HomeMy WebLinkAbout4 - D & B Bar Liquor License Application
AGENDA ITEM:
PREPARED BY:
SUBJECT:
DATE:
INTRODUCTION:
BACKGROUND:
DISCUSSION:
HERITAGE
1891
COMMUNITY
1991
c{8J:~_A/~
2Q91
4
DAVID J. UNMACHT, CITY MANAGER
CONDUCT HEARING ON B & D BAR LIQUOR
LICENSE APPLICATION
DECEMBER 2, 1991
The purpose of this agenda item is to consider
an "On Sale" Intoxicating Liquor License
application of Joseph A. Feldman, doing business
as the B & D Bar and Restaurant. Attached is
the application and supporting information
submitted by Feldman. Also enclosed is a copy
of the Liquor Committee meeting minutes of
November 26, 1991.
Mr. Feldman operated the B & D Bar and
Restaurant for several years. The B & D Bar and
Restaurant closed voluntarily on July 1, 1991
due to non-renewal of the liquor license. At
the time of renewal last June, Feldman was in
the process of selling the bar to a group of
investors. The sale was never completed and,
for various reasons, the renewal application was
not submitted to the City for action. At this
time Feldman is requesting a new liquor license
in order to reopen the B & D Bar and Restaurant.
(For the record, it is Feldman's intentions not
to open the kitchen immediately if the bar
receives a liquor license.)
Pursuant to City Code Section 3-1-7(C) , the
Police Department has conducted an investigation
on the application. In addition, the Liquor
Committee has met on two occasions to consider
Mr. Feldman's application. The Liquor
Committee's recommendation is to denr the
application as is further described with1n the
attached minutes. The City Council must
provide, pursuant to City Code, an op~ortunity
for any person to be heard for or aga1nst the
granting of a license. After this opportunity
has been provided, City Council shall grant or
refuse the application at its discretion.
4629 Dakota St. S.E., Prior Lake. Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
ALTERNATIVES:
The alternatives are:
1. Accept the Liquor Committee
recommendation and deny the liquor
license application of the B & D Bar and
Restaurant.
2. Do not acce~t the recommendation of the
Liquor Comm1ttee and approve the Liquor
License application of the B & D Bar and
Restaurant.
3. Table this matter for further review and
discussion.
RECOMMENDATION: The Liquor Committee recommends that the B & D
Bar and Restaurant Liquor License application be
denied.
ACTION REQUIRED: Action to ap~rove or deny the Liquor License
application 1S in order.
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C I T Y 0 F P RIO R L A K E
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4629 Dakota street S.E.
Prior Lake, MN 55372
Phone (612) 447-4230 - FAX (612) 447-4245
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Response Required:
Yes
No
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C I T Y 0 F P RIO R L A K E
4629 Dakota street S.E.
Prior Lake, MN 55372
Phone (612) 447-4230 - FAX (612) 447-4245
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Response Required: Yes
No
Liquor Committee Meeting
On November 26, 1991 a
City hall at 11:30 a.m.
and Kessel. Kessel
conference call.
liquor meeting was held at Prior Lake
Present were Powell, Andren, Unmacht
participated on the telephone via
A motion was made by Powell that the Liquor Committee
recommend that the City Council deny the request for a Liquor
licence at the Band D bar. The denial of the re9Uest should
be based on numerous past police citations aga1nst the bar
and it's employees. Also the denial should be based on Minn.
stat. Sec. 340A.412 sub.2b that it is not in the best
interest of the City to licence Band D Bar. The Motion was
seconded by Andren and carried.
The Meeting was adjourned at 11:45 a.m.
341,u11 UQVOR
8004
8(ll' ~
of licenses in general, licenses may be issued for a shorter time, in which case a pro rata
license fee must be charged.
History: 1985 c 305 art 6 s 11; 1987 c 5 s 3; 1987 c 152 art 1 s 1
340A.412 UCENSE RFSTRICIlONS; INTOXICATING UQUOR UCENSES.
Subdivision I. [Repealed, 1989 c 49 s 8]
Subd. 2. Investigation of on-sale licenses. (a) The city or county having jurisdiction
over on-sale licenses to sell intoxicating liquor shall on initial application for an on-sale
license or on application for a transfer of an existing license conduct a preliminary
background and financial investigation of the applicant. The application must be in the
form prescribed by the bureau of criminal apprehension and with any additional infor-
mation as the governing body ofthe city or county having jurisdiction over the license
requires. If the governing body ofthe city or county having jurisdiction determines or
if the bureau of criminal apprehension on its own initiative determines that a compre-
hensive background and investigation of the applicant is necessary, the governing body
may conduct the investigation itself or contract with the bureau of criminal apprehen-
sion for the investigation. In addition, an investigation may be required prior to
renewal of an existing on-sale license when the governing body of the city or county
deems it in the public interest. An investigation fee not to exceed $500 shall be charged
an applicant by the city or county if the investigation is conducted within the state, or
the actual cost not to exceed $10,000 if the investigation is required outside the state.
(b) No license may be issued, transferred, or renewed if the results of the investiga-
tion show, to the satisfaction of the governing body, that issuance, transfer, or renewal
would not be in the public interest.
Subd. 3. Limitations on issuance of licenses to one person or place. (a) No more
than one ofT-sale intoxicating liquor license may be directly or indirectly issued to any
one person or for anyone place in each city or county.
(b) For the purpose of this subdivision, the term "interest~:
(I) includes any pecuniary interest in the ownership, operation, management, or
profits of a retail liquor establishment, and a person who receives money from time to
time directly or indirectly from a licensee, in the absence of consideration and exclud-
ing gifts or donations, has a pecuniary interest in the retail license; and
(2) does not include loans; rental agreements; open accounts or other obligations
held with or without security arising out of the ordinary and regular course of business
of selling or leasing merchandise, fixtures, supplies to the establishment; an interest in
a corporation owning or operating a hotel but having at least ISO or more rental units
holding a liquor license in conjunction therewith; or ten percent or less interest in any
other corporation holding a license.
(c) In determining whether an "interest" exists, the transaction must have been
bona fide and the reasonable value of the goods and things received as consideration
for a payment by the licensee and all other facts reasonably tending to prove or disprove
the existence of a purposeful scheme or arrangement to evade the restrictions of this
subdivision must be considered.
Subd. 4. Licenses prohibited in certain areas. (a) No license to sell intoxicating
liquor may be issued within the following areas:
(I) where restricted against commercial use through zoning ordinances and other
proceedings or legal processes regularly had for that purpose, except licenses may be
issued to restaurants in areas which were restricted against commercial uses after the
establishment of the restaurant;
(2) within the capitol or on the capitol grounds, except as provided under Laws
1983, chapter 259, section 9;
(3) on the state fairgrounds or at any place in a city of the first class within one-half
mile of the fairgrounds, except as otherwise provided by charter;
(4) on the campus of the college of agriculture of the University of Minnesota or
at:
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CITY OF PRIOR LAKE
IN SUPPORT OF AN APPLICATION FOR
A CITY LICENSE
INSTRUCTIONS
1. The application form must be filled out with typewriter or by
printing in ink.
2. The following individuals must complete this form:
Corporate Directors
Corporate Officers
Managers
All persons who control an interest in excess of five percent
(5%) of the business.
Owners
Partners
3. Incomplete applications will be rejected.
4. If a question does not apply, enter N/A in the space provided
for the answer.
5. The Tennessen Warning (9reen sheet) must be signed before the
Police Department will lnitiate your license investigation.
6. The General Authorization and Release (yellow sheet) must be
signed before the Police Department will initiate your
license investigation.
7. A personal interview is required as part of the license
investi9ation. Failure to participate in the interview will
result ln denial of the license.
8. The completed application must be presented to the Police
Department. An appointment is necessary to ensure the prompt
processing of your application. Please call 447-4230
during business hours to schedule an appointment with a
Detective.
9. The application fee must be paid when you present the
application to the Police Department.
I have received from the City of Prior Lake a copr of all City
Ordinances relating to the license I have applled for. I will
read and familarize myself with these ordinances.
Initial: ~ \ ~ (" Date: () ( l I 174 (
1
I have lived in Prior Lake all of my life. I attended St.
Michael's Parochial School, grades 1 through 8, and Prior Lake
High School, graduating in 1973. I also attended Normandale
Community College for 2 years. I have been farming with my
family since college and the last ten years have been involved
in the bar and restaurant business, mainly the B&D Bar and
Restaurant in Prior Lake. My main interests are amateur sports
(softball, touch football, etc.,) and I enjoy singing and
entertaining very much.
Sincerely,
JOV7mA.1/}
o ~~~/ y---------
CITY OF PRIOR LAKE
IN SUPPORT OF AN APPLICATION FOR
ON SALE INTOXICATING LIQUOR LICENSE
Directions:
Part II - Personal Information
This form must be filled out with typewriter or by
printing in ink by the sole owner, by each partner, by
each officer, or director, by each manager, proprietor
or other person with management responsibilities for the
premises by each person who by combined ownership or
control has an-Interest in corporation or association in
excess of five percent (5\).
Date:
Mark
TRUE NAME: (First)
Harold
(FUll Middle)
Stromwall
(Maiden Name)
(Last)
16264 Lakeside Ave. Prior Lake. Minnesota 447-2448
RESIDENCE ADDRESS: (street, city, state) (Phone Number)
Mark H. Stromwall
,.....----
BUSINESS NAME:
16679. Franklin Trail SE. PrioLl:i!ke. MN
BUSINESS ADDRESS: (street, City, State)
447-RR,)O
(Phol1e Numbe r)
St P,,"1 Rrlmsey MN
PLACE OF BIRTH: (City, County, State)
7-26-46
DATE OF BIRTH: (Mo. Day, Yr.)
5 ' 10"
HEIGHT
400
WEIGHT
Brown
COLOR OF HAIR
Hazel
COLOR OF EYES
U. S. citizen?Yes
No
x
Naturalized? Yes
No
If yes, give date and place
MARITAL STATUS:
Married
Single
Divorced
x
If married, true name, place and date of birth, and residence of
spouse:
TRUE NAME: (First)
(Full Middle) (Ma iden Name) (Last)
PLACE OF BIRTH: (City, County, State) DATE OF BIRTH: (Mo. Day, Yr.)
RESIDENCE ADDRESS:
(City, County, state)
If you have ever used or been known by a name or names other than the
true name given above, list such names(s) and information concerning
dates and places used.
N/A
1. Address (es) at which you have lived during preceding ten years.
(Begin with present or last address and work back.)
NO. AND STREET
CITY AND STATE
DATES
16264 Lakeside Ave. SE
Prior Lake, MN
1977 to present
2. Address(es) at which your spouse has lived during preceding ten
years. (Begin with present or last address and work back.)
N/A
3. Kind, name and location of every business or occupation you have
been engaged in during the preceding ten years. (Begin with
present or last occupation and work back.)
BUSINESS OR OCCUPATION STREET ADDRESS CITY AND STATE DATES
Attorney
16670 Franklin Trail SE, Prior Lake, ~N
1987 to present
Attornev
15870 Franklin Tr~il Sf, Pri~r IAkp MN ,QRl - 1986
Scott County Commissioner 428 S. Holmes
Shakopee, MN
1982 - 1991
4. Kind, name and location of every business or occupation your
s~ouse has been engaged in during the preceding ten years. (Begin
wlth present or last one first and work back.)
BUSINESS OR OCCUPATION STREET ADDRESS CITY AND STATE DATES
N/A
3
5. Names and addresses of your em~loyers and partners, if any, for
the preceding ten years. (Begln with present or last one first
and work back.)
NAMES: EMPLOYERS OR PARTNERS STREET ADDRESS CITY, STATE
DATES
Scott County
428 S. Holmes
Shakopee, MN
1/82 - 1/91
6. Names and addresses of your spouse's em~loyers and partners, if
any, for the preceding ten years. (Begln with present or last one
first and work back.)
NAMES: EMPLOYERS OR PARTNERS
STREET ADDRESS CITY, STATE DATES
N/A
7. Have you, your spouse, parent, brother, sister, or child of either
of you ever been convicted of any felony, crime or violation of
any ordinance, other than traffic? Yes No x If yes,
give information as to the time, place and offense for which
convictions were had.
8. Have you, your spouse, parent, brother, sister, or child of either
of you ever been engaged as an employee or in operating a saloon,
hotel, restaurant, cafe, tavern or other business of a similar
nature? Yes X No . If yes, give information as to the
time, place and length-of time.
My brother, Christopher Stromwall tended bar for the Marriot Corporation in
Bloomington, MN.
9. Have you been in military service? Yes v No If yes,
was discharge(s) ever other than honorable? Yes No x
(Copies of discharge papers may be required.)
4
10. Names, residence addresses, business addresses, and telephone
numbers of each person who is engaged in Minnesota in the business
or selling, manufacturing, or distributing intoxicating liquor and
who is nearer of kin to you or your spouse then second cousin,
whether of the whole or half blood, computed by the rules of civil
law, or who is a brother-in-law or sister-in-law of you or your
spouse.
1 . FULL NAME
N/A
RELATIONSHIP
RESIDENCE ADDRESS
BUSINESS ADDRESS
2 . FULL NAME
PHONE
PHONE
RELATIONSHIP
RESIDENCE ADDRESS
BUSINESS ADDRESS
3 . FULL NAME
PHONE
PHONE
RELATIONSHIP
RESIDENCE ADDRESS
PHONE
PHONE
BUSINESS ADDRESS
Are you a manufacturer or wholesaler of intoxicating liquor o~
interested directly or indirectly in the ownership or operation of any
such business?
Yes No x
Are you directly or indirectly interested in other establishments l~
the County of Scott or City of Prior Lake to which a license of the
same kind has been issued? Yes No
x
Are you the spouse of a person who would be ineligible for a license?
Yes No x
Who holds the current liquor license?
No one
What is the amount of investment that you will have in the business,
building, premises, fixtures, furniture, stock in trade, etc.? state
the source of money. (You must furnish proof of the source of such
money. )
None
5
Have you had any interest in any previous intoxicating liquor
that was revoked, suspended or not renewed? Yes No x
yes, explain in detail:
license
If
Have ~ou ever individually, or with others, made application for an
intox1cating liquor license and had such application denied?
Yes No x If yes, state circumstances:
11. Names, residence address, business addresses and telephone numbers
of three persons 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
Joseph F. Rip~
Phone 445-2711
Residence Address
401 11th Ave. E.
c;t,,,,1<-nr~'" , "'1iRf.l
csn9
Business Address
428 So. 1I01.m=;:,
Shakopee. Minn55379
Business Phone 496-8100
Full Name Frank Muelken
Phone 447-5055
Residence Address 15685 Fi sh Pt.
Prior Lake. Minn. 11177
Business Address , 'iR70 Fr::>n1<-l; n Tr S E:
Prior Lake, Minn. 55372
Business Phone 447-4177
6
Full Name
Dick Underferth
Phone 44l-n49R
Residence Address 14369 N. E. Rutgers
Prior Lake. Minn. ll17/
Business Address 1967Q FO];lk 1 i];l Tr a . i.
Prior Lake, Minn. 55372
Bus iness Phone 447-6068
A Financial statement of net worth and a short autobiography must
accompany this application for all persons who are required to
com~lete a Part II - Personal Information form. (Exception - Manager,
Asslstant Manager, Food Manager, and Beverage Manager, provided these
individuals are not partners, officers of corporation or do not hold
an interest in excess of 5%.)
7
I hereby understand and agree that information revealed in support of
an application for ownership or management of a licensed on sale
liquor establishment in the City of Prior Lake will be used by the
City in accordance with federal, state, and local laws regarding
privacy of records.
I declare that the information I have provided is truthful and I
authorize the city of Prior Lake to investigate the information and
contact the persons named therein.
ANY FALSIFICATION OF ANSWERS TO THE PRECEDING QUESTIONS WILL RESULT IN
DENIAL OF THE APPLICATION.
~~\\ \k;~~
(S1gnature~of App 1cant)
Subscribed and sworn to before me a Notary Public
on this ~{ day, of G:ti.zd;JL. 19 :LI
_ luLu 7{A1.Not:r~~
I fCOL-/C?)-
I I
My commission expires on
e" CONNI! II. CARlSON
_ IXJrARr PUIUO . ".I!8OfA
_ ICOTT COUNTY
.. .. IH T~~f1 ........
8
TENNESSEN WARNING
You are being investigated by the Prior Lake police Department,
for the purpose of processing an application for a license.
As part of the process, general and personal information will be
obtained, and maintained by the Prior Lake police Department.
You will be required to complete an application, supplied by the
City of Prior Lake and the Prior Lake police Department.
This information will be used by the Prior Lake police Department
for evaluating ~our license application. You are required by law
to supply this lnformation. Failure to do so or being untruthful
on your application could result in the denial of the license.
Minnesota Government Data Practices Act.
Minnesota statutes, section 13.01 thru 13.43.
I certify that I have read, understood, and been given a copy of
th i s document.
Signature:
Date Signed:
witness Signature:
~~~\\&~
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I "7J,tILlL'1t,yu CUI ('cu--!}
9
General Authorization and Release
Pursuant to MN statute 13.05 Subd. 4
Minnesota Data Practices Act
To:
I, \'(\ ~\ \ \ ~" ; /" . hereby authorize
you to re ease to t e Pr10r Lake police Department all data in
your possession which relates to my dealings and associations
with you and your agency. The data which I authorize to be
released consists of pr1vate data, defined by MN statute 13.02,
S ubd . 12.
I understand that the purpose of permitting the Prior Lake police
Department access to this information is to process my
application for a License.
This authorization shall be valid for a period of one year.
City, state, Zip:
Date Signed:
/(1
I I
Applicant's Signature:
Printed Full Name:
Address:
(1-:::
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177/
,
10
CITY OF PRIOR LAKE
IN SUPPORT OF AN APPLICATION FOR
ON SALE INTOXICATING LIQUOR LICENSE
Directions:
Part I - General Information
This form must be filled out with typewriter
printing in ink. If the application is by a
person, by such person; if by a corporation,
officer, thereof; if by a partnership, by one
partners; if by an unincorporated association,
manager or managing officer thereof.
1. Name of applicant (Name of individual, partnership, corporation or
association)
or by
natural
by an
of the
by the
Joseph Albert Feldman
2. Business Name
B&D Bar and Restaurant
Business Address
16211 East Main, Prior Lake. MN
IF BUSINESS IS TO BE CONDUCTED UNDER DESIGNATION, NAME
OTHER THAN FULL INDIVIDUAL NAME OF THE APPLICANT, ATTACH
THE TRADE NAME CERTIFICATE, AS REQUIRED BY CHAPTER 333,
STATUTES, CERTIFIED BY THE CLERK OF THE DISTRICT COURT.
3. Type of applicant:
OR STYLE
A COPY OF
MINNESOTA
x
Natural Person (Individual)
Partnership
corporation
Association or other
4. Type of license applicant seeks:
x
On Sale "Special
Sunday Sales"
If applicant is a natural person (individual), state full
name, residence, and business address and telephone numbers.
On Sale
On Sale Club
5(a).
Full Name
Joseph Albert Feldman
Phone
447-'1?4f..
Residence Address
2860 Spring Lake Road
Prior Lake. MN 5517?
2
Business Address
16211 East Main
Prior Lake. MN 55372
Business Phone
(b) . The full name, residence address and telephone number of the
a~ent in charge of the individual owner's premises at such
t1me as the owner is absent.
Full Name
Mark H. Stromwall
Phone
447-8850
Residence Address 16264 Lakeside Ave., Prior Lake, MN 55372
(C) . The full name, date of birth, residence address and telephone
number of the assistant manager, food manager, and beverage
manager.
Phone
Phone
Phone
6(a).
(A Part II - Personal History form must
attached for each of the individuals
5(c).)
If the applicant is a partnership, state full names, dates of
birth, residence and business addresses, telephone numbers
and interest of each member of the partnership.
be filled out
in 5 (a), 5 (b) ,
and
and
3
l. Full Name N/A
Interest ,
Residence Address
Phone
Business Address
Phone
2. Full Name N/A
Interest %
Residence Address
Phone
Business Address
Phone
3. Full Name N/A
Interest %
Residence Address
Phone
Business Address
Phone
4. Full Name N/A
Interest %
Residence Address
Phone
Business Address
Phone
4
(b). The manager partner will be:
Full Name N/A
Phone
Address
(c) .
The full name, residence address and telephone number of the
assistant manager, food manager, beverage manager and any
other individual with management responsibilities of the
partnership's premises to be licensed:
1.
Full Name
N/A
Phone
Address
2.
Full Name
Phone
N/A
Address
3.
Full Name
N/A
Phone
Address
4.
Full Name
N/A
Phone
Address
(A Part II - Personal Histo~ form must be
attached for each of the ind1viduals listed
and 6(c).)
IF THE APPLICATION IS FOR A PARTNERSHIP, ATTACH A COPY OF THE
PARTNERSHIP AGREEMENT AND A COPY OF THE CERTIFICATE OF TRADE
NAME UNDER PROVISIONS OF CHAPTER 333, MINNESOTA STATUTES,
CERTIFIED BY THE CLERK OF DISTRICT COURT.
filled out and
in 6(a), 6(b),
5
7 (a) .
If the applicant is a corporation or association,
name of the corporation or association, address
number, and home office address and phone number.
give the
and phone
Name B&D Bar and Restaurant. Inc.
state of Incorporation or Assoc.
Minnesota
Address
16211 East Main, Prior Lake, MN 55372
Phone N/A
(Area Code & Number)
Home Office Address
Phone N/A
(Area Code & Number)
16211 East Main. Prior Lake. MN 55372
(street
Home Office Pr ior Lake
(City)
Minnesota
(state)
55372
(Zip Code)
(b) . The full names, residence addresses and telephone numbers of
all officers of said corporation or association.
President Joseph Albert Feldman
Phone (6J2) 447-~46
(Area Co e & Nu er)
Residence Address 2860 Spring Lake Road, Prior Lake, MN 55372
(street) (City) (state) (Zip Code)
.'.~. There are no otber officers or directors in this corporation.
Vice presldent
Phone
(Area Code & Number)
Residence Address
(street)
(City)
(state)
(Zip Code)
Secretary
Phone
(Area Code & Number)
Residence Address
(Street)
(City)
(state)
(Zip Code)
Treasurer
Phone
(Area Code & Number)
Residence Address
(street)
(City)
(state)
(Zip Code)
6
(c) .
The full names, residence addresses and telephone numbers
all persons who singly or together with their spouse and
or her parents, brothers, sisters, or children, own
control an interest in said corporation of association
excess of five percent (5\)
of
his
or
in
1. Full Name N/A Joseph Feldman owns 100% of the corporation
\
Interest
Residence Address
Phone
Business Address
Phone
2. Full Name
\
3.
Interest
Residence Address
Phone
Business Address
Phone
Full Name
Interest
Residence Address
Phone
Business Address
Phone
Full Name
\
4.
Interest
Residence Address
Phone
Business Address
Phone
(If additional space is
\
necessary, attach additional sheet)
7
(d) . The full name, residence addresses and telephone numbers of
the manager, assistant manager, food manager, beverage
manager and any other 1ndividual with management
responsibilities for the corporation's or association's
premises to be licensed.
Full Name Mark H. Stromwall, Manager
Phone i:l'1 ?, 44 ~ 44~
(Area Co e Nu er
Residence Address 16264 Lakes ide Avenue. Prior Lake. MN 55372
(street) (City) (state) (Zip Code)
Full Name N/A
Phone
(Area Code & Number)
Residence Address
(street) (City) (state) (Zip Code)
Full Name N/A
Phone
(Area Code & Numbe r)
Residence Address
(street) (City) (state) (Zip Code)
Full Name N/A
Phone
(Area Code & Number)
Residence Address
(street) (City) (state) (Zip Code)
Full Name N/A
Phone
(Area Code & Number)
Residence Address
(street) (City) (state) (Zip Code)
(A Part II - Personal History form must be filled out and
attached for individuals listed in 7 (b) , 7(c) and 7(d).)
8
8 (a) .
One copy of the certificate of Incorporation.
One copy of Articles of Inco~oration.
A co~y of By-Laws to the appllcation.
Fore1gn corporations shall attach a copy of certificates
of Authority, as described in H.S.A. Chapter 303.
If the applicant is a club, state name of club:
ATTACH: 1)
2)
3)
4)
N/A
Date that club was first incorporated:
Place of such organization:
Present number of members:
The full names, positions, residence addresses and phone numbers of
all officers, executive committee members and member of board of
directors.
Full Name N/A
Phone
Phone
Phone
Phone
9
Full Name N/A
O.O.B.
position
Residence Address
Full Name N/A
O.O.B.
Position
Residence Address
Full Name N/A
D.O.B.
position
Residence Address
Full Name N/A
D.O.B.
Position
Residence Address
Full Name N/A
O.O.B.
position
Residence Address
Phone
Phone
Phone
Phone
Phone
(b). The full names, residence addresses and telephone number of
the manager, assistant manager, food manager, beverage
manager or any other individual with management
responsibilities for the club's premises to be licensed.
10
Full Name N/A
0.0.8.
position
Residence Address
Full Name N/A
D.O.B.
position
Residence Address
Full Name N/A
D.O.B.
position
Residence Address
Phone
Phone
Phone
(A Part II - Personal History form must be filled out and
attached for each individual listed in 8(a) and 8(b).)
ATTACH ONE COpy OF THE ARTICLES OF INCORPORATION AND BY-LAWS OF THE
CLUB
THERE MUST BE SUBMITTED A SWORN STATEMENT THAT THE CLUB HAS BEEN IN
EXISTENCE FOR MORE THAN FIFTEEN YEARS OR, IN THE EVENT THAT THE
APPLICANT IS A CONGRESSIONALLY CHARTERED VETERANS' ORGANIZATION, IN
EXISTENCE FOR MORE THAN TEN YEARS. THE STATEMENT SHALL BE MADE BY A
PERSON WHO HAS PERSONAL KNOWLEDGE OF THE FACTS STATED THEREIN. IN THE
EVENT THAT NO PERSON CAN MAKE SUCH A STATEMENT, SATISFACTORY
DOCUMENTARY PROOF MAY BE SUBMITTED IN SUPPORT OF SUCH FACTS.
THE FOLLOWING QUESTIONS SHOULD BE ANSWERED BY ALL APPLICANTS:
9. State the exact legal description of the premises to be licensed.
(Applicant must also submit a plot plan showing dimensions,
location of buildings, street access, parking facilities, and the
locations of and distances to the closest point of a church
structure or the closest point on a lot occupied by a public
school. )
That part of Lot 10, Block 3, Village of Prior Lake,
Minnesota, Scott County, lying Westerly of the following
described line: Beginning at a point on the Northerly line
of said Lot 10, Block 3, distant 70.50 feet westerly of the
Northeasterly corner thereof; thence Southerly to a point on
the southerly line of said Lot 10, distant 70.50 feet
westerly of the Southeast corner of said Lot 10, and there
terminating. Together with an easement for ingress and
egress over the South 7.0 feet of that part of Lot 10, Block
3, lying East of the above described line.
11
10. How are the premises zoned under the Prior Lake zoning ordinance?
11. State full names, residences and business addresses and telephone
numbers of the owner or owners of the building wherein the
licensed business will be located, if the owner is other than the
applicant.
Full Name N/A
Phone
Residence Address
Business Address
Phone
Full Name N/A
Phone
Residence Address
Business Address
Phone
12. Where the building is owned by other than applicant,
summary the conditions of lease arrangement, such as,
lease, monthly rental, renewal privileges, etc. (One copy
lease shall be attached.)
state
term
of
in
of
the
N/A
l3. If the building is owned by the individual applicant, partnership,
corporation or association, state:
a)
b)
Date purchased
12/15/84
Name and address of person purchased from
Larry Gensmer, P.O. Box 155, P.L., MN 55372
Brad Rothnem
10'1 ~. Lnd ~t.
LeSueur, MN 56058
c) Purchase price $630,000.00
Amount of down payment $20.000.00
12
d)
Who currently holds the mortgage
Contrac~ for Deed
Cera d Haferman, 4933 Oak St. SE, PL
- Name and Address
Promissory Note
Larrv Gensmer, P.O. Box 155, PL 55372
Bradford Rothnem, 109 S. 2nd St'~60u8ur
Amount of contract for deed$45,000.00 )
e)
f)
Who currently holds contract for deed - Name and Address
Cearld Haferman, 4933 Oak Street E., Prior Lake, MN 55372
g) Term of mortgage
h) Term of contract for deed November '94
i) Rate of interest on mortgage
j) Rate of interest on contract for deed 8%
k) State the monthly payment at which the mortgage and/ or
contract for deed is being liquidated
C.D. - $1,386.001 mo.
Promissory Note - $2,500.00/mo.
1) Are the payments on the mortgage and/or contract for deed up
to date?
Yes
14. State the amount of the investment that the applicant has in the
business premises, fixtures, furniture, stock in trade, etc.
$130,000.00
Attach supporting proof of the source of such money.
15. Give full names, addresses, telephone numbers of all persons,
other than the applicant, who have any financial interest in the
business, buildings, premises, fixtures, furniture, or stock in
trade. state the nature of the interest amount thereof, and the
terms for payment or other reimbursement. (This shall include,
but not be llmited to, any lessees, mortgagors, lenders, lien
holders, trustees, and persons who have co-si9ned notes or
otherwise loaned, pledged, or extended secur1ty for any
indebtedness of the appl1cant.)
Full Name Fe Idman Fami ly
Phone
447-2410
Address
18576 Texas Avenue. MN 55372
Nature of Interest, etc. Loan in the amount of $130,000.00 interest deferred
until tax liens are satisfied. principal reduction payments of $850.00 per month.
13
Brad Rothnem, 109 S. 2nd St., LeSueur, MN 56058 665-3948
Full Name Larry Gensmer, P.O. Box 155, P.L. MN Phone 447-5190
Address
I r "r
~ ..I 1,.I'J,U1JU,lIJ ''/',10
Nature of Interest, etc. Promissory Note in the amount of S200100Q.;~.5%
monthly payments of $2.500.00 until Haferman Contract is paid in full. $3.500
er month thereafter secured bva :;ecurit a reement
Full Name
N/A
Phone
Address
Nature of Interest, etc.
Full Name
N/A
Phone
Address
Nature of Interest, etc.
IF THIS APPLICATION IS FOR PREMISES EITHER PLANNED OR UNDER
CONSTRUCTION OR UNDERGOING SUBSTANTIAL ALTERATION, THE APPLICATION
SHALL BE ACCOMPANIED BY A SET OF PRELIMINARY PLANS SHOWING THE DESIGN
OF THE PROPOSED PREMISES TO BE LICENSED. IF THE PLANS OR DESIGN ARE
ON FILE WITH THE MANAGER OF THE BUILDING AND INSPECTION DEPARTMENT OF
THE CITY OF PRIOR LAKE, NO ADDITIONAL PLANS NEED BE FILED WITH THIS
APPLICATION.
16. State the floor number, general area, and all rooms where
intoxicating liquor is to be sold and consumed. (A~plicant shall
attach a floor plan showing dimensions and indicat1ng number of
persons intended to be served in the said rooms.)
N/A
17. What permits required by the Federal government have been
for or issued for the premises? In what name were these
for or issued and what is the nature of the permit?
applied
applied
N/A
14
18. What permits or licenses required by the state of Minnesota have
been applied for or issued for the premises? In what name were
these applied for or issued and what is the nature of the permit
or license?
N/A
19. Are any real estate taxes, personal property taxes, special
assessments, or other financial claims of the County of Scott or
City of Prior Lake or State of Minnesota delinquent or unpaid for
the premises to be licenses?
Yes x No If yes, give details.
Real Estate Taxes not current for the tax Yins 'R7 '8R and '90.
Minnesota Sales and Withholding tax for 1987 and 1988 delinquent in the amount
of $ 6 , 100. 00.
20. Is the ~remises located within 1000 feet of any public school?
(This dlstance is as measured in a straight line from the parcel
or lot upon which the business to licensed is located to the
nearest point of the parcel or lot upon which the public school is
located.) Yes No x
21(a). Is the premises located within 1000 feet of any church? (This
distance is as measured in a straight line from the parcel or lot
upon which the business to licensed is located to the nearest
point of the parcel or lot upon which the public school is
located.) Yes No x ~/A
(b)If the application is for a club, is the premises located within
900 feet of any church? Yes No x
22.
If the premises is a hotel or motel, is there a dining
to the general public, with a minimum floor area of
feet seating a minimum of 30 persons, and are there a
50 guest rooms provided?
Yes No x
room, open
900 square
minimum of
15
23.
If the premises is a restaurant, is
1200 s9Uare feet for dining, open
provislons for seating a minimum of
Yes x No
there a minimum floor area
to the general ~ublic
50 persons at one t1me?
of
and
24. Names, residence address, business addresses and telephone numbers
of three persons 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 Robert Mertens
Phone
447-2406
Residence Address 3534 Basswood Cir. SW. Prior Lake. MN 55372
Business Address
Phone 447-2629
lh?14 M::lin A\1pnllp SF PrirH 1:>1<1' MN C,C,17?
,
Full Name John Hahoney
Phone 447-3360
Residence Address 17276 Murph\" Lake Blvd., Prior Lake. N~ 55372
Business Address S~mp
Phone Same
Full Name Eu~ene Ne i
Phone 6.6.7_),,)
Residence Address 6315 160th St. E, Prior Lake, MN 55372
Business Address Same
Phone Same
25. List all banking institutions (banks, credit unions, savings &
loans) where you have conducted business during the past five (5)
years. List name and address of institution and type of account
or transaction.
Name of Institution
Marquette Lakeville
Address
Lakevi1le, MN
Type of Account/Transaction
Personal checkiDg
16
Name of Institution Marquette Bank
Address
1oR1? ntlltlrh Avp c;F Prinr I:>L-"
Type of Account/Transaction Bus i ne 55 account
Name of Institution
Prior Lake State Bank
Address
1 f-..f-..77
nl11llth
A,,~
l:;F
Prif"'lr
T ~l.rQ Ml\l
,
Type of Account/Transaction
Payroll account
Name of Institution MetroDol iran Federal Bank
Address
15830 Franklin Trail SE, Prior Lake, MN
Type of Account/Transaction
Name of Institution
Address
Type of Account/Transaction
Name of Institution
Address
Type of Account/Transaction
Financial statement of net worth and a short autobiography MUST
accompany this application for all persons (Manager, Assistant
Manager, Food Manager and Beverage Manager, ~rovided these individuals
are not partners, officers of the corporat10n or do not hold an
interest in excess of five (5%) percent.)
The city of Prior Lake is to be notified immediately of any change in
management, partners, officers in the corporation. Failure to do so,
may result in suspension, revocation, or cancellation of the liquor
license.
17
I hereby understand and agree that information revealed in support of
an application for ownership or management of a licensed on sale
liquor establishment in the City of Prior Lake will be used by the
City in accordance with federal, state, and local laws regarding
privacy of records.
I declare that the information I have provided is truthful and I
authorize the City of Prior Lake to investigate the information and
contact the persons named therein.
ANY FALSIFICATION OF ANSWERS TO THE PRECEDING QUESTIONS WILL RESULT IN
DENIAL OF THE APPLICATION.
Subscribed and sworn to before me a Notary Public
on this ~ 01" day of ,~,--,'I ~ _'~ C---. ,19 '1 /
,\\""\ ~, ~)t~~~)
My commission expires on : ~;' S . '7 U
~~._.....,..... ...w~... __.........__...__
@ '",oK H. STRC'.:',VAlL
NOT MY PU8lIC-IolINIIESOT A
l' SCOTT COUNTY
MY CCWM8SlCN EXPIlES ..,,...
18
PRIOR LAKE POLICE DEPARTMENT
I have received, from the City of Prior Lake, a copy of all City
Ordinances relatin9 to the operations of On Sale liquor establishments
as well as publ1cation '3-8, Department of Public Safety, Liquor
Control Division, Rules and Laws booklet. I will read and familiarize
myself with these items.
Signed:
~/
C- . . <)/)~/ .
---
19
TENNESSEN WARNING
You are being investigated by the Prior Lake Police Department,
for the purpose of processing an application for a license.
As part of the process, general and personal information will be
obtained, and maintained by the Prior Lake Police Department.
You will be required to complete an application, supplied by the
City of Prior Lake and the Prior Lake Police Department.
This information will be used by the Prior Lake Police Department
for evaluating rour license application. You are required by law
to supply this 1nformation. Failure to do so or being untruthful
on your application could result in the denial of the license.
Minnesota Government Data Practices Act.
Minnesota statutes, section 13.01 thru 13.43.
I certify that I have read, understood, and been given a copy of
this document.
Signature:
Date Signed:
Witness Signature:
20
General Authorization and Release
Pursuant to MN statute 13.05 Subd. 4
Minnesota Data Practices Act
To:
I, , hereby authorize
you to release to the Prior Lake Police Department all data in
your possession which relates to my dealin~s and associations
with you and your a~ency. The data Wh1Ch I authorize to be
released consists of pr1vate data, defined by MN Statute 13.02,
S ubd . 12 .
I understand that the purpose of permitting the Prior Lake Police
Department access to this information is to process my
application for a License.
This authorization shall be valid for a period of one year.
City, State, Zip:
Date Signed:
(Ji 1zfi)- ..
-J ;;,~/: ~ N Ii '-- R~ R--r- U~LIL-f4 /'/
J-::r-C ,') ~ j; l / /!) ~ ~A K;; R L\
B I' ~ k. [~i<'. C /0/' /t/ -<' s'-- ;; "7.2-
9/5CJ /9/
,
-----------
Applicant's Signature:
Printed Full Name:
Address:
21