The URL can be used to link to this page

91-2098 C��IGINAI ,----� � _ ��Council File # �� . � : ! � Green Sheet ,� 16432 RESOLUTION CITY OF SAINT PAUL, MINNESOTA �— Presented By • Referred To Committee: Date O RESOLVED: That Application (I.D. #53112) for the transfer of an Off Sale 3.2 Malt and an A-3 Grocery-A License currently issued to Tom Thumb Markets Inc. at 1541 E. Maryland Avenue, be and the same is hereby transferred to Husam Mohammed Aladi DBA Sam's Dairy #6 at the same address. Ye�s Navs Absent Requested by Department of: imon �/ oswitz T on —Ti� License & Permit Division acca ee �— et man une � T nj� i son � fi BY� (� �.� Adopted by Council: Date N�u a�� Form Approved by City Attorney Adoption Certified by Council Secretary � , By: . �� - / By � ��. Ap roved by ayor: Dat �',� 2 � 1�9 Approved by Mayor for Submission to � _ Council By: Olit'�"` B Y� POBIIShE� e��V 3 fl'91 � . - � ��l�09� � DEPARTMENT/OFFICE/COUNCIL DATE INITIATED NO 16 4 3 2 Finance/License GREEN SHEET CONTACT PERSON 8 PHONE INITIAUDATE } INITIAtJDATE �DEPARTMENT DIRECTOR CITY COUNCIL Kris Van Horn/298-5056 ASSIGN CITYATTORNEY g CITYCLERK NUMBER FOR MU$J BE O COUNC�L AGEND BY( ATE) ROUTING BUDGET DIRECTOR �FIN.8 MGT.SERVICES DIR. r�OY' �earing:�1 c�� (�� • 11 � � ORDER a MAYOR(OR ASSISTANT) � Council R TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Application (I.D. 4�53112) for the transfer of an Off Sale 3.2 Malt and A/3 Grocery-A License RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTtONS: _PLANNINQ COMMISSION _CIVIL SERVICE COMMISSION 1• Has this personlfirm ever worked under a contract tor this department? _CIB COMMITfEE _ YES NO _STAFF 2• Has this person/firm ever been a city employee? — YES NO _DISTRIC7 COURT _ 3. Does this personlfirm possess a skill not normall y possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Explafn all yes answers on separate shest and atthch to green sheet INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): Husam Mohammed Aladi DBA Sam's Dairy ��6 at 1541 E. Maryland Avenu� requests Council approval of its application to transfer the Off Sale 3.2 Malt and A/3-A Grpcery License currently issued to Tom Thumb Food Markets, Inc. DBA Tom Thumb Market 4�252 �t the same address. - All applications and fees have been submitted. All required departmetits have reviewed and approved this application. ADVANTAOES IF APPROVED: DISADVANTAGES IFAPPROVED: ,��:.i.,L.�`1��3 ;��'1` `� $ � ?�FTV �i��r:ie DISADVANTAOES IF NOT APPROVED: . COUnCiI ReSQ�rC� ;'�T,�� OCT 1 g 1g91 TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETEp(CIIRCLE ONE) YES NO FUNOIN(i SOURCE ACTIVITY NUMBER _ FINANCIAL INFORMATION:(EXPLAIN) �� NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225). ROUTINCi ORDER: Below are correct routings for the five most frequent types of documents: CONTRACTS (assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants) 1. Outside Agency 1. Department Director 2. Department Director 2. Ciry 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 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. Ciry Council 5. City Clerk 6. Chief Axountant, Finance and Management Services ADMINISTRATIVE ORDERS(all others) 1. Department Director 2. City Attorney 3. Finance and Management Services Director 4. Clty Clerk TOTAL NUMBER OF SIGNATURE PAGES Indicate the#of pages on which signatures are required and paperclip or flag each of these pages. ACTION REQUESTED Describe what the projecUrequest 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, BUDQET, 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. INITIATINC3 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 projecVaction. DISADVANTAGES IF APPROVED What negative effects or major changes to existing or past processes might this project/request produce if it is passed(e.g.,traffic delays, noise, tax increases or assessments)?To Whom?When?For how long? DISAOVANTAGES 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? , � U`�i�°�� . � DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant ��,,� �n�� G� Home Address �{ ` t � Business Name `� � -s��Q Home Phone ��a.- �`j IJ�'i Business Address � �j� j � �ru��n��}u• Type of License(s)��p�,,., CI�,Q�� Business Phone'�'1 � - �Cj G� �j•a m�Q� � �� • �}-� - � Public Hearing Date 'j i� �� License I.D. 4� ,-�j� j�a a t 9:0 0 a.m. in t he Counc i l C ham bers, 3rd floor City Hall and Courthouse State Tax I.D. �� p'Z�1 (.D��.� Date Notice Sent; Dealer � to Applicant 1 D ( t`� ��/ Federal Firearms 46 Public Hearing �;5-k - ;� DATE INSPECTION REVIEW VERFIED (COMPUTER) CONIl�'IENTS A roved Not A roved Bldg I & D "1 ( �Zj I � � ``� � Health Divn. � � ( �Z � o� Fire Dept. �' � � � � �� Police Dept. I Il � � License Divn. i �I 12 � p {� City Attorney � g (� � �,�, Date Received: Site Plan � Qj _ � To Council Research Lease or Letter Date from Landlord �'M � � Pu'r�,;� ��,,n�,c� �r" �t-� ��u� � � � �f7�'�r' �'; / �'��2:-, �i� �� p� � CITY OF SAINT PAUL D,�/�Q 9 d LICENSE & PERMIT DIVISION c�� APPLICATION FOR CLASS 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 THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC 1) Application for (type of license) �-�y�«� /`Ia�CC,�1 ' 2) Located at (business address) � S�'�"� ��Y�(�� • �-�'• �� I��H, (Number) (Name) (Type) (Dir) jS � o� 3) Business Name S��rS �� I�� Corporation artners � ,or Sole Proprietorship 4) If business is incorporated, give date of incorporation , 19 5) Doing Business As 5��/y��S (1{a� (Z.� �� Business Phone �, + — �9� 9 (Name) 6) Mail to Address (if different than business address) ��2 �-° `�-bc t.--� STREET: Number Name Type Directian City State Zip Code 7) Your Name and Title HUSAIIV� �4��iMV41�� ►qLSA��, �0►�/ (First) (Middle) (Maiden) (Last) (Titie) 8) Home Address � �) 13 �� i�5� K-6� Phone# ��—� STREET: Number Name ype Direction 9) Date of Birth � — g ��6� Place of Birth ��i�-��, LE�/��✓V (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 work authorization 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 N0� Date of arrest , 19 Where Charge Conviction Sentence . �q��a9�' � � 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: NAME ADDRE S PHONE �.�L i�� }�� '�� S�- S't• ��fi —r'1 ,�Z G�Y1'c �I�p,.�,�c�rx� �/t�K �Av N. I'hQl �- SR fC— ��`? �— R1.�nrN' �n��Tsor� �, 0, S. 3� —�2�►-) 13) List licenses which you currently hold, or forn►erly held, or may have an interest in: G,�c� cc� ��. i 14) Have any of the licenses listed by you in No. Z4 ever been revoked? Yes _ No� If answer is "yes" , list the dates and reasons 15) Are you going to operate this business personally? t �7 If not, who will operate it? Name of Operator /V�� P(�� Date of Birth �2 -- Home Address f� et 'JJ�• .i1/ �,� 1�_ �� (Number) ( ame) (City (State) (Zip) Telephone Number �'t`��_� 16) Are you going to have a manager or assistant in this business? If different from operator, please complete the following information: Name (�( Z �}�. ��,� �� Address �r— Phone �g Z —O� / I � Date of Birth �L_Z<.1�, � � 17) Including your present business/employment, what business/employment have you followed for the past five years? Business/Emplovment Address 61/1(S P'JA � �- �l tl.t. U �V S� � V`�r S . ,�-�_ . - 9i ao9d� ��" � � , 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 /�/�f Z�l� �S� � J !0 0,j 5_ �i p� �'��r� �✓' Q�'��. Home Phone �� 2=�`�c'�_ Business Phone �� ' 7'�/9 Name � S�,'� �\,� ��1�1 Address � �jj��i �i v� Zi(��it � �1/��I'�, Home Phone 2� Business Phone �_� D —�k22-t_ 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? —�,(��'}O Which side of street? �0✓�_ 23) Are premises now occupied? �-Q/� What type of business? �(��v`� ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION I hereby state under oath that T 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) CARNELL HA(.L 1 �S S 1! NOTARY PUBLlC—MINNL�p� COUNTY OF RAMSEY ) HENNEPlN CQON�'�'Y wf►�on E�MM�f►Z0. Subscribed and sworn /, Signature f Applicant / Date � da o f �`//� � , 19 �� Notary Public � � County, I�IN My Commission expires ��„%�