97-966Presented
/ ��S
Council File #` � '� �o
Ordinance �
Green Sheet � 37955
�t�l� �a f`i Tu``t�— 8� c, �°�`�
RESOLUT{ON
CITY OF SAIN7 PAUL, MINNESOTA
1
2
3
4
$
6
7
8
9
10
il
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Referred To Committee: Date
�
RESOLVED: That application, ID ,�49063, for a Cabaret-Class A License by Pangaca Coffee
and Tea Aouse LI.0 DBA Pangaca Coffee and Tea House {Christine Simmons, owner)
at 1811 Selby Avenue, be and same is hereby approved with the following
condition:
f'/tfG'v-fQi•JOV.E' �
1) There shall be no �e. a£ter 10:00 PM
Requested by Department of:
office of License Inspections and
EnvirorLmental Protection
By: ll�l�,.-a� � �`S�..s
Form Approve by City At.�
Adopted by Council: Date By: _ / , yJ ��_,,���
�
Adoption Certified by Council 5ecretary Approved by ayor for Submission to
^ Council
B7 '' -- a - r� j
Approved by Mayor: Date /
� tJtS�7' sY.
BY� ` � � T
Council File # �" ► � 14�
Ordinance #
Green Sheet # � �' 1
Q�I���!;��
Presented By
Referred To
Requested by Department ofs
1 RESOLVED:
2
3
4
5
6
a a��
a o�
9 Harrzs
10 Me�
11 Morton
12 T�
13 Co ins
14
15
16 Adopted by
17
18 Adoption C
19
20
21 By;
22
23 Approved ,
24
25
26 By:
27
That application (ID #490b3) for a Cabaret-Class A License by
LLC DBA Pangaea Coffce and Tea House (Christina Simmons,
and the same is hereby approved. �
Off'ce of Liaense Inn�ctiona and
Envitonmental Protect�on
Date
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Coffee and Tea House
at 1811 Selby Avenue be
by Council Secretary
Mayore Date
�/5
Committee:
By: �� n ���
Form Approved by City Attorney
BY� �/'.h9 � � �' �-„�t�
Approved by Mayor for Submission to
Council
By:
9'� -9 L�
DEPARTAENTpFFICE4COUNdL DATEINITIATED GREEN SHEE � � � � �
LIEP/Licensing INITIAVDATE INITIAVDATE
CONTACTPERSON & PHONE � DEPARTMENT DIRECTOR � CIN COUNqL
Ghristine Rozek, 266-9108 ASSIGN OCT'ATfORNEV �qTYCIERK
NUNBERFOA
MUST BE ON CAUNCIL AGEN�A BY (0 TE) pOUTiNG O BUOGET DIRECTOR � FIN. & MGL SERVICES OIR.
For hearin : �� �qDER O MAYOR (OR ASSI5TANT) �
TOTAL # OF SIGNASURE PAGES (CLIP ALL IOCATIONS FOR SIGNATURE)
ACTION REQUESTED'
Pangaea Coffee and Tea House LLC DSA Pangaea Coffee and Tea House requests Council approval
of its application for a Cabaret-Class A License located at 1811 Selby Avenue (ID �I49063).
RECOMMENDA710N5: Approve (A) or Reject (R1 pERSONAL SERVICE CANTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PIANNING CAMMISS�ON _ C1VIL SERVICE COMMISS�ON �� Has tbis personBirm ever wwked mMer a contraa for this department?
_ CIB COMMITfEE _ YES NO
2. Has this person/iirm ever been a city employee?
_ STAFf
— YES NO
_ oIS75ilCT COUR7 _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORT$ WNICH COUNCIL O&IECTIVE> YES NO
Explain all yea answers on separete sheet antl attaeh to green sheet
INITIATING PROBI.EM, ISSUE, OPPORTUNITV (Who, What, When, Where. Why):
ADVANTAGESIFAPPROVED:
DISADVANTAGES IF APPRWED:
DISA�VAN7AGES IF NOT APPflOVED.
�O�L`� . . �f�t $�T
,i;�L 2 � s:;�7
TOiAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETEP (CIRCLE ONE) YES NO
FUNDItOG SOURCE AC7IVITV NUMBER
FINANCIAL INFORF3ATION: (EXPLAIN)
Greensheet# 379s5 L.1.E.P. REVIEW CHECKLIST �ate: s/1zl97 / qZ'q�.L
In TrackeYl q2 App'n Receivad / App'n Processed
License 1D # 49063 License Type: Cabaret-Class A
Company Name: Pangaea Coffee and Tea House LLC pgq: Pangaea Co£fee and Tea Aouse
Business Addresss: 1811 Selbv Avenue Business Phona: 645-4883
Contact Name%
Date to Council
Public Hearing
Notice Sent to
Notice Sent to
Christina Si�ons, 2447 W
�aj9
f��i
�
Rd B Home Phone: 628-0843
5113
Labels Ordered: ��P� �
District Council #: i
Ward #: �
Departmerrt/ Date lnspections Comments
City Attorney
�''2{` Y�
Environmental
Health
� . t� . (,c. A �',. �'�
Fire
�- •'� �� � - K �
License sce a�an Received:_
Lease Repived:
�' l l9" � �
Poiice
�• 21 �9 �- C�. .
Zoning
���"��� �,� .
�� aa,��q���
�` �' � ` CLASS III
�,. . �c,�
fl F F i ��= "�-' '" ��ICENSE APPLICATION
�4T � g 32 eM �9�
�HIS APPLICATION IS SUBTECT TO REVIEW BY T[-IE PUBLIC
��o ��.
CITY OF SAINT PAUL
oe�� osL���, v+�;�
and Em�ironmrnial Proteciion�� ` Q`1
3VStPqa5t5vne300 � �
Sa'vaP�v�Ai'vmssota 35L02
(611) 3669090 Lx (613) 266913<
PLEASE TYPE OR PRINT IN Ii�1C �
T}pe of License(s) being applied for.��`!`�C – �.L�YJ��C � S�`�' �" —
E
Company Nazne:
/ Partnership / SoI< Propriatonhip
If business is
Doing Business As:
Business Address:
fl
St�eet Addreu � Cin� ` Scem Zip
BetN'cen w�hat cross sVeets is the business located? l� �� �/ 'r Fa � n//Z�''� �CGkl1tC r 1 VJhich side of the street? �'�
Are the premises now occupied? U.P _� t � � T}pe of Business? _�lY�PQ 1^ O L� f ,`
MailFoAddress: l��t C����l RZW car�� P�.p dM/I'IVl - 5���7_ __
Slrcei.4ddress Cin' Ststc Zip
Applicant Infonnation: +� j ! (�
NameandTitle: �i!/lriSilVLGI ��t�Q.bZ-�lt ��a,��1vt � /��•tinrr
First Afiddle (Maidrn) La+t Tit(e
HomeAddress: l ?c/�-/� in�. �:��a in� y /�(� � j� �(1 ��D (PN! ��G l}'�! rll�. _5���_
svKC aaa,� c,n ! s�c� z�p
Date of Birth: {i ! � � ��. Ptace of Buth: � Y196 CL��I,M1n�"`9 r �L7 �T'"h l �eme Phone: �a� ' (Jf3 �/ �i
Hace you e��er been concicted of any felony, crune or � iolation of an}' c�ty ordinance other than tr�c? YES NO �
Date of anest:
Chazge: _
Com�ction:
Business Phone:
Where?
Sentence:
List the nacnes and residences of three persons of good moral character; living � ithin the Twin Cities Metro Area, not related to ihe applicant
or financiall}' interested in the pretnises or business, wfio may be refrned to as to the applicant's chua:ter:
NAME
give date of
ADDRESS PHONE
2!IS/97
Ha�•e any of the above named licenxs e�•er bcen ret�oked? YL ✓ IQO If }'es, list Ihe dates and reasons for re� ocation:
Are }'ou going to operate tivs business personaUy? � YES NO If not, �rho tri(1 operate it A^' n/ (
..
\ame
�hiddie
Lsst
Home Addras: SVeei
Are }'ou going to hace a manager or assistant in this business7
please complete the follo�sing informaaon:
��
Home Address: Shee[ �'smc
(�Saidrn)
City
� �$
f� (�
Please list your emplo}inent history for the pre�=ious five (5) } eaz period:
BusinesslEmnlo�znent Address
If business is a partnership, please include the following informalion for each partner (use
Fvat:��e
.�u�l� Ul. <.o
Home Add=e�a: StTee[ �ame
Fint\ame
Home Address: Strect \nme
\Siddle Initiel
I-�k f D
(!�faidrn)
c�Ty
Zip
Stzte
S�su
nei�
Pfionc \umber
pages if necessary):
���2ol�C Il�Zal�
Lsst Da4atBirth
l� �i��j� (0�� ��
ZiP Phon<:�umbcr
i
t,�� Datcof6'vil+
Zio Phon< \umber
MINI3ESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Lau�s of Minnesota, 1984, Chapter 502, Article 8, Section 2(270.72)
(Tax Clearence; Issuance of Licenses), licensing authorities are required lo provide to the State of Mumesota Commissioner of Revenue, the
Minnesota business tai iden�cation numbzr and the sceial security number of each license appiicant.
Under the Minnesota Gocemmrnt Data Practices Act and the Federal Privacy Act of 1974, we aze required to advise you of the fotlou'ing
regazding the use of the Minnesota Tax Ident�calion Number:
- This information may be used to deny the issuance or renewal of your licrnse in the event you o«�e Minnesota sales, employer s
a�it3il�olding or motor <<ehicle excise tazes;
- Upon receiving this information, the licensing authority �a•ill supply it only to the Minnesota Department of Revenue. Hoc��e��er,
under the Federal Exchange of Information Agreement, the Deparlment of Reeenue may supply ilus infoimation to the Intemal
Revenue Sectitice.
Minnesota Ta� Identificalian 13umbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department,
10 Ri��er Pazk Plaza (612-296-6 ] 8]).
Social Security Number: � ��� � i�� Minnesota Tax Ident�cation Number: �!u ��� 5
U'a Minnesota Tax Identification Number is not requ�red ior Ihe business being operated, indicate so b}' placing an "X" in the box.
Siete ' t�p
¢. �y -�...,�
h"
�` �� � y i
��.� ,,'$ p ^o
Detc o .�S � Z �Y
�� �
honc �umbcr Qo R
NO If the manager is not the sazne as the operator,
t��
State
2/7 S/97
List all other officers of the corporadon:
OFFICER 7ITLE HQME HOME BUSINESS DATE OF
hAME (Office Held) ADDRESS PHONE PHONB HIRTH
Presented
/ ��S
Council File #` � '� �o
Ordinance �
Green Sheet � 37955
�t�l� �a f`i Tu``t�— 8� c, �°�`�
RESOLUT{ON
CITY OF SAIN7 PAUL, MINNESOTA
1
2
3
4
$
6
7
8
9
10
il
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Referred To Committee: Date
�
RESOLVED: That application, ID ,�49063, for a Cabaret-Class A License by Pangaca Coffee
and Tea Aouse LI.0 DBA Pangaca Coffee and Tea House {Christine Simmons, owner)
at 1811 Selby Avenue, be and same is hereby approved with the following
condition:
f'/tfG'v-fQi•JOV.E' �
1) There shall be no �e. a£ter 10:00 PM
Requested by Department of:
office of License Inspections and
EnvirorLmental Protection
By: ll�l�,.-a� � �`S�..s
Form Approve by City At.�
Adopted by Council: Date By: _ / , yJ ��_,,���
�
Adoption Certified by Council 5ecretary Approved by ayor for Submission to
^ Council
B7 '' -- a - r� j
Approved by Mayor: Date /
� tJtS�7' sY.
BY� ` � � T
Council File # �" ► � 14�
Ordinance #
Green Sheet # � �' 1
Q�I���!;��
Presented By
Referred To
Requested by Department ofs
1 RESOLVED:
2
3
4
5
6
a a��
a o�
9 Harrzs
10 Me�
11 Morton
12 T�
13 Co ins
14
15
16 Adopted by
17
18 Adoption C
19
20
21 By;
22
23 Approved ,
24
25
26 By:
27
That application (ID #490b3) for a Cabaret-Class A License by
LLC DBA Pangaea Coffce and Tea House (Christina Simmons,
and the same is hereby approved. �
Off'ce of Liaense Inn�ctiona and
Envitonmental Protect�on
Date
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Coffee and Tea House
at 1811 Selby Avenue be
by Council Secretary
Mayore Date
�/5
Committee:
By: �� n ���
Form Approved by City Attorney
BY� �/'.h9 � � �' �-„�t�
Approved by Mayor for Submission to
Council
By:
9'� -9 L�
DEPARTAENTpFFICE4COUNdL DATEINITIATED GREEN SHEE � � � � �
LIEP/Licensing INITIAVDATE INITIAVDATE
CONTACTPERSON & PHONE � DEPARTMENT DIRECTOR � CIN COUNqL
Ghristine Rozek, 266-9108 ASSIGN OCT'ATfORNEV �qTYCIERK
NUNBERFOA
MUST BE ON CAUNCIL AGEN�A BY (0 TE) pOUTiNG O BUOGET DIRECTOR � FIN. & MGL SERVICES OIR.
For hearin : �� �qDER O MAYOR (OR ASSI5TANT) �
TOTAL # OF SIGNASURE PAGES (CLIP ALL IOCATIONS FOR SIGNATURE)
ACTION REQUESTED'
Pangaea Coffee and Tea House LLC DSA Pangaea Coffee and Tea House requests Council approval
of its application for a Cabaret-Class A License located at 1811 Selby Avenue (ID �I49063).
RECOMMENDA710N5: Approve (A) or Reject (R1 pERSONAL SERVICE CANTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PIANNING CAMMISS�ON _ C1VIL SERVICE COMMISS�ON �� Has tbis personBirm ever wwked mMer a contraa for this department?
_ CIB COMMITfEE _ YES NO
2. Has this person/iirm ever been a city employee?
_ STAFf
— YES NO
_ oIS75ilCT COUR7 _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORT$ WNICH COUNCIL O&IECTIVE> YES NO
Explain all yea answers on separete sheet antl attaeh to green sheet
INITIATING PROBI.EM, ISSUE, OPPORTUNITV (Who, What, When, Where. Why):
ADVANTAGESIFAPPROVED:
DISADVANTAGES IF APPRWED:
DISA�VAN7AGES IF NOT APPflOVED.
�O�L`� . . �f�t $�T
,i;�L 2 � s:;�7
TOiAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETEP (CIRCLE ONE) YES NO
FUNDItOG SOURCE AC7IVITV NUMBER
FINANCIAL INFORF3ATION: (EXPLAIN)
Greensheet# 379s5 L.1.E.P. REVIEW CHECKLIST �ate: s/1zl97 / qZ'q�.L
In TrackeYl q2 App'n Receivad / App'n Processed
License 1D # 49063 License Type: Cabaret-Class A
Company Name: Pangaea Coffee and Tea House LLC pgq: Pangaea Co£fee and Tea Aouse
Business Addresss: 1811 Selbv Avenue Business Phona: 645-4883
Contact Name%
Date to Council
Public Hearing
Notice Sent to
Notice Sent to
Christina Si�ons, 2447 W
�aj9
f��i
�
Rd B Home Phone: 628-0843
5113
Labels Ordered: ��P� �
District Council #: i
Ward #: �
Departmerrt/ Date lnspections Comments
City Attorney
�''2{` Y�
Environmental
Health
� . t� . (,c. A �',. �'�
Fire
�- •'� �� � - K �
License sce a�an Received:_
Lease Repived:
�' l l9" � �
Poiice
�• 21 �9 �- C�. .
Zoning
���"��� �,� .
�� aa,��q���
�` �' � ` CLASS III
�,. . �c,�
fl F F i ��= "�-' '" ��ICENSE APPLICATION
�4T � g 32 eM �9�
�HIS APPLICATION IS SUBTECT TO REVIEW BY T[-IE PUBLIC
��o ��.
CITY OF SAINT PAUL
oe�� osL���, v+�;�
and Em�ironmrnial Proteciion�� ` Q`1
3VStPqa5t5vne300 � �
Sa'vaP�v�Ai'vmssota 35L02
(611) 3669090 Lx (613) 266913<
PLEASE TYPE OR PRINT IN Ii�1C �
T}pe of License(s) being applied for.��`!`�C – �.L�YJ��C � S�`�' �" —
E
Company Nazne:
/ Partnership / SoI< Propriatonhip
If business is
Doing Business As:
Business Address:
fl
St�eet Addreu � Cin� ` Scem Zip
BetN'cen w�hat cross sVeets is the business located? l� �� �/ 'r Fa � n//Z�''� �CGkl1tC r 1 VJhich side of the street? �'�
Are the premises now occupied? U.P _� t � � T}pe of Business? _�lY�PQ 1^ O L� f ,`
MailFoAddress: l��t C����l RZW car�� P�.p dM/I'IVl - 5���7_ __
Slrcei.4ddress Cin' Ststc Zip
Applicant Infonnation: +� j ! (�
NameandTitle: �i!/lriSilVLGI ��t�Q.bZ-�lt ��a,��1vt � /��•tinrr
First Afiddle (Maidrn) La+t Tit(e
HomeAddress: l ?c/�-/� in�. �:��a in� y /�(� � j� �(1 ��D (PN! ��G l}'�! rll�. _5���_
svKC aaa,� c,n ! s�c� z�p
Date of Birth: {i ! � � ��. Ptace of Buth: � Y196 CL��I,M1n�"`9 r �L7 �T'"h l �eme Phone: �a� ' (Jf3 �/ �i
Hace you e��er been concicted of any felony, crune or � iolation of an}' c�ty ordinance other than tr�c? YES NO �
Date of anest:
Chazge: _
Com�ction:
Business Phone:
Where?
Sentence:
List the nacnes and residences of three persons of good moral character; living � ithin the Twin Cities Metro Area, not related to ihe applicant
or financiall}' interested in the pretnises or business, wfio may be refrned to as to the applicant's chua:ter:
NAME
give date of
ADDRESS PHONE
2!IS/97
Ha�•e any of the above named licenxs e�•er bcen ret�oked? YL ✓ IQO If }'es, list Ihe dates and reasons for re� ocation:
Are }'ou going to operate tivs business personaUy? � YES NO If not, �rho tri(1 operate it A^' n/ (
..
\ame
�hiddie
Lsst
Home Addras: SVeei
Are }'ou going to hace a manager or assistant in this business7
please complete the follo�sing informaaon:
��
Home Address: Shee[ �'smc
(�Saidrn)
City
� �$
f� (�
Please list your emplo}inent history for the pre�=ious five (5) } eaz period:
BusinesslEmnlo�znent Address
If business is a partnership, please include the following informalion for each partner (use
Fvat:��e
.�u�l� Ul. <.o
Home Add=e�a: StTee[ �ame
Fint\ame
Home Address: Strect \nme
\Siddle Initiel
I-�k f D
(!�faidrn)
c�Ty
Zip
Stzte
S�su
nei�
Pfionc \umber
pages if necessary):
���2ol�C Il�Zal�
Lsst Da4atBirth
l� �i��j� (0�� ��
ZiP Phon<:�umbcr
i
t,�� Datcof6'vil+
Zio Phon< \umber
MINI3ESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Lau�s of Minnesota, 1984, Chapter 502, Article 8, Section 2(270.72)
(Tax Clearence; Issuance of Licenses), licensing authorities are required lo provide to the State of Mumesota Commissioner of Revenue, the
Minnesota business tai iden�cation numbzr and the sceial security number of each license appiicant.
Under the Minnesota Gocemmrnt Data Practices Act and the Federal Privacy Act of 1974, we aze required to advise you of the fotlou'ing
regazding the use of the Minnesota Tax Ident�calion Number:
- This information may be used to deny the issuance or renewal of your licrnse in the event you o«�e Minnesota sales, employer s
a�it3il�olding or motor <<ehicle excise tazes;
- Upon receiving this information, the licensing authority �a•ill supply it only to the Minnesota Department of Revenue. Hoc��e��er,
under the Federal Exchange of Information Agreement, the Deparlment of Reeenue may supply ilus infoimation to the Intemal
Revenue Sectitice.
Minnesota Ta� Identificalian 13umbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department,
10 Ri��er Pazk Plaza (612-296-6 ] 8]).
Social Security Number: � ��� � i�� Minnesota Tax Ident�cation Number: �!u ��� 5
U'a Minnesota Tax Identification Number is not requ�red ior Ihe business being operated, indicate so b}' placing an "X" in the box.
Siete ' t�p
¢. �y -�...,�
h"
�` �� � y i
��.� ,,'$ p ^o
Detc o .�S � Z �Y
�� �
honc �umbcr Qo R
NO If the manager is not the sazne as the operator,
t��
State
2/7 S/97
List all other officers of the corporadon:
OFFICER 7ITLE HQME HOME BUSINESS DATE OF
hAME (Office Held) ADDRESS PHONE PHONB HIRTH
Presented
/ ��S
Council File #` � '� �o
Ordinance �
Green Sheet � 37955
�t�l� �a f`i Tu``t�— 8� c, �°�`�
RESOLUT{ON
CITY OF SAIN7 PAUL, MINNESOTA
1
2
3
4
$
6
7
8
9
10
il
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Referred To Committee: Date
�
RESOLVED: That application, ID ,�49063, for a Cabaret-Class A License by Pangaca Coffee
and Tea Aouse LI.0 DBA Pangaca Coffee and Tea House {Christine Simmons, owner)
at 1811 Selby Avenue, be and same is hereby approved with the following
condition:
f'/tfG'v-fQi•JOV.E' �
1) There shall be no �e. a£ter 10:00 PM
Requested by Department of:
office of License Inspections and
EnvirorLmental Protection
By: ll�l�,.-a� � �`S�..s
Form Approve by City At.�
Adopted by Council: Date By: _ / , yJ ��_,,���
�
Adoption Certified by Council 5ecretary Approved by ayor for Submission to
^ Council
B7 '' -- a - r� j
Approved by Mayor: Date /
� tJtS�7' sY.
BY� ` � � T
Council File # �" ► � 14�
Ordinance #
Green Sheet # � �' 1
Q�I���!;��
Presented By
Referred To
Requested by Department ofs
1 RESOLVED:
2
3
4
5
6
a a��
a o�
9 Harrzs
10 Me�
11 Morton
12 T�
13 Co ins
14
15
16 Adopted by
17
18 Adoption C
19
20
21 By;
22
23 Approved ,
24
25
26 By:
27
That application (ID #490b3) for a Cabaret-Class A License by
LLC DBA Pangaea Coffce and Tea House (Christina Simmons,
and the same is hereby approved. �
Off'ce of Liaense Inn�ctiona and
Envitonmental Protect�on
Date
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Coffee and Tea House
at 1811 Selby Avenue be
by Council Secretary
Mayore Date
�/5
Committee:
By: �� n ���
Form Approved by City Attorney
BY� �/'.h9 � � �' �-„�t�
Approved by Mayor for Submission to
Council
By:
9'� -9 L�
DEPARTAENTpFFICE4COUNdL DATEINITIATED GREEN SHEE � � � � �
LIEP/Licensing INITIAVDATE INITIAVDATE
CONTACTPERSON & PHONE � DEPARTMENT DIRECTOR � CIN COUNqL
Ghristine Rozek, 266-9108 ASSIGN OCT'ATfORNEV �qTYCIERK
NUNBERFOA
MUST BE ON CAUNCIL AGEN�A BY (0 TE) pOUTiNG O BUOGET DIRECTOR � FIN. & MGL SERVICES OIR.
For hearin : �� �qDER O MAYOR (OR ASSI5TANT) �
TOTAL # OF SIGNASURE PAGES (CLIP ALL IOCATIONS FOR SIGNATURE)
ACTION REQUESTED'
Pangaea Coffee and Tea House LLC DSA Pangaea Coffee and Tea House requests Council approval
of its application for a Cabaret-Class A License located at 1811 Selby Avenue (ID �I49063).
RECOMMENDA710N5: Approve (A) or Reject (R1 pERSONAL SERVICE CANTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PIANNING CAMMISS�ON _ C1VIL SERVICE COMMISS�ON �� Has tbis personBirm ever wwked mMer a contraa for this department?
_ CIB COMMITfEE _ YES NO
2. Has this person/iirm ever been a city employee?
_ STAFf
— YES NO
_ oIS75ilCT COUR7 _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORT$ WNICH COUNCIL O&IECTIVE> YES NO
Explain all yea answers on separete sheet antl attaeh to green sheet
INITIATING PROBI.EM, ISSUE, OPPORTUNITV (Who, What, When, Where. Why):
ADVANTAGESIFAPPROVED:
DISADVANTAGES IF APPRWED:
DISA�VAN7AGES IF NOT APPflOVED.
�O�L`� . . �f�t $�T
,i;�L 2 � s:;�7
TOiAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETEP (CIRCLE ONE) YES NO
FUNDItOG SOURCE AC7IVITV NUMBER
FINANCIAL INFORF3ATION: (EXPLAIN)
Greensheet# 379s5 L.1.E.P. REVIEW CHECKLIST �ate: s/1zl97 / qZ'q�.L
In TrackeYl q2 App'n Receivad / App'n Processed
License 1D # 49063 License Type: Cabaret-Class A
Company Name: Pangaea Coffee and Tea House LLC pgq: Pangaea Co£fee and Tea Aouse
Business Addresss: 1811 Selbv Avenue Business Phona: 645-4883
Contact Name%
Date to Council
Public Hearing
Notice Sent to
Notice Sent to
Christina Si�ons, 2447 W
�aj9
f��i
�
Rd B Home Phone: 628-0843
5113
Labels Ordered: ��P� �
District Council #: i
Ward #: �
Departmerrt/ Date lnspections Comments
City Attorney
�''2{` Y�
Environmental
Health
� . t� . (,c. A �',. �'�
Fire
�- •'� �� � - K �
License sce a�an Received:_
Lease Repived:
�' l l9" � �
Poiice
�• 21 �9 �- C�. .
Zoning
���"��� �,� .
�� aa,��q���
�` �' � ` CLASS III
�,. . �c,�
fl F F i ��= "�-' '" ��ICENSE APPLICATION
�4T � g 32 eM �9�
�HIS APPLICATION IS SUBTECT TO REVIEW BY T[-IE PUBLIC
��o ��.
CITY OF SAINT PAUL
oe�� osL���, v+�;�
and Em�ironmrnial Proteciion�� ` Q`1
3VStPqa5t5vne300 � �
Sa'vaP�v�Ai'vmssota 35L02
(611) 3669090 Lx (613) 266913<
PLEASE TYPE OR PRINT IN Ii�1C �
T}pe of License(s) being applied for.��`!`�C – �.L�YJ��C � S�`�' �" —
E
Company Nazne:
/ Partnership / SoI< Propriatonhip
If business is
Doing Business As:
Business Address:
fl
St�eet Addreu � Cin� ` Scem Zip
BetN'cen w�hat cross sVeets is the business located? l� �� �/ 'r Fa � n//Z�''� �CGkl1tC r 1 VJhich side of the street? �'�
Are the premises now occupied? U.P _� t � � T}pe of Business? _�lY�PQ 1^ O L� f ,`
MailFoAddress: l��t C����l RZW car�� P�.p dM/I'IVl - 5���7_ __
Slrcei.4ddress Cin' Ststc Zip
Applicant Infonnation: +� j ! (�
NameandTitle: �i!/lriSilVLGI ��t�Q.bZ-�lt ��a,��1vt � /��•tinrr
First Afiddle (Maidrn) La+t Tit(e
HomeAddress: l ?c/�-/� in�. �:��a in� y /�(� � j� �(1 ��D (PN! ��G l}'�! rll�. _5���_
svKC aaa,� c,n ! s�c� z�p
Date of Birth: {i ! � � ��. Ptace of Buth: � Y196 CL��I,M1n�"`9 r �L7 �T'"h l �eme Phone: �a� ' (Jf3 �/ �i
Hace you e��er been concicted of any felony, crune or � iolation of an}' c�ty ordinance other than tr�c? YES NO �
Date of anest:
Chazge: _
Com�ction:
Business Phone:
Where?
Sentence:
List the nacnes and residences of three persons of good moral character; living � ithin the Twin Cities Metro Area, not related to ihe applicant
or financiall}' interested in the pretnises or business, wfio may be refrned to as to the applicant's chua:ter:
NAME
give date of
ADDRESS PHONE
2!IS/97
Ha�•e any of the above named licenxs e�•er bcen ret�oked? YL ✓ IQO If }'es, list Ihe dates and reasons for re� ocation:
Are }'ou going to operate tivs business personaUy? � YES NO If not, �rho tri(1 operate it A^' n/ (
..
\ame
�hiddie
Lsst
Home Addras: SVeei
Are }'ou going to hace a manager or assistant in this business7
please complete the follo�sing informaaon:
��
Home Address: Shee[ �'smc
(�Saidrn)
City
� �$
f� (�
Please list your emplo}inent history for the pre�=ious five (5) } eaz period:
BusinesslEmnlo�znent Address
If business is a partnership, please include the following informalion for each partner (use
Fvat:��e
.�u�l� Ul. <.o
Home Add=e�a: StTee[ �ame
Fint\ame
Home Address: Strect \nme
\Siddle Initiel
I-�k f D
(!�faidrn)
c�Ty
Zip
Stzte
S�su
nei�
Pfionc \umber
pages if necessary):
���2ol�C Il�Zal�
Lsst Da4atBirth
l� �i��j� (0�� ��
ZiP Phon<:�umbcr
i
t,�� Datcof6'vil+
Zio Phon< \umber
MINI3ESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Lau�s of Minnesota, 1984, Chapter 502, Article 8, Section 2(270.72)
(Tax Clearence; Issuance of Licenses), licensing authorities are required lo provide to the State of Mumesota Commissioner of Revenue, the
Minnesota business tai iden�cation numbzr and the sceial security number of each license appiicant.
Under the Minnesota Gocemmrnt Data Practices Act and the Federal Privacy Act of 1974, we aze required to advise you of the fotlou'ing
regazding the use of the Minnesota Tax Ident�calion Number:
- This information may be used to deny the issuance or renewal of your licrnse in the event you o«�e Minnesota sales, employer s
a�it3il�olding or motor <<ehicle excise tazes;
- Upon receiving this information, the licensing authority �a•ill supply it only to the Minnesota Department of Revenue. Hoc��e��er,
under the Federal Exchange of Information Agreement, the Deparlment of Reeenue may supply ilus infoimation to the Intemal
Revenue Sectitice.
Minnesota Ta� Identificalian 13umbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department,
10 Ri��er Pazk Plaza (612-296-6 ] 8]).
Social Security Number: � ��� � i�� Minnesota Tax Ident�cation Number: �!u ��� 5
U'a Minnesota Tax Identification Number is not requ�red ior Ihe business being operated, indicate so b}' placing an "X" in the box.
Siete ' t�p
¢. �y -�...,�
h"
�` �� � y i
��.� ,,'$ p ^o
Detc o .�S � Z �Y
�� �
honc �umbcr Qo R
NO If the manager is not the sazne as the operator,
t��
State
2/7 S/97
List all other officers of the corporadon:
OFFICER 7ITLE HQME HOME BUSINESS DATE OF
hAME (Office Held) ADDRESS PHONE PHONB HIRTH