97-691Council File ��� 6 9 �
Ordinance #
Green Sheet #` � � �� �
������„��_
PAUL, MINNESOTA
Presented By
Referred To
Committee: Date
1
2
3
RESOLVED: That applicaflon (ID #28574) for a Cigazette, Entertainment-A, Liquor On Sale-A, and Restaurant-
B License by RNDT Inc. DBA McColl's I?ining (Izonard Schmieg, President) at 195 Sth St. East
be and the same is hereby approved.
4
5
6 Yea Navs Absent
7 a a�Tcey �
8 Bostrom
9 Harris
10 Me arT
11 n'�an .fl+ .
12 T une � —�
13 Morton
15
16 Adopted by Council: Date �
17
18 Adoption Certified by Council Secretary
19
20
21 By: �
22
23 Approved by Mayor: Da e
24 �
25 � 26 By: _
27
Requested by Department ofe
Office of License inspectiona and
Fnv�ronmental Protect�on
g�. � n.C/ �� –" 1� .
Form Approved by City Attorney
g ,-�✓ � �..`�Pn.w�
f%c��LGO✓
Approved by Mayor for Submission to
Council
By:
a�.�g
DEMRlMENiNFFICElCOUNCII DATE INfTIATED ..1 � �.! V �
LIEP/Licensin GREEN SHEE
CONSACT PEASpN 8 PHONE INITIALNATE INITIAL/DATE
� DEPARTMEM DIRECTOR � CIN COUNdL
Christine Rozek, 266-9108 ASSIGN �CT'ATTORNEY �CITYCLERK
MUSf BE ON COUNCIL AGENDA BY (DATE) NUTAeEEI FOR ❑ BUDGEf DIRECTOR � FIN. & MGT. SERVICES DIR.
flOUTING
FOT Y108T1II : � OPDER O MqypR (OR ASSISfAN'f� �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�UESTED:
RNDT Inc, DBA McCo11's Dining requests Council approval of its application for a Cigaiette,
Entertainment-A, Liquor On Sale-A, and Restaurant-B License located at 175 Sth Street East
(ID �128574).
RECOMMENDATIONS: Approve (n) or Feject (R) PEflSONAL SEFiVICE CONTRACTS MUST ANSWEq TXE FOLLOWING �UESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this personflirm ever worked under a contrect for this department?
_ q6 COMMITfEE _ VES NO
— � A � F 2. Has this personttirm ever been a city employee�
— YES NO
_ olsTalCT cAURT _ 3. Does this person/firm possess a skill not normalry possessetl by any current city employee? -
SUPPORT$ WHICM COUNCIL O&1ECTIVE7 YES NO
Explain aN yes answers on saparate sheet and attach to green sheM
INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What. When, Whare. NTy):
ADVANTAGESIFAPPROVED'
DISADVANTAGES IFAPPROVED:
�� � �8'dti6 �k�
a�l�1V � f.� 5��1
DISADVANTAGES IF NOT APPROVED.
TO7ALAMOUNTOFTRANSAC710N $ COST/REVENUEBUDGETED(CIqCLEONE) YES NO
FUNDIfdG SOURCE AC71VI7V NUMBER
FINANCIAL INFORhSATION: (EXPLAIN)
�Z �� \
Greensheet # 37948
In Tracke�?
L.I.E.P. REVIEW CHECKLIST Date: 4/28/97 �
App'n Received / App'n Processed
License ID # 28574 License Type:
Company Name: �T Inc.
McColl's
Business Addresss: 175 Sth Street East Business Phone: 291-8703
Contact Name/Address: Leonard Schmie¢, 39 WickinQ D�ve w GiHome Phone: 483-1323
Litt e Canada, 55117
Date to Council Research:
Public Hearing Date:
Notice Sent to Appiicant:
Labels Ordered: i��' /� �
District Council #: � /
Notice Sent to Public: Ward #: �
Department/ Date Inspections Comments
City Attorney
J' ' T �J�"' 0' F�. .
Errvironmerrtal
Health
� . 2D �9�- O . � .
Fire
�•�� 1� �•� •
License Site Plan Recaived:_
Lease Received:
�'2('�' ��L
Police
� 2�• � � O-� .
Zoning
�• � '� �` D. .
MRY-29-1997 14�32 CITY OF ST PRUL LIEP
CLA.SS III
LICENSE APPLICAI'ION
IHIS /iPPLtCATION IS SL3JEC7' TO FViFW &Y THE PUBLIC
PLEASE TFPE OR PRINT Ih' IA'K
T;pea�Lic�:se(s)beiagzppIiedfor. Destaurant C�t/�}
On �ale Liauor �a�0�0
Entertainment
Co�zap\*�ne: D�DT
Co: fxstioe t?a-.ncnh5? t Sok prv2eictpship
612 266 9124 P:03
U•�/�v�— Viii//x
t/
q�-G�►1
CITY OF SAL'�TI' PAUL
offuc ofLiaxut Im�eCtimu
a�a &nvonmrncv! Protea;on
� S rc�s s��o
si-�r+ot- :.�a
C6fA T+s(o7�7d691�a
a �57 `7
s ��° � �
s . �n a�
S t� ��
S c� I 7�
S
Ifbus�ess is i�co:porated, �ce dxte of incorporztioo: 4/ 1/ 97
Dm:ngBtuin�ssAs: ='-cCo11s Dining, / &:siness?hone: 2g1—a7�J3
Busi�asa.d�.-�s: 366 Jackson St. Faul ?'+?3_
� � c:� s:� zsp
Be:u•aa �•hat cross mecu is �he business locased? Jackson & 5 th Whict sido ofthe s¢�? Eas �
,4*eihepm;ai��snpw-occ�pied� Yes lt'hat7�peofB:siuess? P.estaurant
'.�z�Tobda.-ess: 39 ?Test Vikina Drive Litt�.e Canada ��J 55117
Street Aodsas Cin State Zip
�
2.'ameacdTi�r. Leonard A. Schmie� President
Fen .Kiam� G+S��eJ t.ees ra�
Homeaddr�ss: 39 ��Test �rikin� I)sive Litt2e Canada `��. 55117
Street Adt�cs. � Cisy S�au Zip
DEUOfBir�h: I2/26/55 p� Ortonville, 2L�1_ HomePhone: 483-1323
Ha��e }ron e��et bee¢ comicted of utc fcloav, crime or violation of any cir}' ordinance other thsn tnffic? YES NO X
Dace ofarres[:
�� _
CAnaiction:
Whcre?
Senlence:
Liu sbcnames aad raideaces of three persons of good moral c6aracter, living uithin the Twin Cities Metro Area, not related to the app7icant
or 5n�cislly iaterested in the prcmixs or businas, u•ho may be rcfar�d to as to the applicsm's charactc
NAME ADDRESS PHONE
Sose Barbari 2899 Edgerton St. ?�aul 483-0447
Iee 'De2tier 528 Quinmore Avenue ASorth 436-8437
�ndy Seinbeil • 1786 East k?i21ow Circle td,B.L. 777_zp97
I.ist Lcrases ulvch yov curready bold, foimcly beld, or msy ha�t sa murest in:
Ha�x am}• of tbe abo�•e named liceiases evrr bew revokedl YES X NO If }es, list thc datos and reasoas for revocarion:
MAY-29-1997 14:32 CITY OF ST PRUL LIEP 612 266 9124 P.04
Are }'ou goiag to o�eta�e t}�.is bur.ness pc. sa:�ali� 7°` 1 LS �u ti not,,+mo,.�tt operate �s!
�'►-�9
F'va �ac \5ddic LtiSd �Seidm) Les[ Detc e£SinL
Hax9d@es,i: Svus\axe Ci�� S•.atc Zip PAonc\�3er
ATr}nu �ngto hz.t a mrr+z or nsistuu in ;l�.is business? YES � \O Tf tho maz:xger is �ot the same zs the operator,
plezse e�plete tI�e follrn�ing infmmadoa:
Fi�t�ae \SddSeL'i�d C>•sidail Lut Damofairs6
Hoac �dta�: Stza \c9c
Ci��
S�etc 2ip Phone \�bet
Please list pour cnplo;�em history for the pre�7ous fi�'e (5) ��e:r period:
���1Fr,ralo�zrent Address
Schmieg-T�?ashburn Industries, Inc.
List eIt othcr officcs of the ca�orauoa:
OFFICER TFILE HO'�2E
?:.qME (O�ce He?d) ADDRESS
HOYE, BliSi�'ESS DATE OF
PY.O�'E PHO'.'E B3RT�i
�cott D T•Tashburn 413� Lexinaton Ave r1 486-4868 1/1_3/SF3
C-eraZd Ba�erl 322 Eirie 669-2442 5!8/55
If bvsiness is a pa plcese iaclude the folloH iafor�a;ioa foz each pz �� (use sdditional pzges ii neeesszn•):
Fine �.me 4liamo I,riva 4�1.�da� taa I?au oca;nh
HoneAdAec Sue�t\ame Ci:y Swe Zip Phone\embet
Fint \mo .Vfiddle Li^id C4sidaJ Iw:t Date of Hirth
Home AA&ar, Swn \axe Ciry Swe Zp Phone \w�ber
?�21I�'S�SOTA TAXIDE?v7IFICATION:�'L"t�ER -Pursuant:o �he Laws ofMianesoca, 19Sa, Chapter 502, Artide 8, Sectioa 2(270.72)
(Iaa C3earaac� Issuana of Liceases), lice�sing aut3orities aze zequired 10 pro�•ide to the State of Mianesota Commissioner oPRecenue, the
?dfi.�newta business tar. idaati5cstion rnunba aud the soeial se.�urity aumber af each litense applicsnt
Uader t6e Minaesota Govemment Dats Practices Act aad tbe Federal Privacy Act of 1974, we are required to ad�tise you of the follou�ing
regarding the iue etthe M'ianesota 7ax Ideatificati� I�umba:
- TLis infoxmauon may be used w drny the issuance ar rencwal of your licease in the a�mt you ow�e lvyanesots sa]a, emPloyer s
withboldiag or moior vehicle excix ta�ce;
- Upon receiving this infotmation, the licensrsig suthacity Wtilt supply it onty w ihe Mianesosa Department of Revmue. However,
emder cLe Federa2 E�change of Informav� Ageemcm, ebe Dcpaztmeat of Revenue may supply this infoimarion so the Iasemal
Revrnue S�ice,
Mu�da I'sc Ideori5ca6aa N�nbers (Sales & Use Ta� Numbes) may be obtain� fra� the State of Mianesots, Busiacss ReLOrds Depattmen�
10 Ri�aPark Plaza (6t2-296-6181).
SociatSauriryNumbc. �+�4-70-8$84 I�e�tara 2
r If a Minsaesota TaY Idemificavon �umba is noc rcquired fa ihe biuinas being operated, indieate so b�• placing an "X' in the box.
2;18,'9'Y
MRY-29-1997 14:32 CITY OF ST PAUL LIEP
612 266 9124 P.05
� 1
CLASS III
LICENSE APPLICATION
TF�S APPL3CATION JS Si�'HJECT TO REVtEW BX THE PUBLIC
PLEASE 1'YPE �R YRL*TT IN R3K
Tipe of Licea�e(s) being applied for. Re s taurant
CI7Y QF S�T PAUL
o� au� r��
ma Fmvo,ttuaw rro,abo�
33]R➢acR SL:ie}]0
SdaA0lNeowe> 33101
(61�:Y69070 L%(61ay2669!=d
Liquor g
Cigarette S
Entertainment g
Co�pz-n :.•a.7,e: R-�D?' , Inc .
Cxporc�on! Pd•m3s4ip I Sote Propeiamstup
if basiness;s inco�orated, gj��e dau of iacoiporazion: 4/ 15 / 97
p McColl's BusiaasPhoae:29I-8703
Buinen Address:
STet N1d�ms City Stmc Zip
Be:u�een w� aoss sveeu is s�e bur.�ess locaud? Jacks on & 5 th qay;ch ride o�il,c scr,M7 E a s t
A.-o 3e premises nou• oceupied? Ye S Whs� T�pe of Busiaess? Re s taurant
�4i1ToAddress: 39 t?est Vikin� Drive Little Canada MN SSl 7
Saex 1d�w Ciry Sut Lip
Agplicaut Snfosmarioa:
Nzmc�,dT�ilc Gesald Lee Baverl Owner
�� :.�em� c�sda�) t.� r,u�
HomeAddress: 322 Erie St. Paul P9N. 55102
svaaneab. ca sw� z�
AauoiBinh 5/8/55 PlaceoFBirth: �'?inneavolis Homepbox 669-2442
Have gou eva beea ��j�� of eay felo� crime or �io2a6on of atry city ordinaace Wher than tra$�c? YES NO X
Aau of anest:
C�arge; _
Coa�iaiaa:
'�:i:t':�i
E�
Listt}�e umuta mdreAdeaces of tivae peesoat of good moral cGasact�, living witbin t� Twia Cities Metro Azea, mt retated to the appticaat
or finsacialty iateres�ted in tDe premises or btuiness, who may be refared to as w tLe applicanYs cbaracur.
NAME ADDRESS PHONE
Rose Barbari 2894 Edgerton 483-0447
Lee Peltier 528 Quinmore Avenue North 436-8437
3oe Steinbeck 439-4063
List Sceases w�ichyou emzmfly ho1d, fmmely hel� or may have an iotaest iu
Hace any oftbe above named ]icestses eret bcen revoked7 PES NO Ifyes, list the data and reasoas for re�roca6on'
MAY-29-1997 14�33 CITY OF ST PFlUL LIEP 612 266 9124 P.06
Arc }rou goiag to operate this buSiaess persoasllel X Y�S I�O If not, K$o a�y(� �rate it? q� �`� `
Fra�e \SddklaiGd pSidaQ Ii.t Ikfcof8ir0�
HcmeAdCzw: Sret\`�c Cw� R+te 2ip PSoac?.'wiba
Axe}vu gamg w hxc•e a mxnaser or z�s"scxsu in this bvsiaas? YES X NO ffthe mz,lxget is no[ the same u ihe operator,
please eomplac the followiag iafoimztion:
sri� �aas�v�a �;�se�) � ne,<ora�w
xox addra+: se«, �ax Cr.v sta�e 2y, Phonc �,�roa
Plrrse Yist rour cmploy bistory for she precioas five (5) }•ezr peciod:
HusmesslEmpirnment �s
Schezie�-FTashburn Industries, Inc. 39 ??est Vikin� Drive
List aD other o,°ficcs of tho corporati�:
OFF7CEIZ TITIE HOME HO'.�.fE BUSL'�'ESS DATE OF
::AME (O�ce Hd� ADDRESS PHO.`�ET PHO'�e B1RTH
Leonard Schmie; 39 Z•'est Viking Drive 483-1323 11/26/55
Scott Siashburn 4130 Lexington Ave N. G86-4$68 1/23158
Jibstsiness is a para�sbip, plezse include the folloaing infa,-*.,zrion for each parmer (use additiomal pages if nr,cesssn•):
Firn� }Laaklnie;J (.�Se�am) txt DdeofBinh
x� �aa�: s�u � c� s,.� z;P ��*�
r�±� uam� �,;a �ra;mo r,�a n.e� �ra�rn
x�ua�,: svar� c,u� sws � n�r�
?vIlNt�SOTATAK IDENTT�SCATSO?s NIJM$ER- P�uaisat to tbe Laas of Mwnesota,1984, CLapter 502, Articlo 8, Seaion 2(270,72}
(Imc Cle��eq Issuance ofLicenses� licauiug sutiwrities are:equired to pro�ide to the State ofMinnesosa Commissionc af Rweaue, the
Mmceso4 busixss ta�c idmtificevon number sad the socia] sau�ity number of esc�h �cease applieaat
Uadet tho Mmnesota Govunmeat Data Prsaias Act and tbe Fedaat Pxivary Aa of 19�4, we are rcquired ro advise you of the followiag
regardmg the use of tbe Mianaou 7ax Idmtificatioa Ntmiber:
- This infoQmanom may be used w dary tbe issu�a ca r�ewal of yrnu ficrose ia the eveat you rnve Mwnaota sslcs, employds
withholding or motes �e�icle accise taxe;
- U�OII SxC1V1II$ tL151Cf0[metiOL� $let YIOCRSm$ 81tib0t$y WaI St1�I}' II ODIy 10 SLC Mnnnrnrq j�eImDP.Gt Of RCVCaUG HOwCV�
timda the Ftdesal Exchaiugc of Iafcamatian Agxmeaa, the Depar�art of Reveaue may suPPlp tbis inffamasion to tbe I�ooernal
Reveaue Saviee.
Mmaesota Tmc IdamE�oa Numbas (Sala 8c Use Tax Numbcj may be obtaiioed 5un the Staie �'2vfinnesols. Bttsiness Reco�ds Departrnmt,
10 River Patk P1a�s (612-296.5] 8]).
���� 474-70-4221 I�2im�esotaSsxIdcatificatiamNumbcr: 0031402572
_ Sfa Minnesota Tax Jdentificatioa Number is not reqeured for ihe business being operate� indicate so by placing aa "X' ia the box
�v�a�ss
MRY-29-1997 14�33 CITY OF ST PRUL LIEP 612 266 9124 P.07
s>��r
TAUC
�
A[lllll�
CL,ASS III
LICENSE APPLICATION
�l.! ' i : � • F � : � �.� ' 1
PLEASE TYPE ORPRIIT!' IN II�IIC
T}peafLicense(s)beiagappliedfor: Destaurant
T 1.o110T
Ci;axette
Fntertainment
CI7Y OF SAINT PAUL
�la. D�UC.ti1Ti� �
�a �,a�w m��
3Jt9.P�RSvAeloO
SccP�nLMamoan 1:102 /lI' `�,
(61'aN69D90 8%(61b2�91:A��
S
C019�2ayI�2II�G: ?�I� Inc.
. Cmpa+scon�P�abna5iP�SoleA'nPrictmhip
If husmess is sssomporated, give data of incoiporauom: Anr i I LS th , 1;' 9 7
DoingBusinessAs: ?'�cCol2's B�� 291-8703
BusinessAddress: _ ibF+ .Tacks�n
S�eetAddrew Ciry State Zip
" Betv�ac what cross soeets is thc b�niaas IxauBt �acks on & 5 th �;� �� ��y� �? Eas t
` ��/+��Qremisesnowxcupiedl ° -eS p,�h,tTypeofgusines,? RestauTant
��Mm7ToAddress: _ 39 �•Test YTikinP Drive Little Canada ��d. 55117
_snna naa�. �;�. yy� y
AppLc�t Informazion:
ramea�ulTi�]e: _ Scott David
ttashburn
F'v+t .\fid�c (M++daJ
Home,yddreSS. 4130 Lexin�ton Avenue North Shoreview
sem naarm
c�
Oamer
La Tit7o
r�I. 55126
s•-•-
DstcofBirth; 1l23/58 PlaceofBirtS: �Iuth, ti\• H�pb�
Have you eva bcen � of aay fdoay. aimc or viotation of airy city ordinaaa othc thaa asSacl YES
Daiccfarnst;
�
$edtCDce:
�+r
486-4868
NO X
Lisi mea�cs m�d resaaues rn taree pasons cf good morsu ccazacur. li�ing withinthc Iav� i.ines rne¢o Fsroa. not retat:a w me apphcaac
a' &neneislly intaated ia the premises a busmess, w}w may be refcr�d w as to tbc applicant's chmacic
�M� ADDRESS PHONE
Lee Peltier 5 �hzinmore Avenue N. 718-Q396
Brady 0`Brian 5335 Vicl:sburg Laae 557-042J
Joe Steinbeck 439-4063
Lisl Iicrosa which Y� �Y �, famaly held. ar may Lave sn imcrest in:
HaNe �y of the above named licros�s cva beea revdc�l YES NO ffycs, list t6e dma �d rsesoas for rcvocatioa
'�'i�i
?JISN7
MRY-29-1997 14:33 CITY OF ST PAUL LIEP 612 266 9124 P.68 Q
q'7 r � { t
r-Y.Vmc \ti8dktwrid ptaideo) Lmt D�scofBinh
liame Addres: Svret \ame Ci�• Staie Zip P6enc �5�mba
Are}ron goiag to hs�•e a manega ot assistsat in this business? YES X NO If thc mznagv is no� ihc same as tfic operator,
pI�zse wmplete the following informatioa:
Fi��c .Afidme7aB+d G�1rideJ Lae D�ca£Bfrrh
Hom� Mdre� Strea \me Ci�• State Zip Piwne ��ber
Plerx list your �plo7ment ]vstory Yor the paevious five (5) } period:
RnCiR IFmnlMrme}�} A��
Schnie�-[�Tashbum Industries, Inc. 39 T�zest Vikin� Drive
Last all ot6� officers of the co�poration:
�FFiGER TITZL HOME HOME BUSINESS DATE OF
A'AME (O�ceHelcn ADDRESS PHONE PHONE BII2TF2
Leonard Schaie� 39 West Viking Drive 483-I323 ZI-26-
Jerrv Ba��erl 322 F t,� �69-9Gc�� 5/8/55
Scott 4Tashbura 4130 LexinQton AvP y 486-4868 1/23/58
]fbuaaess is a parmenhip, Pleasc iaclude tSe following infor.astion for cacb parmer (use addiGonal paga if naessary):
fine�me MiameleitiJ �7.iaca) Le D.mdBssd.
HomeAd� Suo¢1:me CitY SLtc Zip PfioacS:�imbc
F"urt_�+ime ASdAe Imeal G Lac D,7e MBc�h
Ad&ac SLeet?:.me �n, — - �
Zip Pl�wel`�mba
MII�7IvFSOTA TqX IDENlIFICATION A'UMBFR - Pursuant to the Law�s ofMinnesota, 1984, Chapter 502, Article 8, Section 2(270.72)
(Tax CSe�ancr, Issuaax of Licaucx). liceasing awhorities arc requiied w provide w the Stste oFMmaesota Commissiona of Revrnue, the
M'innesota buaaess tax identificarion m�mbcr �d tbc social security mm�bc of eacb license appGrm
Uader tLc Minaaota Govcmn¢eat Aata Practices Act aad tbo Fcda'al Privscy Ad of 1974, we arc:equued to advise you of the following
r�ga*dmg the usc of t6e Mmmesota Tax Tdeatifrcation N�bcr.
- I'his iaf'amatioa may be nsed to deay dx issuana or renewal aCyaa lioerasc ia the evect you owc I�naesota sales, anpluyer's
withholding or mota vehicle exeise tsxes,
- UPon *ecaV+IIB this mformatian the lie�ng sutfimity will sipply rt onty m the Mmnesoia Dcpartmcut af Rev�ue. However,
�mder the Federal E�te6aago � bnfosmacon Ageemert, the Deparlmeat of Revewe may suPP1Y this iaf'amatioa to the Tatemal
Revenue Snviee. � . •
� T�c IdmaS�anN�be�s (Sales & Use T�c N�bc) maybeobtaiaed fr� �e Stam of Mmaesota, Busmar Rxords Depamnmt,
lORiveParkPlaza(61L296-6381} . . . ...-. . ... . .
SocielSeaaityNmnb�_47E—R1�3317i.� 8fl-507 " 1.�finnaouTaxida�ri5cnuonNiro,bc 0032402572
_�Sx'3c+�ivsesc2e'sac.�on Numbc is not required for �e b�siness bciag operate,� iadicate so by plaeiag an'X m tJx box
v1897
TOTRL P.08
Council File ��� 6 9 �
Ordinance #
Green Sheet #` � � �� �
������„��_
PAUL, MINNESOTA
Presented By
Referred To
Committee: Date
1
2
3
RESOLVED: That applicaflon (ID #28574) for a Cigazette, Entertainment-A, Liquor On Sale-A, and Restaurant-
B License by RNDT Inc. DBA McColl's I?ining (Izonard Schmieg, President) at 195 Sth St. East
be and the same is hereby approved.
4
5
6 Yea Navs Absent
7 a a�Tcey �
8 Bostrom
9 Harris
10 Me arT
11 n'�an .fl+ .
12 T une � —�
13 Morton
15
16 Adopted by Council: Date �
17
18 Adoption Certified by Council Secretary
19
20
21 By: �
22
23 Approved by Mayor: Da e
24 �
25 � 26 By: _
27
Requested by Department ofe
Office of License inspectiona and
Fnv�ronmental Protect�on
g�. � n.C/ �� –" 1� .
Form Approved by City Attorney
g ,-�✓ � �..`�Pn.w�
f%c��LGO✓
Approved by Mayor for Submission to
Council
By:
a�.�g
DEMRlMENiNFFICElCOUNCII DATE INfTIATED ..1 � �.! V �
LIEP/Licensin GREEN SHEE
CONSACT PEASpN 8 PHONE INITIALNATE INITIAL/DATE
� DEPARTMEM DIRECTOR � CIN COUNdL
Christine Rozek, 266-9108 ASSIGN �CT'ATTORNEY �CITYCLERK
MUSf BE ON COUNCIL AGENDA BY (DATE) NUTAeEEI FOR ❑ BUDGEf DIRECTOR � FIN. & MGT. SERVICES DIR.
flOUTING
FOT Y108T1II : � OPDER O MqypR (OR ASSISfAN'f� �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�UESTED:
RNDT Inc, DBA McCo11's Dining requests Council approval of its application for a Cigaiette,
Entertainment-A, Liquor On Sale-A, and Restaurant-B License located at 175 Sth Street East
(ID �128574).
RECOMMENDATIONS: Approve (n) or Feject (R) PEflSONAL SEFiVICE CONTRACTS MUST ANSWEq TXE FOLLOWING �UESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this personflirm ever worked under a contrect for this department?
_ q6 COMMITfEE _ VES NO
— � A � F 2. Has this personttirm ever been a city employee�
— YES NO
_ olsTalCT cAURT _ 3. Does this person/firm possess a skill not normalry possessetl by any current city employee? -
SUPPORT$ WHICM COUNCIL O&1ECTIVE7 YES NO
Explain aN yes answers on saparate sheet and attach to green sheM
INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What. When, Whare. NTy):
ADVANTAGESIFAPPROVED'
DISADVANTAGES IFAPPROVED:
�� � �8'dti6 �k�
a�l�1V � f.� 5��1
DISADVANTAGES IF NOT APPROVED.
TO7ALAMOUNTOFTRANSAC710N $ COST/REVENUEBUDGETED(CIqCLEONE) YES NO
FUNDIfdG SOURCE AC71VI7V NUMBER
FINANCIAL INFORhSATION: (EXPLAIN)
�Z �� \
Greensheet # 37948
In Tracke�?
L.I.E.P. REVIEW CHECKLIST Date: 4/28/97 �
App'n Received / App'n Processed
License ID # 28574 License Type:
Company Name: �T Inc.
McColl's
Business Addresss: 175 Sth Street East Business Phone: 291-8703
Contact Name/Address: Leonard Schmie¢, 39 WickinQ D�ve w GiHome Phone: 483-1323
Litt e Canada, 55117
Date to Council Research:
Public Hearing Date:
Notice Sent to Appiicant:
Labels Ordered: i��' /� �
District Council #: � /
Notice Sent to Public: Ward #: �
Department/ Date Inspections Comments
City Attorney
J' ' T �J�"' 0' F�. .
Errvironmerrtal
Health
� . 2D �9�- O . � .
Fire
�•�� 1� �•� •
License Site Plan Recaived:_
Lease Received:
�'2('�' ��L
Police
� 2�• � � O-� .
Zoning
�• � '� �` D. .
MRY-29-1997 14�32 CITY OF ST PRUL LIEP
CLA.SS III
LICENSE APPLICAI'ION
IHIS /iPPLtCATION IS SL3JEC7' TO FViFW &Y THE PUBLIC
PLEASE TFPE OR PRINT Ih' IA'K
T;pea�Lic�:se(s)beiagzppIiedfor. Destaurant C�t/�}
On �ale Liauor �a�0�0
Entertainment
Co�zap\*�ne: D�DT
Co: fxstioe t?a-.ncnh5? t Sok prv2eictpship
612 266 9124 P:03
U•�/�v�— Viii//x
t/
q�-G�►1
CITY OF SAL'�TI' PAUL
offuc ofLiaxut Im�eCtimu
a�a &nvonmrncv! Protea;on
� S rc�s s��o
si-�r+ot- :.�a
C6fA T+s(o7�7d691�a
a �57 `7
s ��° � �
s . �n a�
S t� ��
S c� I 7�
S
Ifbus�ess is i�co:porated, �ce dxte of incorporztioo: 4/ 1/ 97
Dm:ngBtuin�ssAs: ='-cCo11s Dining, / &:siness?hone: 2g1—a7�J3
Busi�asa.d�.-�s: 366 Jackson St. Faul ?'+?3_
� � c:� s:� zsp
Be:u•aa �•hat cross mecu is �he business locased? Jackson & 5 th Whict sido ofthe s¢�? Eas �
,4*eihepm;ai��snpw-occ�pied� Yes lt'hat7�peofB:siuess? P.estaurant
'.�z�Tobda.-ess: 39 ?Test Vikina Drive Litt�.e Canada ��J 55117
Street Aodsas Cin State Zip
�
2.'ameacdTi�r. Leonard A. Schmie� President
Fen .Kiam� G+S��eJ t.ees ra�
Homeaddr�ss: 39 ��Test �rikin� I)sive Litt2e Canada `��. 55117
Street Adt�cs. � Cisy S�au Zip
DEUOfBir�h: I2/26/55 p� Ortonville, 2L�1_ HomePhone: 483-1323
Ha��e }ron e��et bee¢ comicted of utc fcloav, crime or violation of any cir}' ordinance other thsn tnffic? YES NO X
Dace ofarres[:
�� _
CAnaiction:
Whcre?
Senlence:
Liu sbcnames aad raideaces of three persons of good moral c6aracter, living uithin the Twin Cities Metro Area, not related to the app7icant
or 5n�cislly iaterested in the prcmixs or businas, u•ho may be rcfar�d to as to the applicsm's charactc
NAME ADDRESS PHONE
Sose Barbari 2899 Edgerton St. ?�aul 483-0447
Iee 'De2tier 528 Quinmore Avenue ASorth 436-8437
�ndy Seinbeil • 1786 East k?i21ow Circle td,B.L. 777_zp97
I.ist Lcrases ulvch yov curready bold, foimcly beld, or msy ha�t sa murest in:
Ha�x am}• of tbe abo�•e named liceiases evrr bew revokedl YES X NO If }es, list thc datos and reasoas for revocarion:
MAY-29-1997 14:32 CITY OF ST PRUL LIEP 612 266 9124 P.04
Are }'ou goiag to o�eta�e t}�.is bur.ness pc. sa:�ali� 7°` 1 LS �u ti not,,+mo,.�tt operate �s!
�'►-�9
F'va �ac \5ddic LtiSd �Seidm) Les[ Detc e£SinL
Hax9d@es,i: Svus\axe Ci�� S•.atc Zip PAonc\�3er
ATr}nu �ngto hz.t a mrr+z or nsistuu in ;l�.is business? YES � \O Tf tho maz:xger is �ot the same zs the operator,
plezse e�plete tI�e follrn�ing infmmadoa:
Fi�t�ae \SddSeL'i�d C>•sidail Lut Damofairs6
Hoac �dta�: Stza \c9c
Ci��
S�etc 2ip Phone \�bet
Please list pour cnplo;�em history for the pre�7ous fi�'e (5) ��e:r period:
���1Fr,ralo�zrent Address
Schmieg-T�?ashburn Industries, Inc.
List eIt othcr officcs of the ca�orauoa:
OFFICER TFILE HO'�2E
?:.qME (O�ce He?d) ADDRESS
HOYE, BliSi�'ESS DATE OF
PY.O�'E PHO'.'E B3RT�i
�cott D T•Tashburn 413� Lexinaton Ave r1 486-4868 1/1_3/SF3
C-eraZd Ba�erl 322 Eirie 669-2442 5!8/55
If bvsiness is a pa plcese iaclude the folloH iafor�a;ioa foz each pz �� (use sdditional pzges ii neeesszn•):
Fine �.me 4liamo I,riva 4�1.�da� taa I?au oca;nh
HoneAdAec Sue�t\ame Ci:y Swe Zip Phone\embet
Fint \mo .Vfiddle Li^id C4sidaJ Iw:t Date of Hirth
Home AA&ar, Swn \axe Ciry Swe Zp Phone \w�ber
?�21I�'S�SOTA TAXIDE?v7IFICATION:�'L"t�ER -Pursuant:o �he Laws ofMianesoca, 19Sa, Chapter 502, Artide 8, Sectioa 2(270.72)
(Iaa C3earaac� Issuana of Liceases), lice�sing aut3orities aze zequired 10 pro�•ide to the State of Mianesota Commissioner oPRecenue, the
?dfi.�newta business tar. idaati5cstion rnunba aud the soeial se.�urity aumber af each litense applicsnt
Uader t6e Minaesota Govemment Dats Practices Act aad tbe Federal Privacy Act of 1974, we are required to ad�tise you of the follou�ing
regarding the iue etthe M'ianesota 7ax Ideatificati� I�umba:
- TLis infoxmauon may be used w drny the issuance ar rencwal of your licease in the a�mt you ow�e lvyanesots sa]a, emPloyer s
withboldiag or moior vehicle excix ta�ce;
- Upon receiving this infotmation, the licensrsig suthacity Wtilt supply it onty w ihe Mianesosa Department of Revmue. However,
emder cLe Federa2 E�change of Informav� Ageemcm, ebe Dcpaztmeat of Revenue may supply this infoimarion so the Iasemal
Revrnue S�ice,
Mu�da I'sc Ideori5ca6aa N�nbers (Sales & Use Ta� Numbes) may be obtain� fra� the State of Mianesots, Busiacss ReLOrds Depattmen�
10 Ri�aPark Plaza (6t2-296-6181).
SociatSauriryNumbc. �+�4-70-8$84 I�e�tara 2
r If a Minsaesota TaY Idemificavon �umba is noc rcquired fa ihe biuinas being operated, indieate so b�• placing an "X' in the box.
2;18,'9'Y
MRY-29-1997 14:32 CITY OF ST PAUL LIEP
612 266 9124 P.05
� 1
CLASS III
LICENSE APPLICATION
TF�S APPL3CATION JS Si�'HJECT TO REVtEW BX THE PUBLIC
PLEASE 1'YPE �R YRL*TT IN R3K
Tipe of Licea�e(s) being applied for. Re s taurant
CI7Y QF S�T PAUL
o� au� r��
ma Fmvo,ttuaw rro,abo�
33]R➢acR SL:ie}]0
SdaA0lNeowe> 33101
(61�:Y69070 L%(61ay2669!=d
Liquor g
Cigarette S
Entertainment g
Co�pz-n :.•a.7,e: R-�D?' , Inc .
Cxporc�on! Pd•m3s4ip I Sote Propeiamstup
if basiness;s inco�orated, gj��e dau of iacoiporazion: 4/ 15 / 97
p McColl's BusiaasPhoae:29I-8703
Buinen Address:
STet N1d�ms City Stmc Zip
Be:u�een w� aoss sveeu is s�e bur.�ess locaud? Jacks on & 5 th qay;ch ride o�il,c scr,M7 E a s t
A.-o 3e premises nou• oceupied? Ye S Whs� T�pe of Busiaess? Re s taurant
�4i1ToAddress: 39 t?est Vikin� Drive Little Canada MN SSl 7
Saex 1d�w Ciry Sut Lip
Agplicaut Snfosmarioa:
Nzmc�,dT�ilc Gesald Lee Baverl Owner
�� :.�em� c�sda�) t.� r,u�
HomeAddress: 322 Erie St. Paul P9N. 55102
svaaneab. ca sw� z�
AauoiBinh 5/8/55 PlaceoFBirth: �'?inneavolis Homepbox 669-2442
Have gou eva beea ��j�� of eay felo� crime or �io2a6on of atry city ordinaace Wher than tra$�c? YES NO X
Aau of anest:
C�arge; _
Coa�iaiaa:
'�:i:t':�i
E�
Listt}�e umuta mdreAdeaces of tivae peesoat of good moral cGasact�, living witbin t� Twia Cities Metro Azea, mt retated to the appticaat
or finsacialty iateres�ted in tDe premises or btuiness, who may be refared to as w tLe applicanYs cbaracur.
NAME ADDRESS PHONE
Rose Barbari 2894 Edgerton 483-0447
Lee Peltier 528 Quinmore Avenue North 436-8437
3oe Steinbeck 439-4063
List Sceases w�ichyou emzmfly ho1d, fmmely hel� or may have an iotaest iu
Hace any oftbe above named ]icestses eret bcen revoked7 PES NO Ifyes, list the data and reasoas for re�roca6on'
MAY-29-1997 14�33 CITY OF ST PFlUL LIEP 612 266 9124 P.06
Arc }rou goiag to operate this buSiaess persoasllel X Y�S I�O If not, K$o a�y(� �rate it? q� �`� `
Fra�e \SddklaiGd pSidaQ Ii.t Ikfcof8ir0�
HcmeAdCzw: Sret\`�c Cw� R+te 2ip PSoac?.'wiba
Axe}vu gamg w hxc•e a mxnaser or z�s"scxsu in this bvsiaas? YES X NO ffthe mz,lxget is no[ the same u ihe operator,
please eomplac the followiag iafoimztion:
sri� �aas�v�a �;�se�) � ne,<ora�w
xox addra+: se«, �ax Cr.v sta�e 2y, Phonc �,�roa
Plrrse Yist rour cmploy bistory for she precioas five (5) }•ezr peciod:
HusmesslEmpirnment �s
Schezie�-FTashburn Industries, Inc. 39 ??est Vikin� Drive
List aD other o,°ficcs of tho corporati�:
OFF7CEIZ TITIE HOME HO'.�.fE BUSL'�'ESS DATE OF
::AME (O�ce Hd� ADDRESS PHO.`�ET PHO'�e B1RTH
Leonard Schmie; 39 Z•'est Viking Drive 483-1323 11/26/55
Scott Siashburn 4130 Lexington Ave N. G86-4$68 1/23158
Jibstsiness is a para�sbip, plezse include the folloaing infa,-*.,zrion for each parmer (use additiomal pages if nr,cesssn•):
Firn� }Laaklnie;J (.�Se�am) txt DdeofBinh
x� �aa�: s�u � c� s,.� z;P ��*�
r�±� uam� �,;a �ra;mo r,�a n.e� �ra�rn
x�ua�,: svar� c,u� sws � n�r�
?vIlNt�SOTATAK IDENTT�SCATSO?s NIJM$ER- P�uaisat to tbe Laas of Mwnesota,1984, CLapter 502, Articlo 8, Seaion 2(270,72}
(Imc Cle��eq Issuance ofLicenses� licauiug sutiwrities are:equired to pro�ide to the State ofMinnesosa Commissionc af Rweaue, the
Mmceso4 busixss ta�c idmtificevon number sad the socia] sau�ity number of esc�h �cease applieaat
Uadet tho Mmnesota Govunmeat Data Prsaias Act and tbe Fedaat Pxivary Aa of 19�4, we are rcquired ro advise you of the followiag
regardmg the use of tbe Mianaou 7ax Idmtificatioa Ntmiber:
- This infoQmanom may be used w dary tbe issu�a ca r�ewal of yrnu ficrose ia the eveat you rnve Mwnaota sslcs, employds
withholding or motes �e�icle accise taxe;
- U�OII SxC1V1II$ tL151Cf0[metiOL� $let YIOCRSm$ 81tib0t$y WaI St1�I}' II ODIy 10 SLC Mnnnrnrq j�eImDP.Gt Of RCVCaUG HOwCV�
timda the Ftdesal Exchaiugc of Iafcamatian Agxmeaa, the Depar�art of Reveaue may suPPlp tbis inffamasion to tbe I�ooernal
Reveaue Saviee.
Mmaesota Tmc IdamE�oa Numbas (Sala 8c Use Tax Numbcj may be obtaiioed 5un the Staie �'2vfinnesols. Bttsiness Reco�ds Departrnmt,
10 River Patk P1a�s (612-296.5] 8]).
���� 474-70-4221 I�2im�esotaSsxIdcatificatiamNumbcr: 0031402572
_ Sfa Minnesota Tax Jdentificatioa Number is not reqeured for ihe business being operate� indicate so by placing aa "X' ia the box
�v�a�ss
MRY-29-1997 14�33 CITY OF ST PRUL LIEP 612 266 9124 P.07
s>��r
TAUC
�
A[lllll�
CL,ASS III
LICENSE APPLICATION
�l.! ' i : � • F � : � �.� ' 1
PLEASE TYPE ORPRIIT!' IN II�IIC
T}peafLicense(s)beiagappliedfor: Destaurant
T 1.o110T
Ci;axette
Fntertainment
CI7Y OF SAINT PAUL
�la. D�UC.ti1Ti� �
�a �,a�w m��
3Jt9.P�RSvAeloO
SccP�nLMamoan 1:102 /lI' `�,
(61'aN69D90 8%(61b2�91:A��
S
C019�2ayI�2II�G: ?�I� Inc.
. Cmpa+scon�P�abna5iP�SoleA'nPrictmhip
If husmess is sssomporated, give data of incoiporauom: Anr i I LS th , 1;' 9 7
DoingBusinessAs: ?'�cCol2's B�� 291-8703
BusinessAddress: _ ibF+ .Tacks�n
S�eetAddrew Ciry State Zip
" Betv�ac what cross soeets is thc b�niaas IxauBt �acks on & 5 th �;� �� ��y� �? Eas t
` ��/+��Qremisesnowxcupiedl ° -eS p,�h,tTypeofgusines,? RestauTant
��Mm7ToAddress: _ 39 �•Test YTikinP Drive Little Canada ��d. 55117
_snna naa�. �;�. yy� y
AppLc�t Informazion:
ramea�ulTi�]e: _ Scott David
ttashburn
F'v+t .\fid�c (M++daJ
Home,yddreSS. 4130 Lexin�ton Avenue North Shoreview
sem naarm
c�
Oamer
La Tit7o
r�I. 55126
s•-•-
DstcofBirth; 1l23/58 PlaceofBirtS: �Iuth, ti\• H�pb�
Have you eva bcen � of aay fdoay. aimc or viotation of airy city ordinaaa othc thaa asSacl YES
Daiccfarnst;
�
$edtCDce:
�+r
486-4868
NO X
Lisi mea�cs m�d resaaues rn taree pasons cf good morsu ccazacur. li�ing withinthc Iav� i.ines rne¢o Fsroa. not retat:a w me apphcaac
a' &neneislly intaated ia the premises a busmess, w}w may be refcr�d w as to tbc applicant's chmacic
�M� ADDRESS PHONE
Lee Peltier 5 �hzinmore Avenue N. 718-Q396
Brady 0`Brian 5335 Vicl:sburg Laae 557-042J
Joe Steinbeck 439-4063
Lisl Iicrosa which Y� �Y �, famaly held. ar may Lave sn imcrest in:
HaNe �y of the above named licros�s cva beea revdc�l YES NO ffycs, list t6e dma �d rsesoas for rcvocatioa
'�'i�i
?JISN7
MRY-29-1997 14:33 CITY OF ST PAUL LIEP 612 266 9124 P.68 Q
q'7 r � { t
r-Y.Vmc \ti8dktwrid ptaideo) Lmt D�scofBinh
liame Addres: Svret \ame Ci�• Staie Zip P6enc �5�mba
Are}ron goiag to hs�•e a manega ot assistsat in this business? YES X NO If thc mznagv is no� ihc same as tfic operator,
pI�zse wmplete the following informatioa:
Fi��c .Afidme7aB+d G�1rideJ Lae D�ca£Bfrrh
Hom� Mdre� Strea \me Ci�• State Zip Piwne ��ber
Plerx list your �plo7ment ]vstory Yor the paevious five (5) } period:
RnCiR IFmnlMrme}�} A��
Schnie�-[�Tashbum Industries, Inc. 39 T�zest Vikin� Drive
Last all ot6� officers of the co�poration:
�FFiGER TITZL HOME HOME BUSINESS DATE OF
A'AME (O�ceHelcn ADDRESS PHONE PHONE BII2TF2
Leonard Schaie� 39 West Viking Drive 483-I323 ZI-26-
Jerrv Ba��erl 322 F t,� �69-9Gc�� 5/8/55
Scott 4Tashbura 4130 LexinQton AvP y 486-4868 1/23/58
]fbuaaess is a parmenhip, Pleasc iaclude tSe following infor.astion for cacb parmer (use addiGonal paga if naessary):
fine�me MiameleitiJ �7.iaca) Le D.mdBssd.
HomeAd� Suo¢1:me CitY SLtc Zip PfioacS:�imbc
F"urt_�+ime ASdAe Imeal G Lac D,7e MBc�h
Ad&ac SLeet?:.me �n, — - �
Zip Pl�wel`�mba
MII�7IvFSOTA TqX IDENlIFICATION A'UMBFR - Pursuant to the Law�s ofMinnesota, 1984, Chapter 502, Article 8, Section 2(270.72)
(Tax CSe�ancr, Issuaax of Licaucx). liceasing awhorities arc requiied w provide w the Stste oFMmaesota Commissiona of Revrnue, the
M'innesota buaaess tax identificarion m�mbcr �d tbc social security mm�bc of eacb license appGrm
Uader tLc Minaaota Govcmn¢eat Aata Practices Act aad tbo Fcda'al Privscy Ad of 1974, we arc:equued to advise you of the following
r�ga*dmg the usc of t6e Mmmesota Tax Tdeatifrcation N�bcr.
- I'his iaf'amatioa may be nsed to deay dx issuana or renewal aCyaa lioerasc ia the evect you owc I�naesota sales, anpluyer's
withholding or mota vehicle exeise tsxes,
- UPon *ecaV+IIB this mformatian the lie�ng sutfimity will sipply rt onty m the Mmnesoia Dcpartmcut af Rev�ue. However,
�mder the Federal E�te6aago � bnfosmacon Ageemert, the Deparlmeat of Revewe may suPP1Y this iaf'amatioa to the Tatemal
Revenue Snviee. � . •
� T�c IdmaS�anN�be�s (Sales & Use T�c N�bc) maybeobtaiaed fr� �e Stam of Mmaesota, Busmar Rxords Depamnmt,
lORiveParkPlaza(61L296-6381} . . . ...-. . ... . .
SocielSeaaityNmnb�_47E—R1�3317i.� 8fl-507 " 1.�finnaouTaxida�ri5cnuonNiro,bc 0032402572
_�Sx'3c+�ivsesc2e'sac.�on Numbc is not required for �e b�siness bciag operate,� iadicate so by plaeiag an'X m tJx box
v1897
TOTRL P.08
Council File ��� 6 9 �
Ordinance #
Green Sheet #` � � �� �
������„��_
PAUL, MINNESOTA
Presented By
Referred To
Committee: Date
1
2
3
RESOLVED: That applicaflon (ID #28574) for a Cigazette, Entertainment-A, Liquor On Sale-A, and Restaurant-
B License by RNDT Inc. DBA McColl's I?ining (Izonard Schmieg, President) at 195 Sth St. East
be and the same is hereby approved.
4
5
6 Yea Navs Absent
7 a a�Tcey �
8 Bostrom
9 Harris
10 Me arT
11 n'�an .fl+ .
12 T une � —�
13 Morton
15
16 Adopted by Council: Date �
17
18 Adoption Certified by Council Secretary
19
20
21 By: �
22
23 Approved by Mayor: Da e
24 �
25 � 26 By: _
27
Requested by Department ofe
Office of License inspectiona and
Fnv�ronmental Protect�on
g�. � n.C/ �� –" 1� .
Form Approved by City Attorney
g ,-�✓ � �..`�Pn.w�
f%c��LGO✓
Approved by Mayor for Submission to
Council
By:
a�.�g
DEMRlMENiNFFICElCOUNCII DATE INfTIATED ..1 � �.! V �
LIEP/Licensin GREEN SHEE
CONSACT PEASpN 8 PHONE INITIALNATE INITIAL/DATE
� DEPARTMEM DIRECTOR � CIN COUNdL
Christine Rozek, 266-9108 ASSIGN �CT'ATTORNEY �CITYCLERK
MUSf BE ON COUNCIL AGENDA BY (DATE) NUTAeEEI FOR ❑ BUDGEf DIRECTOR � FIN. & MGT. SERVICES DIR.
flOUTING
FOT Y108T1II : � OPDER O MqypR (OR ASSISfAN'f� �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�UESTED:
RNDT Inc, DBA McCo11's Dining requests Council approval of its application for a Cigaiette,
Entertainment-A, Liquor On Sale-A, and Restaurant-B License located at 175 Sth Street East
(ID �128574).
RECOMMENDATIONS: Approve (n) or Feject (R) PEflSONAL SEFiVICE CONTRACTS MUST ANSWEq TXE FOLLOWING �UESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this personflirm ever worked under a contrect for this department?
_ q6 COMMITfEE _ VES NO
— � A � F 2. Has this personttirm ever been a city employee�
— YES NO
_ olsTalCT cAURT _ 3. Does this person/firm possess a skill not normalry possessetl by any current city employee? -
SUPPORT$ WHICM COUNCIL O&1ECTIVE7 YES NO
Explain aN yes answers on saparate sheet and attach to green sheM
INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What. When, Whare. NTy):
ADVANTAGESIFAPPROVED'
DISADVANTAGES IFAPPROVED:
�� � �8'dti6 �k�
a�l�1V � f.� 5��1
DISADVANTAGES IF NOT APPROVED.
TO7ALAMOUNTOFTRANSAC710N $ COST/REVENUEBUDGETED(CIqCLEONE) YES NO
FUNDIfdG SOURCE AC71VI7V NUMBER
FINANCIAL INFORhSATION: (EXPLAIN)
�Z �� \
Greensheet # 37948
In Tracke�?
L.I.E.P. REVIEW CHECKLIST Date: 4/28/97 �
App'n Received / App'n Processed
License ID # 28574 License Type:
Company Name: �T Inc.
McColl's
Business Addresss: 175 Sth Street East Business Phone: 291-8703
Contact Name/Address: Leonard Schmie¢, 39 WickinQ D�ve w GiHome Phone: 483-1323
Litt e Canada, 55117
Date to Council Research:
Public Hearing Date:
Notice Sent to Appiicant:
Labels Ordered: i��' /� �
District Council #: � /
Notice Sent to Public: Ward #: �
Department/ Date Inspections Comments
City Attorney
J' ' T �J�"' 0' F�. .
Errvironmerrtal
Health
� . 2D �9�- O . � .
Fire
�•�� 1� �•� •
License Site Plan Recaived:_
Lease Received:
�'2('�' ��L
Police
� 2�• � � O-� .
Zoning
�• � '� �` D. .
MRY-29-1997 14�32 CITY OF ST PRUL LIEP
CLA.SS III
LICENSE APPLICAI'ION
IHIS /iPPLtCATION IS SL3JEC7' TO FViFW &Y THE PUBLIC
PLEASE TFPE OR PRINT Ih' IA'K
T;pea�Lic�:se(s)beiagzppIiedfor. Destaurant C�t/�}
On �ale Liauor �a�0�0
Entertainment
Co�zap\*�ne: D�DT
Co: fxstioe t?a-.ncnh5? t Sok prv2eictpship
612 266 9124 P:03
U•�/�v�— Viii//x
t/
q�-G�►1
CITY OF SAL'�TI' PAUL
offuc ofLiaxut Im�eCtimu
a�a &nvonmrncv! Protea;on
� S rc�s s��o
si-�r+ot- :.�a
C6fA T+s(o7�7d691�a
a �57 `7
s ��° � �
s . �n a�
S t� ��
S c� I 7�
S
Ifbus�ess is i�co:porated, �ce dxte of incorporztioo: 4/ 1/ 97
Dm:ngBtuin�ssAs: ='-cCo11s Dining, / &:siness?hone: 2g1—a7�J3
Busi�asa.d�.-�s: 366 Jackson St. Faul ?'+?3_
� � c:� s:� zsp
Be:u•aa �•hat cross mecu is �he business locased? Jackson & 5 th Whict sido ofthe s¢�? Eas �
,4*eihepm;ai��snpw-occ�pied� Yes lt'hat7�peofB:siuess? P.estaurant
'.�z�Tobda.-ess: 39 ?Test Vikina Drive Litt�.e Canada ��J 55117
Street Aodsas Cin State Zip
�
2.'ameacdTi�r. Leonard A. Schmie� President
Fen .Kiam� G+S��eJ t.ees ra�
Homeaddr�ss: 39 ��Test �rikin� I)sive Litt2e Canada `��. 55117
Street Adt�cs. � Cisy S�au Zip
DEUOfBir�h: I2/26/55 p� Ortonville, 2L�1_ HomePhone: 483-1323
Ha��e }ron e��et bee¢ comicted of utc fcloav, crime or violation of any cir}' ordinance other thsn tnffic? YES NO X
Dace ofarres[:
�� _
CAnaiction:
Whcre?
Senlence:
Liu sbcnames aad raideaces of three persons of good moral c6aracter, living uithin the Twin Cities Metro Area, not related to the app7icant
or 5n�cislly iaterested in the prcmixs or businas, u•ho may be rcfar�d to as to the applicsm's charactc
NAME ADDRESS PHONE
Sose Barbari 2899 Edgerton St. ?�aul 483-0447
Iee 'De2tier 528 Quinmore Avenue ASorth 436-8437
�ndy Seinbeil • 1786 East k?i21ow Circle td,B.L. 777_zp97
I.ist Lcrases ulvch yov curready bold, foimcly beld, or msy ha�t sa murest in:
Ha�x am}• of tbe abo�•e named liceiases evrr bew revokedl YES X NO If }es, list thc datos and reasoas for revocarion:
MAY-29-1997 14:32 CITY OF ST PRUL LIEP 612 266 9124 P.04
Are }'ou goiag to o�eta�e t}�.is bur.ness pc. sa:�ali� 7°` 1 LS �u ti not,,+mo,.�tt operate �s!
�'►-�9
F'va �ac \5ddic LtiSd �Seidm) Les[ Detc e£SinL
Hax9d@es,i: Svus\axe Ci�� S•.atc Zip PAonc\�3er
ATr}nu �ngto hz.t a mrr+z or nsistuu in ;l�.is business? YES � \O Tf tho maz:xger is �ot the same zs the operator,
plezse e�plete tI�e follrn�ing infmmadoa:
Fi�t�ae \SddSeL'i�d C>•sidail Lut Damofairs6
Hoac �dta�: Stza \c9c
Ci��
S�etc 2ip Phone \�bet
Please list pour cnplo;�em history for the pre�7ous fi�'e (5) ��e:r period:
���1Fr,ralo�zrent Address
Schmieg-T�?ashburn Industries, Inc.
List eIt othcr officcs of the ca�orauoa:
OFFICER TFILE HO'�2E
?:.qME (O�ce He?d) ADDRESS
HOYE, BliSi�'ESS DATE OF
PY.O�'E PHO'.'E B3RT�i
�cott D T•Tashburn 413� Lexinaton Ave r1 486-4868 1/1_3/SF3
C-eraZd Ba�erl 322 Eirie 669-2442 5!8/55
If bvsiness is a pa plcese iaclude the folloH iafor�a;ioa foz each pz �� (use sdditional pzges ii neeesszn•):
Fine �.me 4liamo I,riva 4�1.�da� taa I?au oca;nh
HoneAdAec Sue�t\ame Ci:y Swe Zip Phone\embet
Fint \mo .Vfiddle Li^id C4sidaJ Iw:t Date of Hirth
Home AA&ar, Swn \axe Ciry Swe Zp Phone \w�ber
?�21I�'S�SOTA TAXIDE?v7IFICATION:�'L"t�ER -Pursuant:o �he Laws ofMianesoca, 19Sa, Chapter 502, Artide 8, Sectioa 2(270.72)
(Iaa C3earaac� Issuana of Liceases), lice�sing aut3orities aze zequired 10 pro�•ide to the State of Mianesota Commissioner oPRecenue, the
?dfi.�newta business tar. idaati5cstion rnunba aud the soeial se.�urity aumber af each litense applicsnt
Uader t6e Minaesota Govemment Dats Practices Act aad tbe Federal Privacy Act of 1974, we are required to ad�tise you of the follou�ing
regarding the iue etthe M'ianesota 7ax Ideatificati� I�umba:
- TLis infoxmauon may be used w drny the issuance ar rencwal of your licease in the a�mt you ow�e lvyanesots sa]a, emPloyer s
withboldiag or moior vehicle excix ta�ce;
- Upon receiving this infotmation, the licensrsig suthacity Wtilt supply it onty w ihe Mianesosa Department of Revmue. However,
emder cLe Federa2 E�change of Informav� Ageemcm, ebe Dcpaztmeat of Revenue may supply this infoimarion so the Iasemal
Revrnue S�ice,
Mu�da I'sc Ideori5ca6aa N�nbers (Sales & Use Ta� Numbes) may be obtain� fra� the State of Mianesots, Busiacss ReLOrds Depattmen�
10 Ri�aPark Plaza (6t2-296-6181).
SociatSauriryNumbc. �+�4-70-8$84 I�e�tara 2
r If a Minsaesota TaY Idemificavon �umba is noc rcquired fa ihe biuinas being operated, indieate so b�• placing an "X' in the box.
2;18,'9'Y
MRY-29-1997 14:32 CITY OF ST PAUL LIEP
612 266 9124 P.05
� 1
CLASS III
LICENSE APPLICATION
TF�S APPL3CATION JS Si�'HJECT TO REVtEW BX THE PUBLIC
PLEASE 1'YPE �R YRL*TT IN R3K
Tipe of Licea�e(s) being applied for. Re s taurant
CI7Y QF S�T PAUL
o� au� r��
ma Fmvo,ttuaw rro,abo�
33]R➢acR SL:ie}]0
SdaA0lNeowe> 33101
(61�:Y69070 L%(61ay2669!=d
Liquor g
Cigarette S
Entertainment g
Co�pz-n :.•a.7,e: R-�D?' , Inc .
Cxporc�on! Pd•m3s4ip I Sote Propeiamstup
if basiness;s inco�orated, gj��e dau of iacoiporazion: 4/ 15 / 97
p McColl's BusiaasPhoae:29I-8703
Buinen Address:
STet N1d�ms City Stmc Zip
Be:u�een w� aoss sveeu is s�e bur.�ess locaud? Jacks on & 5 th qay;ch ride o�il,c scr,M7 E a s t
A.-o 3e premises nou• oceupied? Ye S Whs� T�pe of Busiaess? Re s taurant
�4i1ToAddress: 39 t?est Vikin� Drive Little Canada MN SSl 7
Saex 1d�w Ciry Sut Lip
Agplicaut Snfosmarioa:
Nzmc�,dT�ilc Gesald Lee Baverl Owner
�� :.�em� c�sda�) t.� r,u�
HomeAddress: 322 Erie St. Paul P9N. 55102
svaaneab. ca sw� z�
AauoiBinh 5/8/55 PlaceoFBirth: �'?inneavolis Homepbox 669-2442
Have gou eva beea ��j�� of eay felo� crime or �io2a6on of atry city ordinaace Wher than tra$�c? YES NO X
Aau of anest:
C�arge; _
Coa�iaiaa:
'�:i:t':�i
E�
Listt}�e umuta mdreAdeaces of tivae peesoat of good moral cGasact�, living witbin t� Twia Cities Metro Azea, mt retated to the appticaat
or finsacialty iateres�ted in tDe premises or btuiness, who may be refared to as w tLe applicanYs cbaracur.
NAME ADDRESS PHONE
Rose Barbari 2894 Edgerton 483-0447
Lee Peltier 528 Quinmore Avenue North 436-8437
3oe Steinbeck 439-4063
List Sceases w�ichyou emzmfly ho1d, fmmely hel� or may have an iotaest iu
Hace any oftbe above named ]icestses eret bcen revoked7 PES NO Ifyes, list the data and reasoas for re�roca6on'
MAY-29-1997 14�33 CITY OF ST PFlUL LIEP 612 266 9124 P.06
Arc }rou goiag to operate this buSiaess persoasllel X Y�S I�O If not, K$o a�y(� �rate it? q� �`� `
Fra�e \SddklaiGd pSidaQ Ii.t Ikfcof8ir0�
HcmeAdCzw: Sret\`�c Cw� R+te 2ip PSoac?.'wiba
Axe}vu gamg w hxc•e a mxnaser or z�s"scxsu in this bvsiaas? YES X NO ffthe mz,lxget is no[ the same u ihe operator,
please eomplac the followiag iafoimztion:
sri� �aas�v�a �;�se�) � ne,<ora�w
xox addra+: se«, �ax Cr.v sta�e 2y, Phonc �,�roa
Plrrse Yist rour cmploy bistory for she precioas five (5) }•ezr peciod:
HusmesslEmpirnment �s
Schezie�-FTashburn Industries, Inc. 39 ??est Vikin� Drive
List aD other o,°ficcs of tho corporati�:
OFF7CEIZ TITIE HOME HO'.�.fE BUSL'�'ESS DATE OF
::AME (O�ce Hd� ADDRESS PHO.`�ET PHO'�e B1RTH
Leonard Schmie; 39 Z•'est Viking Drive 483-1323 11/26/55
Scott Siashburn 4130 Lexington Ave N. G86-4$68 1/23158
Jibstsiness is a para�sbip, plezse include the folloaing infa,-*.,zrion for each parmer (use additiomal pages if nr,cesssn•):
Firn� }Laaklnie;J (.�Se�am) txt DdeofBinh
x� �aa�: s�u � c� s,.� z;P ��*�
r�±� uam� �,;a �ra;mo r,�a n.e� �ra�rn
x�ua�,: svar� c,u� sws � n�r�
?vIlNt�SOTATAK IDENTT�SCATSO?s NIJM$ER- P�uaisat to tbe Laas of Mwnesota,1984, CLapter 502, Articlo 8, Seaion 2(270,72}
(Imc Cle��eq Issuance ofLicenses� licauiug sutiwrities are:equired to pro�ide to the State ofMinnesosa Commissionc af Rweaue, the
Mmceso4 busixss ta�c idmtificevon number sad the socia] sau�ity number of esc�h �cease applieaat
Uadet tho Mmnesota Govunmeat Data Prsaias Act and tbe Fedaat Pxivary Aa of 19�4, we are rcquired ro advise you of the followiag
regardmg the use of tbe Mianaou 7ax Idmtificatioa Ntmiber:
- This infoQmanom may be used w dary tbe issu�a ca r�ewal of yrnu ficrose ia the eveat you rnve Mwnaota sslcs, employds
withholding or motes �e�icle accise taxe;
- U�OII SxC1V1II$ tL151Cf0[metiOL� $let YIOCRSm$ 81tib0t$y WaI St1�I}' II ODIy 10 SLC Mnnnrnrq j�eImDP.Gt Of RCVCaUG HOwCV�
timda the Ftdesal Exchaiugc of Iafcamatian Agxmeaa, the Depar�art of Reveaue may suPPlp tbis inffamasion to tbe I�ooernal
Reveaue Saviee.
Mmaesota Tmc IdamE�oa Numbas (Sala 8c Use Tax Numbcj may be obtaiioed 5un the Staie �'2vfinnesols. Bttsiness Reco�ds Departrnmt,
10 River Patk P1a�s (612-296.5] 8]).
���� 474-70-4221 I�2im�esotaSsxIdcatificatiamNumbcr: 0031402572
_ Sfa Minnesota Tax Jdentificatioa Number is not reqeured for ihe business being operate� indicate so by placing aa "X' ia the box
�v�a�ss
MRY-29-1997 14�33 CITY OF ST PRUL LIEP 612 266 9124 P.07
s>��r
TAUC
�
A[lllll�
CL,ASS III
LICENSE APPLICATION
�l.! ' i : � • F � : � �.� ' 1
PLEASE TYPE ORPRIIT!' IN II�IIC
T}peafLicense(s)beiagappliedfor: Destaurant
T 1.o110T
Ci;axette
Fntertainment
CI7Y OF SAINT PAUL
�la. D�UC.ti1Ti� �
�a �,a�w m��
3Jt9.P�RSvAeloO
SccP�nLMamoan 1:102 /lI' `�,
(61'aN69D90 8%(61b2�91:A��
S
C019�2ayI�2II�G: ?�I� Inc.
. Cmpa+scon�P�abna5iP�SoleA'nPrictmhip
If husmess is sssomporated, give data of incoiporauom: Anr i I LS th , 1;' 9 7
DoingBusinessAs: ?'�cCol2's B�� 291-8703
BusinessAddress: _ ibF+ .Tacks�n
S�eetAddrew Ciry State Zip
" Betv�ac what cross soeets is thc b�niaas IxauBt �acks on & 5 th �;� �� ��y� �? Eas t
` ��/+��Qremisesnowxcupiedl ° -eS p,�h,tTypeofgusines,? RestauTant
��Mm7ToAddress: _ 39 �•Test YTikinP Drive Little Canada ��d. 55117
_snna naa�. �;�. yy� y
AppLc�t Informazion:
ramea�ulTi�]e: _ Scott David
ttashburn
F'v+t .\fid�c (M++daJ
Home,yddreSS. 4130 Lexin�ton Avenue North Shoreview
sem naarm
c�
Oamer
La Tit7o
r�I. 55126
s•-•-
DstcofBirth; 1l23/58 PlaceofBirtS: �Iuth, ti\• H�pb�
Have you eva bcen � of aay fdoay. aimc or viotation of airy city ordinaaa othc thaa asSacl YES
Daiccfarnst;
�
$edtCDce:
�+r
486-4868
NO X
Lisi mea�cs m�d resaaues rn taree pasons cf good morsu ccazacur. li�ing withinthc Iav� i.ines rne¢o Fsroa. not retat:a w me apphcaac
a' &neneislly intaated ia the premises a busmess, w}w may be refcr�d w as to tbc applicant's chmacic
�M� ADDRESS PHONE
Lee Peltier 5 �hzinmore Avenue N. 718-Q396
Brady 0`Brian 5335 Vicl:sburg Laae 557-042J
Joe Steinbeck 439-4063
Lisl Iicrosa which Y� �Y �, famaly held. ar may Lave sn imcrest in:
HaNe �y of the above named licros�s cva beea revdc�l YES NO ffycs, list t6e dma �d rsesoas for rcvocatioa
'�'i�i
?JISN7
MRY-29-1997 14:33 CITY OF ST PAUL LIEP 612 266 9124 P.68 Q
q'7 r � { t
r-Y.Vmc \ti8dktwrid ptaideo) Lmt D�scofBinh
liame Addres: Svret \ame Ci�• Staie Zip P6enc �5�mba
Are}ron goiag to hs�•e a manega ot assistsat in this business? YES X NO If thc mznagv is no� ihc same as tfic operator,
pI�zse wmplete the following informatioa:
Fi��c .Afidme7aB+d G�1rideJ Lae D�ca£Bfrrh
Hom� Mdre� Strea \me Ci�• State Zip Piwne ��ber
Plerx list your �plo7ment ]vstory Yor the paevious five (5) } period:
RnCiR IFmnlMrme}�} A��
Schnie�-[�Tashbum Industries, Inc. 39 T�zest Vikin� Drive
Last all ot6� officers of the co�poration:
�FFiGER TITZL HOME HOME BUSINESS DATE OF
A'AME (O�ceHelcn ADDRESS PHONE PHONE BII2TF2
Leonard Schaie� 39 West Viking Drive 483-I323 ZI-26-
Jerrv Ba��erl 322 F t,� �69-9Gc�� 5/8/55
Scott 4Tashbura 4130 LexinQton AvP y 486-4868 1/23/58
]fbuaaess is a parmenhip, Pleasc iaclude tSe following infor.astion for cacb parmer (use addiGonal paga if naessary):
fine�me MiameleitiJ �7.iaca) Le D.mdBssd.
HomeAd� Suo¢1:me CitY SLtc Zip PfioacS:�imbc
F"urt_�+ime ASdAe Imeal G Lac D,7e MBc�h
Ad&ac SLeet?:.me �n, — - �
Zip Pl�wel`�mba
MII�7IvFSOTA TqX IDENlIFICATION A'UMBFR - Pursuant to the Law�s ofMinnesota, 1984, Chapter 502, Article 8, Section 2(270.72)
(Tax CSe�ancr, Issuaax of Licaucx). liceasing awhorities arc requiied w provide w the Stste oFMmaesota Commissiona of Revrnue, the
M'innesota buaaess tax identificarion m�mbcr �d tbc social security mm�bc of eacb license appGrm
Uader tLc Minaaota Govcmn¢eat Aata Practices Act aad tbo Fcda'al Privscy Ad of 1974, we arc:equued to advise you of the following
r�ga*dmg the usc of t6e Mmmesota Tax Tdeatifrcation N�bcr.
- I'his iaf'amatioa may be nsed to deay dx issuana or renewal aCyaa lioerasc ia the evect you owc I�naesota sales, anpluyer's
withholding or mota vehicle exeise tsxes,
- UPon *ecaV+IIB this mformatian the lie�ng sutfimity will sipply rt onty m the Mmnesoia Dcpartmcut af Rev�ue. However,
�mder the Federal E�te6aago � bnfosmacon Ageemert, the Deparlmeat of Revewe may suPP1Y this iaf'amatioa to the Tatemal
Revenue Snviee. � . •
� T�c IdmaS�anN�be�s (Sales & Use T�c N�bc) maybeobtaiaed fr� �e Stam of Mmaesota, Busmar Rxords Depamnmt,
lORiveParkPlaza(61L296-6381} . . . ...-. . ... . .
SocielSeaaityNmnb�_47E—R1�3317i.� 8fl-507 " 1.�finnaouTaxida�ri5cnuonNiro,bc 0032402572
_�Sx'3c+�ivsesc2e'sac.�on Numbc is not required for �e b�siness bciag operate,� iadicate so by plaeiag an'X m tJx box
v1897
TOTRL P.08