91-1388 J�����y� C Co ncil File # ��
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G een Sheet ,� 14350
RESOLUTION
CITY OF SAINT PAUL, MINNESOT :#� ...
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Presented By % ; �,,.
Referred To Commi tee: Date �'=�.
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RESOLVED: That Application (I.D. #39475) for a General Repair arage License a $�.yi
for by J.D. Enterprises DBA Auto Max Znc. (John S. V nderboom - Pres`f' .` ` ) at
847 White Bear Avenue be and the same is hereby appr ved, r, " �
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Yeas Navs Absent Requested by Dep rtment of: , ,�"4 ?
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Gonwl Z �- License & Permit Division -
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Adopted by Council: Date Form Approved b City Attorney
Adoption Certified by Council Secretary � •
By: , .
By: :J :t�
AUG i �gg� Approved by May r for Submission to "�''�:
Approved by Mayor: Date Council
By: By:
POBLlSiiED AUG 10�91
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DEPARTMENT/OFFICE/COUNCIL DATEINITIATED GREEN SHE � T �� - ����0
Finance/License
CO TA PE ON& HONE INITIAUDA INITIAUDATE
DEPARTMENT DIRECTOR CITY COUNCIL
r s an �iorn/298-5056 ❑ ❑
ASSIGN �CITYATTORNEY �CITYCLERK
NUMBER FOR
MU$T�OfJ�j4yGE.N�A BY(�D`TE) ORDER G ❑BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
p' 1i lVti"� �( MAYOR(OR ASSISTAN�
❑ Q Cni�nri 1 R
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�UESTED: ;. �
Application (I.D. 4�39475) for a General Repair Garage License � �i;�� �
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RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MUST ANS ER THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMIS310N �• Has this person/firm ever worked under e contr for this departme�t?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employee.
_STAFF
- YES NO
_ DISTRICT COURT _ 3. Does this rson/firm
pe possess a skill not normal y possessed by any currerit C�i empkyee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO ��i
Explain all yes answers on separate sheet and ttach to green sheel - �
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INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
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J.D. Enterprises DBA Auto Max Inc. (John S. Vanderboom - Preside t) requests Cou��� ��4
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approval of its appliction for a General Repair Garage License a 847 White Bear A � e.
All applications and fees have been submitted. All required dep rtments have rev:L and
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approved this application. � wcj
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ADVANTAOES IF APPROVED:
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DISADVANTAGES IFAPPROVED: ��
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DISADVANTAGES IF NOTAPPROVED:
Council Research Cent` a
JUL 15 1991 ��
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TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETEp( IRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) �1��
W
�4 F , � , � . . �
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
B�low are correct routings fqr the Hve most frequent rypes of documents:
CONTR/1�TS�assumes authorized budget exists) COUNCIL RESOLUTION(Amend Budgets/Accept. Grants)
1, py M� 1. Department Director
2. Dr��i��c� : � ;-,.� 2. City Attomey
3. Ciry Attor �4,���� 3. Budget Director
q. '��,000) 4. MayodAssistant
5.►-#�����s����p�over$50,000) 5. Ciry Council
6. Firtance and N(Brlqpb�hsr�t Services Director 8. Chief Accountant, Finance and Management Services
7. Finp�Oe Acxoantlng `�
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION(all others,and Ordinances)
1. Activity ManBger 1. Department Director
2. Depart�rit:Accountsnt 2. Ciry Attorney
3. Depa►'tr�Qit�ecRar;, 3. Mayor Assistant
4. Budgef jA1rectar . , 4. City Council
5. Ciry
6. Chief �inance and Management Services
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ADMINISTA7R7`l�f,�?ERS(all others)
1. De�B
2. CiEy ='
3. FMa' '�' �lan�gement Services Director
4. �
TO'FXL' �; "fi�SICiNATURE PAGES
, Ind `�.�ages on which signatures are required and paperclip or flag
eoc_ , p�p�s.
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A �¢UESTED
'=,�1at ihe projecUrequest seeks to accomplish in either chronologi-
p[prder of importance,whichever is most appropriate for the
i�jp.�tot write complete sentences.Begin each item in your list with ,
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a��'��
NDATIONS
if the issue in question has been presented before any body,public
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,� � �,�RTS WHICH COUNCIL OBJECTIVE?
���� afiich Council objective(s)your projecVrequest supports by listing
�, � wor�d(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
T,SEWER SEPARATION). (SEE COMPLETE UST IN INSTRUCTIONAL MANUAL.)
�NAL SERVICE CONTRACTS:
` .��»mation will be used to determine the citys liabiliry for workers compensation claims,taxes and proper civil service hiring rules.
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TtNG PROBLEM, ISSUE,OPPORTUNHTY
T�.*`��� ' .H�e situation or condiUons that created a need for your project
b'� � '�l^��" .
.�.C[.. -� . .
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N'�AGES IF APPROVED
�hether this is simply an annual budget procedure required by law/
-or whether there are speciflc ways in which the City of Saint Paul
citizens will benefit from this projecUaction.
NTAOES IF APPROVED
� tive effects or major changes to existing or past processes might
"` request produce if it is passed(e.g.,traffic delays, noise,
s or assessments)?To Whom?When?For how long?
� f?VANTAGES IF NOT APPROVED
`� "II be the negative consequences if the promised action is not
'A. ?Inability to deliver service7 Continued high traffic, noise,
" rate?Loss of revenue?
L ����NCIAL IMPACT
A{ihough you must tailor the information you provide here to the issue you
are eddressing,in general you must answer two questions:How much is it
going to cost?Who is going to pay?
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DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST Ap Processed/Received by
. Lic Enf Aud.
Applicant ��, ��jli So� . Home Address � .i1.4
Business Name �� '�'`(��� �'y,.i�. Home Phone `� S — (�y.Z, ' '
Business Address �l.�`1 (�Jl��.�Da r4iv � Type of License(s) � "" ,.� " � �
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Business Phone'�1� - (�"1 (v�
Public Hearing Date ��3O'� � License I.D. �� 3 'Z
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. ��
Date Notice Sent; Dealer � '►� �R °. i
to Applicant ''� � � q �:'
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Federal Firearms �1� 1� `fl, �
Public Hearing � `� �T '
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DATE INSPECTION �fr�,•. .
REVIEW VERFIED (COMPUTER) COrIl�IENTS �� � '_�, '
A roved Not A roved � Yz ��x��'.
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Bldg I & D � I ��k,���
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Health Divn.
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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
LICENSE & PERMIT DIVISION „�_,
APPLICATION FOR CLASS III LICENSE �;,;:'°�i:>.'�;:'�'��
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(IF YOU HAVE QUESTIONS REGARDING THIS FORM, CALL KRIS V HORN AT;29�=505�' �w .
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Directions: THIS FORM MUST BE FILLED OUT WITH TYPEWRITER OR BY'•PRr�t',�'I�r±$�
INK BY THE LICENSE APPLICANT � ���"�`y,,�:�r,, .'
THIS APPLICAT ON IS SU E T TO REVIEW BY TH PUBL ,
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1) Application for (type of license) �� �
2) Located at (business address) y� ��G� � �
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(Number) (Name) (Type) �D�r��'�,
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3) Business Name � � � � l,�� � � '�� •
orporation Partnership or Sole roprietorshi� ��,��;rY �
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4) If business is incorporated, give date of incorporati n � o�� 14 �^�+ �sf
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S) Doing Business As �G�/!O � Business hone ��1�� � _��
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(Name) k; ,��,�y
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6) Mail to Address (if different than business address) �"' 7 �
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STREET: Number Name Type Direction � "w�'' *' ;
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City State Zip Code
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7) Your Name and Title�,� � �/' <=�
(First) (Middle) (Maiden) (La t) (Tit1e) :.�;`�;;r
8) Home Address �� �f� �� /�C� ,����(/E Phone� �jf�'30���r
STREET: Number Name Type Direction
9) Date of Birth � � — � Place of Birth (�. /,3'. '
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(Month, Day & Year) �-" -���
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10) Are you a citizen of the United States? ��G,� Native Naturalized '�'
Zf you are not a U.S. resident, you must have work a thorization from the
U.S . Immigration & Naturalization Service.
11) Have you ever been convicted of any felony, crime or violation of any ; .
city ordinance other than traffic? YES NO
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Date of arrest , 19 Where � �"'�;
Charge 'R,'
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Conviction Sentence '��;+;
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12) List the names and residences of three persons withi the MetYO Area of ,f-`:.,;;
good moral character, not related to the applicant o financially ''�
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interested in the premises or business, who may be r ferred to as to ��y`��
applicant's character: � .�;��°�� ,,r, � .!,'�� �
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NAME ADDRES S PH ''M� ���+,Y` `a
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13) List licenses which you currently hold, or formerly eld, or utay, have �,ti . .?y =��� .;�
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interest in�Q�� ; �'
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14) Have any of the licenses listed by you in No. 14 eve been revoked� `. �#��' �„"=`i `
Yes _ No _ If answer is "yes" , list the dates nd reasons � �'��,' '�'�'
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15) Are you going to operate this business personally? If nar, ��,� '- r , ,;
who will operate it? � r�.'��,���
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Name of Operator Date of Birth ;;,�r,
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Home Address r`"
(Number) (Name) (City) (State) (Zip) G',1�',
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Telephone Number ' �"
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16) Are you going to have a manager or assistant in this business? ,i���Q',�/�'���
If different from operator, please complete the fol owing information: `�=�'�
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Name C���s ��J��� Address 40 � /��/ � t`
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Phone Date of Birth 'b .r;:�.
17) Including your present business/employment, what bu iness/employment have *�.'r`'
you followed for the past five years? ��`
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Business/Emplovment Addres
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18) List all other officers of the corporation: ��:
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NAME TITLE HOME ADDRESS HOME BUS NESS DATE 0$' � ,� ��,r
(Office Held) PHONE PH NE � �"���, ' ��,'�"�>,�s''���,��� �
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19) If business is partnership, list partner(s) , address�, home and � � A
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business phone number. '<� , ' ' . `,'
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Name % ' �
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Home Phone Bus ine s s Phone �' ,`�"�" � 'x�'
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Name Address ,±�,?
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Home Phone Business Phone ��
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20) Attach to this application a detailed description o the design, lac����, �'4�'`
and square footage of the premises to be licensed. 'x��.: �.
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21) Attach to this application a copy of your lease agr ement or proof af
ownership of the property. ,"��.�. *�, '
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. 22) Between what cross streets is business located? �/�
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Which side of street? l C�%
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23) Are premises now occupied? � What type of bus'ness? '��,C� T/' ,:;
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ANY FALSIFICATION OF ANSWERS GIVEN OR MA ERIAL �ti��
SUBMITTED WILL RESULT IN DENIAL OF THIS APP ICATION ��';`
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I hereby state under oath that I have answered all of th above questions, and ;�i�i;�
that the information contained herein is true and correc to the best of my { �t,�
knowledge and belief. I hereby state further under oath that I have received ' � '�
no money or other consideration, by way of 1oan, gift, c ntribution, or
otherwise, other than already disclosed in the applicati n which I herewith `�"'
submitted. t,,<
STATE OF MINNESOTA) � j'
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COUNTY OF Fc.:MSEY )
Subscribed and sworn to before me this
Signature o Applicant / Date
day o f , 19 ;��
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Notary Public County, MN
My Commission eYpires
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