HomeMy WebLinkAbout4.f. Set Public Hearing / Off-Sale Non Intoxicating Liquor License - Tom Thumb• P Cl F30X 510
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s 612 423-4411
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ITEM 4(f)
TO: Mayor Hoke
Councilmembers Napper, Oxboro gh, Walsh, Wippermann
FROM: Susan Johnson, Deputy Clerk
DATE: June 30, 1988
RE: Off -Sale 3.2% Beer License
The City has received an application from Tom Thumb Food Markets,
Inc. for an off -sale non -intoxicating malt liquor license for
their new convenience store/self-serve gasoline station located
at 15040 Canada Avenue. City Code requires that a public hearing
be scheduled to consider this application.
Therefore, it is staff's recommendation that a public hearing be
scheduled for the July 19, 1988 Council meeting, at 8:00 p.m. or
as soon thereafter as possible.
Thank you for your review and consideration in this matter.
CITY OF ROSEMOUNT
ROSEMOUNT CITY HALL .
875 - 145TH STREET WEST
ROSEMOUNT, MN 55068
(612)423-4411
APPLICATION FOR OFF -SALE NON -INTOXICATING MALT LIQUOR LICENSE
Directions: In answering the following questions "APPLICANTS" shall
be governed as follows: For a partnership, one of the partners shall
execute this application for all members of the partnership. For a
corporation, one officer shall execute this application for all
officers, directors and stockholders.
BUSINESS PHONE NUMBER 437 9023 APPLICANT'S PHONE NUMBER 437 9024
I, Wallace Pettit , as President
(name of person making application) (individual/partner/officer
for and in behalf of Tom Thumb Food Markets Inc
(name of individual, partnership or corporation)'
hereby submit this application for an OFF -SALE NON -INTOXICATING MALT
LIQUOR LICENSE for the Tom Thumb Store #'276
(name of business/trade name or DBA)
located at 15040 Canada Av e
(full street address)
for the sale of non -intoxicating malt liquor in accordance with the
provisions of Minnesota Statutes, Chapter 340 and the applicable
ordinances of the City of Rosemount, commencing July 1. 1988
19 and ending June 30, 19 $9. Applicant,and his/her associates in
this application, will strictly comply with all liquor regulations as
set out in the Official City Code of the City of Rosemount.
j �e -16, 198 n>
Date Signature of Applicant Title
STATE OF MINNESOTA ) Wallace Pettit
ss.
COUNTY OF DAKOTA )
being first duly sworn, upon
oath, deposes and says hat a she has full knowledge of the business
of said applicant, of the location thereof and of the contents of the
foregoing application; and that the statements made in said
application are true of his/her own knowledge and belief.
Subscribed and sworn to before me this 16 day WA , 19 88.
Notar tots^
•
I8CITY OF ROSEMOUNT
ROSEMOUNT CITY HALL
75 145th STREET WEST
ROSEMOUNT, MN 55068
(612)423-4411
IN SUPPORT OF AN APPLICATION BY A CORPORATION OR
ASSOCIATION FOR AN NON -INTOXICATING MALT LIQUOR LICENSE
Directions: This form must be filled out by an officer of the
corporation with a typewriter or by printing in ink.
1. Name of applicant wa�ia,,o Dottit
2. Type of license soughtS _ , Off S .lp nppr
3. License requested for _ .7111V 1 , 19__U to June 30, 19_Rq .
4. Type of applicant: corporation X association other
5. ,State the following information:
(a) Name of corporation or association
5033
(b) State where incorporated (if incorporated) Mn.
(c) Attach a true copy of the Certificate of Incorporation,
Articles of Incorporation or Association Agreement & By -Laws
and if a foreign corporation, a- Certificate of Authority as
described in Chapter 303, Minnesota Statutes.
(d) Name under which applicant will be doing business (name of
business/trade name or DBA), business address and telephone:
Full name of business Tom Thumb Store # 276
15040 Canada Ave, Rosemount, Mn
Business Address Phone
(e) The full name, residence address and telephone number of the
manager, proprietor or other agent in charge of the
corporation or association's premises to be licensed.
Full name_ Wallace Pettit
Residence Address 9968 160th St E
Phone A M —A
(f) List the full names, residence addresses and telephone numbers
of all persons who, single or together with their spouses or a
parent, brother, sister or child of either of them who own or
control any interest in said corporation or association in
excess of five (5%) percent.
Full name Wa l l a ze Pe:Lt- t Interest 100%_
Residence address..., AAC)S 16.0th-St F. Haste Rhone_ 437 9024
Full Name__
_ Interest
Residence
address
Phone
Full name
Interest
Residence
address
Phone
Full name
Interest
Residence
address
Phone
Full name
Interest
Residence
address
Phone
Full name
Interest
Residence
address
Phone
(g) List the full names,
residence addresses and telephone numbers
of all officers and
directors of the corporation:
President
Residence
address
Phone
Vice President
Residence
address
Phone
Secretary
Residence
address
Phone
Treasurer
Residence
address
Phone
DIRECTORS:
Full name
Interest
Residence
address
Phone
Full name
Interest
Residence
address
Phone
Full name
Interest
Residence
address
Phone
Full dame
Interest
Residence
address
Phone
Full name
Interest
R,,,s idence
address
Phone
6.` State the exact 101 description of the premos to be licensed.
Lot l Blk 4 and N 150' of W 50'of Lot 2 Blk 4 Southrose Park
Addn: Re plat
Applicant must also submit a plot planof the area showing
dimensions, location of buildings, street access, parking
facilities and the locations of, and distances to the nearest
church buildings and school grounds.
7. Give full name, address, telephone number and the nature of the
interest amount thereof, terms for payment or other reimbursement
of all persons, other than the applicant, who have any financial
interest in the business, buildings, premises, fixtures, furniture
or stock in trade. (Thus shall include, but not be limited to,
any lessees, lessors, mortgagees, mortgagors, lendors, lien
holders, trustees, trustors and persons who have co-signed notes
or otherwise loaned, pledged or extended security for any
indebtedness of the applicant.)
8. State the value of fixtures and structures, not including land, on
the premises proposed to be licensed.
9. List the full name, residences and business addresses of three (3)
persons, residents of the State of Minnesota, 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.
Full name Donald Fluegel
Residence address_ 2522 Old Bridge Rd Phone 437'5707
Business address_ 999 Westview Dr, Hastings Phone 437 9023
Full name Donald Bahls
Residence address_ 310 10th St, Hastings, Mn Phone 437 3204
Business address1017 Vermillon St, Hastings Phone 437 4164
i' 3
`ti:�lil�alr�er iIl
Residence addres
Phone 4�� aQ�Q
Business address Sam „s h
ovP Phone
10. State whether or not all real estate taxes,, assessments, or other
financial claim of the city, state or federal
business and premises to be licensed have beeno aid; government for the
paid, the years for which delinquent. Paid; and i£ not
Paid in full
June 16, 1988
Date_A-p-pl-4ica'nt
Signature of rp Title
State
le
State of Minnesota ) Wallace Pettit
County of Dakota ,ss.
being first duly sworn, upon
oath deposes and says that he/sM is the officer who has executed th
foregoing information in support pport of an application and that the
statements made therein are true of his/MA own knowledge and
� g belief.
Subscribed and sworn to before me this 16 day of June
198 8.
M 10HN 8,
PUBLIC= I t B
r
Notary P. imt
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