91-1389 oR���N�L
Co ncil File #` �
, �� �
G een Sheet # 14488
RESOLUTION
CITY F SAINT PAUL, MIN ESOT ;� 4<�,
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Presented By ' �w� "t
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Referred To Commi tee: : i�ate ���� :
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RESOLVED: That Application (I.D. #45125) for a Health/Sports C ub-A License� `� � ��`r�X`�' '
by YMCA of Greater Saint Paul (J.R. Shannon, V.P. Fa ility Manage� � ' f "`
E. 6th Street be and the same is hereby approved. �`�1•,'� � -���
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Yeas Nays Absent Requested by Dep rtment of:
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on -- License & Permit Division
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Adopted by Council: Date Form Approved b City Attorney
Adoption Certified by Council Secretary
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By:
Approved by Mayor: Date A G 1 1991
Approved by May r for Submiasion to
Council
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Y• By:
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED G R E E N SH E T N° _ 14 4 8 8
Finance/License
CONTACT PERSON&PHONE INITIAUDA INITIAUDATE
DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 ASSIGN CITYATTORNEY �CITYCLERK
NUMBER FOR
MU T ON COUN IL AGENDA BY(DATE) 4� ROUTING �BUD(3ET DIRECTOR �FIN.&MCiT.SERVICES DIR.
a�R HEAR�ING: 7 3� ORDER MAYOR(OR ASSISTANn
❑ � ('.oimci 1
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. 4�45125) for a Health & Sports Club-A License �
RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANS ER THE FOLF.OWiNG_CUESTIONS;
_PLANNING COMMISSION _CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contr for this departmerlt7 �
_CIB COMMITTEE _ YES NO :
2. Has this personlfirm ever been a city employee
_STAFF
— YES NO
_DISTRICT COURr _ 3. Does this person/firm possess a skill not norma y possessed by any�ljrrent�C etnploy4e?: •_ �
SUPPORTS WHICH COUNCIL OB.IECTIVE7 YES NO -r'.- '
Explaln all yes enswers on separate aheet and ttach to green aheet �''-' ,
`.:;"��,.i{' ,F'.
INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What.When,Where,Why): •""' "'
YMCA of Greater St. Paul (J.R. Shannon - V.P. Facility Manageme t) at 194 E ���'.e��e��
requests Council approval of its application for a Health/Sport Club-A License'.=�``��"
applications and fees have been submitted. All required depart ents have review�`. <'
approved this application. �' ,5= � ,, •,��,,
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ADVANTAGES IFAPPROVED:
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DISADVANTACiES IF APPROVED:
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DISADVANTAOES IF NOTAPPROVED:
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RECEIVED _
JUL 15 1g91 Counce! R���arch '���`
CITY CLERK JUL 1 5 1991 ��
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TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETEp CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) I� �OC •
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NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are correct routings.fo�Me flve most frequent rypes of documents:
�-:
CONTRACTS(a�srxnes authorfzed budget exists) COUNCIL RESOlUT10N(Amend Budgets/Accept. Grants)
1. Outside Agen�y, 1. Department Director
2. Depar�lpnE,�or:� 2. Ciry Attorney
3. Ciry Att�rney 3. Budget Director
4. Mayor(for contracsis. �15�t�0) 4. Mayor/Assistant
5. Human Rlflhte��Q►���a:over�50,000) 5. Ciry Council
6. Finance and MaA��ervices Director 6. Chief Accountant, Finance and Management Services
7. Finance Acxouhti� .,
ADMINISTRATIVE ORRERS_(Budget Revision) COUNCIL RESOWTION(all others,and Ordinances)
t. AcUvity ManaQer 1. Department Director
2. DepertmenR Acoou�t8r� 2. Ciry Attomey
3. Dspartm�nt .t.`"� 3. Mayor Assistant
4.• B3dget DkeCtOi�� �' 4. City Council
' 5. Ciry Cfec�C; .
6. Chi�f,Acr�aa'�nt, Finance and Management Services
ADMi[�USTi�fil/�OADERS(all others)
1. =Dep tor
2. Clt��-,� ��-,
3. F' �gement Services Director
4. .Cil�c
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':?�F SIGNATURE PAGES
� ��. , pages on which signatures are required and paperclip or flag
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�r.,,'";c l#ESTED
' `iWRa!fMe projecUrequest seeks to accomplish in either chronologi-
�.:� ` cr order of importance,whichever is most appropriate for the
;,��_ not wr�e complete sentences. Begin each item in your list with
.. ' � ..
,;_� 1�,.
� �NDATIONS
-�`.=',:,, "N#he issue in question has been presented before any body, public
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FiTS WHICH COUNCIL OBJECTIVE?
which Council objective(s)your project/request supports by listing
word(s)(HOUSING, RECREATION,NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
L SERVICE CONTRACTS:
information will be used to determine the city's liability for workers compensation claims,taxes and proper civil service hiring rules.
;iATING PROBLEM, ISSUE,OPPORTUNITY
`the situation or conditions that created a need for your project
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AGES IF APPROVED
'whether this is simply an annual budget procedure required by law/
' r whether there are specific ways in which the City of Saint Paul
tizens will benefit from this projecUaction.
NTAGES IF APPROVED
ative effects or major changes to existing or past processes might �
request produce if it is passed (e.g.,traffic delays, noise,
ses or assessments)?To Whom?When?For how long?
.� NTAGES IF NOT APPROVED
be the negative consequences if the promised action is not
,`� ?Inability to deliver service?Continued high traffic, noise,
pt rate?Loss of revenue?
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T�u' CIAL IMPACT
� ��=h;�t�,0ugh you must tailor the information you provide here to the issue you
An9 8ddressing,in general you must answer two questions: How much is it
gaing to cost?Who is going to pay?
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DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST App Processed/Received by
Lic Enf Aud
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Applicant �� rnC� � ��r�� �'�,u.Q Home Address '�/1.�. (y'�S�
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Bus ine s s Name � S�.u,�>�,, t��'►�L q Home Phone -�.
Business Address ��,C� �- �g� � . Type of License(s) ��� .,' � �'�,(_ _-L�,
, �—_
Business Phone �a `����� � �.y
Public Hearing Date ^ � �, License I.D. 4� ' — � �•"''
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� ?j �
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Date Notice Sent; Dealer � � �
to Applicant �"S 1 1
Federal Firearms 4� Y1�A �
Public Hearing �y .
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DATE INSPECTION ,,, * �� '
REVIEW VERFIED (COMPUTER) COMMENTS �"�,�`° - �
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A roved Not A roved �
Y-� ;�.,;:. . .
Bldg I & D `" ` �
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Health Divn. � �� ���:-��� ,� � �
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Fire Dept. � �'� i
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Police Dept. ��
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License Divn. (p/ f #u� ;
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City Attorney � '`'
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Date Received:
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Site Plan :�' �'�
To Council Resea ch `'
Lease or Letter Date
from Landlord
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CITY OF SAINT PAUL
DEPARTMENT OF FINANCE dND :SANAGII'�:1T SERVI ES
LICENSE AND PERMZT DIVISION
These statement fozms are issued ia duplicate. Please aaswer all uestioas fully aad com— '
pletely. This application is thoroughly checked. Any falsificati a �ril.2 be cause for deaial.. �
Health/Sports Club :��'�a : ^
I) Application for (type of license) '� "
2) Located at (business address) 194 Sixth Street East - - - - Paved E-iN
Number Street vame Street Tq�e �irection
J R. Shannon
3) Name of applicant ��°�� �
4) �pplicant's title !corporate oificer, sole owner, partner, ot er) V.P. Facility".Management
5) tiame under which this business will be conducted:
YMCa of Greater Saint Paul S?!�; :` �
Applicant / Company Name Doi g Business ?�s ; '.,
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6) Business telephone number 292-4100 ,`�� ' �?� .
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d' e ent than business address) : ' �,`A �� „`t !
7) �Iail to address (if iff r ; �,. . �
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194 Six�h St. , East Paved E 4Y '=;, °}.
Street �lumber Street vame Street Type S[reec Directiot�� ��+;',;
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8} If aopiicant is/has been a married female, list �aiden name ;
n.��Y�r:
9) Date of oirth 8-4-�8 Age SZ P1ace of bir h _ .`'':'�?
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LO) Are you a citizen of the Uni.ted States? yeS ,lative yes Naturalized �'�
11) �re you a registered voter? yeS Where? Columbia H ights, "�I
12) Hone address 4717 NE Sixth Street, Columbia Heights �IN 572-8600 �S
ame Phone
L3) Present business address 194 Sixth Street East, Box 44 gusi ess Phone 2g2'4103
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I4) Lncluding your oresent business/empl.oyment, whac business/emv oqment hane you follow��,��
for the oast Live years? �
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Business/Emplayment Address '�'�
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YMCA of Greater Saint Paul 194 Sixth Stree East, Box 44, St. Pa ``
15) ;Tarried? YeS If answer is "ves", Iist che name and a dress of spouse. �
.���:y,;4i;. ��,�y,
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Karen Shannon, 4717 NE Sixth Street, Columbia Heights r'+ <
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26) If busiaess is incorporated, give date of incorporation , l9
and attach a co of Articles of Incor oration and minutes o tirst meetia .
27) List all officers of the corporation, giviag their names, of ice he1d, home address,
date of birth, and fiome and business telephone numbers.
See at�ached. �
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28) If the business is a partnership, Iist partner(s) address, t lephon�,">�'�', date of birch.
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29) Are you going to opera[e this business personally? NA f not, who will` oper�t� it?
Give their name, F�ome address, date of birth, and telephone umber .
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30) r�re you going to have a manager or assistant in this business? �A L,f �its� is
;qr y�
"yes", give name, aome address, date o= birth, and telephon number. �,°
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31) Has anyone you have named in questions vo. ZS through No. 2 ever been arrested? _ `'
If answer is "yes", list name of person, dates of arrest, w ere, charges, convlct�
H�•
and sentence. t .� _,:;,:
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32� j J R. Shannon understaad this premise may be inspected by t '
Police, rire, Health, and other city officials at any and a 1 times when the busi.n
is iz operation.
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Couaty of Ramsey ) Signature of Applica c / Date ,�:
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beiag duly sworn, deposes- and says upon oath tha�:x=
has read the foregoing statement beariag this signature aad know the contents thereoE, k}�
that the same is true of his owa knowledge except as to those ma ters threia stated upo`"
information and belief and as to thosa matters he belienes them o be tr�se. �
Subscribed and swom to before me this '
';�
� 1 ' 19 ��
t LEANN K. LASU
daq �j ` � �°��`�-'`� NuTARY PUBUC-MINNES TA �
Z WASHINGTON COUN Y ti „,
L�. i��pAY commission ezRires 6-9•95 � . �;
. ary Pub lic, Ra.�ey Ccunty Yinae�ta
Ky co�ission expires ^ - / '_ � ,, o
2ev. -.i,0