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HomeMy WebLinkAbout4.f. Set Public Hearing / Off-Sale Non Intoxicating Liquor License - Tom Thumb• P Cl F30X 510 (Pily ii 2875 1451H , W �������� ROSEMOUNT, MINNE ,,l) to 5`�O6f3 s 612 423-4411 M ! 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 4