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HomeMy WebLinkAbout[06a] Bello Cucina Liquor License • CITY ovsT. JOSEPH Council Agenda Item 6(a) MEETING DATE: April 5, 2012 AGENDA ITEM: Liquor License — Bello Cucina SUBMITTED BY: Administration BOARD /COMMISSION /COMMITTEE RECOMMENDATION: PREVIOUS COUNCIL ACTION: BACKGROUND INFORMATION: The City received an application for a Liquor License for the Italian Restaurant entitled Bello Cucina. The restaurant is located in the corner suite of the Millstream Shops and lofts and was part of the PUD that was approved. The liquor license approval is based on the applicant information and the Police Chief completed the required background check and has indicated that there is nothing that would prohibit the applicant from securing a license and recommends approval. The restaurant open date is schedule for April 23. BUDGET /FISCAL IMPACT: ATTACHMENTS: Request for Council Action Application for license Licenses REQUESTED COUNCIL ACTION: Authorize the Mayor and Administrator to execute the On -Sale Liquor License (2011/2012 -08) and Special Sunday Liquor License (2011/12 -08). This page intentionally left blank (v K1, Aee.a.i6Gowsp •am Minnesota Department of Public Safety Alcohol and Gambling Enforcement Division (AGED) 444 Cedar Street, Suite 222, St. Paul, MN 55101 -5133 Telephone 651- 201 -7507 Fax 651- 297 -5259 TTY 651- 282 -6555 Certification of an On Sale Liquor License, 3.2% Liquor license, or Sunday Liquor License Cities and Counties: You are required by law to complete and sign this form to certify the issuance of the following liquor license types: 1) City issued on sale intoxicating and Sunday liquor licenses 2) City and County issued 3.2% on and off sale malt liquor licenses Name of City or County Issuing Liquor License t J9O 1/ License Period From: 0 L 4 / it •.?o/a To: O -31 • de Circle One: ew License License Transfer (( Suspension Revocation Cancel (former licensee name) (Give dates) License type: (circle all that apply) n Sale Intox ting unday Liquor 3.2% On sale 3.2% Off Sale Fee(s): On Sale License fee:$ Sunday License fee: $ 3.2% On Sale fee: $ 3.2% Off Sale fee: $ Licensee Name li✓,:w� OF . <% # DOB $ ocial Security # 4 -g ffs7 (corporation, partnership, LLC, or I vidual) 3-67 /0 Business Trade Name jk-A B ��,, - ^„� Business Address 45- _ "1,44e: cod 1 4 st City I. ,,sp/f Zip Code 5437 y County ..444/ Business Phone 31.A • ! -317 Home Phone 3 Sg5 -- 7 l/ Home Address 7 .5 !,46 Ypf.), A City 1 ✓t (`r! t ,11 Licensee's MN Tax ID # Iu,SS --rte (To Apply call 651- 296 -6181) Licensee's Federal Tax ID # 1 /713 (To apply call IRS 800 -829 -4933) If above named licensee is a corporation, partnership, or LLC, complete the following for each partner /officer: . A4_ _ !c� 3 / � ' -e AC 1 • Partner/Officer Name (First Middle Last) DOB Social Security # Home Address _ 2— y1S .- - • 1 / (Partner/Officer Name (First Middle Last) DOB Social Security # Home Address Partner/Officer Name (First Middle Last) DOB Social Security # Home Address Intoxicating liquor licensees must attach a certificate of Liquor Liability Insurance to this form. The insurance certificate must contain all of the following: 1) Show the exact licensee name (corporation, partnership, LLC, etc) and business address as shown on the license. 2) Cover complete .e license period set by the local city or county licensing authority as shown on the license. Circle One: (Yes o) ) •11 the past year has a summons been issued to the licensee under the Civil Liquor Liability Law? Workers Compensation Insurance is also required by all licensees: Please complete the following: � Workers Compensation Insurance Company Name: i�i., b,J,Jas Policy # DSS DBSt✓tl p- 3 I Certify that this license(s) has been approved in an official meeting by the governing body of the city or county. City Clerk or County Auditor Signature Date (title) On Sale Intoxicating liquor licensees must also purchase a $20 Retailer Buyers Card. To obtain the application for the Buyers Card, please call 651- 201 -7504, or visit our website at www.dns.state.mn.us. (Form 9011 - 12/09) .I� .A I� A A A I� I. .I .I .r. .b I� ■ w A. < >ArtP.- ,. > <4, -4 r ><_ ><_r >< • >< •. »t•. >< •. >< •. >< >< 4p -4 �>< A A .> .� .� +,f En ba �, ,, 0 g A V = W •.,, 00 ;=1.4 Z . V p W ti 411 tl N A 4014 W h .I• VA el v - p Vi a, + V 1.0 (1) ��' ,�,� b p VP . i N 0 0 p ra A tri woli �• Z J N. Z _ t � t A ta N? a u) � 0 S i V ,. tt 7 A 2 0 . E s ft * W ' • H %.) h Q. �,. 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