97-202Council ffile # ��
Ordinance #
Green Sheet �` 35441
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Presented By
Referred To
�-._ �..� � �`_'' ' ! f'S �
�, d'4 . � . , . _ . .�..
���
RESOLVED: That application, ID #74951, for new General Repair Garage Licenae (Steven
A. Haney) at 594 W. Maryland Avenue, be and the same ia hereby approved
with the following conditions:
1. Vehicles may only be parked on the paved surfaces of the lot.
2. The Licensee is responsible for managing the number of customer vehicles
to that which may reason�ly be repaired and returned to their owners in
the shortest pexiod. On1y customer vehicles and personal vehicles of
the licensee may be parked on the lot. This condition is intended to
prohibit long term storage of vehicles on the lot.
3. All vehicles parked outdoors on the lot must be completely assembled
with no parts missing. Vehicle salvage is not permitted.
4. Vehicle parts, tires, oil or similar items will noY be stored outdoors.
5. No repair of vehicles will occur on the exterior of the lot or on the
public right-of way.
Requested by Department of:
� ' - to - }=ti •!? '.R•
' t ' • } f 4 ' f • - � 1
Adopted by Council: Date Q� �q�
By: `_!� '"' _ " "_ �- �'2./�/
Adoption Certified by Council Secretary
Form Approved by City Attorney
� �
BY' � �- ' Sy: � G ��
.��__� + �
Arrroved by Mayor: Date `� 4 `��`�
/ Approved by Mayor for Submiseion to
Sy:
f Council
By:
RESOLUTtON
rrivc.c�� ceiuT ae� u iuiNNGCnre
GREEN SHEET
9'�-a.��-
N_ 35441
�-� ' ' ��� INITIALlDATE—.
.v�.vw� rcnovrv a rnvrve � pEpqg7MEk7' DIRECTOR a CITY CAUNCiI _
Christine &ozek - 266-9108 "�'�" � crrvnrroasev � CITYCIERK
NUYBERFOR
dU3TBE ON CAUNCII AG DA BY (OA ) RO�� � BUOGET DIRECTO Q FIN. 6 MGL SERVICES DIR.
HEdL1R � � � `J OFlDEA �taAYOR(ORASSISTANT) �
TOTAL # OP SIGNATURE PAGES (CLIP AlL LOCATIONS FOR SIGNA
ICTION REOUESTED:
Approval of an application for a General Repair Garage (Steven A. Haney),
ID �i74951, at 594 W. Maryland Avenue.
aPP�oVa (A) or (iel8ct (R)
_ PIANNW6COMMISSIpN _ CIVILSERVICECOMAAIS310N
_ C16 COMMIiTEE _
_ STAFF _
_ DISTRICT COURT _
suvaoars m+�cr+cour+a� oa�ecrroe?
PERSONAL SERVICE CONTRACTS MUST ANSWER TNE FOLIOWiN6 QUESTIONS:
1. Has this parsanlfirm ever worked under a contraG for Mis departmeM? �
YES NO
2. {1d51h15 PB(5011/(Ifll� @Y8( UEBII d Clly 8111p1q'BB?
YES NO
3. 6oes this personttirm possess a skili not normally p6ssess9d by any curcent ciry employee?
YES NO
Explain all yea a�swera on aeparate sheet and attach to grea� sheet
�. ,
. �..�,�`���
,� °. or ? � ��g�
� ^.�� a
_ �t�'
W3AUVNN INUt31Y IYV I AYYryVYCU:
�� � ��
.
Y'
�'=? 1 �. ���I
TOTAL AMOUNT OFTIiANSAC770N S
FUNDItdG SOURCE
II�����710N: (E%PWN)
COST/HEVENUE BUDGETEA (CIRGLE ONE} YES P
ACTIVITY NUMBER
�
97-�a�
CLASS III
LICENSE APPLICATION
CTi'S' OF SAINT PAUL
O�cE of License, Inspec[ions
and � ;vimnmental Protection
3sn s:. _�« s�. s�;m sao
sa;v e��:� Me�w, ssioz
(u2) �ioo � <ciz� xeviu
License I.D. #
(for o�tt use only}
THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
PLEASE TYPE OR PRINT IN INK
Type of License being applied for: �9�N�2Rt /lUTi? /S �pRZ(�
�- � n � '� -
Company Name:
aGon /.Partne�hip / � P�grietoxshin
Tf buslness is incorporated, give date of incorporation:
Aoing Business As: Business Phone: _ ZZZ.-2Z�J�
Business Address: �g� UJ. rnARV LAr� D J �Fl�� 1�'jn! 5sia�
� StreetAddress , ^ � Gty Sisie Zip
Between what cross streets is the business located? �/1 - .tJHN�O�FF FVhich side of �P. sb:eet? a�o. �F15T
Are the premises now occupied? Na What Type of Business?
Mail To Address• .� `1 o.i . CJEiK�(Z S�. 5T. .PAuC /� . J
� .StreetAddress City SCaYe � Zip �
Applican; Information:
ATame and Title: '_�7TEUE/�( �. � �An1E� �L111��R� �� �
" , Frst � Middle � (Maidcn) � � �� Ias[ - ` Tit(e
FIome Address: � f�) ' W," �A1C�2 ' Si. S+, ( Mt� 5�'S id�
Stmet Address City . StaPe Zip
Date of Buth: � ov � 13 y ley Place of Buth MZniO i/�, D< Home Phoae: ;. �.�2 - ZZLI S
Are you,a citizen of the United States? 'Native; y ES Naturalized?
Tf you are not a U.S. citizen, you must have work authorization from fhe U.S. Immigration & Naturaif•r.afio» Service.
" � MT-SiJ€M�MOV .
Have,you ever�been convicted of auy Felony, crime r violation of any,aty ordinance other than traffic? 1'I3S �, NO _
Date of arrest: �� 1� �$�1 Where? SSGNrrt 17LLtS !�1/�CL W ST. /-',qUL
Chazge: 1'OSS�'S� OF I� 1 ARSZU f}nl H
Conviction: �'�� ��7
Sentence: �Uuus �nm. 5����� �2Sb°°�'E��'
List the names and residences of three persons of good moral chazacter, living within the Twin Citie� tl�fetro /;rea, not related
to the applicant or financially interested in the premises or business, who may be referred to as to The appBcant's character:
NAME ADDRESS PHONE
.ist licenses which you curre ,�,ntiv hold, formerly held, or may have an�interest in:
3 ) Do� �.=ae�srs . �PSU�a �ieE,as�t ".:�°" � . .
Have any of the above named licenses ever been revoked? _ YES � NO If yes, list tbe dates a�=, rc r;.o;:s fo�: revocation:
Are yoiz'goiug to bpexate this business personally? X YE$
Frst Name � . Middle Initial
Iast
Home Addnss: Simet Name Cary Srate Zip Phone Number �
Are yo�'going to have a manager or assistant in this busintss? _ YFS � NO If the manager is not the same as the
operator, piease complete the following information:
Frst Name
Home Address: S[met ATame
NO If not, who will operate it?
PIease list your employment fiistory for tfie previous five (� yeaz period:
Business�Emptovment �
List alt other officers of the corporation:
OFFTCER TITLE AOME FIOME BUSINESS
NAME (Office Held) ADDRESS PHONE PHONE
Middle Inirial
�
If business is a putnerstup, please include the followiug iaformation for each partner (use additionat pages if necessary):
First Na`me Middlc Inilial
. . Home Addxess: Street Name �
First Name M'iddle Initial
(Maiden)
(Maiden)
G(p
(Maidtn)
6ry
(Mziden)
Iast
SKte tip
Address
Last
State Zip
Last
_ . -> �; �
Date of Binh�
Date of Birth
Phone ATUmber
DATE OF
BIRTH
Date of Birth
Phone Number
Date
Home Address: Street Name � � Gty State Zip Phone Number
Attach to this application: �
3� A detailed description of Yhe design, locarion and sguam foofage of tLe premises to be licensed (sife plan).
2) A copy of your Iease agreement or proof of ownership of the property.
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED
WILL RESULT IN DENIAL OF THIS AFPLICATTON
I hereby state under oath that I have answered all of the above quesrions, and that the information contained herein is true and
coaect to TLe best of my knowledge and belief. I hereby state fuzYher under oath that I have received no money or other
consideraGon, by way of loan, gift, contribution, or otherwise, other than alread isdosed in the�plication wtuch I herewith
submitted. , / � � ,
Subscribed and sworn to before me this
day of 19 �
N Pub]ic �Co ty,
My Commission e�ires:
,
Signature of
°✓ RA}.?SEY CUUNTY
6;y Commissio;: ex.^.;res Sept �3,
-5-93
Date
Z35t� � N�t44c2s �fFRR&€
.
Greensheet # 35441
In Trackei?
9�-�0�.
L.I.E.P. REVIEW CHECKLIST �ate: /
_ Appfi Received / " ApP'n Processed ,
LiCense ID # 74951 LicenSe Type: General Repa� a agQ
CompanyName: Steven A. Hanev DBA: Ste�+e'c Antn C<rc+ira Frr
Business Addresss: 594 W. Marvland Ave. 55117 Business Phone: 222-2245
Contact Name/Address: 317 w Baker St 55107 Home Phone: 222-2245
Dffie to Council Research:,
Public Hearing Date: Z- -��- ` Labels Ordered: /✓��
Notice SeM to ApplicaM: District Council #:_ 06 0 _
Notice Sent to Pubii�
Department/
'
, City Attorney.
;�;,
`- Environmental
Health
'; _ - -
< r.
:' �
� Fire
'"�1i
'yi.
License
Police
Zoning
Date Inspections
�'�•��
U_� _
(•�[>•.I'
a - l�- � �
c��9�-
�C �I(o
Ward #: n5'
Comments
/�,eeord (�' t.ec,lG (F} �te-�
�• ��
cR�- C�
o�.
� • �-`''(�- I �� i� �
�.J tTi-�
s�i� aiar� a���red:_ ; ,.�,:,
ari
Lease Received:
Council ffile # ��
Ordinance #
Green Sheet �` 35441
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
30
31
Presented By
Referred To
�-._ �..� � �`_'' ' ! f'S �
�, d'4 . � . , . _ . .�..
���
RESOLVED: That application, ID #74951, for new General Repair Garage Licenae (Steven
A. Haney) at 594 W. Maryland Avenue, be and the same ia hereby approved
with the following conditions:
1. Vehicles may only be parked on the paved surfaces of the lot.
2. The Licensee is responsible for managing the number of customer vehicles
to that which may reason�ly be repaired and returned to their owners in
the shortest pexiod. On1y customer vehicles and personal vehicles of
the licensee may be parked on the lot. This condition is intended to
prohibit long term storage of vehicles on the lot.
3. All vehicles parked outdoors on the lot must be completely assembled
with no parts missing. Vehicle salvage is not permitted.
4. Vehicle parts, tires, oil or similar items will noY be stored outdoors.
5. No repair of vehicles will occur on the exterior of the lot or on the
public right-of way.
Requested by Department of:
� ' - to - }=ti •!? '.R•
' t ' • } f 4 ' f • - � 1
Adopted by Council: Date Q� �q�
By: `_!� '"' _ " "_ �- �'2./�/
Adoption Certified by Council Secretary
Form Approved by City Attorney
� �
BY' � �- ' Sy: � G ��
.��__� + �
Arrroved by Mayor: Date `� 4 `��`�
/ Approved by Mayor for Submiseion to
Sy:
f Council
By:
RESOLUTtON
rrivc.c�� ceiuT ae� u iuiNNGCnre
GREEN SHEET
9'�-a.��-
N_ 35441
�-� ' ' ��� INITIALlDATE—.
.v�.vw� rcnovrv a rnvrve � pEpqg7MEk7' DIRECTOR a CITY CAUNCiI _
Christine &ozek - 266-9108 "�'�" � crrvnrroasev � CITYCIERK
NUYBERFOR
dU3TBE ON CAUNCII AG DA BY (OA ) RO�� � BUOGET DIRECTO Q FIN. 6 MGL SERVICES DIR.
HEdL1R � � � `J OFlDEA �taAYOR(ORASSISTANT) �
TOTAL # OP SIGNATURE PAGES (CLIP AlL LOCATIONS FOR SIGNA
ICTION REOUESTED:
Approval of an application for a General Repair Garage (Steven A. Haney),
ID �i74951, at 594 W. Maryland Avenue.
aPP�oVa (A) or (iel8ct (R)
_ PIANNW6COMMISSIpN _ CIVILSERVICECOMAAIS310N
_ C16 COMMIiTEE _
_ STAFF _
_ DISTRICT COURT _
suvaoars m+�cr+cour+a� oa�ecrroe?
PERSONAL SERVICE CONTRACTS MUST ANSWER TNE FOLIOWiN6 QUESTIONS:
1. Has this parsanlfirm ever worked under a contraG for Mis departmeM? �
YES NO
2. {1d51h15 PB(5011/(Ifll� @Y8( UEBII d Clly 8111p1q'BB?
YES NO
3. 6oes this personttirm possess a skili not normally p6ssess9d by any curcent ciry employee?
YES NO
Explain all yea a�swera on aeparate sheet and attach to grea� sheet
�. ,
. �..�,�`���
,� °. or ? � ��g�
� ^.�� a
_ �t�'
OiSAOVANTAGES IF NOTAPPROVED:
� � ��
,�,;..
�'=? 1 �. ���I
TOTAL AMOUNT OFTIiANSAC770N S
FUNDItdG SOURCE
II�����710N: (E%PWN)
COST/HEVENUE BUDGETEA (CIRGLE ONE} YES P
ACTIVITY NUMBER
�
97-�a�
CLASS III
LICENSE APPLICATION
CTi'S' OF SAINT PAUL
O�cE of License, Inspec[ions
and � ;vimnmental Protection
3sn s:. _�« s�. s�;m sao
sa;v e��:� Me�w, ssioz
(u2) �ioo � <ciz� xeviu
License I.D. #
(for o�tt use only}
THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
PLEASE TYPE OR PRINT IN INK
Type of License being applied for: �9�N�2Rt /lUTi? /S �pRZ(�
�- � n � '� -
Company Name:
aGon /.Partne�hip / � P�grietoxshin
Tf buslness is incorporated, give date of incorporation:
Aoing Business As: Business Phone: _ ZZZ.-2Z�J�
Business Address: �g� UJ. rnARV LAr� D J �Fl�� 1�'jn! 5sia�
� StreetAddress , ^ � Gty Sisie Zip
Between what cross streets is the business located? �/1 - .tJHN�O�FF FVhich side of �P. sb:eet? a�o. �F15T
Are the premises now occupied? Na What Type of Business?
Mail To Address• .� `1 o.i . CJEiK�(Z S�. 5T. .PAuC /� . J
� .StreetAddress City SCaYe � Zip �
Applican; Information:
ATame and Title: '_�7TEUE/�( �. � �An1E� �L111��R� �� �
" , Frst � Middle � (Maidcn) � � �� Ias[ - ` Tit(e
FIome Address: � f�) ' W," �A1C�2 ' Si. S+, ( Mt� 5�'S id�
Stmet Address City . StaPe Zip
Date of Buth: � ov � 13 y ley Place of Buth MZniO i/�, D< Home Phoae: ;. �.�2 - ZZLI S
Are you,a citizen of the United States? 'Native; y ES Naturalized?
Tf you are not a U.S. citizen, you must have work authorization from fhe U.S. Immigration & Naturaif•r.afio» Service.
" � MT-SiJ€M�MOV .
Have,you ever�been convicted of auy Felony, crime r violation of any,aty ordinance other than traffic? 1'I3S �, NO _
Date of arrest: �� 1� �$�1 Where? SSGNrrt 17LLtS !�1/�CL W ST. /-',qUL
Chazge: 1'OSS�'S� OF I� 1 ARSZU f}nl H
Conviction: �'�� ��7
Sentence: �Uuus �nm. 5����� �2Sb°°�'E��'
List the names and residences of three persons of good moral chazacter, living within the Twin Citie� tl�fetro /;rea, not related
to the applicant or financially interested in the premises or business, who may be referred to as to The appBcant's character:
NAME ADDRESS PHONE
.ist licenses which you curre ,�,ntiv hold, formerly held, or may have an�interest in:
3 ) Do� �.=ae�srs . �PSU�a �ieE,as�t ".:�°" � . .
Have any of the above named licenses ever been revoked? _ YES � NO If yes, list tbe dates a�=, rc r;.o;:s fo�: revocation:
Are yoiz'goiug to bpexate this business personally? X YE$
Frst Name � . Middle Initial
Iast
Home Addnss: Simet Name Cary Srate Zip Phone Number �
Are yo�'going to have a manager or assistant in this busintss? _ YFS � NO If the manager is not the same as the
operator, piease complete the following information:
Frst Name
Home Address: S[met ATame
NO If not, who will operate it?
PIease list your employment fiistory for tfie previous five (� yeaz period:
Business�Emptovment �
List alt other officers of the corporation:
OFFTCER TITLE AOME FIOME BUSINESS
NAME (Office Held) ADDRESS PHONE PHONE
Middle Inirial
�
If business is a putnerstup, please include the followiug iaformation for each partner (use additionat pages if necessary):
First Na`me Middlc Inilial
. . Home Addxess: Street Name �
First Name M'iddle Initial
(Maiden)
(Maiden)
G(p
(Maidtn)
6ry
(Mziden)
Iast
SKte tip
Address
Last
State Zip
Last
_ . -> �; �
Date of Binh�
Date of Birth
Phone ATUmber
DATE OF
BIRTH
Date of Birth
Phone Number
Date
Home Address: Street Name � � Gty State Zip Phone Number
Attach to this application: �
3� A detailed description of Yhe design, locarion and sguam foofage of tLe premises to be licensed (sife plan).
2) A copy of your Iease agreement or proof of ownership of the property.
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED
WILL RESULT IN DENIAL OF THIS AFPLICATTON
I hereby state under oath that I have answered all of the above quesrions, and that the information contained herein is true and
coaect to TLe best of my knowledge and belief. I hereby state fuzYher under oath that I have received no money or other
consideraGon, by way of loan, gift, contribution, or otherwise, other than alread isdosed in the�plication wtuch I herewith
submitted. , / � � ,
Subscribed and sworn to before me this
day of 19 �
N Pub]ic �Co ty,
My Commission e�ires:
,
Signature of
°✓ RA}.?SEY CUUNTY
6;y Commissio;: ex.^.;res Sept �3,
-5-93
Date
Z35t� � N�t44c2s �fFRR&€
.
Greensheet # 35441
In Trackei?
9�-�0�.
L.I.E.P. REVIEW CHECKLIST �ate: /
_ Appfi Received / " ApP'n Processed ,
LiCense ID # 74951 LicenSe Type: General Repa� a agQ
CompanyName: Steven A. Hanev DBA: Ste�+e'c Antn C<rc+ira Frr
Business Addresss: 594 W. Marvland Ave. 55117 Business Phone: 222-2245
Contact Name/Address: 317 w Baker St 55107 Home Phone: 222-2245
Dffie to Council Research:,
Public Hearing Date: Z- -��- ` Labels Ordered: /✓��
Notice SeM to ApplicaM: District Council #:_ 06 0 _
Notice Sent to Pubii�
Department/
'
, City Attorney.
;�;,
`- Environmental
Health
'; _ - -
< r.
:' �
� Fire
'"�1i
'yi.
License
Police
Zoning
Date Inspections
�'�•��
U_� _
(•�[>•.I'
a - l�- � �
c��9�-
�C �I(o
Ward #: n5'
Comments
/�,eeord (�' t.ec,lG (F} �te-�
�• ��
cR�- C�
o�.
� • �-`''(�- I �� i� �
�.J tTi-�
s�i� aiar� a���red:_ ; ,.�,:,
ari
Lease Received:
Council ffile # ��
Ordinance #
Green Sheet �` 35441
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
30
31
Presented By
Referred To
�-._ �..� � �`_'' ' ! f'S �
�, d'4 . � . , . _ . .�..
���
RESOLVED: That application, ID #74951, for new General Repair Garage Licenae (Steven
A. Haney) at 594 W. Maryland Avenue, be and the same ia hereby approved
with the following conditions:
1. Vehicles may only be parked on the paved surfaces of the lot.
2. The Licensee is responsible for managing the number of customer vehicles
to that which may reason�ly be repaired and returned to their owners in
the shortest pexiod. On1y customer vehicles and personal vehicles of
the licensee may be parked on the lot. This condition is intended to
prohibit long term storage of vehicles on the lot.
3. All vehicles parked outdoors on the lot must be completely assembled
with no parts missing. Vehicle salvage is not permitted.
4. Vehicle parts, tires, oil or similar items will noY be stored outdoors.
5. No repair of vehicles will occur on the exterior of the lot or on the
public right-of way.
Requested by Department of:
� ' - to - }=ti •!? '.R•
' t ' • } f 4 ' f • - � 1
Adopted by Council: Date Q� �q�
By: `_!� '"' _ " "_ �- �'2./�/
Adoption Certified by Council Secretary
Form Approved by City Attorney
� �
BY' � �- ' Sy: � G ��
.��__� + �
Arrroved by Mayor: Date `� 4 `��`�
/ Approved by Mayor for Submiseion to
Sy:
f Council
By:
RESOLUTtON
rrivc.c�� ceiuT ae� u iuiNNGCnre
GREEN SHEET
9'�-a.��-
N_ 35441
�-� ' ' ��� INITIALlDATE—.
.v�.vw� rcnovrv a rnvrve � pEpqg7MEk7' DIRECTOR a CITY CAUNCiI _
Christine &ozek - 266-9108 "�'�" � crrvnrroasev � CITYCIERK
NUYBERFOR
dU3TBE ON CAUNCII AG DA BY (OA ) RO�� � BUOGET DIRECTO Q FIN. 6 MGL SERVICES DIR.
HEdL1R � � � `J OFlDEA �taAYOR(ORASSISTANT) �
TOTAL # OP SIGNATURE PAGES (CLIP AlL LOCATIONS FOR SIGNA
ICTION REOUESTED:
Approval of an application for a General Repair Garage (Steven A. Haney),
ID �i74951, at 594 W. Maryland Avenue.
aPP�oVa (A) or (iel8ct (R)
_ PIANNW6COMMISSIpN _ CIVILSERVICECOMAAIS310N
_ C16 COMMIiTEE _
_ STAFF _
_ DISTRICT COURT _
suvaoars m+�cr+cour+a� oa�ecrroe?
PERSONAL SERVICE CONTRACTS MUST ANSWER TNE FOLIOWiN6 QUESTIONS:
1. Has this parsanlfirm ever worked under a contraG for Mis departmeM? �
YES NO
2. {1d51h15 PB(5011/(Ifll� @Y8( UEBII d Clly 8111p1q'BB?
YES NO
3. 6oes this personttirm possess a skili not normally p6ssess9d by any curcent ciry employee?
YES NO
Explain all yea a�swera on aeparate sheet and attach to grea� sheet
�. ,
. �..�,�`���
,� °. or ? � ��g�
� ^.�� a
_ �t�'
W3AUVNN INUt31Y IYV I AYYryVYCU:
�� � ��
.
Y'
�'=? 1 �. ���I
TOTAL AMOUNT OFTIiANSAC770N S
FUNDItdG SOURCE
II�����710N: (E%PWN)
COST/HEVENUE BUDGETEA (CIRGLE ONE} YES P
ACTIVITY NUMBER
�
97-�a�
CLASS III
LICENSE APPLICATION
CTi'S' OF SAINT PAUL
O�cE of License, Inspec[ions
and � ;vimnmental Protection
3sn s:. _�« s�. s�;m sao
sa;v e��:� Me�w, ssioz
(u2) �ioo � <ciz� xeviu
License I.D. #
(for o�tt use only}
THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
PLEASE TYPE OR PRINT IN INK
Type of License being applied for: �9�N�2Rt /lUTi? /S �pRZ(�
�- � n � '� -
Company Name:
aGon /.Partne�hip / � P�grietoxshin
Tf buslness is incorporated, give date of incorporation:
Aoing Business As: Business Phone: _ ZZZ.-2Z�J�
Business Address: �g� UJ. rnARV LAr� D J �Fl�� 1�'jn! 5sia�
� StreetAddress , ^ � Gty Sisie Zip
Between what cross streets is the business located? �/1 - .tJHN�O�FF FVhich side of �P. sb:eet? a�o. �F15T
Are the premises now occupied? Na What Type of Business?
Mail To Address• .� `1 o.i . CJEiK�(Z S�. 5T. .PAuC /� . J
� .StreetAddress City SCaYe � Zip �
Applican; Information:
ATame and Title: '_�7TEUE/�( �. � �An1E� �L111��R� �� �
" , Frst � Middle � (Maidcn) � � �� Ias[ - ` Tit(e
FIome Address: � f�) ' W," �A1C�2 ' Si. S+, ( Mt� 5�'S id�
Stmet Address City . StaPe Zip
Date of Buth: � ov � 13 y ley Place of Buth MZniO i/�, D< Home Phoae: ;. �.�2 - ZZLI S
Are you,a citizen of the United States? 'Native; y ES Naturalized?
Tf you are not a U.S. citizen, you must have work authorization from fhe U.S. Immigration & Naturaif•r.afio» Service.
" � MT-SiJ€M�MOV .
Have,you ever�been convicted of auy Felony, crime r violation of any,aty ordinance other than traffic? 1'I3S �, NO _
Date of arrest: �� 1� �$�1 Where? SSGNrrt 17LLtS !�1/�CL W ST. /-',qUL
Chazge: 1'OSS�'S� OF I� 1 ARSZU f}nl H
Conviction: �'�� ��7
Sentence: �Uuus �nm. 5����� �2Sb°°�'E��'
List the names and residences of three persons of good moral chazacter, living within the Twin Citie� tl�fetro /;rea, not related
to the applicant or financially interested in the premises or business, who may be referred to as to The appBcant's character:
NAME ADDRESS PHONE
.ist licenses which you curre ,�,ntiv hold, formerly held, or may have an�interest in:
3 ) Do� �.=ae�srs . �PSU�a �ieE,as�t ".:�°" � . .
Have any of the above named licenses ever been revoked? _ YES � NO If yes, list tbe dates a�=, rc r;.o;:s fo�: revocation:
Are yoiz'goiug to bpexate this business personally? X YE$
Frst Name � . Middle Initial
Iast
Home Addnss: Simet Name Cary Srate Zip Phone Number �
Are yo�'going to have a manager or assistant in this busintss? _ YFS � NO If the manager is not the same as the
operator, piease complete the following information:
Frst Name
Home Address: S[met ATame
NO If not, who will operate it?
PIease list your employment fiistory for tfie previous five (� yeaz period:
Business�Emptovment �
List alt other officers of the corporation:
OFFTCER TITLE AOME FIOME BUSINESS
NAME (Office Held) ADDRESS PHONE PHONE
Middle Inirial
�
If business is a putnerstup, please include the followiug iaformation for each partner (use additionat pages if necessary):
First Na`me Middlc Inilial
. . Home Addxess: Street Name �
First Name M'iddle Initial
(Maiden)
(Maiden)
G(p
(Maidtn)
6ry
(Mziden)
Iast
SKte tip
Address
Last
State Zip
Last
_ . -> �; �
Date of Binh�
Date of Birth
Phone ATUmber
DATE OF
BIRTH
Date of Birth
Phone Number
Date
Home Address: Street Name � � Gty State Zip Phone Number
Attach to this application: �
3� A detailed description of Yhe design, locarion and sguam foofage of tLe premises to be licensed (sife plan).
2) A copy of your Iease agreement or proof of ownership of the property.
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED
WILL RESULT IN DENIAL OF THIS AFPLICATTON
I hereby state under oath that I have answered all of the above quesrions, and that the information contained herein is true and
coaect to TLe best of my knowledge and belief. I hereby state fuzYher under oath that I have received no money or other
consideraGon, by way of loan, gift, contribution, or otherwise, other than alread isdosed in the�plication wtuch I herewith
submitted. , / � � ,
Subscribed and sworn to before me this
day of 19 �
N Pub]ic �Co ty,
My Commission e�ires:
,
Signature of
°✓ RA}.?SEY CUUNTY
6;y Commissio;: ex.^.;res Sept �3,
-5-93
Date
Z35t� � N�t44c2s �fFRR&€
.
Greensheet # 35441
In Trackei?
9�-�0�.
L.I.E.P. REVIEW CHECKLIST �ate: /
_ Appfi Received / " ApP'n Processed ,
LiCense ID # 74951 LicenSe Type: General Repa� a agQ
CompanyName: Steven A. Hanev DBA: Ste�+e'c Antn C<rc+ira Frr
Business Addresss: 594 W. Marvland Ave. 55117 Business Phone: 222-2245
Contact Name/Address: 317 w Baker St 55107 Home Phone: 222-2245
Dffie to Council Research:,
Public Hearing Date: Z- -��- ` Labels Ordered: /✓��
Notice SeM to ApplicaM: District Council #:_ 06 0 _
Notice Sent to Pubii�
Department/
'
, City Attorney.
;�;,
`- Environmental
Health
'; _ - -
< r.
:' �
� Fire
'"�1i
'yi.
License
Police
Zoning
Date Inspections
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(•�[>•.I'
a - l�- � �
c��9�-
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Ward #: n5'
Comments
/�,eeord (�' t.ec,lG (F} �te-�
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s�i� aiar� a���red:_ ; ,.�,:,
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Lease Received: