91-2065 ��IGINAL ��
i 7�� Council File # `�6�
i .J
Green Sheet #` 16427
• RESOLUTION
TY OF �AINT UL, MINNESOTA
1
Presented By
Referred To Committee: Date
RESOLVED: That application (I.D. #66756) for a General Repair Garage License applied
for by Donald A. Denio DBA Denio Auto Clinic at 620 Rice Street be and the
same is hereby approved.
Yeas Navs Absent Requested by Department of:
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on � License & Permit Division
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By:
Adopted by Council: Date Form Approved by City Attorney
Adoption Certi ied by Council�cketary ' � . G G G
� � By: 0'7 ` 7�
By. ;L�;
A roved b Fia oX: Date � Approved by Mayor for Submission to
PP � Y , Council
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By: gy;
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� 16 4 2 7
Finance/Li,�ense GREEN SHEET
CONTACT PBRSON 8 PHONE INITIAUDATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 ASSIGN Q CITYATfORNEY �CITYCLERK
NUMBER FOR
M�yq T BE COUNCIL AGENDA R mATE) ROUTING �BUDGET DIHECTOR FIN.&MGT.SERVICES DIR.
P�Or �earing: �,� �1�� ORDER
� �,�`�l k �MAYOR(ORASSISTANI� Council Researc
l
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. 4�66756) for a General Repair Garage License
RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this person/firm ever worked under a contrabt for this department?
_CIB COMMITfEE _ YES NO
2. Has this person/firm ever been a city employee?
_$TAFF — YES NO
_DI3TRICT COUR7 _ 3. Does this person/firm possess a skill not normaAy possessed by any current city employee?
SUPPORTS WHICH COUNCIL 08JECTIVE? YES NO
Explaln all yss answsrs on separate sheet end ettach to green sheet
INITIATINO PROBLEM,ISSUE.OPPORTUNITY(Who,What.When,Where,Why):
Donald A. Denio DBA Denio Auto Clinic requests Council approval of his application for a
General Repair Garage License at 620 Rice Street. Al1 applications and fees have been
submitted. All required departments have reviewed and approved this application.
ADVANTACiES IF APPROVED:
DI3ADVANTAOES IF APPROVED:
;.�c�F�r V F[��
OCT 2 4 �
,-.,� ,., ��'4
•. . . . vL�_
DIBADVANTAQES IF NOT APPROVED:
Counc�► Researclh Center
OCT 2 4 1991
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDCiETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) �t,,
�(/'
. . ,
NOTE: CAMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE 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. Department Director 2. City Attorney
3. City Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. Mayor/Assistant
5. Human Rights(for contracts over$50,000) 5. City Council
8. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Axounting
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION(all others,and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. Ciry Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. Ciry Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. City 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 paperclip or flag
sach of thsse pages.
ACTION REQUESTED
Describe what the projecVrequest seeks to accomplish in either chronologi-
cal oMer 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 DEVE�OPMENT,
BUDC3ET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This Information will be used to determine the city's liability 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 from this projecUaction.
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
approved7 Inability to deliver service?Continued high traffic, 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?
���aQ�.��,
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant��y�n �� �-,��,�,n Home Address 1���j �Q���-�-p
Business Name�. o .,,,A i7 �'�1.��-p I.JL�YI.CL Home Phone ���� �5�0'�
Business Address (.�'i�-� �<< r S'�, Type of License(s) ��✓lC'S(GUL �r
Business Phone �
Public Hearing Date �Lh, '�r � l License I.D. 4� � ���S(D
a t 9:0 0 a.m. i n t h e C o u n c�l C h a m b e r s, � (�,r
3rd floor City Hall and Courthouse State Tax I.D. 4� "t""!`+'1� ��
Date Notice Sent; Dealer � � ��1-
to Applicant
Federal Firearms � � �L�
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COrIl�IENTS
A roved Not A roved
Bldg I & D
�� �z � o�
Health Divn. I
�`� I � �� �. C.�
Fire Dept. I � �2�3 �r� `-�°�."r�'`Q' CL:�"L�`_`!� 3��
�� � I
Police Dept. � ) � l o I
License Divn. f
� �-� I
o�;
City Attorney �
8�� i
Date Received:
Site Plan Uy��
To Council Research
Lease or Letter Date
from Landlord
���a°�,/
CITY OF SAINT PAUL
LICENSE & PERMIT DIVISION
APPLICATION FOR CIASS III LICENSE
(IF YOU HAVE QUESTIONS REGARDING THIS FORM, CALL KRIS VAN HORN AT 298-5056)
Directions: THIS FORM MUST BE FILLED OUT WITH TYPEWRITER OR BY PRINTING IN
INK BY THE LICENSE APPLICANT
�'HIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
1) Application for (type of license /� �J�'�_��,���}��C.. /��p�9�R
•�—
2) Located at (busines.s address) �p� 0 �1� S�
(Nunber) (Name) (Type) (Dir)
: 3) Business Name ��lN l� G� ��� D�NIa �� !�
s�ZS�
Corporation, Partnership or Sole Proprietorship
4) If business is incorporated, give date of incorporation , 19
5) Doing Business As J���1 � f7d� ��( �1,� Business Phone�J�r'�-� a � ��7.�
(Name)
6) Mail to Address (if different than business address)
STREET: Number Name Type Direction
City State Zip Code
7) Your Name and Title ,�_Q 7�,f}�1� � ���1/�U �l.� N�IQ.
(First) (Midd e) (Maiden) (Last) (Title)
8) Home Address 1 ( g� f��50�) , Phone#1� lo� `J � 3 a,
STREET: Number Name Type Direction
9) Date of Birth � �'j y� Place of Birth 1-v/�'LE �i<}�,�.5 ��
(Month, Day & Year)
10) Are you a citizen of the United States? � Native � Naturalized
If you are not a U.S. resident, you must ha e work suthorization 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_,�
Date of arrest , 19 Where
Charge
Conviction Sentence
� ��y/ao�v-5
� ��
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 referred to as to the
applicant's character:
� �,�, N
/ v� � ��T.`�T_C�1V�'S ��.T�'—R S�'- PH�NE
(� �l � �2.L�L1�- �om o -� ��-t-�k.l� �g$:.7 3 5��
_����R o� �,�� t� /�,���i�� S�`- �., �oo �
13) List licenses which you currently hold, or formerly held, or may have an
interest in: n `
✓� ���
14) Have any of the licenses listed by you in No. 14 ever been revoked?
Yes _ No � If answer is "yes" , list the dates and reasons
15) Ar� you going to operate this business personally? �'�� If not,
who will operate it?
Name of Operator Date of Birth
Home Address
(Number) (Name) (City) (State) (Zip)
Telephone Number
16) Are you going to have a manager or assistant in this business? �4
If different from operator, please complete the following information:
Name Address
Phone Date of Birth
17) Including your present business/employment, what business/employnent have
you followed for the past five years?
BusinessJEmplovment Address
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18) List all other officers of the corporation:
NAME TITLE HOME ADDRESS HOME BUSINESS DATE OF BIRTH
(Office Held) PHONE PHONE
19) If business is partnership, list partner(s), address, home and
business phone number.
Name
Home Phone Business Phone
Name Address
Home Phone Business Phone
20) Attach to this application a detailed description of the design, location
and square footage of the premises to be licensed.
21) Attach to this application a copy of your lease agreement or proof of
ownership of the property.
22) Between what cross streets fs business located? �j�� �" ���N$��1��N/�
Which side of street? �l �
23) Are premises now occupied? � What type of business? ��N � ��P��R'
ANY FALSIFYCATION OF ANSWERS GIVEN OR MATERIAL
SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION
I hereby state under oath that I have answered all of the above questions, and
that the information contained herein is true and correct to the best of my
knowledge and be�lief. I hereby state further under oath that I have received
no money or other consideration, by way of loan, gift, contribution, or
otherwise, other than already disclosed in the application which I herewith
submitted.
STATE OF MINNESOTA)
)ss.
COUNTY OF RAMSEY )
^
Subscribed and sw rn to before me this � �y�
Signature of Applicant / Date
�`� day o f , 19 �
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Nota Public ,�a�t�FdE�._�a�EN
ai, _ - Np7.R�l PU�IC—MINNESOT�1
� U;IKOTA COUNTY
My Commission expire��'� MY C01AM•E%P�ES A�1�'�•»