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Presented By
Referred To
Council File � 7 / �72 �
Ordinance #
Green Sheet # 50235
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA 3•Z
Committee: Date
RESOLVED: That application, ID �70524, for a Parking Lot/Ramp License bv 2356
University Ave. Limited Partnership DBA 2356 University Ave. Limited Partnership
(Bruce A.Lambrecht) at 2356 University Avenue W., be and the same is hereby
approved.
Requested by Department of:
Adoption Certified by Council Secretary
B � � ����� _
Approved by Mayor: Date tZ �9f ��_
Office of License. Inspectiona and
/ E ' �nvironmental Protection
By: 1�Ah-8..c.6M.��S-� l"t "�Sc�-�"
Form Approved by City Atto�,y
f / I
s � � �
Approved by yor for Submission to
Council
Bye
B Y� ' `— - �� ` ' �-
Adopted by Council: Date `��
N� 50235
97 y
LIEP/License
Christine A. Rozek - 266-9108
Hearing: J/
TOTAL # OF SIGNATURE PAGES
GREEN SHEET
O DEPAFTMENTDIRECTOF
� arrnnoaNev
O BUOGET OIPEGTO
� MAYOR (OR ASSISTANT)
(CLIP ALL LOCATIONS FOR SIGNATURE)
�CINLOUNQI. _
� CITY 0.ERK
O FIN 8 MGT SEflVICES
� _
INITIAUDATE
2356 University Ave. Limited Partnershig DBA 2356 University Ave. Limited Partnership_requ
Council approval of their application for a Parking Lot/Ramp License (Bruce A. Lambrecht),
ID 1670524, located at 2356 University Ave. W.
Acv
_ PLANNING COMMISSION _ CIVII SERVICE COMMISSION
_ CIB COMMITTEE _
� STAFF _
_ �ISTRICTCOVAT _
SUPPORTS WHICH COUNGL OB.IECTIVE?
IF APPROVED:
PEHSONA� SERVICE CONTqACTS MUST ANSWER TNE FOLLOWING �UESTIONS:
7. Has this person/Firm ever wwked untler a contrect tor this tlepartmentt
YES NO
2. Has this personffirm ever been a city employee?
YES NO
3. Does this person/firm possess a skill not normally possessed by any current ciry employee?
YES NO
Explain eli yes anawers on aeperate eheet anE ettach to g�een aheet
�
TOTAL AMOUNT OF TRANSACTION S
FUNDIHC+ SOURCE
FINANCIAL INfOPMATION (EXPUlIN)
OCT 3 Q 1997
.�
COST/REVENUE BUDGETED (CIRCLE ONE) �ES NO
ACTIVITV NUMBER
SwtNT '
rwuc
�I
AAAII !
CLASS III
LICENSE APPLICATION
t��
THIS APPLICATION IS S'UBJECT TO REVIEW BY TI� PIIBLIC
PLEASE TYPE OR PRINT IN I?�Y
sa
97-1y2 y
CITY OF SAINT PAUL
�ce of Licznse, U�sptiuons
znd En�ironmrnizl ProEZCtion
3S� St Petc. St Sw¢ 300
Sz�?ayl,!.fc�,��oa 55502
(bi])]6690ab �sxlbll)16bci34
�
5��� -�
Cor�panyName: 2356 University Avenue Limited Partnership
Carporation / Partnenhip / Sole ProprieWrship
If business is incoiporated, give date of incorporation:
Doing Business As: Business Phone: 917-0707
BusinessAddress: 2356 University Avenue St. Paul, MN 55105
Sheet Addres . City Stnte Zip
Setween what cross streets is the business located? Rdymond & LdSh c l e VJhich side of the street? SoUth
Arethepremisesnowoccupied? NO � WhatTypeofBusiness? Monthlv contract parking
MeilToAdaress: _IMS 333 N.•Washington Ave, Suite B500 Minneapolis MN 55401
s� naarc� , c�c s�c� z�
Applicant Information:
NameandTicle: Bruce Arthur, Lambrecht, President, Investment Management, Inc. (IMI)
Fust !H;aal� (Me,an,� t.ase r;u�
HomeAddress: 2841 Ella Lane, Minnetonka, MN 55305
s�n naa�s � c;ry sr�+� z;p
DateofBirth: 3-13-1950 PlaceofBirth: NeW Ulm, MN HomePhone: _ 512-1140
Have you ever been convicted of any felony, crime or c�iolation of znv ciN ordinz^.ce other than tra:.`5c': YES ;vTO X
Date ofarrest:
Charge: _
Conviction:
Sentence:
List the n�nes and residences of tLree persons of good moral chazacter, living within the Twin Cities Metro Area, not related to the applicant
or financially interested in the premises or husiness, who may be refeired to as to the applicxnYs character:
NAME ADDRESS pHp�
Tom Cutshall 333 N. Washington Avenue, Mpls, MN 373-9815
Steve Wagner 601 Lakeshore Pkwy, Mtka, MN 473-2002
Scott Fedie 801 Marquette Avenue Mpls MN 661-8312
List licenses which yau currently hold, fonnerly held, or may have an interest in:
Have any of the above named licenses ever been revoked?
{:�;r
VJhere?
YES x 1�'O If yes, list the dates and reasons for revocation:
2/7 S/97
Are you going to operate tlus business personally?
F�i�*��
�liddle IniCai
Homc Add�ess: Street \eme
Are you going to havz a ma�aeer or assistant in this business�
plezsz complefe the follo�ning infonnation:
F�t ��e
\�yddle Initisl
Home.Addmss: StreetNzme
YES _
(�fnidn)
Ci�'
YES
(.�1aid_-�)
ctTy
� • • ���? y
i�TO ff not, who «il1 operate it?
�
Lut Dete of Sir4
S�atc Zip Puoac\i¢vbcr
NO If the manzger is not the sa*ne as Lhe operztor,
I.z+t
DzL- ofBut.*.
Stete Zip PFone\i¢nber
Please list your employment history for the previous five (5) } ear period:
Business/Em�lovment Address
Investment Manaqement, Inc. Suite B500, 333 North Washinqton Ave, MPLS MN 55401
List all other officers of the corporation:
OFFICER TITLE HOME HOME BUSINESS DATE OF
I�TAME (OfficeF:eld) ADDRESS PHOI�'E PH02�'E BIf2TH.
Richard K. Poqin Vice Pres. St. Louis Park, MN 938-5796 349-2765 3-27-48
If business is a partnersbip, please include the following information for each parmer (use additional pages if necessary):
,... ^__,_�..
Firs[;�ame
?.liddle Itutiel
(�laiden)
Last
Date
400 East Lake-Street Minneapolis MN 55408 827-3844
HomeAddcess: Streett.ame Ciry State Zip Phoaelvumbtt
Investment Management, Inc.
First h`smc �vfiddle Initia] (.�v[aiden) Isst Date of Birth
Suite B500, 333 North Washington Avenue Minneapolis, MN 55401 349-9870
HomeAddress: Strtett�ame CiTy Statc Zip PhoneNumber
MII�INESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Iaws of Minnesota, 1984, Chapter 502, Aiticle 8, Section 2(270.72)
(Tazt Clearance; Issuance of Licenses), licensing authorities are required to provide to The State of Minnesota Commissioner of Revenue, the
Minnesota business tar idrntification number and the sociai security number of each license applicant
Under the Minnesota Gove, Data Practices Act and the Federal Privacy Act of I 974, we aze required to ad�9se you of the following
regarding the use of the Minnesota Ta�c 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
withho}ding or motor vehicie excise ta�ces;
- Upon receiving Yhis information, ihe licensing authority �2ll supply it only to the Minnesota Department of Re��enue. However,
under the Federal Exchange of Information Agreemrnt, the Department of Revenue may supply this information to the Internal
Revenue Service.
Minnesota Tax Identification Numbas (Sales & Use Tax Nianber) may Ix obtained from the State of Minnesota, Business Records Department,
10 River Park Plaza (612-296-6181).
ocial Security Number: Minnesota TaY Identification Number:
If a Minnesota TaY Identification Number is not required for the business being operated, indicate so by placing an"X" in the box.
2/18/99
9 I y2 y
�ERTffICATION OF WORKERS' CO?JPENSATION COVERAGE PLRSUANT TO MINA'ESOTA STATUTE 176.182
I hereby certify that I, or m}� company, zzi in compliance ��zth the «�orkers' compensalion insurance coverage requirements of Minnesota S'atuie
176.182, subdivision 2. I aiso und�rstand ihat pro�tision of false iniormaIlOn in this certification constitutes sufficient g�ounds for adverse acaon
against all licznses held, including revocation and suspension of said licznses.
NarneofIm,�ranceCompan�: Travelers Insurance Company
PolicyNu.-nber: QT-660-297X9670-TIL-97 Coverzgefrom 6-24-1997 to 6-24-1998
I have no emplo}'ees cocered tmder w orkers' compensation insur2nce� (nIITTALS)
A1V'Y FALSIFTCATIQN QF ARSWERS GIVEi� OR MATERTAL SUBMZITED
WILI, RESULT IN DEA'IAL OF TFIIS APPLICATION
I herzby state that I have answered all of the preceding questions, and that the information contzined herein is irue and correct to the bzs[ of
my knowledge and belief. I hereby state further that I have received no money or other consideration, by �;�ay of loan, gift, contributio� or
othenvise, other than already disclosed in the application ahich I herewith submitted I also understand this premise may be inspected by police,
fue, health and other city officials at any and all times a�hen the business is in operation.
G
Signature (REQUII2ED for �11 applications)
We will accept pa}�ment by cash, check (made payable to City of Ssint Paun or credit card (M/C or Visa).
ACCOUNT NUMBER:
IFPriYINGBYCREDlTCARDPLEASECOMPLETETHEFOLLON�INGINFORDIATION: �MasterCard � Visa
EXPIRATION DATE:
� � � �
��
Date
■■■i ■■■■ ■■■■ ■■■■
of Cazd
for ali
Date
**Note: If this applicalion is Food/Liquor relate,� please contact a CiTy of Saint Paul Healih Inspector, Steve Olson (266-9139), to re��ew
plans.
If any substantial changes to strucht e are anticipated, please contact a CiTy of Saint Paul Plan Exatniner at 266-9007 to apoly _fo:
b�.ulding per2i?s.
If there aze any changes to the pazking lot, floor space, or for new operalions, please contact a City of Saint Paul Zoning Inspector at
266-9008.
All applications require the follo�ing documents. Please attacb these documents a�hen submitting your application:
1. A detailed description of the design, location and square footage of the premises to be licensed (site plan).
I�he following data should be on the site plan (preferably on an 8 1(2" x I I" or 8 1/2" x 14" paper):
- Nazne, address, and phone number.
- The scale should be stated such as 1" = 20'. ^N should be indicated toward the top.
- Placement of aii pertinent features of the interior of the licensed facility such as seating azeas, kitchens, offices, repair zrea,
parking, rest rooms, etc.
: If a request is for an addition or expansion of the licznsed facility, indicate both the current area and the proposed eapansion.
2. A copy ofyour lease agreement or proof of owrership of thz property.
SPECIFIC LICEi�ISE APPLICATIONS REQUIRE ADDTTIONAL INFORMATION.
PLEASE SEE REVERSE FOR DETAILS >>>>
z%ia�97
1
2
3
4
5
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9
10
11
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13
14
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16
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Presented By
Referred To
Council File � 7 / �72 �
Ordinance #
Green Sheet # 50235
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA 3•Z
Committee: Date
RESOLVED: That application, ID �70524, for a Parking Lot/Ramp License bv 2356
University Ave. Limited Partnership DBA 2356 University Ave. Limited Partnership
(Bruce A.Lambrecht) at 2356 University Avenue W., be and the same is hereby
approved.
Requested by Department of:
Adoption Certified by Council Secretary
B � � ����� _
Approved by Mayor: Date tZ �9f ��_
Office of License. Inspectiona and
/ E ' �nvironmental Protection
By: 1�Ah-8..c.6M.��S-� l"t "�Sc�-�"
Form Approved by City Atto�,y
f / I
s � � �
Approved by yor for Submission to
Council
Bye
B Y� ' `— - �� ` ' �-
Adopted by Council: Date `��
N� 50235
97 y
LIEP/License
Christine A. Rozek - 266-9108
Hearing: J/
TOTAL # OF SIGNATURE PAGES
GREEN SHEET
O DEPAFTMENTDIRECTOF
� arrnnoaNev
O BUOGET OIPEGTO
� MAYOR (OR ASSISTANT)
(CLIP ALL LOCATIONS FOR SIGNATURE)
�CINLOUNQI. _
� CITY 0.ERK
O FIN 8 MGT SEflVICES
� _
INITIAUDATE
2356 University Ave. Limited Partnershig DBA 2356 University Ave. Limited Partnership_requ
Council approval of their application for a Parking Lot/Ramp License (Bruce A. Lambrecht),
ID 1670524, located at 2356 University Ave. W.
Acv
_ PLANNING COMMISSION _ CIVII SERVICE COMMISSION
_ CIB COMMITTEE _
� STAFF _
_ �ISTRICTCOVAT _
SUPPORTS WHICH COUNGL OB.IECTIVE?
IF APPROVED:
PEHSONA� SERVICE CONTqACTS MUST ANSWER TNE FOLLOWING �UESTIONS:
7. Has this person/Firm ever wwked untler a contrect tor this tlepartmentt
YES NO
2. Has this personffirm ever been a city employee?
YES NO
3. Does this person/firm possess a skill not normally possessed by any current ciry employee?
YES NO
Explain eli yes anawers on aeperate eheet anE ettach to g�een aheet
�
TOTAL AMOUNT OF TRANSACTION S
FUNDIHC+ SOURCE
FINANCIAL INfOPMATION (EXPUlIN)
OCT 3 Q 1997
.�
COST/REVENUE BUDGETED (CIRCLE ONE) �ES NO
ACTIVITV NUMBER
SwtNT '
rwuc
�I
AAAII !
CLASS III
LICENSE APPLICATION
t��
THIS APPLICATION IS S'UBJECT TO REVIEW BY TI� PIIBLIC
PLEASE TYPE OR PRINT IN I?�Y
sa
97-1y2 y
CITY OF SAINT PAUL
�ce of Licznse, U�sptiuons
znd En�ironmrnizl ProEZCtion
3S� St Petc. St Sw¢ 300
Sz�?ayl,!.fc�,��oa 55502
(bi])]6690ab �sxlbll)16bci34
�
5��� -�
Cor�panyName: 2356 University Avenue Limited Partnership
Carporation / Partnenhip / Sole ProprieWrship
If business is incoiporated, give date of incorporation:
Doing Business As: Business Phone: 917-0707
BusinessAddress: 2356 University Avenue St. Paul, MN 55105
Sheet Addres . City Stnte Zip
Setween what cross streets is the business located? Rdymond & LdSh c l e VJhich side of the street? SoUth
Arethepremisesnowoccupied? NO � WhatTypeofBusiness? Monthlv contract parking
MeilToAdaress: _IMS 333 N.•Washington Ave, Suite B500 Minneapolis MN 55401
s� naarc� , c�c s�c� z�
Applicant Information:
NameandTicle: Bruce Arthur, Lambrecht, President, Investment Management, Inc. (IMI)
Fust !H;aal� (Me,an,� t.ase r;u�
HomeAddress: 2841 Ella Lane, Minnetonka, MN 55305
s�n naa�s � c;ry sr�+� z;p
DateofBirth: 3-13-1950 PlaceofBirth: NeW Ulm, MN HomePhone: _ 512-1140
Have you ever been convicted of any felony, crime or c�iolation of znv ciN ordinz^.ce other than tra:.`5c': YES ;vTO X
Date ofarrest:
Charge: _
Conviction:
Sentence:
List the n�nes and residences of tLree persons of good moral chazacter, living within the Twin Cities Metro Area, not related to the applicant
or financially interested in the premises or husiness, who may be refeired to as to the applicxnYs character:
NAME ADDRESS pHp�
Tom Cutshall 333 N. Washington Avenue, Mpls, MN 373-9815
Steve Wagner 601 Lakeshore Pkwy, Mtka, MN 473-2002
Scott Fedie 801 Marquette Avenue Mpls MN 661-8312
List licenses which yau currently hold, fonnerly held, or may have an interest in:
Have any of the above named licenses ever been revoked?
{:�;r
VJhere?
YES x 1�'O If yes, list the dates and reasons for revocation:
2/7 S/97
Are you going to operate tlus business personally?
F�i�*��
�liddle IniCai
Homc Add�ess: Street \eme
Are you going to havz a ma�aeer or assistant in this business�
plezsz complefe the follo�ning infonnation:
F�t ��e
\�yddle Initisl
Home.Addmss: StreetNzme
YES _
(�fnidn)
Ci�'
YES
(.�1aid_-�)
ctTy
� • • ���? y
i�TO ff not, who «il1 operate it?
�
Lut Dete of Sir4
S�atc Zip Puoac\i¢vbcr
NO If the manzger is not the sa*ne as Lhe operztor,
I.z+t
DzL- ofBut.*.
Stete Zip PFone\i¢nber
Please list your employment history for the previous five (5) } ear period:
Business/Em�lovment Address
Investment Manaqement, Inc. Suite B500, 333 North Washinqton Ave, MPLS MN 55401
List all other officers of the corporation:
OFFICER TITLE HOME HOME BUSINESS DATE OF
I�TAME (OfficeF:eld) ADDRESS PHOI�'E PH02�'E BIf2TH.
Richard K. Poqin Vice Pres. St. Louis Park, MN 938-5796 349-2765 3-27-48
If business is a partnersbip, please include the following information for each parmer (use additional pages if necessary):
,... ^__,_�..
Firs[;�ame
?.liddle Itutiel
(�laiden)
Last
Date
400 East Lake-Street Minneapolis MN 55408 827-3844
HomeAddcess: Streett.ame Ciry State Zip Phoaelvumbtt
Investment Management, Inc.
First h`smc �vfiddle Initia] (.�v[aiden) Isst Date of Birth
Suite B500, 333 North Washington Avenue Minneapolis, MN 55401 349-9870
HomeAddress: Strtett�ame CiTy Statc Zip PhoneNumber
MII�INESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Iaws of Minnesota, 1984, Chapter 502, Aiticle 8, Section 2(270.72)
(Tazt Clearance; Issuance of Licenses), licensing authorities are required to provide to The State of Minnesota Commissioner of Revenue, the
Minnesota business tar idrntification number and the sociai security number of each license applicant
Under the Minnesota Gove, Data Practices Act and the Federal Privacy Act of I 974, we aze required to ad�9se you of the following
regarding the use of the Minnesota Ta�c 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
withho}ding or motor vehicie excise ta�ces;
- Upon receiving Yhis information, ihe licensing authority �2ll supply it only to the Minnesota Department of Re��enue. However,
under the Federal Exchange of Information Agreemrnt, the Department of Revenue may supply this information to the Internal
Revenue Service.
Minnesota Tax Identification Numbas (Sales & Use Tax Nianber) may Ix obtained from the State of Minnesota, Business Records Department,
10 River Park Plaza (612-296-6181).
ocial Security Number: Minnesota TaY Identification Number:
If a Minnesota TaY Identification Number is not required for the business being operated, indicate so by placing an"X" in the box.
2/18/99
9 I y2 y
�ERTffICATION OF WORKERS' CO?JPENSATION COVERAGE PLRSUANT TO MINA'ESOTA STATUTE 176.182
I hereby certify that I, or m}� company, zzi in compliance ��zth the «�orkers' compensalion insurance coverage requirements of Minnesota S'atuie
176.182, subdivision 2. I aiso und�rstand ihat pro�tision of false iniormaIlOn in this certification constitutes sufficient g�ounds for adverse acaon
against all licznses held, including revocation and suspension of said licznses.
NarneofIm,�ranceCompan�: Travelers Insurance Company
PolicyNu.-nber: QT-660-297X9670-TIL-97 Coverzgefrom 6-24-1997 to 6-24-1998
I have no emplo}'ees cocered tmder w orkers' compensation insur2nce� (nIITTALS)
A1V'Y FALSIFTCATIQN QF ARSWERS GIVEi� OR MATERTAL SUBMZITED
WILI, RESULT IN DEA'IAL OF TFIIS APPLICATION
I herzby state that I have answered all of the preceding questions, and that the information contzined herein is irue and correct to the bzs[ of
my knowledge and belief. I hereby state further that I have received no money or other consideration, by �;�ay of loan, gift, contributio� or
othenvise, other than already disclosed in the application ahich I herewith submitted I also understand this premise may be inspected by police,
fue, health and other city officials at any and all times a�hen the business is in operation.
G
Signature (REQUII2ED for �11 applications)
We will accept pa}�ment by cash, check (made payable to City of Ssint Paun or credit card (M/C or Visa).
ACCOUNT NUMBER:
IFPriYINGBYCREDlTCARDPLEASECOMPLETETHEFOLLON�INGINFORDIATION: �MasterCard � Visa
EXPIRATION DATE:
� � � �
��
Date
■■■i ■■■■ ■■■■ ■■■■
of Cazd
for ali
Date
**Note: If this applicalion is Food/Liquor relate,� please contact a CiTy of Saint Paul Healih Inspector, Steve Olson (266-9139), to re��ew
plans.
If any substantial changes to strucht e are anticipated, please contact a CiTy of Saint Paul Plan Exatniner at 266-9007 to apoly _fo:
b�.ulding per2i?s.
If there aze any changes to the pazking lot, floor space, or for new operalions, please contact a City of Saint Paul Zoning Inspector at
266-9008.
All applications require the follo�ing documents. Please attacb these documents a�hen submitting your application:
1. A detailed description of the design, location and square footage of the premises to be licensed (site plan).
I�he following data should be on the site plan (preferably on an 8 1(2" x I I" or 8 1/2" x 14" paper):
- Nazne, address, and phone number.
- The scale should be stated such as 1" = 20'. ^N should be indicated toward the top.
- Placement of aii pertinent features of the interior of the licensed facility such as seating azeas, kitchens, offices, repair zrea,
parking, rest rooms, etc.
: If a request is for an addition or expansion of the licznsed facility, indicate both the current area and the proposed eapansion.
2. A copy ofyour lease agreement or proof of owrership of thz property.
SPECIFIC LICEi�ISE APPLICATIONS REQUIRE ADDTTIONAL INFORMATION.
PLEASE SEE REVERSE FOR DETAILS >>>>
z%ia�97
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Presented By
Referred To
Council File � 7 / �72 �
Ordinance #
Green Sheet # 50235
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA 3•Z
Committee: Date
RESOLVED: That application, ID �70524, for a Parking Lot/Ramp License bv 2356
University Ave. Limited Partnership DBA 2356 University Ave. Limited Partnership
(Bruce A.Lambrecht) at 2356 University Avenue W., be and the same is hereby
approved.
Requested by Department of:
Adoption Certified by Council Secretary
B � � ����� _
Approved by Mayor: Date tZ �9f ��_
Office of License. Inspectiona and
/ E ' �nvironmental Protection
By: 1�Ah-8..c.6M.��S-� l"t "�Sc�-�"
Form Approved by City Atto�,y
f / I
s � � �
Approved by yor for Submission to
Council
Bye
B Y� ' `— - �� ` ' �-
Adopted by Council: Date `��
N� 50235
97 y
LIEP/License
Christine A. Rozek - 266-9108
Hearing: J/
TOTAL # OF SIGNATURE PAGES
GREEN SHEET
O DEPAFTMENTDIRECTOF
� arrnnoaNev
O BUOGET OIPEGTO
� MAYOR (OR ASSISTANT)
(CLIP ALL LOCATIONS FOR SIGNATURE)
�CINLOUNQI. _
� CITY 0.ERK
O FIN 8 MGT SEflVICES
� _
INITIAUDATE
2356 University Ave. Limited Partnershig DBA 2356 University Ave. Limited Partnership_requ
Council approval of their application for a Parking Lot/Ramp License (Bruce A. Lambrecht),
ID 1670524, located at 2356 University Ave. W.
Acv
_ PLANNING COMMISSION _ CIVII SERVICE COMMISSION
_ CIB COMMITTEE _
� STAFF _
_ �ISTRICTCOVAT _
SUPPORTS WHICH COUNGL OB.IECTIVE?
IF APPROVED:
PEHSONA� SERVICE CONTqACTS MUST ANSWER TNE FOLLOWING �UESTIONS:
7. Has this person/Firm ever wwked untler a contrect tor this tlepartmentt
YES NO
2. Has this personffirm ever been a city employee?
YES NO
3. Does this person/firm possess a skill not normally possessed by any current ciry employee?
YES NO
Explain eli yes anawers on aeperate eheet anE ettach to g�een aheet
�
TOTAL AMOUNT OF TRANSACTION S
FUNDIHC+ SOURCE
FINANCIAL INfOPMATION (EXPUlIN)
OCT 3 Q 1997
.�
COST/REVENUE BUDGETED (CIRCLE ONE) �ES NO
ACTIVITV NUMBER
SwtNT '
rwuc
�I
AAAII !
CLASS III
LICENSE APPLICATION
t��
THIS APPLICATION IS S'UBJECT TO REVIEW BY TI� PIIBLIC
PLEASE TYPE OR PRINT IN I?�Y
sa
97-1y2 y
CITY OF SAINT PAUL
�ce of Licznse, U�sptiuons
znd En�ironmrnizl ProEZCtion
3S� St Petc. St Sw¢ 300
Sz�?ayl,!.fc�,��oa 55502
(bi])]6690ab �sxlbll)16bci34
�
5��� -�
Cor�panyName: 2356 University Avenue Limited Partnership
Carporation / Partnenhip / Sole ProprieWrship
If business is incoiporated, give date of incorporation:
Doing Business As: Business Phone: 917-0707
BusinessAddress: 2356 University Avenue St. Paul, MN 55105
Sheet Addres . City Stnte Zip
Setween what cross streets is the business located? Rdymond & LdSh c l e VJhich side of the street? SoUth
Arethepremisesnowoccupied? NO � WhatTypeofBusiness? Monthlv contract parking
MeilToAdaress: _IMS 333 N.•Washington Ave, Suite B500 Minneapolis MN 55401
s� naarc� , c�c s�c� z�
Applicant Information:
NameandTicle: Bruce Arthur, Lambrecht, President, Investment Management, Inc. (IMI)
Fust !H;aal� (Me,an,� t.ase r;u�
HomeAddress: 2841 Ella Lane, Minnetonka, MN 55305
s�n naa�s � c;ry sr�+� z;p
DateofBirth: 3-13-1950 PlaceofBirth: NeW Ulm, MN HomePhone: _ 512-1140
Have you ever been convicted of any felony, crime or c�iolation of znv ciN ordinz^.ce other than tra:.`5c': YES ;vTO X
Date ofarrest:
Charge: _
Conviction:
Sentence:
List the n�nes and residences of tLree persons of good moral chazacter, living within the Twin Cities Metro Area, not related to the applicant
or financially interested in the premises or husiness, who may be refeired to as to the applicxnYs character:
NAME ADDRESS pHp�
Tom Cutshall 333 N. Washington Avenue, Mpls, MN 373-9815
Steve Wagner 601 Lakeshore Pkwy, Mtka, MN 473-2002
Scott Fedie 801 Marquette Avenue Mpls MN 661-8312
List licenses which yau currently hold, fonnerly held, or may have an interest in:
Have any of the above named licenses ever been revoked?
{:�;r
VJhere?
YES x 1�'O If yes, list the dates and reasons for revocation:
2/7 S/97
Are you going to operate tlus business personally?
F�i�*��
�liddle IniCai
Homc Add�ess: Street \eme
Are you going to havz a ma�aeer or assistant in this business�
plezsz complefe the follo�ning infonnation:
F�t ��e
\�yddle Initisl
Home.Addmss: StreetNzme
YES _
(�fnidn)
Ci�'
YES
(.�1aid_-�)
ctTy
� • • ���? y
i�TO ff not, who «il1 operate it?
�
Lut Dete of Sir4
S�atc Zip Puoac\i¢vbcr
NO If the manzger is not the sa*ne as Lhe operztor,
I.z+t
DzL- ofBut.*.
Stete Zip PFone\i¢nber
Please list your employment history for the previous five (5) } ear period:
Business/Em�lovment Address
Investment Manaqement, Inc. Suite B500, 333 North Washinqton Ave, MPLS MN 55401
List all other officers of the corporation:
OFFICER TITLE HOME HOME BUSINESS DATE OF
I�TAME (OfficeF:eld) ADDRESS PHOI�'E PH02�'E BIf2TH.
Richard K. Poqin Vice Pres. St. Louis Park, MN 938-5796 349-2765 3-27-48
If business is a partnersbip, please include the following information for each parmer (use additional pages if necessary):
,... ^__,_�..
Firs[;�ame
?.liddle Itutiel
(�laiden)
Last
Date
400 East Lake-Street Minneapolis MN 55408 827-3844
HomeAddcess: Streett.ame Ciry State Zip Phoaelvumbtt
Investment Management, Inc.
First h`smc �vfiddle Initia] (.�v[aiden) Isst Date of Birth
Suite B500, 333 North Washington Avenue Minneapolis, MN 55401 349-9870
HomeAddress: Strtett�ame CiTy Statc Zip PhoneNumber
MII�INESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Iaws of Minnesota, 1984, Chapter 502, Aiticle 8, Section 2(270.72)
(Tazt Clearance; Issuance of Licenses), licensing authorities are required to provide to The State of Minnesota Commissioner of Revenue, the
Minnesota business tar idrntification number and the sociai security number of each license applicant
Under the Minnesota Gove, Data Practices Act and the Federal Privacy Act of I 974, we aze required to ad�9se you of the following
regarding the use of the Minnesota Ta�c 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
withho}ding or motor vehicie excise ta�ces;
- Upon receiving Yhis information, ihe licensing authority �2ll supply it only to the Minnesota Department of Re��enue. However,
under the Federal Exchange of Information Agreemrnt, the Department of Revenue may supply this information to the Internal
Revenue Service.
Minnesota Tax Identification Numbas (Sales & Use Tax Nianber) may Ix obtained from the State of Minnesota, Business Records Department,
10 River Park Plaza (612-296-6181).
ocial Security Number: Minnesota TaY Identification Number:
If a Minnesota TaY Identification Number is not required for the business being operated, indicate so by placing an"X" in the box.
2/18/99
9 I y2 y
�ERTffICATION OF WORKERS' CO?JPENSATION COVERAGE PLRSUANT TO MINA'ESOTA STATUTE 176.182
I hereby certify that I, or m}� company, zzi in compliance ��zth the «�orkers' compensalion insurance coverage requirements of Minnesota S'atuie
176.182, subdivision 2. I aiso und�rstand ihat pro�tision of false iniormaIlOn in this certification constitutes sufficient g�ounds for adverse acaon
against all licznses held, including revocation and suspension of said licznses.
NarneofIm,�ranceCompan�: Travelers Insurance Company
PolicyNu.-nber: QT-660-297X9670-TIL-97 Coverzgefrom 6-24-1997 to 6-24-1998
I have no emplo}'ees cocered tmder w orkers' compensation insur2nce� (nIITTALS)
A1V'Y FALSIFTCATIQN QF ARSWERS GIVEi� OR MATERTAL SUBMZITED
WILI, RESULT IN DEA'IAL OF TFIIS APPLICATION
I herzby state that I have answered all of the preceding questions, and that the information contzined herein is irue and correct to the bzs[ of
my knowledge and belief. I hereby state further that I have received no money or other consideration, by �;�ay of loan, gift, contributio� or
othenvise, other than already disclosed in the application ahich I herewith submitted I also understand this premise may be inspected by police,
fue, health and other city officials at any and all times a�hen the business is in operation.
G
Signature (REQUII2ED for �11 applications)
We will accept pa}�ment by cash, check (made payable to City of Ssint Paun or credit card (M/C or Visa).
ACCOUNT NUMBER:
IFPriYINGBYCREDlTCARDPLEASECOMPLETETHEFOLLON�INGINFORDIATION: �MasterCard � Visa
EXPIRATION DATE:
� � � �
��
Date
■■■i ■■■■ ■■■■ ■■■■
of Cazd
for ali
Date
**Note: If this applicalion is Food/Liquor relate,� please contact a CiTy of Saint Paul Healih Inspector, Steve Olson (266-9139), to re��ew
plans.
If any substantial changes to strucht e are anticipated, please contact a CiTy of Saint Paul Plan Exatniner at 266-9007 to apoly _fo:
b�.ulding per2i?s.
If there aze any changes to the pazking lot, floor space, or for new operalions, please contact a City of Saint Paul Zoning Inspector at
266-9008.
All applications require the follo�ing documents. Please attacb these documents a�hen submitting your application:
1. A detailed description of the design, location and square footage of the premises to be licensed (site plan).
I�he following data should be on the site plan (preferably on an 8 1(2" x I I" or 8 1/2" x 14" paper):
- Nazne, address, and phone number.
- The scale should be stated such as 1" = 20'. ^N should be indicated toward the top.
- Placement of aii pertinent features of the interior of the licensed facility such as seating azeas, kitchens, offices, repair zrea,
parking, rest rooms, etc.
: If a request is for an addition or expansion of the licznsed facility, indicate both the current area and the proposed eapansion.
2. A copy ofyour lease agreement or proof of owrership of thz property.
SPECIFIC LICEi�ISE APPLICATIONS REQUIRE ADDTTIONAL INFORMATION.
PLEASE SEE REVERSE FOR DETAILS >>>>
z%ia�97