97-646:`;�
�.,��.
1
2
3
Presented By
Referred To
Coamnittee: Date
RESOLVED: That application (ID # 1261'n for a Gas Station, Restaurant-C, Crrocery-C, and Cigarette License by
Super America Group Division of Ashland DBA SuperAmerica #4032 (Bazry Sterling, Manager) at
1734 7th 5ffeet West be and the same is hereby approved
4
5 Requested by Department of:
6 Yeas Navs sen
7 B ak�
S Bostr__„om _ Office of License i �ections and
9 arr s Fnv+ronmental Protection
10 e a
11
12 u
13 Morton
15
16 Adopted by Council: Date � $Y '
17
18 Ado tion Certified b Council Secretar
�� rl � '?C"'�
P y Y Form Approved by City Attorney
19 �
20
21 By: �}- ,
z2 /L/ EY: ��Q�,..� ,cf.�' ; a l�`�
23 Approved by Mayor: Date �l �`t�' �/
24 ,,,/''
25 ( r Approved by Mayor for Submisaion to
z6 $Y: `�� c u�•�'� council
27
Council File # �����
Ordinance #
Green Sheet � `� ` ✓Q
RESOLUTION
41NT PAUL, MINNESOTA /_��
\ __�,-� �r��
By:
�� �ye
DEPM�MENi�OFFlCE/COUNCIL DATE INITIATED �l ?�l J O
LIEPiLl�ensin GREEN SHEE
CONfACT PERSON & PHONE INITIAVDATE INITIAUDATE
O�EPARTMENTDIREGTOR �CfTYCOUNCIL
Christine Rozek, 266-9108 A���N �CRYATrORNEY �CRYCLERK
MUST BE ON COUNCIL AGENDA BV ATE �BEA POR
� ROUTIN6 O BUDGET DIflEGTOR O FIN. & MGT. SEflVICES DIfl.
l ORDER MqYpR (�R 0.SSISTAN'n
Por hearin : 7 2 �1� � �
TOTAL # OF SIGNATURE PAGES (CIIP ALL LOCATIONS FOR SIGNATURE}
ACf10N REOUESTED:
The SuperAmerica Group Division of Ashland DBA SuperAmerica �P4032 requests Council approva
o£ its application for a Gas Station, Restaurant-C, Grocery-C, and Cigarette License
located at ll34 7th Street West (ID /I12617).
REGOMeAEN�AnaNS: Appmve (A) w Rejecc (R) PERSONAL SERVICE CONiHACTS MUST ANSWER THE FOLLOWING �UESTIONS:
_ PLANNINO COMMISSION ._ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked under a contrac[ for this tlepartment?
_ CIB CoMMITfEE _ �'ES NO
_ SSAFF Z. Has this person/firm ever been a city employee?
— YES NO
_ DISiRIC7 CoURT _ 3. Does [his perso�rm Dossess a sKill not normally possessad by any current c"ity employee?
SUPPOflTS WHICN COUNCIL O&lECT7VE? YES NO
Explain all yea answers on separate sheet and attaeh tu g�ee� sheet
INITIATINO PROBLEM, ISSUE, OPPORTUNITV (WM, What, When, Where, WhyJ:
ADVANTAGESIFAPPROVEP. �
DISADVANTAGES IFAPPROVED � �
3' °r
, �..y... .. P2;m.� �9 �
'" Zs'''^"i+'"� zs'4
.i.t=., .�, t i:e`eI�
DISA�VANTAGES IF NOT APPROVEO: � ��
TOTAL AMOUNT OF iHANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIIBCa SOUPCE ACTIVITY NUMBER
FINANdAL INFORMAiION: (EXPLAIN)
Greensheet # 37930
Irt Tracke(?
L.I.E.P. REVIEW CHECKLIST Date: 3/27/97 ��'�
App'n Aeceived / App'n Rocessed
License ID # 12617 License TypeGas Station, Restaurant—C, Grocerv—C, and Ciearette Licen:
Company Name: SuperAmerica Gxoup Div� inn �f Aahland DBA: SuuerAmerica 9t4032
Business Addresss: 1734 7th Street West Business Phone: 698-2032
Contact Name/AddresS: Barry Sterling, 1734 7th Street West Home Phone:
Dafe to Counci! Research: 55116
Public Hearing Date: �
�� �
Notice Sent to Applicani:
Notice Sent to Pubiic: �� / � � � �
Labels Ordered: /� N�
District COUnCiI #: 7
Ward #: o�
Department/ Date Inspections Comments
City Attorney
�•Z• o � .
Environmental
Nealth
M-A�
Fire
�,
License �e P�a^ ��
�ease aeceived:
S � �� �� D !(i
Police
v�•2 �'3�- p.� .
Zoning
�' � '
MHR-19-1947 11�98 CITY OF ST PAiA LIEP 612 266 9124 P.02i06
- . _ �--° . /�!_ I7 �c'rb�lb
r'Z,ASS ZII
LICENSE APPLICATTON
A : ��f����
� p' r s.�r.m,�r.snm
vu� A.y�u �'�oot � �oaa, N�►��, � � d�o3z, ��� �����z.
�s ����� ` � y������� , �
PI,EASE TYPfi OR PR1NT IN INK �
Tcpe of License(s) being applied for:
.
Compaay Naate:
C.aper.iipnlPatnaAup /sote Pxiprincnhip
I€business is incorporated, y}ve date of incotporatiou: ._
rioing Business As: S.�►,, �� iC 14YI�i•1 1C l GA
Busmess Addzess: /� ��/ Lt/�,� T 'f �i
seat aaa,ea -
Bernaa what cross sheeu is the busness located?
Aret3xpresnisesnowoccapied? WhatTypeofBusmess?
�Ta.��: P 0 8Uu t t1UU � Le
��
Applicant rnfom
Nenx msd Tide:
hold, formtcky he2d, or may bave an
�� :�am� U m�a� �a r� '
Home Address: ��1 Q T V Q O
semc nldxsu ciiy s,�c y;p
Date of Bittfi: ��— li'� Place of$irth: Home Phonejsts 6� S7 �� 13
Fiave yov ever been 1§c of a�ry feIonY, aime or violation of any ciry ordin�ce other than �c? YES _ NO _�_
Date of snest: Where7
ChaT&e
Conviction: Scnta�e:
List tl�cnsmes �dresidences of tbrce persons of good moral charaatu, tivu�g within the Twia Cities Me�o Area, aot rclated to the apglicant
or SnsnciaUy intetested ia !he pz� or bvsiness, who may bc rcfared tv as to the agpIicanYs chara�ter:
NAME ADDAESS PFiONE
B���► (�O�ti� S 1 y �a D-�1� p 57.�5 •�l ��.�- .�lZ- �36-s.�3 �
/UArV CH- --1��1y —1�8t�1��F�. S-} ivw - ti�w �n: �1,.-tWV �,�2• b33• =-YS/
�
aboveama�d
�
�
CITY OF SAINT PAUL
o�«�r�,r�a:�
���
r . d
[7
Stue Zep
�Uhich side of the s�eet?
� yos�Z
� �
_ r . t
n�oked? YES � NO If yes, list rhe daces and reasaxs for revocadoa:
2/1 &97
. _____ ___�_---------------- - =--_ �'�=b,,,�b
Areynugoing;ooperucthisbusiaesspesoaa7ly? �'ES :v� uno�,,.no..,uof.�.�wS�7PERAMERICAGRQFJ'P
F;rs�« wa�cuv� nk � P.O. Box
Has?d�rm� sasa�a�e C:.y su:c
3Z
Pkzsa list your emplo;mern history fas the pret4ou fi�e (5) }�euperiod:
B��ess/Emvlamcnt Adchess
3s a Pazm�sbip, PSea,se incFudeShe fallpa�ing info:matioa fot each parmer (use additionsi psges if axessary):
� �
xo�e addrai so-e« ��mc cisr swc Tia PhmC:�4mtxr
FEs.�amc '�i'iddielaitial �faideal Lwu DattefB'atk
HomeRdd,vw: srea:w�c c;ry Suu Z,p Frhox!.'waDer
MINtv�ESOTA TAX IDENIIFICATION NUMBER - Piust�ant to tlx Laws of Mmnesota,1984, Chspur 5�2, Artick 8, S�ion 2{270.72j
(fat Ckarancr Issuaace ofLicenses).l'aaacmg avthorides are requued to prov;ck to the State of 2�nesota Commissioner of Itcvm� ti�e
Mma�sota bvsiaess tax idrntiEcation numba sad the social sxuriry a�ber of cach Iicrose spplicant
Undei'tbe M�nae:ota Gwer�mt Data Fsacticac Aa �sd the fedcnl. Pricacy Ad of t 97d, we sre xequired to advisa qou of the follov.ing
regard'mg tY�e use oftbe N!'ninesota 7ax Identi&cation I�hanba:
- 2bis infamaaan may be vsa2 to daaq tLe 3�n,�.+�.• or renewat of yrnu Ii«use ia tLe eveat you owe Mumesota sales. emPloS'� s
withhold�g or motot c�hi'cle etcase tate�
- �P� ��S this izdo��aaoa, the Iiceusiag ent�airy ws�! supply it oaly to the Muwes�a Uepumseat af Rtvm� However,
uadcr the Fedval F�cLm�ge of 7nformadcm Agcement, tbe Aepartman of Reveaue maY �PTY this informaflon w the Iateraal
ReveeueScv3cc . ... '� . .__. _
ivf�ta Fa�c Idc�Scstioc Numbets CSates& Use Ta�c Num)xr) maybe obraiaed from tLe Siau of Iv�innaota, Business Rtcords Dep�tm�.
30 }tiva Pack Plaza (612-296-6I81} .. ._ .. , . _.
soa� s«�xy N��: /- (3 1�-a-a-S G_ u�� r� ia��u� ��: - la �:3 �.s
_ Ifa Mmaesota Taac IdrntiSeatioa Numba u aot requc� f� tlx bit,inas being operated, indicau so by placing aa'X` ia ihe box
nnnK.�
Are } gomg [o Yz�•e a�8�+' oress,S�t in this business? •� YES NO If the msaager is not the Seme ts the operafor,
List zll otHer odetrs of the c.�upa: ztion:
pFF(CER TIT[.E HO?vtE H016F BUSL�TESS DAT£ OF
:.'A.A�„ (O,'SaHej� � ADJ�.RF.SS FHO\'E PHONE $IltTH
:`;�
�.,��.
1
2
3
Presented By
Referred To
Coamnittee: Date
RESOLVED: That application (ID # 1261'n for a Gas Station, Restaurant-C, Crrocery-C, and Cigarette License by
Super America Group Division of Ashland DBA SuperAmerica #4032 (Bazry Sterling, Manager) at
1734 7th 5ffeet West be and the same is hereby approved
4
5 Requested by Department of:
6 Yeas Navs sen
7 B ak�
S Bostr__„om _ Office of License i �ections and
9 arr s Fnv+ronmental Protection
10 e a
11
12 u
13 Morton
15
16 Adopted by Council: Date � $Y '
17
18 Ado tion Certified b Council Secretar
�� rl � '?C"'�
P y Y Form Approved by City Attorney
19 �
20
21 By: �}- ,
z2 /L/ EY: ��Q�,..� ,cf.�' ; a l�`�
23 Approved by Mayor: Date �l �`t�' �/
24 ,,,/''
25 ( r Approved by Mayor for Submisaion to
z6 $Y: `�� c u�•�'� council
27
Council File # �����
Ordinance #
Green Sheet � `� ` ✓Q
RESOLUTION
41NT PAUL, MINNESOTA /_��
\ __�,-� �r��
By:
�� �ye
DEPM�MENi�OFFlCE/COUNCIL DATE INITIATED �l ?�l J O
LIEPiLl�ensin GREEN SHEE
CONfACT PERSON & PHONE INITIAVDATE INITIAUDATE
O�EPARTMENTDIREGTOR �CfTYCOUNCIL
Christine Rozek, 266-9108 A���N �CRYATrORNEY �CRYCLERK
MUST BE ON COUNCIL AGENDA BV ATE �BEA POR
� ROUTIN6 O BUDGET DIflEGTOR O FIN. & MGT. SEflVICES DIfl.
l ORDER MqYpR (�R 0.SSISTAN'n
Por hearin : 7 2 �1� � �
TOTAL # OF SIGNATURE PAGES (CIIP ALL LOCATIONS FOR SIGNATURE}
ACf10N REOUESTED:
The SuperAmerica Group Division of Ashland DBA SuperAmerica �P4032 requests Council approva
o£ its application for a Gas Station, Restaurant-C, Grocery-C, and Cigarette License
located at ll34 7th Street West (ID /I12617).
REGOMeAEN�AnaNS: Appmve (A) w Rejecc (R) PERSONAL SERVICE CONiHACTS MUST ANSWER THE FOLLOWING �UESTIONS:
_ PLANNINO COMMISSION ._ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked under a contrac[ for this tlepartment?
_ CIB CoMMITfEE _ �'ES NO
_ SSAFF Z. Has this person/firm ever been a city employee?
— YES NO
_ DISiRIC7 CoURT _ 3. Does [his perso�rm Dossess a sKill not normally possessad by any current c"ity employee?
SUPPOflTS WHICN COUNCIL O&lECT7VE? YES NO
Explain all yea answers on separate sheet and attaeh tu g�ee� sheet
INITIATINO PROBLEM, ISSUE, OPPORTUNITV (WM, What, When, Where, WhyJ:
ADVANTAGESIFAPPROVEP. �
DISADVANTAGES IFAPPROVED � �
3' °r
, �..y... .. P2;m.� �9 �
'" Zs'''^"i+'"� zs'4
.i.t=., .�, t i:e`eI�
DISA�VANTAGES IF NOT APPROVEO: � ��
TOTAL AMOUNT OF iHANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIIBCa SOUPCE ACTIVITY NUMBER
FINANdAL INFORMAiION: (EXPLAIN)
Greensheet # 37930
Irt Tracke(?
L.I.E.P. REVIEW CHECKLIST Date: 3/27/97 ��'�
App'n Aeceived / App'n Rocessed
License ID # 12617 License TypeGas Station, Restaurant—C, Grocerv—C, and Ciearette Licen:
Company Name: SuperAmerica Gxoup Div� inn �f Aahland DBA: SuuerAmerica 9t4032
Business Addresss: 1734 7th Street West Business Phone: 698-2032
Contact Name/AddresS: Barry Sterling, 1734 7th Street West Home Phone:
Dafe to Counci! Research: 55116
Public Hearing Date: �
�� �
Notice Sent to Applicani:
Notice Sent to Pubiic: �� / � � � �
Labels Ordered: /� N�
District COUnCiI #: 7
Ward #: o�
Department/ Date Inspections Comments
City Attorney
�•Z• o � .
Environmental
Nealth
M-A�
Fire
�,
License �e P�a^ ��
�ease aeceived:
S � �� �� D !(i
Police
v�•2 �'3�- p.� .
Zoning
�' � '
MHR-19-1947 11�98 CITY OF ST PAiA LIEP 612 266 9124 P.02i06
- . _ �--° . /�!_ I7 �c'rb�lb
r'Z,ASS ZII
LICENSE APPLICATTON
A : ��f����
� p' r s.�r.m,�r.snm
vu� A.y�u �'�oot � �oaa, N�►��, � � d�o3z, ��� �����z.
�s ����� ` � y������� , �
PI,EASE TYPfi OR PR1NT IN INK �
Tcpe of License(s) being applied for:
.
Compaay Naate:
C.aper.iipnlPatnaAup /sote Pxiprincnhip
I€business is incorporated, y}ve date of incotporatiou: ._
rioing Business As: S.�►,, �� iC 14YI�i•1 1C l GA
Busmess Addzess: /� ��/ Lt/�,� T 'f �i
seat aaa,ea -
Bernaa what cross sheeu is the busness located?
Aret3xpresnisesnowoccapied? WhatTypeofBusmess?
�Ta.��: P 0 8Uu t t1UU � Le
��
Applicant rnfom
Nenx msd Tide:
hold, formtcky he2d, or may bave an
�� :�am� U m�a� �a r� '
Home Address: ��1 Q T V Q O
semc nldxsu ciiy s,�c y;p
Date of Bittfi: ��— li'� Place of$irth: Home Phonejsts 6� S7 �� 13
Fiave yov ever been 1§c of a�ry feIonY, aime or violation of any ciry ordin�ce other than �c? YES _ NO _�_
Date of snest: Where7
ChaT&e
Conviction: Scnta�e:
List tl�cnsmes �dresidences of tbrce persons of good moral charaatu, tivu�g within the Twia Cities Me�o Area, aot rclated to the apglicant
or SnsnciaUy intetested ia !he pz� or bvsiness, who may bc rcfared tv as to the agpIicanYs chara�ter:
NAME ADDAESS PFiONE
B���► (�O�ti� S 1 y �a D-�1� p 57.�5 •�l ��.�- .�lZ- �36-s.�3 �
/UArV CH- --1��1y —1�8t�1��F�. S-} ivw - ti�w �n: �1,.-tWV �,�2• b33• =-YS/
�
aboveama�d
�
�
CITY OF SAINT PAUL
o�«�r�,r�a:�
���
r . d
[7
Stue Zep
�Uhich side of the s�eet?
� yos�Z
� �
_ r . t
n�oked? YES � NO If yes, list rhe daces and reasaxs for revocadoa:
2/1 &97
. _____ ___�_---------------- - =--_ �'�=b,,,�b
Areynugoing;ooperucthisbusiaesspesoaa7ly? �'ES :v� uno�,,.no..,uof.�.�wS�7PERAMERICAGRQFJ'P
F;rs�« wa�cuv� nk � P.O. Box
Has?d�rm� sasa�a�e C:.y su:c
3Z
Pkzsa list your emplo;mern history fas the pret4ou fi�e (5) }�euperiod:
B��ess/Emvlamcnt Adchess
3s a Pazm�sbip, PSea,se incFudeShe fallpa�ing info:matioa fot each parmer (use additionsi psges if axessary):
� �
xo�e addrai so-e« ��mc cisr swc Tia PhmC:�4mtxr
FEs.�amc '�i'iddielaitial �faideal Lwu DattefB'atk
HomeRdd,vw: srea:w�c c;ry Suu Z,p Frhox!.'waDer
MINtv�ESOTA TAX IDENIIFICATION NUMBER - Piust�ant to tlx Laws of Mmnesota,1984, Chspur 5�2, Artick 8, S�ion 2{270.72j
(fat Ckarancr Issuaace ofLicenses).l'aaacmg avthorides are requued to prov;ck to the State of 2�nesota Commissioner of Itcvm� ti�e
Mma�sota bvsiaess tax idrntiEcation numba sad the social sxuriry a�ber of cach Iicrose spplicant
Undei'tbe M�nae:ota Gwer�mt Data Fsacticac Aa �sd the fedcnl. Pricacy Ad of t 97d, we sre xequired to advisa qou of the follov.ing
regard'mg tY�e use oftbe N!'ninesota 7ax Identi&cation I�hanba:
- 2bis infamaaan may be vsa2 to daaq tLe 3�n,�.+�.• or renewat of yrnu Ii«use ia tLe eveat you owe Mumesota sales. emPloS'� s
withhold�g or motot c�hi'cle etcase tate�
- �P� ��S this izdo��aaoa, the Iiceusiag ent�airy ws�! supply it oaly to the Muwes�a Uepumseat af Rtvm� However,
uadcr the Fedval F�cLm�ge of 7nformadcm Agcement, tbe Aepartman of Reveaue maY �PTY this informaflon w the Iateraal
ReveeueScv3cc . ... '� . .__. _
ivf�ta Fa�c Idc�Scstioc Numbets CSates& Use Ta�c Num)xr) maybe obraiaed from tLe Siau of Iv�innaota, Business Rtcords Dep�tm�.
30 }tiva Pack Plaza (612-296-6I81} .. ._ .. , . _.
soa� s«�xy N��: /- (3 1�-a-a-S G_ u�� r� ia��u� ��: - la �:3 �.s
_ Ifa Mmaesota Taac IdrntiSeatioa Numba u aot requc� f� tlx bit,inas being operated, indicau so by placing aa'X` ia ihe box
nnnK.�
Are } gomg [o Yz�•e a�8�+' oress,S�t in this business? •� YES NO If the msaager is not the Seme ts the operafor,
List zll otHer odetrs of the c.�upa: ztion:
pFF(CER TIT[.E HO?vtE H016F BUSL�TESS DAT£ OF
:.'A.A�„ (O,'SaHej� � ADJ�.RF.SS FHO\'E PHONE $IltTH
:`;�
�.,��.
1
2
3
Presented By
Referred To
Coamnittee: Date
RESOLVED: That application (ID # 1261'n for a Gas Station, Restaurant-C, Crrocery-C, and Cigarette License by
Super America Group Division of Ashland DBA SuperAmerica #4032 (Bazry Sterling, Manager) at
1734 7th 5ffeet West be and the same is hereby approved
4
5 Requested by Department of:
6 Yeas Navs sen
7 B ak�
S Bostr__„om _ Office of License i �ections and
9 arr s Fnv+ronmental Protection
10 e a
11
12 u
13 Morton
15
16 Adopted by Council: Date � $Y '
17
18 Ado tion Certified b Council Secretar
�� rl � '?C"'�
P y Y Form Approved by City Attorney
19 �
20
21 By: �}- ,
z2 /L/ EY: ��Q�,..� ,cf.�' ; a l�`�
23 Approved by Mayor: Date �l �`t�' �/
24 ,,,/''
25 ( r Approved by Mayor for Submisaion to
z6 $Y: `�� c u�•�'� council
27
Council File # �����
Ordinance #
Green Sheet � `� ` ✓Q
RESOLUTION
41NT PAUL, MINNESOTA /_��
\ __�,-� �r��
By:
�� �ye
DEPM�MENi�OFFlCE/COUNCIL DATE INITIATED �l ?�l J O
LIEPiLl�ensin GREEN SHEE
CONfACT PERSON & PHONE INITIAVDATE INITIAUDATE
O�EPARTMENTDIREGTOR �CfTYCOUNCIL
Christine Rozek, 266-9108 A���N �CRYATrORNEY �CRYCLERK
MUST BE ON COUNCIL AGENDA BV ATE �BEA POR
� ROUTIN6 O BUDGET DIflEGTOR O FIN. & MGT. SEflVICES DIfl.
l ORDER MqYpR (�R 0.SSISTAN'n
Por hearin : 7 2 �1� � �
TOTAL # OF SIGNATURE PAGES (CIIP ALL LOCATIONS FOR SIGNATURE}
ACf10N REOUESTED:
The SuperAmerica Group Division of Ashland DBA SuperAmerica �P4032 requests Council approva
o£ its application for a Gas Station, Restaurant-C, Grocery-C, and Cigarette License
located at ll34 7th Street West (ID /I12617).
REGOMeAEN�AnaNS: Appmve (A) w Rejecc (R) PERSONAL SERVICE CONiHACTS MUST ANSWER THE FOLLOWING �UESTIONS:
_ PLANNINO COMMISSION ._ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked under a contrac[ for this tlepartment?
_ CIB CoMMITfEE _ �'ES NO
_ SSAFF Z. Has this person/firm ever been a city employee?
— YES NO
_ DISiRIC7 CoURT _ 3. Does [his perso�rm Dossess a sKill not normally possessad by any current c"ity employee?
SUPPOflTS WHICN COUNCIL O&lECT7VE? YES NO
Explain all yea answers on separate sheet and attaeh tu g�ee� sheet
INITIATINO PROBLEM, ISSUE, OPPORTUNITV (WM, What, When, Where, WhyJ:
ADVANTAGESIFAPPROVEP. �
DISADVANTAGES IFAPPROVED � �
3' °r
, �..y... .. P2;m.� �9 �
'" Zs'''^"i+'"� zs'4
.i.t=., .�, t i:e`eI�
DISA�VANTAGES IF NOT APPROVEO: � ��
TOTAL AMOUNT OF iHANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIIBCa SOUPCE ACTIVITY NUMBER
FINANdAL INFORMAiION: (EXPLAIN)
Greensheet # 37930
Irt Tracke(?
L.I.E.P. REVIEW CHECKLIST Date: 3/27/97 ��'�
App'n Aeceived / App'n Rocessed
License ID # 12617 License TypeGas Station, Restaurant—C, Grocerv—C, and Ciearette Licen:
Company Name: SuperAmerica Gxoup Div� inn �f Aahland DBA: SuuerAmerica 9t4032
Business Addresss: 1734 7th Street West Business Phone: 698-2032
Contact Name/AddresS: Barry Sterling, 1734 7th Street West Home Phone:
Dafe to Counci! Research: 55116
Public Hearing Date: �
�� �
Notice Sent to Applicani:
Notice Sent to Pubiic: �� / � � � �
Labels Ordered: /� N�
District COUnCiI #: 7
Ward #: o�
Department/ Date Inspections Comments
City Attorney
�•Z• o � .
Environmental
Nealth
M-A�
Fire
�,
License �e P�a^ ��
�ease aeceived:
S � �� �� D !(i
Police
v�•2 �'3�- p.� .
Zoning
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MHR-19-1947 11�98 CITY OF ST PAiA LIEP 612 266 9124 P.02i06
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LICENSE APPLICATTON
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vu� A.y�u �'�oot � �oaa, N�►��, � � d�o3z, ��� �����z.
�s ����� ` � y������� , �
PI,EASE TYPfi OR PR1NT IN INK �
Tcpe of License(s) being applied for:
.
Compaay Naate:
C.aper.iipnlPatnaAup /sote Pxiprincnhip
I€business is incorporated, y}ve date of incotporatiou: ._
rioing Business As: S.�►,, �� iC 14YI�i•1 1C l GA
Busmess Addzess: /� ��/ Lt/�,� T 'f �i
seat aaa,ea -
Bernaa what cross sheeu is the busness located?
Aret3xpresnisesnowoccapied? WhatTypeofBusmess?
�Ta.��: P 0 8Uu t t1UU � Le
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Applicant rnfom
Nenx msd Tide:
hold, formtcky he2d, or may bave an
�� :�am� U m�a� �a r� '
Home Address: ��1 Q T V Q O
semc nldxsu ciiy s,�c y;p
Date of Bittfi: ��— li'� Place of$irth: Home Phonejsts 6� S7 �� 13
Fiave yov ever been 1§c of a�ry feIonY, aime or violation of any ciry ordin�ce other than �c? YES _ NO _�_
Date of snest: Where7
ChaT&e
Conviction: Scnta�e:
List tl�cnsmes �dresidences of tbrce persons of good moral charaatu, tivu�g within the Twia Cities Me�o Area, aot rclated to the apglicant
or SnsnciaUy intetested ia !he pz� or bvsiness, who may bc rcfared tv as to the agpIicanYs chara�ter:
NAME ADDAESS PFiONE
B���► (�O�ti� S 1 y �a D-�1� p 57.�5 •�l ��.�- .�lZ- �36-s.�3 �
/UArV CH- --1��1y —1�8t�1��F�. S-} ivw - ti�w �n: �1,.-tWV �,�2• b33• =-YS/
�
aboveama�d
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CITY OF SAINT PAUL
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Stue Zep
�Uhich side of the s�eet?
� yos�Z
� �
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n�oked? YES � NO If yes, list rhe daces and reasaxs for revocadoa:
2/1 &97
. _____ ___�_---------------- - =--_ �'�=b,,,�b
Areynugoing;ooperucthisbusiaesspesoaa7ly? �'ES :v� uno�,,.no..,uof.�.�wS�7PERAMERICAGRQFJ'P
F;rs�« wa�cuv� nk � P.O. Box
Has?d�rm� sasa�a�e C:.y su:c
3Z
Pkzsa list your emplo;mern history fas the pret4ou fi�e (5) }�euperiod:
B��ess/Emvlamcnt Adchess
3s a Pazm�sbip, PSea,se incFudeShe fallpa�ing info:matioa fot each parmer (use additionsi psges if axessary):
� �
xo�e addrai so-e« ��mc cisr swc Tia PhmC:�4mtxr
FEs.�amc '�i'iddielaitial �faideal Lwu DattefB'atk
HomeRdd,vw: srea:w�c c;ry Suu Z,p Frhox!.'waDer
MINtv�ESOTA TAX IDENIIFICATION NUMBER - Piust�ant to tlx Laws of Mmnesota,1984, Chspur 5�2, Artick 8, S�ion 2{270.72j
(fat Ckarancr Issuaace ofLicenses).l'aaacmg avthorides are requued to prov;ck to the State of 2�nesota Commissioner of Itcvm� ti�e
Mma�sota bvsiaess tax idrntiEcation numba sad the social sxuriry a�ber of cach Iicrose spplicant
Undei'tbe M�nae:ota Gwer�mt Data Fsacticac Aa �sd the fedcnl. Pricacy Ad of t 97d, we sre xequired to advisa qou of the follov.ing
regard'mg tY�e use oftbe N!'ninesota 7ax Identi&cation I�hanba:
- 2bis infamaaan may be vsa2 to daaq tLe 3�n,�.+�.• or renewat of yrnu Ii«use ia tLe eveat you owe Mumesota sales. emPloS'� s
withhold�g or motot c�hi'cle etcase tate�
- �P� ��S this izdo��aaoa, the Iiceusiag ent�airy ws�! supply it oaly to the Muwes�a Uepumseat af Rtvm� However,
uadcr the Fedval F�cLm�ge of 7nformadcm Agcement, tbe Aepartman of Reveaue maY �PTY this informaflon w the Iateraal
ReveeueScv3cc . ... '� . .__. _
ivf�ta Fa�c Idc�Scstioc Numbets CSates& Use Ta�c Num)xr) maybe obraiaed from tLe Siau of Iv�innaota, Business Rtcords Dep�tm�.
30 }tiva Pack Plaza (612-296-6I81} .. ._ .. , . _.
soa� s«�xy N��: /- (3 1�-a-a-S G_ u�� r� ia��u� ��: - la �:3 �.s
_ Ifa Mmaesota Taac IdrntiSeatioa Numba u aot requc� f� tlx bit,inas being operated, indicau so by placing aa'X` ia ihe box
nnnK.�
Are } gomg [o Yz�•e a�8�+' oress,S�t in this business? •� YES NO If the msaager is not the Seme ts the operafor,
List zll otHer odetrs of the c.�upa: ztion:
pFF(CER TIT[.E HO?vtE H016F BUSL�TESS DAT£ OF
:.'A.A�„ (O,'SaHej� � ADJ�.RF.SS FHO\'E PHONE $IltTH