91-2138 ����'��� "`` ',Council File # ��- � �
��,' Green Sheet #` 16415
RESOLUTION
ITY OF SAINT PAUL, MINNESOTA
Presented By ! ����*�+,1.%
Referred To � Committee: Date
RESOLVED: That application (I.D. #35601) for a 6eneral Repair Garage License applied
for by E.V.S. Inc. (Joan J. Holtz--President) at 1984 Benson Avenue be and
the same is hereby approved.
Y� . Navs Absent Requested by Department of:
imon
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on �— License & Permit Division
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eunea� � ��1tT���S�'�-
i son �— BY�
Adopted by Council: Date NOV Form Approved by City Attorney
Adoption Certified by Council Secretary
By: �• �-q- 9i
BY .� �' �
Approved y yor: Date � V � _ Councild by Mayor for Submission to
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By: gy:
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED G R E E N S H E ET �`O' 16 415
Finance License INITIAL/DATE INITIAUDATE
CONTACT PERSON 8 PHONE DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 ASSIGN �CITYATTORNEY �CITYCLERK
NUMBERFOR
MgT BE N COU CIL AG DA B�(DATE) ROUTING �BUDGET DIRECTOR �FIN.8 MCiT.SERVICES DIR.
OY' l�ear�'ng:�1��j q� • l ��ly� ORDER �MAYOR(ORASSISTANT) � (;���nril jt
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. 4635601) for a General Repair Garage License
RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING�UESTIONS:
_PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this person/firm ever worked under a contract for this department?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employee?
_STAFF _
YES NO
_DISTRICT COURT _ 3. Does this personlfirm possess a skill not normall
y possessed by any current city employee?
SUPPORTS WHICH COUNCIL 08.IECTIVE? YES NO
Explain all yes answera on aeparate sheat and attach to green shest
INITIATINC3 PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
E.V.S. Inc. (Joan J. Holtz, President) requests Council approval .of j�ts application for a
General Repair Garage License at 1984 Benson Avenue. All applications and fees have been
submitted. All required departments have reviewed and approved this application.
ADVANTAGES IF APPROVED:
DISADVANTAGES IF APPROVED:
DISAOVANTAQES IF NOTAPPROVED:
RECEIVED �tittCil R�^��g��"� ��� `
Nov 121991 NOV 0 5 1991
CITI� CLERK
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETEp(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) 7�
a
.
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTINQ 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 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. 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 paperciip or flag
sech 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,
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 situatlon 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
approved?Inability to deliver service?Continued high traffic, noise,
accident rate7 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?
. . �'�i�a�3�✓
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant � � (�
�, _ J . �-Y�c_ - Home Address (5(or1 �L�GI���► 'h�L •
�
Business Name �C..1�� ,�rc:, Home Phone (..�.5�,- ��p[�
Business Address ��45� i�' -ehS�r � , Type of License(s) �� ��, Q .;,,
Business Phone ��- �'O�-a,
Public Hearing Date rr � Z� ��� License I.D. 4� �2j�j ��('j�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� �a ��'�
Date Notice Sent; Dealer � ��/� �
to Applicant
Federal Firearms 4� � ,.�
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CON�ENTS
A roved Not A roved
�,�.� c
�
Bldg I & D � n �,.,,��.s G�b�.1
1��3� �''�t
�
Health Divn. �
���'�c � ,� - .
Fire Dept. �
�� I �
Police Dept. �) � I
��
License Divn. � f
I �� � �
City Attorney �Ir^ � O�
� �� f
Date Received:
Site Plan �
To Council Research
Lease or Letter Date
f rom Landlord �, .. � �
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CITY OF SAINT PAUL
LICENSE & PERMIT DIVISION
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) ,
2) Located at (business address) / �7 ��� � � ��� �ll'�'
(Number) (Name) (Type) (Dir)
3) Business Name fi► v. s . �hC •
Corporation, Partnership or Sole Proprietorship
4) If business is incorporated, give date of incorporation �, 19�
5) Doing Business As � U .S • -��r • Business Phone � �� ' 7�`� �z--
(Name)
6) Mail to Address (if different than business address)
STREET: Number Name Type Direction
City State Zip Code
7) Your Name and Title �o� ' �/6 �Z'" �� ��Z— ��-�-s `
(First) (M ddle)' (Maiden) (Last) (Title)
8) Home Address /,��v } �/' �(�iG^�� � • G� Phone� �..5 �� � �
STREET: Number Name Type Dire tion
9) Date of Birth � '� � 3 � Place of Birth �N�rst�1 �h •
(Month, Day & Year)
10) Are you a citizen of the United States? � Native ✓ Naturalized
If you are not a U.S. resident, you must ave 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 thau ,raffic? YES N0�
Date of arrest , 19 Where
Charge ��
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 referred to as to the
applicant's character:
N . ADDRES PHONE
�� • �i,L�c ' (.�./� /di 9 l��,� �� � Sls� t�3�
�j,u . �� ,, ,S-�,� �� 7a� �aV6�l• s�2i-� ,� 3 7
m� - �. r �-•-'�— �.sa L �l'+` G'��c�, �— �'i' 33
13) List licenses which you currently hold, or formerly held, or may have an
interest in:
��r n���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? �� If not,
who will operate it?
Name of Operator 1�_7'--- -a/ v�/� Date of Birth �D �� ��
Home Address J y'� ' ��� `S` . S� ,(�"�c„� ,/!rj . .�%o Z
(Number) (Name) (City) (State) (Zip)
Telephone Number �y'/� �s 7 �
16) Are you going to have a manager or assistant in this business? �� '
If different from operator, please complete the following information:
Name Address '
Phone Date of Birth
17) Including your present business/employment, what business/employment have
you followed for the past five years?
Business/Emplovment 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
�coi-,� ��%� l� �.S? 3 !��GQti�'�, 2� • ��� �i � S�—/— 3 �
.-�.r 49� 6� s� • ��-�g�i G 3t=�e�z �'�� ' 3�
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? 1ri'm T�1.
Which side of street? �c,�fir
23) Are premises now occupied? What type of business? �r'i- '
• �- �
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, gifz, contribution, or
otherwise, other than already disclosed in the application which I herewith _
submitted.
STATE OF MINNESOTA)
)ss.
COUNTY Or' �.AMSEY )
, y Subscribed and sworn to before me this �-�
gnature f Applicant / Date
day of , 19
Notary Public County, MN
My Commission expires