91-2097 �_.. �.
RIGONAI - .� Council File # �
_ �
Green Sheet # 16417
RESOLUTION
CI F SAINT PAUL, MINNESOTA
Presented By
Referred To Committee: Date
RESOLVED: That Application (I.D. #44113) for an A/2 Grocery-B, Off Sale 3.2 Malt, and
Cigarette License applied for by Paul Kamp DBA Kamp's at 1059 N. Western
Avenue be and the same is hereby approved.
Ye�s Nays Absent Requested by Department of:
imon �—
oswitz �
on Z License & Permit Division
acca ee �
e man
un e �—
s son �— BY� . �-�-
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Adopted by Council: Date NOV � 4 1991 Form Approved by City Attorney
Adoption Certified by Council Secretary " ` t d
By: �7' Z' J�
� �
By: " - / C�°�
A oved or: Date ` OV 2 � � 9� Approved by Mayor for Submission to
PP Y Council
�1.��,��.�
By: gy;
P��L���F� NOU 3 0°91
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED
Finance/License GREEN SHEET N° 16417
CONTACT PERSON&PHONE INITIAL/DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 ASSIGN CITYAITORNEY �CITYCLERK
NUNBER FOR
�UST BE ON CO�1NCII AGENDA BY(DATE) ROUTiNG BUDGET DIRECTOR �FIN.&MOT.SEHVICES DIR.
'or HearlIIg: �I`�l� 'C�� . '( ORDER �MAYOR(OR ASSISTANT) � Council
TOTAL#OF SIGNATURE PAGES (CLIP ALL IOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. ��44113) for an A/2 Grocery-B, Off Sale 3.2 Ma.1t and Cigarette License
RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWEI�t THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSION _CIVIL SERVICE COMMISSION �• Has this personlfirm ever worked under a contract for this department?
_CIB COMMITfEE _ YES NO
_STAFF 2. Has this person/firm ever been a city employee? '
— YES NO
_DISTRICT COURT — 3. Does this personlfirm possess a skill not normally possessed by any current cfty employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO ,
Explain all yss answers on aeparate sheet and att�ch to green sheet
INITIATINO PROBIEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Paul Kamp DBA Kamp's requests Council approval of his application for an A/2 Grocery-B,
Off Sale 3.2 Ma.lt and Cigarette License at 1059 N. Western Avenue., All applications have
been submitted. All required departments have reviewed and approved this application.
ADVANTAGES IF APPROVED:
DISADVANTAGES IF APPROVED:
DISADVANTAGES IF NOT APPROVED:
6(�.�E�r4'`C_.Lr ,�iV{AP6Lr�� k�`1n�',;;�'��� drGPl`l�/
���T 2 2 � OCT 16 1991
¢��TY ��► � --��
� __. .
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITV NUMBER
FINANCIAL INFORMATION:(EXPLAIN) �j��
�JV
NOT�: COMPLETE QIF3ECTIONS 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 suthorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. Ciry Attorney
3. Ciry 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
6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Accounting
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(all 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 paperclip or flag
sach of these pages.
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,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the ciry's liability for workers compensation claims,taxes and proper civil service hiring rules.
INITIATINQ 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 City 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? Inabiliry 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?
, ���ao 9� `�
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant Home Address 105� U 1- �e��v•
Business Name ��,�T�S Home Phone '�f � � t '�'J�a
Business Address �C7�� V 1 . [ A�I�C�n,_r17�tUType of License(s) � �
Business Phone �p �I��LD 3 0l mp�„ , �C_ 'w'Z-�
Public Hearing Date i �� l� ��/ License I.D. � �l l 3
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� ��('�����j �
Date Notice Sent; Dealer � �`�
to Applicant l0� (���q,� �
Federal Firearms ��' �1(�
Public Hearing �"S�. _�f�. �p
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CONIMENTS
A roved Not A roved
Bldg I & D +
� L ��
Health Divn. �I I
�y � O
Fire Dept. �
�
Police Dept. I
�� I �� �
License Divn. f
�� '� I �
City Attorney �� �
!✓ f ,�.
Date Received:
Site Plan '
To Council Research
Lease or Letter Date
from Landlord � �
. . �/�l a?U9��
t
C I TY 0 F SAI�IT PAUL
LICENSE & PERlsIT DIVISION
APPLICATION FOR CLASS III LICENSE
(IF YOU HAVE QUESTIONS REGARDING THIS FC}RM, 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
THIS APPLICATION IS SUBJE TO R EW BY TH PUBLIC
1) Application for (type of license) ' .� �'� ��f� G� �n.� �rA�-i
2) Located at (business address) f��"j'�' �ES�'�.tib �al=. ,f�,��
�(Number) (Name) (Type) (Dir)
� /"`�'+� � �
3) Bus ines s Name __��S = L t��S ��i2�s�s ��,•�
Corporation, Partnership or Sole Proprietorship
4) If business is incorporated, give date of incorporation �cw'� , 19�
S) Doing Business As �lqr�s � N� Business Phone C���J�3
(Name)
6) Mail to Address (if different than business address)
STREET: Numbe Name Type Direction
�'�'_ �.. ��./ �,'�1 I�
City State Zip Code
7) Your Name and Tit1e i1l_ 1�.��'�� ����Z
(First) Middle) (Maiden) (Last) (Title)
8) Home Address /��i IA„%�n/ �.Y� . 1�./ Phone# %G�'"��d
STREET: Number Name Type Direction
9) Date of Birth (� — �� —�� Place of Birth �T. �L N„�-�
(Month, Day & Year)
10) Are you a citizen of the United States? �7 Native Naturalized .
If you are not a U.S. resident, you must have work authorization from the
U.S. Immigration & Naturalization Service.
11) Have you ever been convicted of any felony, crime or vi lation of any
city ordinance ot.ler than traffic? YES N0�
Date of arrest , 19 Where
' Charge
Conviction Sentence
. �/�ay�
, �
r
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:
�-- NAM ADDRE PHONE
-�s3�� ��c-;o �b�. j.�c�,a ���31/a9
b� 1 �wc ll ��c� -���5'
��o �r_r��� t���-� ��/603
13) List licenses which you currently hold, or formerly held, or may have an
interest in• ) .
�r� ( i c�+sz — S� �4,r++�� �l IA�F -
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) Are you going to operate this business personally? �S 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? �
If different from operator, piease complete the following information:
Name Address
Phone Date of Birth
17) Including your present business/employment, what business/emp�.oyment have
you followed for the past five years? _
Business/Emnlovment Address
�7-tl1��' I�t.C�Y�t. �Z ��'�2 �r c.�� ��� "
��t7�-
, �,�g�-aa�� ✓
18) List all other officers of the corporation:
NAME TITLE HOME ADDRESS HOME BUSINESS DATE OF BIRTH
(Office Held) PHONE PHONE
�.. I���,� �.��
(��,,�� L.�S� I �.� �->
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 is business located? 43�'S � Cl.'��f �` �K
Which side of street? inifit�r lcs�.��
�
23) Are premises now occupied? �� What type of business? ��'"'��
ANY FALSIFICATION 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 belief. 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.
��UNTY OF RAMSEY )
Subscribed and sworn to before me this —/�
igna re of A plicant / Date
� day of , 19 �
�- �� .
Notary Public y y� ; AN1TA L. Tpgny '
��Count MN �i� MOTARV p
UBIIC�-M��A
�` RAM$�y COUNTY
My Commission expires %G- �-�}� Y �V�MM E�ES O�T 7 1991
i