for ]oss ofineans of support. ATTACH "CERIIFICA'IE OF INSC7RAI�TCE" TO TFIIS FORM.
A Siuet}� bond from a suret�� company «�ith mn�imum co��erage as spec'�ed aboti�e in A.
A cert�cate from the Staie Treasurer that the Licensee has deposited ��i1h the State, 1Yus Funds hacing a market �•alue of
�]00,000 or $]fl0,000 in cash or securities.
IF LICENSE IS ISSUED BY THE COUi�TY BOARD, REPORT OF COUNTY ATTORNEY
I ceriit} that to the best of m5 I;nottiledge thz applicants named abo�'e aze elipble to be licen�d.
If no, state reason.
Signature Count}• Attomey
Counry
REPORT BY POLICE OR SHERIFF`S DEPARTMEN'f
Date
lhis is to certif}• thaf the applicant and tLe assa;iates, named herein havc not bcen coneicte� w ithm the pas! frve }'ears for any violation of
Latcs of the State of Mmnesota, Municipal or County.
Ordinances ielaTiug to Into�icating I,iquor, except as folloH�s
1MPORTANT NOTiCE
ALL RETAIL LIQUOR LICEriSEES MUST HAVE A L'URRENT �'EDERAL SPECIAL
OCCUPATIONAL STAMP. THIS STAMP IS ISSUED BY THE BUREAU OF ALCOHOL, TOBACCO
AND R'IREARMS. FOR INFORMATION, CALL (612)290-3496
council File ,f `f7 - /�3lo v
ordinance #
Green Sheet # 50245
1
2
3
4
5
6
7
8
9
10
il
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
r•:
Presented By
Referred To
Committee: Date
33
RESOLVED: That application, ID #89316, for an On-Sale Malt (Strong Beer) and Wine On-
Sale License by Ruam Mit Thai Cafe, Inc. DBA Ruam Mit Thai Cafe, (Suthavilay
Vongkhamdeng, President), at 475 St. Peter Street, be and the same is hereby
approved.
Requested by Department of:
• -�-- �- - e- �
Adoption Certified by Council Secretary
$y' —�-�—� � T —"
Approved by Mayor: Date ft L �-
� By : �S.
RESOLUTION
�NT PAUL, MINNESOTA
g �,
Form Approv
By: �
Approved by
Council
By:
by City
for Submiesion to
Adopted by Council: Date '� q� �
N° 50245
OEPARTMENTNFFICE/COUNCIL DATE INITIATED � � � �`� � �
LiEr � GREEN SHEE
CONTACT PERSON 8 PHONE INITIAUDATE INRIAUDATE
� DEPARTMENT DIRE � CITY COUNCIL
Christine A. Rozek - 266-9108 nssicx �aTVaTroaNev �QTYCLERK
NUMBERFOfl
MUST BE ON CqUNCIL AGENDA BY (DATEI pOtRING O BUOGET OIRECTOR � FIN. S MGT SERVICES DIR.
Hearing: � �� Ofl�ER a MAYOR (ORqSSISTAIJn �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACr10N RE�UESTED
Ruam Mit Thai Cafe, Inc. DBA Ruam Mit Thai Cafe, (Suthavilay Vongkhamdeng,
President), requests Council approval of their application for:an'On=Sa�e Mait�(Strong)
Beer) and a Wine On-Sale License at 475 St. Peter Street. (ID �689316)
FECAMMENDATIONS Approve (A1 or Rejec[ (R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING UUESTIONS:
_ PLANNING CAMMISSION _ CIVIL SEMICE COMMISSION �� Ha5 ihis pefSOnHirm ever Wofked under a contraC� fOr ihls tlepartment?
_ CIB CqMMlTTEE _ YES NO
2. Has ihis personflirm ever been a city emD�oyea?
_ STAFF
— YES NO
_ DIS7HIC7 COU�ti _ 3. Does this personlFirm possess a skiil not normally possessed by any cunent ciry employee?
SUPPORTS WHICH CAUNCIL OBJECTIVE'+ YES NO
Explain all yes answera on separate aheet enC enach to green aheet
IN/TIATING PROBLEM, ISSUE. OPPORTUNITV (Who. W�at, When. Where. Why):
ADVANTAGESIFAPPROVED: '
n�%3lsi=,:� �.?`u��t °S.I� �i(�
Q�i� �: � �d�7
�ISADVANTAGES IF APPROVED' _�.___ _ � �
. _ . �.uV..�-�' '..JY�.:�v.�i
OISADVANTAC>ES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION 5 COSTlREVENUE BUDGETED (CIRCLE ONE) VES NO
FUNDIIdG SOURCE AC7IVI7Y NUMBER
FINANCIAL INFORF.fATION (EXPLAIN)
7 -� a
,�+'""'`� Mmnesot a Departmeut of Public Safety �v±t� 4
r �' LIQUORCONTROLDIVISION ����;�� s
� ' i y\yy� X31
� � 4�4d Cedar St., Suite 100L S[.Pau1,MN 55101-21% 4
�-.,�� �:
''L �� (612)296-b�134 TTY (612)282-b5�5 =��-, �
�-, -
AFPLICATTON FOR COIJI�TY/CITY ON-SALE WINE LICENSE
(Not to exceed 1�4%of alcohol b}'ti olume)
EVERY QUESTION MUST BE A1\'SW ERED. If a corporation, an officer shall esecute this applicaiion. If a paztnership, a parmer
shall e�ecufethis application.(PS 9114-9�1)
��`orkerscompensaYionm�rancecompany. i3ame �Worker Comp Assinged Ri ��c�J', 6n WC 0059li8—Ol
LICENSEE'SSALES&USETAXII?n 586-26-2472 To �forsa]estaY�,call296-6181bi 1-800-b57-3777
Applic�tsNazne(Business,Paztuership,Corporafion) Tradel�IameorDBA
Ruam Mit Thai Cafe
BusinessAddress BusluessPhone ApplicanYsHomePhone
475 St. Peter St. �12 � 290-0067 (12 ) 891-3798
City Counts� Staze Zip Code
St. Paul Ramsey Mn 55102
Is this application If a tran�er give name of fonner o«ner License period
� 11'eR� «a ❑ Transfer Ftvm To
If a co oration. ��e name, title, address �d d�e ofburh of each officcx. If a artnershi ,' name, address and date of bath of each artner.
Partner/�cer I�Tame znd title Address DOB
Suthavila Suvan hir Bon khamden Pres. 14189 F1a stone Tr. A 1eValle 12-19-57
Pazmerl�cerh'ame �d Title Address DOB
Thongsy Suvanphim V.P. 718 Dlizabeth La. M ls Mn. 8-12-32
Pazmer/Officer Name and Title Address DOB
Sommana MonthisaneV.P. 2381 Stone Creek La W Chanhassen 8-15—b3
Parmer/�cer Name and Title Address DOB
� CORPORATIONS
IYdzofncapwaim � fl3eofnoxporaim Ca[�cae'.�umber Iswryaaimau[horizzdtodobusnessn\3au�esaa?
- °'6-25-96 Mn 9F-829 Ycs ❑xo
If a sibsidiazy� of a�ah a curyoraim, gn�z name � d addrzu ofparart cocporaim
BUILDING Al�'D RESTAURANT
\arneofbuildmgaana � p,i-ner'saddres
Archie L. Gringold 475 St. Peter St.
AreProppEyTaxesde3nquaE? Hasthebui7dngo.mera�yarme¢im,direCCrndaed, Re3awartseangcapac'Ly
❑ Yes f� No Kihchea�ti�c? � Yes �,'! No 7-160
HoursCoodwillbea��ailablz :`o.ofpecplere3aurardemploys \o.ofmm[hspayearresaurara. R'illfoodservicebetheprnciplebussess?
w�ill be cpat �'7 Yes ❑ No
Dasmbethepranisesto be lice�sed
Ground Floor of 473-475 St.Peter St.
Iflhere3aura�Il is n cmjimaimw)h ar�ciherbusness(resoR,�c.), desmbebusness
OTHER INFORMATTON
t�}Yes D23o I. Has the applicant or associates been granted an on-sale non-intoucating malt beverage (32) and/or a"set-up"
license m co� vnction with this �j°ine license?
1� Yes I�No 2. Is the app3icant or a[ry of tLe associates m this application a member of the count�� boad ar tLe city council
which will issue dtis licease? Ifyes, m tti$at capacity? .(If the applicant
is the spouse of amember ofthe govemmg body, or �otha fmmily relationship exists, the member shall not
��ote on this application.)
OYes�iNo 3_ Duringthepa3license}�ear,hasasummonsbeenissuedundestheliquorcivilliability(DramShop)(M.S.
340A.802). Ifycs, attach a copy of the am�mans.
NO LICENSE W ILL BE APPROVED OR RELEASED UNTIL THE S20 RETAILER ID CARD FEE IS RECEIVED BY MLC.
-i
❑ Ycs � No
❑ Yes � I�TO �.
Has applic�t. par[�ers, offieers or emplo}'ees e�•er had any liquor la�v cio]ations in Minnesota or e]se��'hzrz.
If so, �rve narnes, dates, violations and fmal outcome.
Does azry person other th� the applicants ba�-e anc right, title or interest in the furuilure, Fixtures or equipment
in the licensed premises? If }'es � e nazues and dztails.
❑ Yes �Iv�o b. Hm�e the applicants any mterests, directIp or ind'uecth', in anV other liquor e�ablishments m Minnesota? if} es,
2ice name and address of the establishment
BESTOFr4YOWNKNOWLEDGE�A��Q�.��,.'yS 1 ��SR'ERSARETf��ANi), p C�_ IIIE,
U'I�CI i t y
� Si�afure fAovlic� t Date
The licensee must ha��e one of the folloiring:
Qieck me
� A.
G� B
❑ C
❑ Yes G No
Liquar Liabilfi� Insurance (Dram Shop} $50,000 per person; $100.000 more tl�an one person; S 10,000 properly destruction;
$50,000 and $100,000 for ]oss ofineans of support. ATTACH "CERIIFICA'IE OF INSC7RAI�TCE" TO TFIIS FORM.
A Siuet}� bond from a suret�� company «�ith mn�imum co��erage as spec'�ed aboti�e in A.
A cert�cate from the Staie Treasurer that the Licensee has deposited ��i1h the State, 1Yus Funds hacing a market �•alue of
�]00,000 or $]fl0,000 in cash or securities.
IF LICENSE IS ISSUED BY THE COUi�TY BOARD, REPORT OF COUNTY ATTORNEY
I ceriit} that to the best of m5 I;nottiledge thz applicants named abo�'e aze elipble to be licen�d.
If no, state reason.
Signature Count}• Attomey
Counry
REPORT BY POLICE OR SHERIFF`S DEPARTMEN'f
Date
lhis is to certif}• thaf the applicant and tLe assa;iates, named herein havc not bcen coneicte� w ithm the pas! frve }'ears for any violation of
Latcs of the State of Mmnesota, Municipal or County.
Ordinances ielaTiug to Into�icating I,iquor, except as folloH�s
1MPORTANT NOTiCE
ALL RETAIL LIQUOR LICEriSEES MUST HAVE A L'URRENT �'EDERAL SPECIAL
OCCUPATIONAL STAMP. THIS STAMP IS ISSUED BY THE BUREAU OF ALCOHOL, TOBACCO
AND R'IREARMS. FOR INFORMATION, CALL (612)290-3496