91-1460 ��������� �* �
Cou clyl File ,� ��!�
' Gr eri"Sheet # 14300
RESOLUTION <��
CI F SAINT PAUL, MINNESOTA . �,.
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Presented By ���
Referred To Commit�ee: Date
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RESOLVED: That Application (I.D. #12075) for the transfer of an Auto Body Repair Garage
and General Repair Garage License currently issued to Glenn Danner DBA D,-& W
Automotive Inc, at 93 E. Annapolis Street be and the ame is hereby
transferred to Douglas L. Berends DBA Import Auto Bod at the same address.
Yeas Navs Absent Requested by Depa tment of:
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on License & ermit Division
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Adopted by Council: Date �(; 6 �Q1 Form Approved by Gity A �^��
Adoption Certified by Council Secretary ' '�"
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By: 1 '
A roved b Ma or: Date � tg9� Approved by Mayor� for °Submiseion to
PP Y Y Council �
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Pu�uskEa AUG 17'91
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DEPARTMENT/OFFIC OUNCIL DATE INITIATED
Finance License GREEN SHEE � N° _ 14300
CONTACT PERSON&PHONE INITIAUDATE INITIAL/DATE
�DEPARTMENT DIRECTOR �C}TY COUNCIL
Kris Van Horn 298-5056 AS81dN �CITYATTORNEY CI'FYCLERK
NUMBER FOR
A�JaS�Bfi�QN�gUN���10` A3BY D!/AUTE) ` ORDER p ❑MAYOR(OR ASSISTANn FIM,`R�IAt�T.SERVICES DIR.
ne il ! � 0 Cou�icil Research
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TOTAL#OF SI(iNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUE3TED:
Application (I.D. 4�12075) for the transfer of a General Reapir and uto Body Repair Garage
License
' RECOMMENDA710NS:Approve(A)or RsJect(R) PERSONAL SERVICE CONTRACTS MUST ANSWER Ng F04LOWING QUES�
�:.
_ PLANNINQ COMMISSION _ CIVIL BERVICE COMMI3310N 1• Hes this person/firm ever wotked under a contreCt this,depSrtment? °�i:;`
_CIB COMMITTEE _ YES NO -�r
_S7AFF _ 2• Has this person/�rm ever been a city employee? . ��,�' '
YES NO �`
_DI3TAIC7 COURT _ 3. Does this person/ffrm possess a skill not normally essed by any current ciry:e
SUPPORT8 WHICH COUNCIL OBJECTIVE7 YES NO �����
Explaln all ysa answsrs on ssperate shest and atte h to�roerrshsst
INITIATINQ PROBLEM,ISSUE,OPPORTUNITY(Who,Whet,Whsn,Where,Why):
Douglas L. Berends DBA Import Auto Body at 93 E. Annapolis Street r quests Council apgroval
of his application for the transfer of an Auto Body Repair Garage a d General Repair Ga�age
License currently issued to Glenn Danner DBA D & W Automotive Inc. t the same address. All
applications and fees have been submitted. All required department have reviewed and
approved this application.
ADVANTAOES IF APPROVED: i ;
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OISADVANTAGES IF APPROVED:
D13ADVANTA�E3 IF NOT APPROVED:
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TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETEp(CIR E ONE) YES NO
FUNDINO SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) - �i �}
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NOTE: COMPLETE DIRECTIt'dS�ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL i
MANUAL AVAILASLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are correct routings for the five most frequent rypes of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept.Grants)
1. Outside AgenCy' 1. Department Director
2. Departme�t Director 2. City Attorney
3. City Attorney ' 3. Budget Director
4. Mayoc:(br contracts over$15,000) 4. Mayor/Assistant
5. Hui11�r�tlghts(for contracts over$50,000) 5. City Council
6. Firaanp6 -id Management Sgrvices Director 6. Chief Accountant, Finance and Management Services
7.. F�+��f�counting
ADMfp ,�.
!I�TIVE ORDERS(Budget Revisfon) COUNCIL RESOLUTION (all others,and Ordinances)
. _• :��
1. .A # �" anager 1. Department Director
-2:�',_ �ent Accountant 2. Ciry Attorney
3,;.- nt Director 3. Mayor Assistant
" 4. . ' ef Director 4. City Council
5. ��y Clerk
6. ief Accountant,finance.and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Di�rtment Director'
2, i�iijr Attorney
-3.. •Ffnance and Management Services Director
4.' �ty Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
each of these payes.
ACTION REQUESTED
Describe what the proj;eat/request seeks to accomplish in either chronologi-
cal order or oMer of importar�ce,whichever is most appropriate for the
issue. Do not wrfte 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 project/request supports by listing
the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the city's liabiliry for workers compensation claims,taxes and proper civil service hiring rules.
INITIATING PROBLEM, ISSUE,OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the Ciry of Saint Paul
and its citizens will benefit trom this projecUaction.
DISADVANTAC,�E �AOVED
What negative'etf jor changes to existing or past processes might
this projecVrequ . if it is passed (e.g.,traffic delays, noise,
tax increases oci" ' 7 To Whom?When? For how long?
-''F
DISADVANTA flOVED
What will be the• ences if the promised action is not
approved?Inability to , � ?Continued high traffic, noise,
accident rate?Loss ot
FINANCIAL IMPACT ��� � ' '�� �
Although you must tailor the�in ormation you provide here to the issue you
are addressing, in genera�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 App Processed/Received by
Lic Enf Aud
Applicant (,� �-..� Home Address S -� ' �t�i v�-
/� � �r�-
Business Name� 1,,,.,,n,..,�� lt-t�,�Z� �./ Home Phone S"Z - �,
.��-.�•.�,���
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Business Address L�'�, �, �� -, ;�� , Type of License(s) 1r ��{:ht �;
.C'...�-`Y-.:�... - .
Business Phone ''l ! - p � -
Public Hearing Date � License I.D. � � 5 �.t'�, . . ,
at 9:00 a.m. in the Co ci Chambers, �
3rd floor City Hall and Courthouse State Tax I.D. �� �'1
Date Notice Sent; Dealer � ' '�
to Applicant
Federal Firearms �
Public Hearing .-'.
, �:;',, :
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CONIl�4ENTS
A roved Not A roved
Bldg I & D �
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Health Divn. �
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Fire Dept. r �
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Police Dept. ��� I
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License Divn. � i
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City Attorney �{11 � �-G '. =�;
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Date Received: fi'�"
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Site Plan �, - �A���'
To Council Researc
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 LICENTSE I
(IF YOU HAVE QUESTIONS REGARDING THIS FORM, CALL I�tIS VAI� HORN AT 298-5056)
Directions: THIS FORM MUST BE FILLED OUT WITH TYPEWRITER �bR BY PRINTING IN
INK BY THE LICENSE APPLICANT
THIS APPLICATION IS SUBJECT TO REVIEW BY THEIPUBLIC
t� � n �
1) Application for (type of license) �-�^��l�.rci.�,� °►`„�,r� j � `r��i'��l�c-•iJ..u�i:o�.,�.�
2) Located at (business address) �S /tn�c Jl.� 9�U�
(Number) (Name) (Type) (Dir
3) Bus ine s s Name �M a r f ,,�. fv �o�o
Co poration, Partnership or Sole roprietorship
4) If business is incorporated, give date of incorporati n , 19
5) Do ing Bus iness As � ,.-,- -�, ✓'3c� Bus iness Rhone
(Name) i
6) Mail to Address (if different than business address) I
s�3 U Y .
� s �` �, �rra � I
STREET: Number Na�ie Typel Direction
�i'.GL�`C�y ,�n•t � ,�,�--5'1.�.-.��
City State Zip Code
7) Your Name and Title �p ;- � �,c:L� ��c'oz,• � �.�G�C+�--Aj (.�c,,.c�•,�..r--
(First (Middle) ( aiden) (La t) (Title)
8) Home Address S S O �. ( Q•-c I Phone� 5` '] t-��U � t
STREET: Number Name Type Direction I
9) Date of Birth L/ :�/ S�� Place of Birth �,}� � ,Du���tt
(Month, Day & Year)
10) Are you a citizen of the United States? � Native Naturalized
If you are not a U.S. resident, you must have woric a�uthorization from the
U.S. Immigration & Naturalization Service. I
11) Have you ever been convicted of any felony, crime or� violatio ''- �v , y
city ordinance other than traffic? YES N0� ` . .
:.� �:
-s,,'
Date of arrest , 19 Where
A-
Charge .��? �����-5���.��
Conviction Sentence
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12) List the names and residences of three persons within �the Metro Area of
good moral character, not related to the applicant or �financially
interested in the premises or business, who may be ref�erred to as to the
applicant's character:
NAME ADDRESS PHONE
,�,,�.
.
13) List licenses which you currently hold, or formerly helld, or may have an '
interest in: / .��
c � "� Lc �.� l�i..-�� Sc �� � I ��"�
�x>;,�
14) Have any of the licenses listed by you in No. I4 ever �been revoked? '
Yes _ No � If answer is "yes" , list the dates ar�d reasons `
.
15) Are you going to operate this business personally? � If not,
who will operate it?
Name of 0 erator ;
P Date of Bir�th
Home Address I
(Number) (Name) (City) (State) (Zip)
i
Telephone Number �
16) Are you going to have a manager or assistant in this usiness? U
If different from operator, please complete the follo ing information:
Name Address
Phone Date of Birth i
17) Including your present business/employment, what busi ess/employrnent have I
you followed for the past five years?
_ �
Business/Em�lovment Address I �
�'�s f .�,F C�r A�. �,, S� l � �� � i �'�is f ,�;,_�c-' sf r �S
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18) List all other officers of the corporation: �
�
NAME TITLE HOME ADDRESS HOME BUSI�TESS DATE OF BIRTH
(Office Held) PHONE PHO�TE
19) If business '
is partnership, list artner s address � h
P ( ) . ,, ome and ;
business phone number. {�, �,�.�
� . . ,*�����.
Name �
��
,.r.
. � �..:r��i'6a
Home Phone Business Phone i '
Name Address
i
Home Phone Business Phone i
� 20) Attach to this application a detailed description ofithe design, location
and square footage of the premises to be licensed.
�1�21) Attach to this a lication a
pp copy of your lease agrelment or proof of
ownership of the property. � �
22) Between what cross streets is business located? �} .+. ��L� lj 3_�S -f-
Which side of street? pa-�(,`
�
23) Are premises now occupied? What type of business? w� (3:�, ��, (�C�
ANY FALSIFICATION OF ANSWERS GIVEN OR MAT�ERIAL
SUBMITTED WILL RESULT IN DENIAL OF THIS APP�,ICATION
I hereby state under oath that I have answered ail of the above questions, and
that the information contained herein is true and correct} to the best of my
knowledge and belief. I hereby state further under oath that I have received
no money or other consideration, by way of loan, gift, c ntribution, or
otherwise, other than already disclosed in the applicati n which I herewith
submitted.
STATE OF MINNESOTA)
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COUNTY OF RAMSEY ) O ,� '���'`=��'-�
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Subscribed and sworn to before me this � „�, � D�`j �
S" ture o Appliea ;,, �t
d C( day of , 19 � � `
, 1 ., 1���iv �R/
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Notary Public Count MN � .�
Y� �� ,rc�,,�� KRISTINA L.VAN HORN �
" �'1k` NOTAItY Pt16UC—MINNESOTA �
My Commission expires .Z �� DAKOTACOUNTY ;;
�M�on Exp�res 1an. Z. !i;.� �
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