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91-2236 tJRIGIN� � � /IQ ��Council File # � � � �I� � -- Green Sheet # 17604 RESOLUTION 7 CI � SA T PAUL, MINNESOTA Presented By � �i Referred To Committee: Date RESOLVED: 1'hat Application (I.D. #92068) for an Off Sale 3.2 Malt and A/2 Grocery-C License applied for by Totem Foods, Inc. DBA Speedy Food Stop (Zahid Hussain, Vice President) at 968 North Dale Street be and the same is hereby approved. Yeas Navs Absent Requested by Department of: imon oswi z / on ✓ License & Permit Division acca ee i e man ��„ iuson �" By: �� Adopted by Council: Date � Form Approved by City Attorney Adoption Ce t' ied by Council S re ary _ �...., sy; O �- By: ; � A roved Ma r• Date Approved by Mayor for Submission to PP Y Y� �� Council By: gy; �`�i��raa��;„� C • �J;�� 191 ��3� ,� DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N° 17 6 0 4 Finzrnce I;icense GREEN SHEET - CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE a DEPARTMENT DIRECTOR �CITY COUNCIL Kris Van Horn 29$- 056 A881GN �CITYATfORNEY �CITYCLERK NUMBER FOR T N I AGENDA BY DATE) ROUTING BUDGET DIRECTOR FIN.&MGT.SERVICES DIR. ��e�� (�� ORDER aMAYOR(ORASSISTANn g Council Researc O Clt C�. Y' : � �t TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Application (I.D. ��92068) for an0(fif Sale 3.2 Malt and A/2 Grocery-C License�� 211991 CITY CLERK RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONB: _ PLANNINCi COMMISSION _ CIVIL SERVICE COMMISSION �• 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 COUR7 _ 3. Does this person/firm possess a skill not normall y possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Explain all yes answers on separete theet and ettach to graen sheet INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): Tot�em Foods Inc. DBA Speedy Food Stop (Zahid Hussain, Vice President) requests Council of �ts a�plication for an04� Sale 3.2 Ma.lt and A/2 .Grocer�-C License at 968 North Dale Street. Al1 applications and fees have been submitted. All required departments have reviewed and approved this application. ADVANTAOES IF APPROVEO: DISADVANTAGES IFAPPROVED: DISADVANTAOES IF NOT APPROVED: RECEIVED �-°.°�; >�^�t ��urct� Cer�� OV 2 21991 �ro� l g � CITY CLERK TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �t-, 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. Ciry 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. Cfry 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 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 project/request supports by listing the key woM(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.) PERSONAL SERVICE CONTRACTS: This intormatfon 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 City 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?When7 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? �,��,�3� ✓ DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applican� '� C�-�-e,�,�,,.��Qd��. , Home Address �5��j ��Q�.. �, . �. Business Name �.Q�Q„ �.�Q �p Home Phone �'jSU - d3�2S`6 Business Address C�,(p� n. ��Q�j�- Type of License(s) (�� ,�['�q, �1 �-. - -rr-- Business Phone �� - �3l LP ��j,a 4- � -a ��. Public Hearing Date�, i0, �l 1 License I.D. � �p��(,Q� at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� ?j� (� � Date Notice Sent; Dealer � � �t� to Applicant lt��r�l� � Federal Firearms 4� �1 Public Hearing DATE INSPECTION REVIEW VERFIED (COMPUTER) CONIlKENTS A roved Not A roved Bldg I & D I Health Divn. �V I a � � I o� Fire Dept. I , � � l� � O�, Police Dept. I I� � ,--1 Q License Divn. f �01 zz � Q� City Attorney � «1�� I o �i Date Received: Site Plan � �Q, To Council Research Lease or Letter Date from Landlord �Y� �,-r-� ►��.✓ , �� - CITY OF SAINT PAUL �Cy�-�CI'3� 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) qDg �{�Lc �T �T /`''�t1L / ►l1� .b.SIJ� (Number) (Name) (Type) (Dir) 3) Business Name �E /V1 ��J��NG �L�� p�F,a� l�'8�OT1 �TO� Corporation, Partnership or Sole Proprietorship 4) If business is incorporated, give date of incorporation �, 19�� 5) Doing Business As ��E�� TO� Business Phone �� (Name) � 6) Mail to Address (if different than business address) Q T'� /1=) �8-p l�.S�N G STREET: Number 3 �y�me/ • Type Direction (�--y N � At E A�cJ E U�s N� m P� s /YI r� s�s 4 1� City State Zip Code 7) Your Name and Title f�'/'�' I�J ��{f�SA'!1� �/Q� ��/LE� (First) (Middle) (Maiden) (Last) (Title) 8) Home Addre s s �� S � ��✓�� /"1� 1H�� T� Phone# �� -�3uv STREET: Number Name Type D�t�sc�r� �t D 9) Date of Birth J � �� f�f Place of Birth �.��J4-Gr�.� (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 cor,victed of any felony, crime or violation of any city ordinance other than traffic? YES NO_�� Date of arrest , 19 Where Charge Conviction Sentence � ��.� . ✓ 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 ADD SS P ONE m,�zE �►-u�.. ��,Q ��,�y ��=6 -;Q9�� I/d.�-c��' ,C� i� � � l� 6:�s C�N r�� S'�� - �.� �RA�► K .��c.K. 8�� Lo�.v�ey S �� -IS.�'� 13) List licenses which you currently hold, or formerly held, or may have an interest in: � � 14) Have any of the censes 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 Number f�Ui/�1�S� �/�TNc� � 16) Are you going to have a n this business? CS If different from operator, please complete the following information: / / ,�1 E�FN Name � L C h � A"� Address U �QV / ��1-�T/Q/Q'�- �c f�i�:A��1� Phone __q3 't— �� Date of Birth � — l� — ��-� 17) Including your present business/employment, what business/employment have you followed for the past five years? Business/Employment Address �D TE /►� 1��0?�.� ,�N e- 35.�'"4 �-�N �A-�� ✓C/� mp�s �� .�r ��a ��`��?3� . � ✓ 18) List all other officers of the corporation: NAME TITLE HOME ADDRESS HOME BUSINESS DATE OF BIRTH (Office Held) PHONE PHONE . � 64�96M►c;� ` q3�ro� (� �(�C 'X �� i�S C,a�N 7�iCR/R/E/►i -S�Q'.��I4.3 (,�- � I�'� t} '1 /,� .�t I � t'!�l a �USSA�N (/ •�Z�S ��ymoc��r�I��r� 3So-038�'' Sa2-S�6� l� -��'��-% 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. � 2�' Attach to this application a copy of your lease agreement or proof of V ownership of the property. 22) Between what cross streets is business located? ��fi�� N ►T Which side of street? 23) Are premises now occupied? � What type of business? L�'/JJ U��'�-'/�NG,G ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL RD G�1�y . 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. �r STATE OF MINNESOTA) )ss. _ ______ - - - COUNTY OF RAMSEY ) _.. _ _ Subscribed and sworn to before me this ��w -✓Z0�"91 Signature of Applicant / Date � day of , 19 Notary Public County, MN My Commission expires