91-1416��r����r�
� , - �� ouncil File #
! Green She t # 16384
RESOLUTION � "
CITY OF SAINT PAUL, MINNESO A `� " �
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Presented By ';, .: �'�
Referred To Com�iittee: ,,'���//[
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RESOLVED: That Application (I.D. #22695) for a General Repai Garage License applied
for by J.D. Enterprises DBA Auto Max Inc. (John S. Vanderboom, President) at
1015 Rice Street be and the same is hereby approve .
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Yeas Nays Absent Requested by Dlpartment of:
imon �
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on License & Permit Division
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Adopted by Council: Date Auc i �gg� Form Approved by City Attorney
Adoption ertified by Council Secretary ' �
, By: �'' •�I
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By:
AUG 2 1991 Approved by Ma or for Submission to
Approved by Mayor: Date Council
By: gy;
PUBUSHED AUG 10'91
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED G R E E N S H E ET �� �����
Finance/License
CONTACT PERSON 8�PHONE INITIAVD E INITIAUDATE
�DEPARTMENT DIRECTOR 'C1TY•COUNpiL
Kris Van Horn/298-5056 ASSIGN CITYATTORNEY ' '�(E�g�(
NUMBER FOR
I�ST BE QN COU�CIL AGENDA BY(DATE) ROUTING �BUDGET DIRECTOR � M(3T.SERVICES DIR.
p'or rtear IIg: 1,(3v j q, ' ORDER �MAYOR(OR ASSISTANT) �' � R
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED: 3 :=� �Y , , '
y
Application (I.D. ��22695) for a General Repair Garage License 8 �
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RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANS ER THE FOLLOWING�UESTIONS:
_PLANNING COMMISSION _CIVIL SEHVICE COMMISSION 1. Has this person/firm ever worked under a contr for this department?
_CIB COMMITTEE _ YES NO
2. Has this person�rm ever been a city employee
_STAFF
— YES NO
_DiS7RICT COURT _ 3. Does this person/firm possess a skill not normal possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIV ? YES NO
���c��.4�ilt�������� Explaln all yes anawers on separate shest and ttach to grean sheet
INITIATINCi PROBLEM,ISSUE,OPPORTUNITY(Who,What, ,Where, y:
J.D. Enterprises DBA Auto Max Inc. (John S. Vanderboom-President) requests Council approval
of its application for a General Repair Garage License at 1015 Ri e Street. All applications
and fees have been submitted. Al1 required departments have revi wed and approved this
application.
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ADVANTAQE3 IF APPROVED:
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DISADVANTAGES IF APPROVED: r;"
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DISADVANTAOES IF NOT APPROVED:
RECEIVED Counc�l R�search Cer�er
,►��� 2 4 1991
,1U! 1 5 194�
CITY CLERK
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIR LE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) J�
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NOTE: COMP�ETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL �
MANUAL AVAILABLF,�iC�1 TI�IE PURCHASING OFFICE(PHONE NO.288-4225).
ROUTING ORDER: �4-;"' '" -
.�,�q{
Below are correct rout�� ',most frequent types of documents:
CONTRACTS(assu °� � udget exists) COUNCIL RESOLUTION(Amend Budgets/Accept.Grants)
1. Outside Agency '„ r£ �N 1. Department Director
2. Department Direcf�or �-`��".;. 2. City Attorney
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3. City Attorney � -� # "�'° 3. Budget Director
4. Mayor(for conVa� ,000) 4. Mayor/Assistant
5. Human Rights(fcr�cbht '' over$50,000) 5. City Council
6. Ffnance and ManagemarltiServices Director 6. Chief Accountant, Finance and Management Services
7. Finance Acxounting
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION(all others,and Ordinances)
1. Activity Manager 1, Department Director
2. Department Accountant 2. City Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(ail others)
1. Department Director
2. Ciry Attorney
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the�of pages on which signatures are required and papsrolip or fla�
each of thsse pa�es.
�' ACTION REQUESTED
.�`., Describe what the project/request seeks to accomplish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
� issue. Do not write complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in question has been presented before any body,public
or private.
� SUPPORTS WHICH COUNCIL OBJECTIVE?
;: Indicate which Council objective(s)your projecUrequest supports by listing
��?.the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
� DGET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAI MANUAL.)
� SONAL SERVICE CONTRACTS:
information will be used to determine the city's liability for workers compensation claims,taxes and proper civil service hiring rules.
":y`.
t; IATING PROBLEM, ISSUE,OPPORTUNITY
in the situation or conditions that created a need for your project
� `�� uest.
��' ���:ADVANTAGES IF APPROVED
. �, lndicate whether this is simply an annual budget procedure required by Iaw/
charter or whether there are specific ways in which the Ciry of Saint Paul
- and its citizens will benefit from this project/action.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce if it is passed(e.g.,traffic delays, noise,
, tax increases or assessments)?To Whom?When?For how long?
. DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved?Inability to deliver service?Continued high t[affic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing,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 n ed/Reeeived by
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Lic Enf Aud
Applicant 5.�, �,.�,r��',�e.s Home Address �` , �,�. ,�jp,�,;,��
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Business Name �j ����,� . Home Phone `1 , —
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Business Address l(�l5�; � .� Type of License(s .������-� y� �1
Business Phone _C��'') - � � �
Public Hearing Date ''� I?��c�/ License I.D. � ���- �'
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� � � (.O�a��
Date Notice Sent; Dealer � V�, �
to Applicant �� �� �� �
T Federal Firearms � � ,
Public Hearing ��
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DATE INSPECTION I
REVIEW VERFIED (COMPUTER) CO1rIl�IENTS
A roved Not A roved
Bldg I & D � + �!, '�
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Health Divn. I - �,' �
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Fire Dept. � �, 3� �
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Police Dept. „� I ,I
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License Divn. '1 f I�� "
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City Attorney � �
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Date Received:
Site Plan
To Council Resea ch
Lease or Letter Date
from Landlord
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CITY OF SAINT PAUL ` ' ��'� -
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LICENSE & PERMIT DIVISION -`
APPLICATION FOR CLASS III LICENS !��`<fi �"�
(IF YOU HAVE QUESTIONS REGARDING THIS FORM, CALL KRIS VAN H : '�-5056) .
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Directions: THIS FORM MUST BE FILLED OUT WITH TYPEWRIT�R OR BY �XNG IN
INK BY THE LICENSE APPLICANT ��`�" �` �'
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THIS APPLICATION IS SUBJECT TO REVIEW BY T,�,iE PUBLIC
1) Application for (type of license) C��l,� 1�_TIQ L/Q�.
2) Located at (business address) Q � � " s% � J`r� ,
(Number) (Name) (Type) (Dir)
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3) Bus ine s s Name , �jQ 710 �J� Z� ,
orporatio Partnership or Sole Proprietorship
4) If business is incorporated, give date of incorporat�on ��� 19-/�
5) Doing Business As �uf0 �/��( Business�i Phone �
(Name) i
6) Mail to Addzess (if different than business address) I �;�
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S'�9iyl� �,�.�A�� � Y�
STREET: Number Name Typ� Direction , t�,�
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City State i Zip Code
7) Your Name and Titlet�0}t�iv s �/�,�;(�i�/P,��/�f ��5.
(First) (Middle) (Maiden) (Lalst) (Title)
8) Home Address �� � � G' �(/� Ij Phone# �s��'3Q��j'� ,,,��'
STREET: Number Name Type Direction �''_•�
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9) Date of Birth �'� �- �oZ Place of Birth �1�L , l�>.�• t '� �.
(Month, Day & Year) � ; ,;'�,°.
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10) Are you a citizen of the United States? �+C� Nativel� Naturalized
If you are not a U.S. resident, you must have work ay�thorization from the
U.S . Immigration & Naturalization Service.
11) Have you ever been convicted of any felony, crime or iolation of any
city ordinance other than traffic? YES NO
Date of arrest , 19 Where
Charge
Conviction Sentence __
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� 12) List the names and residences of three persons withi � � '�'�irea of
good moral character, not related to the applicant �
interested in the premises or business, who may be efe � � to the
applicant's character: - ;. . .
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NAME ADDRESS {�
E'�2�'" �tJG�'�O� �O C � % � `' �I
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13) List licenses which you currently hold, or formerly eld, or way have an
interest in: ���
14) Have any of the licenses listed by you in No. 14 ev r been revoked?
Yes _ No _ If answer is "yes" , list the dates and reasons
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15) Are you going to operate this business personally? �_,�! +�_ If not, ;�;�";
who will operate it?
��,
vame of Operator Date of irth <
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Home Address
(Number) (Name) (City) (State) (Zip) ,:;�,
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Telephone Nutnber `'�'��;,
� 16) Are you going to have a manager or assistant in thi� business?�J�l�/,��� -�
If different from operator, please complete the fo111owing information: ";�``
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Name ������5' ,Q� Address �O/� rll�C!/� K.�/ ���/�1���
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Phone �/� ��3 �7S/Date of Birth /' /���:�
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17) Including your present business/employment, what buSiness/employment have
you followed for the past five years? '
Business/Em�lovment Addres
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18) List all other officers of the corporation: ��'
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NAME TITLE HOME ADDRESS HOME BU I � • OF BIRTH
(Office Held) PHONE P ON�'�
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19) If business is partnership, list partner(s) , addres , home and
business phone number.
Name ��j�
Home Phone Business Phone
Name Address
Home Phone Business Phone
20)a( Attach to this application a detailed description o!f the design, location
and square footage of the premises to be licensed. ' °�
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21� Attach to this application a copy of your lease ag eement or proof of `
ownership of the property. ';�' ?�"
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22.� Between what cross streets is business located? � °��
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Which side of street? ����� ��'��
23) Are premises now occupied? � What type of bu iness? /'fN1�J ��:CY"l�/�
ANY FALSIFICATION OF ANSWERS GIVEN OR � TERIAL ;�-�`
SUBMITTED WILL RESULT IN DENIAL OF THIS AP LIC?,TION '� `}"
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I hereby state under oath that I have answered all of t e above questions, and ^ �''�
that the information contained herein is true and corre t to the best of my
knowledge and belief. I hereby state further under oat that I have received �, �;�
no money or other consideration, by way of loan, gift, ontribution, or "��"
otherwise, other than already disclosed in the applicat'on which I herewith
submitted.
STATE OF MINNESOTA)
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COUNTY OF RAMSEY ) � `�
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Subscribed and sworn to before me this
Signature f Applicant / Date
day of , I9
Notary Public County, hIN ,
My Commission expires
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