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97-951���������� Council File # �� Ordinance # � Green Sheet # ����� / � CITY O Presented By Referred To )LUTION PAUL, MINNESOTA Committee: Date 1 RESOLVED: That application (ID #40747) for a Patio Service License by Madone Inc. DBA Caravan Serai 2 (Nancy J. Kayoum) at 2175 Ford Pazkway be and the same is hereby approved. 3 4 5 Yea 6 B a� � 7 Bostr_�om _ � �. 8 Harris 9 ec�ard � �, 1� Morton 11 T unz� e — 12 Co� � 14 15 Adopted by Council: Date 16 17 Adoption Certified by Cou 18 ) 19 20 By: ��iy��l4 a i r �—� ( ` 22 Approved by Mayor: Date Ji. �l l`�. � 23 24 r L 25 By: �^-'' 26 Requested by Department of: Office of License. Inspections and Environmental Protection � `���� ���� Form Approved by City Attorney � �� ��� By: �, � 7 Approved by Mayor for Submission to COUnCil By: N°_ 5030� 97 • 95/ OEPARTMENTAFFICE�OVNqL DATE INITIATED � LIEP/Licensing GREEN SHEE CONTACT PERSON 8 PMONE ITIITIAUDATE INITIAUOATE � OEPARTMENT pIRECTOR � C�T' COUNCII Christine Rozek, 266-9108 ASSIGN �CITYATTORNEV �QTYCLERK NIIMBER FOR MUST BE ON CAVNCIL ACaENDA BY (DATE� ROUTING � BU�GET DIREGTOR � FIN. 8 MGT. SERVICES �IR. ��J� II ORDER � MAYOR (OR ASS�STANT) � For hearin : � 7 TOTAL # OF SIGNA7URE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Madone Inc. DBA Caravan Serai requests Council approval of its application for a Patio Service License located at 2175 Ford Parkway (ID 4f40747). RECOMMENDAiiONS: Approve (A) or Reject �R) pERSONAL SERVICE CONTRACTS MUST ANSWER T8E FOLLOWING �UESTIONS: _ PLANNiNG GOMM�SS�ON _ CIVIL SERViGE COMMISSION �- Nas this pe�sonlfirm ever wwked u}rder a contract for this department? _ CIB COMMITTEE _ , . YES NO , SiAFF 2� Has this person/f�rm ever been a city employee� — VES NO _ DISTFICT CoVRi _ 3. Does this person/firm possess a skill not normaily possessed by any current dry employee� SUPPOPTS WHICH COUNGIL OBJECTIVE� YES NO Expleln all yes anawers on seperate sheet antl attech to green sheet INITIATING PROBLEM,ISSUE. OPPOkTUNITY (Who, Whai. When. Where, Why}. � 1 � JUL 2 � 1��� ADVANTAGESIFAPPROVED DISADVANTAC+ES IFApPROVE�� DISADVANTAC+ES IF NOT APPFOVED: SOTAL AMOUNT OF TRANSAC710N S COSTlREVENUE BUDGETED (CIRCLE ONE) YES NO FUNDIIdG SOURCE ACTIViTY NUMBER FINANCIAL INFOiiHiATION� (EXPLAIN) 97 - 95J Greensheet # so3o3 L.I.E.P. REV{EW CHECKLIST Date: 7117/97 1 In Tracker? App n Received f App'n Processed License ID # 40747 License Type: Patio Service Gompany Name: �done Inc. DBA: Caravan Serai Business Addresss: z175 Ford Parkwav Business Phone: 690-1935 Contact NameJAddress: Nancy Kayoum, 2147 Pinehurst Ave Home Phone: 451-0682 Date to Council Public Hearing Date: Notice Sent to Applicant: Notice Sent to Public: Labels Ordered: District Council #: Ward #: � Department/ Oate Inspeciions Comments City Attorney Environmental Heakh Fire License s��e Pian Received:� Lease fteceived: Police Zoning Casavan Serai 2175 Ford Parkway St. Paui Mn SSll6 97-9s� The Caravan Serai would like to open a patio in iront of the restaurant, facing Ford and Cretin. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is one of our neighbors andwe need your support. A11 Fve needis a signature from an officer of your company. If You have any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is Jazed Murphy, I am the manager and I thank you far your support and time. You may sign below and I can either pick up or you may mail us a hard copy, which ever is best for you. fj.�en�� � Ls� � , �� -Q�---- - - - -- ----`--_, -1�--� . � � hs Again fqr Y Time, �,.e� " C Jared Murphy Manager 97 • 9s'� 40747 Applicant#: 4�47 NII�DONE INC CARAVAN SERAI 2175 FORD PKWY ST. PAUL M[V 55116 ManagerjoNmer: NANCY J KAYOUM 2147 PIIQEH[JRST AVE ST PAUL MlV 55116 RFf'FT FOR LICIIVSE APPLICATION phone: (612)690-1935 City of Saint Paul Office of License, Inspections And Envirormiental Protection 350 St. Peter St. Suite 30� Saint Paul, Minnesota 55102 Date of Application : 07/17/97 License effective fran �4111/89 to 01/31/98 phone: 451-0682 Li.cense 2306 WIlVE ON SATF 2174 ON SALE MALT (3.2) 2480 RFSTAURANP (B)-MORE THAN 12 SEATS I c�dd o v� 9�1 ?I A7 Total Fee: Units Fee 1 $1,385.00 1 $445.00 1 $425.00 State Tax ID#: 3706975 Tnsurance expires on O1/31/98 Paid by: CHECK ($15.00 charge for all returned che Your license to do business will be mai.led upon receipt of required approvals. If you have any questions regarding your liren,se, please call ------------------------------------------------=---------------------------- CERTIFICATION OF WORKERS' COMPINSATION COVERP,GE PERSUANS TO MII�TESOTA STATUTE 176.182 I hereby certify that I, or my c��pany, am in ccanpliance with the workers' caTpensation in� urance coverage require.tt�its of Mumesota statute 176.182, subdivision 2. I also understand that provision of false information in this certification constitutes sufficient qrounds for adverse action against all licenses held, including revocation and suspension if said licenses. Name of 7nsurance Ccanpany : Coverage fr�n : to : Policy Nu[nber : I have no employees covered under workers' compensation insurance. Signature of licensee Business Name Date , ����e�� `� � � � -� r � � � � � � �Z ���� � -- � , �� �� �� 2 -- ( � � �� cv..rc �' � !G�/{!1 � _ l i Z� 5 ��� 215 / _ C� . `-�-�. 2� 7 �✓ %`°"��'<,� - ' t- 2 l 5' � �-�.c-'c�c`-¢� � - - 9?-9S/ � — � �` - �` Zi � � ` ���,� � — 2� � 3 �, � �� ����� -- � 2 ! h � ��G�� - - - _. � � 2r 70 1�� - . 2. � � ( � ��vvc�� — 2/ 7� 2t `�_� - - - �` � � — - � �,' 2.ti �v !��— � 2� �� i ����� ��---�� - _ - - `�� � ( g,� � ti�� 2 c � ��� ( 7 U`�4�t� G�^`J��-cLdvc� U - �0 ��r �.J ti - ��=a L 1�`!l�'M1GES �1988 1996 �AY-TIMERS Inc ALU'fITQNIN, PA tE1951%1 • PftINTED 1�� J3A 97- �1f �- { �d � ,9(� u.c;�� G��i �� � 2- (�l l7 p��/L .� CI1'1 G1/��iy�-- 2- �� s� ;:�-�� c��� �2���- yQs �-- i �� �-�� � �� � _ �, - �-=�-o-� - _ -z_�o �- - - - - - 2z o� - �1�i�5 ,_ �, � � � �/i'len-l�G'c�*✓ R�K l�i /�-E-Q�Cp _ ;. - ��j`� �������� - ` - - i` � � _� � � _ �' � -�� � �_.�� �;,�.,.,°r-���rd;lry ��. ��� ���sc �y�_ � �%�.� 5�� - - -�c 7� ��;'y�3 _- �_ � _�s�!� . � �. - ��� G!'���,� Zed� �c� � ' r - � �� �C`e(�--�.--,� � � � ���'L� _ ., v�,r,� �ef,��s�,� �,�, 6Y6- 0�07 �-�.�, ��_2 �,�-� 2r� ( �,�Q � b � �l'�i i� 5 � (�,�� Q C�. `�.y—� - � .r.r v�t , ,� ' � Caravan Serai 2175 Ford Parkway `—'-"' St. Paul Mn 55116 ��-�� The Caravan Serai would like to open a patio in front of the restaurant, facing Ford and Cretin. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is one of our neighbors andwe need your support. All we need is a signature from an officer of your company. if Y"ou nave any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is Jared Murphy, I am the manager and I thank you for your support and time. You may sign below and I can either pick up or you may mail us a hazd copy, which ever is best for you. anks�n f��ur Time, � JaredMurphy t/ Manager �� �"/�D� -- �,� / -�R l��1 _� � ��v ,� , Caravan Serai 2175 FordPazkway St. Paul Mn 55116 4� -9si The Caravan Serai would like to open a patio in front of the restaurant, facing Fordand Crean. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is ane of our neighbors andwe needyour support. All we needis a signzture from an officer of your company. If You have any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is JaredMurphy, I am the manager and I thank you for your support and time. You may sign below and I can either pick up or you may mail us a hard copy, which ever is best for you. anks Again f� `! r Time, ��.�K 0 Jazed Murphy Manager � (� f �r / ����,�e.,,�-� ���������� Council File # �� Ordinance # � Green Sheet # ����� / � CITY O Presented By Referred To )LUTION PAUL, MINNESOTA Committee: Date 1 RESOLVED: That application (ID #40747) for a Patio Service License by Madone Inc. DBA Caravan Serai 2 (Nancy J. Kayoum) at 2175 Ford Pazkway be and the same is hereby approved. 3 4 5 Yea 6 B a� � 7 Bostr_�om _ � �. 8 Harris 9 ec�ard � �, 1� Morton 11 T unz� e — 12 Co� � 14 15 Adopted by Council: Date 16 17 Adoption Certified by Cou 18 ) 19 20 By: ��iy��l4 a i r �—� ( ` 22 Approved by Mayor: Date Ji. �l l`�. � 23 24 r L 25 By: �^-'' 26 Requested by Department of: Office of License. Inspections and Environmental Protection � `���� ���� Form Approved by City Attorney � �� ��� By: �, � 7 Approved by Mayor for Submission to COUnCil By: N°_ 5030� 97 • 95/ OEPARTMENTAFFICE�OVNqL DATE INITIATED � LIEP/Licensing GREEN SHEE CONTACT PERSON 8 PMONE ITIITIAUDATE INITIAUOATE � OEPARTMENT pIRECTOR � C�T' COUNCII Christine Rozek, 266-9108 ASSIGN �CITYATTORNEV �QTYCLERK NIIMBER FOR MUST BE ON CAVNCIL ACaENDA BY (DATE� ROUTING � BU�GET DIREGTOR � FIN. 8 MGT. SERVICES �IR. ��J� II ORDER � MAYOR (OR ASS�STANT) � For hearin : � 7 TOTAL # OF SIGNA7URE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Madone Inc. DBA Caravan Serai requests Council approval of its application for a Patio Service License located at 2175 Ford Parkway (ID 4f40747). RECOMMENDAiiONS: Approve (A) or Reject �R) pERSONAL SERVICE CONTRACTS MUST ANSWER T8E FOLLOWING �UESTIONS: _ PLANNiNG GOMM�SS�ON _ CIVIL SERViGE COMMISSION �- Nas this pe�sonlfirm ever wwked u}rder a contract for this department? _ CIB COMMITTEE _ , . YES NO , SiAFF 2� Has this person/f�rm ever been a city employee� — VES NO _ DISTFICT CoVRi _ 3. Does this person/firm possess a skill not normaily possessed by any current dry employee� SUPPOPTS WHICH COUNGIL OBJECTIVE� YES NO Expleln all yes anawers on seperate sheet antl attech to green sheet INITIATING PROBLEM,ISSUE. OPPOkTUNITY (Who, Whai. When. Where, Why}. � 1 � JUL 2 � 1��� ADVANTAGESIFAPPROVED DISADVANTAC+ES IFApPROVE�� DISADVANTAC+ES IF NOT APPFOVED: SOTAL AMOUNT OF TRANSAC710N S COSTlREVENUE BUDGETED (CIRCLE ONE) YES NO FUNDIIdG SOURCE ACTIViTY NUMBER FINANCIAL INFOiiHiATION� (EXPLAIN) 97 - 95J Greensheet # so3o3 L.I.E.P. REV{EW CHECKLIST Date: 7117/97 1 In Tracker? App n Received f App'n Processed License ID # 40747 License Type: Patio Service Gompany Name: �done Inc. DBA: Caravan Serai Business Addresss: z175 Ford Parkwav Business Phone: 690-1935 Contact NameJAddress: Nancy Kayoum, 2147 Pinehurst Ave Home Phone: 451-0682 Date to Council Public Hearing Date: Notice Sent to Applicant: Notice Sent to Public: Labels Ordered: District Council #: Ward #: � Department/ Oate Inspeciions Comments City Attorney Environmental Heakh Fire License s��e Pian Received:� Lease fteceived: Police Zoning Casavan Serai 2175 Ford Parkway St. Paui Mn SSll6 97-9s� The Caravan Serai would like to open a patio in iront of the restaurant, facing Ford and Cretin. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is one of our neighbors andwe need your support. A11 Fve needis a signature from an officer of your company. If You have any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is Jazed Murphy, I am the manager and I thank you far your support and time. You may sign below and I can either pick up or you may mail us a hard copy, which ever is best for you. fj.�en�� � Ls� � , �� -Q�---- - - - -- ----`--_, -1�--� . � � hs Again fqr Y Time, �,.e� " C Jared Murphy Manager 97 • 9s'� 40747 Applicant#: 4�47 NII�DONE INC CARAVAN SERAI 2175 FORD PKWY ST. PAUL M[V 55116 ManagerjoNmer: NANCY J KAYOUM 2147 PIIQEH[JRST AVE ST PAUL MlV 55116 RFf'FT FOR LICIIVSE APPLICATION phone: (612)690-1935 City of Saint Paul Office of License, Inspections And Envirormiental Protection 350 St. Peter St. Suite 30� Saint Paul, Minnesota 55102 Date of Application : 07/17/97 License effective fran �4111/89 to 01/31/98 phone: 451-0682 Li.cense 2306 WIlVE ON SATF 2174 ON SALE MALT (3.2) 2480 RFSTAURANP (B)-MORE THAN 12 SEATS I c�dd o v� 9�1 ?I A7 Total Fee: Units Fee 1 $1,385.00 1 $445.00 1 $425.00 State Tax ID#: 3706975 Tnsurance expires on O1/31/98 Paid by: CHECK ($15.00 charge for all returned che Your license to do business will be mai.led upon receipt of required approvals. If you have any questions regarding your liren,se, please call ------------------------------------------------=---------------------------- CERTIFICATION OF WORKERS' COMPINSATION COVERP,GE PERSUANS TO MII�TESOTA STATUTE 176.182 I hereby certify that I, or my c��pany, am in ccanpliance with the workers' caTpensation in� urance coverage require.tt�its of Mumesota statute 176.182, subdivision 2. I also understand that provision of false information in this certification constitutes sufficient qrounds for adverse action against all licenses held, including revocation and suspension if said licenses. Name of 7nsurance Ccanpany : Coverage fr�n : to : Policy Nu[nber : I have no employees covered under workers' compensation insurance. Signature of licensee Business Name Date , ����e�� `� � � � -� r � � � � � � �Z ���� � -- � , �� �� �� 2 -- ( � � �� cv..rc �' � !G�/{!1 � _ l i Z� 5 ��� 215 / _ C� . `-�-�. 2� 7 �✓ %`°"��'<,� - ' t- 2 l 5' � �-�.c-'c�c`-¢� � - - 9?-9S/ � — � �` - �` Zi � � ` ���,� � — 2� � 3 �, � �� ����� -- � 2 ! h � ��G�� - - - _. � � 2r 70 1�� - . 2. � � ( � ��vvc�� — 2/ 7� 2t `�_� - - - �` � � — - � �,' 2.ti �v !��— � 2� �� i ����� ��---�� - _ - - `�� � ( g,� � ti�� 2 c � ��� ( 7 U`�4�t� G�^`J��-cLdvc� U - �0 ��r �.J ti - ��=a L 1�`!l�'M1GES �1988 1996 �AY-TIMERS Inc ALU'fITQNIN, PA tE1951%1 • PftINTED 1�� J3A 97- �1f �- { �d � ,9(� u.c;�� G��i �� � 2- (�l l7 p��/L .� CI1'1 G1/��iy�-- 2- �� s� ;:�-�� c��� �2���- yQs �-- i �� �-�� � �� � _ �, - �-=�-o-� - _ -z_�o �- - - - - - 2z o� - �1�i�5 ,_ �, � � � �/i'len-l�G'c�*✓ R�K l�i /�-E-Q�Cp _ ;. - ��j`� �������� - ` - - i` � � _� � � _ �' � -�� � �_.�� �;,�.,.,°r-���rd;lry ��. ��� ���sc �y�_ � �%�.� 5�� - - -�c 7� ��;'y�3 _- �_ � _�s�!� . � �. - ��� G!'���,� Zed� �c� � ' r - � �� �C`e(�--�.--,� � � � ���'L� _ ., v�,r,� �ef,��s�,� �,�, 6Y6- 0�07 �-�.�, ��_2 �,�-� 2r� ( �,�Q � b � �l'�i i� 5 � (�,�� Q C�. `�.y—� - � .r.r v�t , ,� ' � Caravan Serai 2175 Ford Parkway `—'-"' St. Paul Mn 55116 ��-�� The Caravan Serai would like to open a patio in front of the restaurant, facing Ford and Cretin. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is one of our neighbors andwe need your support. All we need is a signature from an officer of your company. if Y"ou nave any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is Jared Murphy, I am the manager and I thank you for your support and time. You may sign below and I can either pick up or you may mail us a hazd copy, which ever is best for you. anks�n f��ur Time, � JaredMurphy t/ Manager �� �"/�D� -- �,� / -�R l��1 _� � ��v ,� , Caravan Serai 2175 FordPazkway St. Paul Mn 55116 4� -9si The Caravan Serai would like to open a patio in front of the restaurant, facing Fordand Crean. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is ane of our neighbors andwe needyour support. All we needis a signzture from an officer of your company. If You have any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is JaredMurphy, I am the manager and I thank you for your support and time. You may sign below and I can either pick up or you may mail us a hard copy, which ever is best for you. anks Again f� `! r Time, ��.�K 0 Jazed Murphy Manager � (� f �r / ����,�e.,,�-� ���������� Council File # �� Ordinance # � Green Sheet # ����� / � CITY O Presented By Referred To )LUTION PAUL, MINNESOTA Committee: Date 1 RESOLVED: That application (ID #40747) for a Patio Service License by Madone Inc. DBA Caravan Serai 2 (Nancy J. Kayoum) at 2175 Ford Pazkway be and the same is hereby approved. 3 4 5 Yea 6 B a� � 7 Bostr_�om _ � �. 8 Harris 9 ec�ard � �, 1� Morton 11 T unz� e — 12 Co� � 14 15 Adopted by Council: Date 16 17 Adoption Certified by Cou 18 ) 19 20 By: ��iy��l4 a i r �—� ( ` 22 Approved by Mayor: Date Ji. �l l`�. � 23 24 r L 25 By: �^-'' 26 Requested by Department of: Office of License. Inspections and Environmental Protection � `���� ���� Form Approved by City Attorney � �� ��� By: �, � 7 Approved by Mayor for Submission to COUnCil By: N°_ 5030� 97 • 95/ OEPARTMENTAFFICE�OVNqL DATE INITIATED � LIEP/Licensing GREEN SHEE CONTACT PERSON 8 PMONE ITIITIAUDATE INITIAUOATE � OEPARTMENT pIRECTOR � C�T' COUNCII Christine Rozek, 266-9108 ASSIGN �CITYATTORNEV �QTYCLERK NIIMBER FOR MUST BE ON CAVNCIL ACaENDA BY (DATE� ROUTING � BU�GET DIREGTOR � FIN. 8 MGT. SERVICES �IR. ��J� II ORDER � MAYOR (OR ASS�STANT) � For hearin : � 7 TOTAL # OF SIGNA7URE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Madone Inc. DBA Caravan Serai requests Council approval of its application for a Patio Service License located at 2175 Ford Parkway (ID 4f40747). RECOMMENDAiiONS: Approve (A) or Reject �R) pERSONAL SERVICE CONTRACTS MUST ANSWER T8E FOLLOWING �UESTIONS: _ PLANNiNG GOMM�SS�ON _ CIVIL SERViGE COMMISSION �- Nas this pe�sonlfirm ever wwked u}rder a contract for this department? _ CIB COMMITTEE _ , . YES NO , SiAFF 2� Has this person/f�rm ever been a city employee� — VES NO _ DISTFICT CoVRi _ 3. Does this person/firm possess a skill not normaily possessed by any current dry employee� SUPPOPTS WHICH COUNGIL OBJECTIVE� YES NO Expleln all yes anawers on seperate sheet antl attech to green sheet INITIATING PROBLEM,ISSUE. OPPOkTUNITY (Who, Whai. When. Where, Why}. � 1 � JUL 2 � 1��� ADVANTAGESIFAPPROVED DISADVANTAC+ES IFApPROVE�� DISADVANTAC+ES IF NOT APPFOVED: SOTAL AMOUNT OF TRANSAC710N S COSTlREVENUE BUDGETED (CIRCLE ONE) YES NO FUNDIIdG SOURCE ACTIViTY NUMBER FINANCIAL INFOiiHiATION� (EXPLAIN) 97 - 95J Greensheet # so3o3 L.I.E.P. REV{EW CHECKLIST Date: 7117/97 1 In Tracker? App n Received f App'n Processed License ID # 40747 License Type: Patio Service Gompany Name: �done Inc. DBA: Caravan Serai Business Addresss: z175 Ford Parkwav Business Phone: 690-1935 Contact NameJAddress: Nancy Kayoum, 2147 Pinehurst Ave Home Phone: 451-0682 Date to Council Public Hearing Date: Notice Sent to Applicant: Notice Sent to Public: Labels Ordered: District Council #: Ward #: � Department/ Oate Inspeciions Comments City Attorney Environmental Heakh Fire License s��e Pian Received:� Lease fteceived: Police Zoning Casavan Serai 2175 Ford Parkway St. Paui Mn SSll6 97-9s� The Caravan Serai would like to open a patio in iront of the restaurant, facing Ford and Cretin. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is one of our neighbors andwe need your support. A11 Fve needis a signature from an officer of your company. If You have any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is Jazed Murphy, I am the manager and I thank you far your support and time. You may sign below and I can either pick up or you may mail us a hard copy, which ever is best for you. fj.�en�� � Ls� � , �� -Q�---- - - - -- ----`--_, -1�--� . � � hs Again fqr Y Time, �,.e� " C Jared Murphy Manager 97 • 9s'� 40747 Applicant#: 4�47 NII�DONE INC CARAVAN SERAI 2175 FORD PKWY ST. PAUL M[V 55116 ManagerjoNmer: NANCY J KAYOUM 2147 PIIQEH[JRST AVE ST PAUL MlV 55116 RFf'FT FOR LICIIVSE APPLICATION phone: (612)690-1935 City of Saint Paul Office of License, Inspections And Envirormiental Protection 350 St. Peter St. Suite 30� Saint Paul, Minnesota 55102 Date of Application : 07/17/97 License effective fran �4111/89 to 01/31/98 phone: 451-0682 Li.cense 2306 WIlVE ON SATF 2174 ON SALE MALT (3.2) 2480 RFSTAURANP (B)-MORE THAN 12 SEATS I c�dd o v� 9�1 ?I A7 Total Fee: Units Fee 1 $1,385.00 1 $445.00 1 $425.00 State Tax ID#: 3706975 Tnsurance expires on O1/31/98 Paid by: CHECK ($15.00 charge for all returned che Your license to do business will be mai.led upon receipt of required approvals. If you have any questions regarding your liren,se, please call ------------------------------------------------=---------------------------- CERTIFICATION OF WORKERS' COMPINSATION COVERP,GE PERSUANS TO MII�TESOTA STATUTE 176.182 I hereby certify that I, or my c��pany, am in ccanpliance with the workers' caTpensation in� urance coverage require.tt�its of Mumesota statute 176.182, subdivision 2. I also understand that provision of false information in this certification constitutes sufficient qrounds for adverse action against all licenses held, including revocation and suspension if said licenses. Name of 7nsurance Ccanpany : Coverage fr�n : to : Policy Nu[nber : I have no employees covered under workers' compensation insurance. Signature of licensee Business Name Date , ����e�� `� � � � -� r � � � � � � �Z ���� � -- � , �� �� �� 2 -- ( � � �� cv..rc �' � !G�/{!1 � _ l i Z� 5 ��� 215 / _ C� . `-�-�. 2� 7 �✓ %`°"��'<,� - ' t- 2 l 5' � �-�.c-'c�c`-¢� � - - 9?-9S/ � — � �` - �` Zi � � ` ���,� � — 2� � 3 �, � �� ����� -- � 2 ! h � ��G�� - - - _. � � 2r 70 1�� - . 2. � � ( � ��vvc�� — 2/ 7� 2t `�_� - - - �` � � — - � �,' 2.ti �v !��— � 2� �� i ����� ��---�� - _ - - `�� � ( g,� � ti�� 2 c � ��� ( 7 U`�4�t� G�^`J��-cLdvc� U - �0 ��r �.J ti - ��=a L 1�`!l�'M1GES �1988 1996 �AY-TIMERS Inc ALU'fITQNIN, PA tE1951%1 • PftINTED 1�� J3A 97- �1f �- { �d � ,9(� u.c;�� G��i �� � 2- (�l l7 p��/L .� CI1'1 G1/��iy�-- 2- �� s� ;:�-�� c��� �2���- yQs �-- i �� �-�� � �� � _ �, - �-=�-o-� - _ -z_�o �- - - - - - 2z o� - �1�i�5 ,_ �, � � � �/i'len-l�G'c�*✓ R�K l�i /�-E-Q�Cp _ ;. - ��j`� �������� - ` - - i` � � _� � � _ �' � -�� � �_.�� �;,�.,.,°r-���rd;lry ��. ��� ���sc �y�_ � �%�.� 5�� - - -�c 7� ��;'y�3 _- �_ � _�s�!� . � �. - ��� G!'���,� Zed� �c� � ' r - � �� �C`e(�--�.--,� � � � ���'L� _ ., v�,r,� �ef,��s�,� �,�, 6Y6- 0�07 �-�.�, ��_2 �,�-� 2r� ( �,�Q � b � �l'�i i� 5 � (�,�� Q C�. `�.y—� - � .r.r v�t , ,� ' � Caravan Serai 2175 Ford Parkway `—'-"' St. Paul Mn 55116 ��-�� The Caravan Serai would like to open a patio in front of the restaurant, facing Ford and Cretin. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is one of our neighbors andwe need your support. All we need is a signature from an officer of your company. if Y"ou nave any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is Jared Murphy, I am the manager and I thank you for your support and time. You may sign below and I can either pick up or you may mail us a hazd copy, which ever is best for you. anks�n f��ur Time, � JaredMurphy t/ Manager �� �"/�D� -- �,� / -�R l��1 _� � ��v ,� , Caravan Serai 2175 FordPazkway St. Paul Mn 55116 4� -9si The Caravan Serai would like to open a patio in front of the restaurant, facing Fordand Crean. The city requests that we speak with and have the support of our neighbors within 350 feet. Your business is ane of our neighbors andwe needyour support. All we needis a signzture from an officer of your company. If You have any questions you may contact me at the restaurant at 690-1935 or at 801-5078. My name is JaredMurphy, I am the manager and I thank you for your support and time. You may sign below and I can either pick up or you may mail us a hard copy, which ever is best for you. anks Again f� `! r Time, ��.�K 0 Jazed Murphy Manager � (� f �r / ����,�e.,,�-�