91-2139 �RIGiN�� �_ � ✓
� - ��Council File #
�,,���Green Sheet ,� 17622
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Preaented By
Referred To Committee: Date J
RESOLVED: That Application (I.D. #70818) for a General Repair Garage License applied
for by James G. Westphal DBA Westphal's Auto Repair at 933 Atlantic Street be
and the same is hereby approved.
Y� Nays Absent Requested by Department of:
imon _�`
oswi z
on �— License & Permit Division
acca ee �
e man
une �i `— ���/1_.
.z son BY�
Adopted by Council: Date NO Form Approved by City Attorney
Adoption Certified by Council Secretary � '
BY: /o•��•q�
By= � � �,�i��
• �(11ye � ,591 Approved by Mayor for Submission to
Ap " oved Mayor: a e Council
B �����
Y� By:
PUBLI3HED DEC 7 '91
(���a�3�J
��� �V N° 17622
DEPARTMENT/OFFICElCOUNCIL DATE INITIATED G R E E N S E E� �D
Finance/License iN QAT INITIAUDATE
CONTACT PERSON&PHONE �DEPARTMENT DIRECTOR ' ' 1 �(I CITY COUNCIL
AWr�
Kris Van Horn/298-5056 ASS16N �CITYATTORNEY CITYCLERK
NUMBER FOR
�U3T B�ON COj1NCIL AG N A BY( ATE) ROUTING �BUDGET DIRECT FIN.&MOT.SERVICES DIR.
OY' earing: t� P 2,� P('�� ORDER �MAYOR(OR ASSISTAN�
. l l l �11
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
pplication (I.D. ��70818) for a General Repair Garage License
RECOMMENOATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FO�LOWING QUESTIONS:
_ PLANNING COMMISSION _CIVIL SERVICE COMMISSION �• Has this personlfirm ever worked under a contract for this department?
_CIB COMMITfEE _ YES NO
2. Has this personRirm ever been a city employee7
_STAFF — YES NO
_ DISTRiCT COURr _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVEI YES NO
Explaln all yes answers on separete aheet and attach to green sheet
INITIATINCi PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
James G. Westphal DBA Westphal's Auto Repair requests Council approval of his application
for a General Repair Garage License at 933 Atlantic Street. All applications and fees have
been submitted. All required departments have reviewed and approved this appl,ication.
ADVANTAGES IFAPPROVED:
DISADVANTACaES IF APPROVED:
DISADVANTACiES IF NOT APPROVED:
RECEIVED Cot�nci! R��a�� Ce��
�ov o 61991 Nov o 5 �gg�
�ITY CLERK
TOTAL AMOUNT OF TRANSACTION ; COST/REVENUE BUDGETEp(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) n'I1"
C1 w
NOTE: COMPLETE 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
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. 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 Cierk
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 compiete 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.
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 projecVaction.
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 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?
� _
. . ° �--��oa�.39
' � �/
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �,y�l��C�-,•� )Q���� Home Address � �� ��.p�y l�h •
�
Business Name (,�����p �� �, _ I (Home Phone ''( �j' � - �38"�
Business Address ��� �-�`(,1JV1�� (,� �L • Type of License(s) ��p Y� ��r
Business Phone ��'6 - � � � i �(
Public Hearing Date J ( ( Z.� C�� License I.D. � � ��(�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4t � �(� � ('�� �p
Date Notice Sent; Dealer � 1� 1�
to Applicant �
Federal Firearms �� �
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COrIl�IENTS
A roved Not A roved
Bldg I & D
�1� �� ! p
Health Divn. �
� � I
Fire Dept. �
�'l � I?� � C� !�
Police Dept. � a, �Z I
�
License Divn. I
� � � �
City Attorney �
l�( 3 i � �i
Date Received:
Site Plan � ,�,,_.
To Council Research
Lease or Letter Date
f rom Landlord G1� ,� � o ,
, ���_a i��
J
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) �j2nJ�r+q, L �� Dd ,`r �a�4 4 �
2) Located at (business address)93,3 �}7�'L�I'V�,`c. _ � ��fpau L� I�YIN� <<'i /Olo
(Nwnber) (Name) (Type) (Dir)
�
3) Bus ine s s Name �J,�.S�"p � Q � S �L[��d e. ,O Gl i /`'
Cor oration, Partnership or ole Proprietorship
4) If business is incorporated, give date of incorporation , 19
5� Doing Business As ��e S'r��u/�r��l! �i,�,,:� Business Phone �7 8-3 7� �
� �-
6) Mail to Address (if different than business address)
STREET: Number Name Type Direction
City State Zip Code
7) Your Name and Title �YY1.e S G, 16��r' .��/�s �-�ti �(��J1l e/"
(First) (Middle) (Maiden) (Last) (Title)
8) Home Address581 Yl1cao�c�v �.�v, �1�u J�{'IN� �J'�1�5 Phone# �38-�389
STREET: Number Name Type Direction
9) Date of Birth /1 J �o � D Place of Birth �5']'. pu u L � j'Yf �,
(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 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�-a�3 � ✓
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 ADDRESS PHONE
�tev,e. (1'o�se.iv /33� RcII;A,a N� �. . 'nlw� �v. 55119' rf�Id G.��
,qL v;w FLL���q 5 o►v G38o (�;�l� �ood�d. (���6� Y11�v, S5ias 739-0��8
��h� L c�o n� /'�e v►�_�9�� Xrv o � J�r� � �S 1'. pacc/ YYi p�. .55 I! t� �J`�y-���l
13) List licenses which you currently hold, or formerly held, or may have an
interest in:
NoN� '
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 Date of Birth
Home Address
(Number) (Name) (City) (State) (Zip)
Telephone Nwnber
16) Are you going to have a manager or assistant in this business? /J/o
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/Employment Address
��`�i-�- ���� �� � �2���� � ��� rn„�dd �, �
1,����L/ I�I�. �SI�S
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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
/L o N�
19) If business is partnership, list partner(s) , address, home and
business phone number.
Name �j/O /1J�
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? ,�� �t-k 5�:
Which side of street? t�),Q S y-
23� Are premises now occupied? �,/a C What type of business? �.Q�/G r ��. R��Q�''�
C
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.
COUNTY OF RAMSEY )
Subscribed and sworn to before me this " 8-1�l-�'�
gnature of Applican / Date
L'� day o f , 19 � ,/�` ,. �
� -�C �-/f`�/
�� � • ■ VAN N� �
.,..-� KRISTINA�• MIt:I�ESOTA �
Notary Public County� MN ���!' NOTARY P�B���— y
\. DAKOTA COUNT� �
My Commission�expires C�a My Comm�ss�on����`L,,,,,,.�.�y
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