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1b. Happy Garden II Beer & Wine Lic
I r I b CITYOF -- I 1 liti‘, 690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317 (612) 937-1900 • FAX (612) 937-5739 ac'' t) Er`.- - IMEMORANDUM TO: Don Ashworth, City Manager i r - w _. _ II FROM: Karen Engelhardt, Office Manager T - 1 ,),I '' - 10 ' i l DATE: June 4 , 1991 IISUBJ: Approval of Beer and Wine License Application, Happy Garden Restaurant II II Attached please find an on-sale beer and wine license application I from Happy Garden Restaurant II. This is the new Vietnamese restaurant located in Seven Forty-One Crossing at Highways 7 and 41. 1 The Public Safety Director has completed background investigations on the three applicants, Sang Cam Ky, Nancy Hua Tat and Cuong Quang Ha. Mr. Harr' s investigation found no negative information about Iany of the applicants. After review of the application, I find that everything is in order including submittal of their liquor liability insurance certificate IIand $5, 000 surety bond. The fee for this license is $270. 00 annually. Issuance of this license will not affect the number of on-sale intoxicating licenses available to the city. IRECOMMENDATION II It is the recommendation of this office to approve the on-sale wine and beer license application of Happy Garden Restaurant II. II 1 - II II il I MINNESOTA DEPARTMENT OF PUBLIC SAFETY PS-9114(11 89) I PHONE (612) 296-6434 LIQUOR CONTROL DIVISION 333 SIBLEY • ST. PAUL, MN 55101 • I APPLICATION FOR COUNTY OR CITY ON SALE WINE LICENSE NOT TO EXCEED 14% OF ALCOHOL BY VOLUME 1 EVERY QUESTION MUST BE ANSWERED. If a corporation,an officer shall execute this application. If a partnership, a partner shall execute this application I Applicants Name(Business,Partnership,Corporation) Trade Name or DBA Happy Garden Restaurant, Inc. Happy Garden II Business Address Business Phone Applicant's Home Phone I 2401 West Highway 7 ( County )none yet ( 612 ) 933-4066 City State Zip Code Chanhassen Carver MN 55331 Is this application If a transfer,give name of former owner License period I [] New❑ Renewal ❑Transfer From issuance To 12/31/91 If a corporation,give name title,address and date of birth of each officer If a partnership,give name,address and date of birth of each partner I Sang Cam Ky, President 15543 Sussex Dr. , Minnetonka, MN 12/20/63 Partner'Officer,Name and Title Address DOB Nancy Hua Tat, Secretary 850 44th Ave. , San Francisco, CA 6/2/53 Partner/Officer Name and Title Address DOB I Cuong Quang Ha, Treasurer Partner/Officer Name and Title 2509 Birchview La. , Minnetonka, MN 1118/58 Address DOB IPartner/Officer Name and Title Address DOB CORPORATIONS Date of incorporation State of incorporation Certificate number Is corporation authorized to do business in Minnesota? ' 12/27/90 Minnesota 4904 If © Yes ❑ No a subsidiary of another corporation,give name and address of parent corporation I BUILDING AND RESTA .' -NT Name of building owner Owner's ac- Seven Forty One Partnership 3601 M. :.sots Dr. , Suite 110, Edina, MN I Are Property Taxes delinquent? Has the building owner any connection,direct or inc4 .., Restaurant seating capacity ❑ Yes [X1 No with the applicant? Yes © NO 60 Hours food will be available 12-9 Sun. No.of people restaurant employs No.of months per year restaurant Will food service be the principle business? 11-9 M-Th, 11-10 F-Sat 5 will be open 12 ® Yes ❑ No II Describe the premises'to be licensed Standard rectangular space of 2614 sq. ft. divided almost evenly between kitchen and dining area If the restaurant is in conjunction with another business(resort,etc.),describe business IOTHER INFORMATION 1. Have the applicant or associates been granted an on-sale non-intoxicating malt beverage (3.2) and/or a "set- ' up" license in conjunction with this wine license? ❑Yes ® No Applied for ' 2 Is the applicant or any of the associates in this application a member of the county board or the city council I which will issue this license? ❑Yes ® No If yes, in what capacity? . (If the applicant is the spouse of a member of the governing body, or another family relationship exists, the member shall not vote on this application.) 3 During the past license year has a summons been issued under the liquor civil liability(Dram Shop)(M.S.340A802). ❑ Yes ® No If yes, attach a copy of the summons. V I. . c.,,,,,,_,(.... .-4_,L.:_- at-,_, ,: ,-,--,IL,k _, ,...„)..0,-1„..c t.,-, ,.., i...,„. , L,,,,.,.....„., , 4,.../. :. A • It y -, t / , - ctif.16,..e....641 I4: W`L- ✓--.L ...1 ...“).4-4 LC."' CAF' 4_x1 V APPLICATION FOR INTOXICATING LIQUOR LICENSE '":-- -.1 - - • I NEW AND RENEWAL . TO THE HONORABLE CITY COUNCIL, GENTLEMEN: I I, Sang Cam Ky as President I (Name of person making application) (Individual owner, officer, or partner) for and in behalf of Happy Garden Restaurant, Inc. II (myself, names of partners, name of corporation or ' association) 1 hereby submit in duplicate this application for a On Sale- h,, (On Sale or Club) Intoxicating Liquor License for the Happy Garden II II ZName of restaurant, hotel, or club located at 2401 West Hwy 7 (Street address and/or plat and parcel number for the sale of intoxicating liquor in accordance with the provisions of Minnesota 1 Statutes , Chapter 340, and the City of Chanhassen Intoxicating Liquor Ordinances, commencing January 1st 1991 II _ and ending December 31 1991. 1 In support of said application and in accordance with the requiremen as set forth in aid Ordinance, there is attached hereto, ; in duplicate, The Part I - General Information Form, Part II - Personal Information 1 Forms, the Bond, license fee, and investigation fee. ' II Myself •% , c, c`I' (py" 64.' Nancy Hua Tat Cuong Quang Ha I Fsi-aj-,i_n, 3n,4-For (Signature nd aa TI" tTe of Person TgysEIT names o1 pAFt-hers, names making Application) of corporation or association) 1 CITY OF CHANHASSEN, MINNESOTA IN SUPPORT OF AN APPLICATION FOR ON-SALE OR CLUB 1 INTOXICATING LIQUOR LICENSE 4 Part I - General Information ' Directions : This form must be filled out in duplicate with typewriter of by printing in ink. If the application is by a natural i person, by such person; if by a corporation, by an officer, thereof; if by a partnership, by one of the partners; if by an unincorporated association, by the manager or managing officer thereof . ' 1 . Name of applicant (name of individual, partnership, corporation or association) ; ' Happy Garden Restaurant, Inc. • 2. Name under which applicant will be doing business (name of restauran ' hotel or club) , business address and telephone number: Fuld. Name Happy Garden II ' Business Address 2401 West Hwy 7 Phone 474-1990 IF BUSINESS IS TO BE CONDUCTED UNDER A DESIGNATION, NAME OR STYLE OTHER THAN FULL INDIVIDUAL NAME OF THE APPLICANT, ATTACH A COPY OF THE CERTIFICATE, .AS REQUIRED BY CHAPTER 33: MINNESOTA STATUTES, CERTIFIED BY THE CLERK OF THE DISTRICT ' COURT. 3 . Type of applicant: ' • Individual _Partnership X Corporation _Association or other 4 . Type of license applicant seeks? XOn Sale Club S. (a) If applicant is an individual, state full name, residence and ' business address and telephone numbers. Full Name Residence Address • . Phone Business Address • Phone (A Part II - Personal Information form must be filled out and attached for this individual) • • -1- • • (b) The full name, residence address and telephone number of the manager, proprietor or other agent in charge of the individual owner ' s premises to be licensed. 1 Full Name Residence Address Phone ' (A Part II - Personal Information .form must be filled out and attac �c for this individual) 6. (a) If applicant is a partnership, state full name, residence and business address, telephone numbers, and percentage interest of, each member of the partnership. 1 . Full Name Interest Residence Address Phone Business Address Phone I 2 . Full Name Interest Residence Address Phone Business Address Phone 3 . Full Name Interest Residence Address Phone I Business Address Phone • 4 . Full Name _ Interest Residence Address _ Phone Business Address Phone (A Part II - Personal Information form must be filled out and , attached for each of these individuals) (b) The managing partner will be: (c) The full name, residence address and telephone number of the manager, proprietor or other agent in charge of the partnership's premises to be licensed . • Full Name • 1 Residence Address Phone (A Part II - Personal Information form must be filled out and I attached for this individual) -2 __ T _....._ . - . li . IF THE APPLICATION IS FOR A PARTNERSHIP, ATTACH A TRUE COPY OF THE PARTNERSHIP AGREEMENT AND A COPY OF THE II CERTIFICATE OF TRADE NAME UNDER PROVISIONS OF CHAPTER 333, MINNESOTA STATUTES, CERTIFIED BY THE CLERK OF DISTRICT COUF l 7. (a) If the applicant is a corporation or association, give name of corporation or association, Chanhassen address and phone number, and home office address and phone number. IIState of Incorporation or Association IName Happy Garden Restaurant, Inc. Minnesota Chanhassen Address 2401 West Hwy 7 Phone 474-1990 IHome Office Address 15543 Sussex Dr. , Minnetonka Phone 933-4066 (b) The full names, residence address and telephone numbers of all I . officers of said corporation or association. President sang Cam Ky IResidence Address 15543 Sussex Dr. ; Minnetonka,MN Phone 933-4066 IVice President None Residence Address Phone - 1 Secretary Nov Hua Tat I Residence Address 850 44th Ave. , San Francisco, CA Phone(415) 387-1171 _ Treasurer Cuong Quang Ha . IResidence Address 2509 Birchview La, Minnetonka,MNph: 593-5480 (A Part II - Personal Information form must be fil . . out and Iattached for these individuals) . (c) The full names, residence address and telephone number of all I persons who singly or together with their spouse and _his or her parents, brothers, sisters or children, own or control an interes in said corporation or association in excess of 5% . 1 1 . Full Name Sang Cam Ky Interest 50 $ Residence. Address 15543 Sussex Dr. , Minnetonka Phone 933-4066 - I2 . Full Name Nancy Hua Tat Interest 25 $ I Residence Address 850 44th Ave. , San Franciscophone(415) 387-1171 CA I -3- IF 3 . Full Name cuong Quang Ha Interest 25 $ I Residence Address 2509 Birchview Lane Phone 593x5480 Minnetonka, MN - 4 . Full Name Interest Residence Address Phone ' (A Part II - Personal Information form must be filled out and attached for these individuals) (d) 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 Sang Cam Ky Residence Address 15543 Sussex Drive Phone 933-4066 Minnetonka, MN (A Part II - Personal Information form must be filled out and I attached for this individual) IF THIS APPLICATION IS FOR A CORPORATION OR ASSOCIATION, ATTACH A TRUE COPY OF THE ARTICLES OF INCORPORATION OR ASSOCIATION AGREEMENT AND BY-LAWS AND, IF A FOREIGN CORPORATION, A CERTIFICATE OF AUTHORITY AS DESCRIBED IN CHAPTER 303, MINNESTOA STATUTES. I 8 . (a) If the applicant is & club, name of Club ;date that club was first incorporated " ;' place of such organization _ ; present number of 11 members ; the full names, position, residence address and phone numbers of all- officers, executive committee and board of II directors . 1. Full Name Position ' Residence Address Phone 2. Full Name Position - Residence Address Phone " ' 3. Full Name • Position Residence Address Phone 4 . Full Name • Position , Residence Address Phone -4- 5 . Full Name — _ Position Residence Residence Address _ Phone 1111 6 . Full Name Position - IIResidence Address Phone 7 . Full Name Position Residence _ Phone ' 8 . Full Name Position Residence Address Phone I9 . Full Name Position Residence Address Phone r10 . Full Name Position . ' Residence Address Phone (A Part II - Personal Information form must be filled out and attached for each of these individuals) (b) The full name, residence address and telephone number of the manager, proprietor or other agent in charge of the club's premises to be licensed. Full Name rResidence Address Phone ' (A Part II - Personal Information form must be filled out and attached for this individual) ' IF THIS APPLICATION IS FOR A CLUB, INCLUDE A TRUE COPY OF THE ARTICLES OF INCORPORATION AND BY-LAWS. 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 CHARTERE VETERANS ' ORGANIZATION, IN EXISTENCE FOR MORE THAN TEN I 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, SATISFACTO DOCUMENTARY PROOF MAY BE SUBMITTED IN SUPPORT OF SUCH FACT 1 -5- �.- .. _... .. - - r - - - • 1 9 . State the exact legal description of the premises to be licensed) (Applicant must also submit a plat plan of the area showing dimensi location of buildings, street access, parking facilities and the locations of and distances to the nearest church building and pu� school grounds . ) _ See attached Exhibit - Legal I • • _ 1 10 . How are the premises classified under the Chanhassen zoning ordinan Neighborhood Business , 11. State full name, residence and business address and telephone nu of owner or owners of the building wherein the licensed business be located, if owner is other than the applicant. Full Name Owner of building: Seven Forty One Partnership Richard A. Heise Residence Address 342 N. Mississippi River Blvd. PhOne647-9374 HRMA I Business Address 123 N. Third St. #808, Minneapolis Phone 339-2722 Full Name Richard N. Soskin • Residence Address 5591 Bristol Lane, Minnetonka, MN Phone 930-0121 Business Address 6475 City West Parkway, Eden Prairie,phone 829-2851 ' MN 12. Where building is owned by other than applicant, state in summary I conditions of lease arrangements- term of years, monthly rental, etc. (A true copy of the lease shall be attached) . 13. If building is owned by- individual applicant, partnership, corpora or association, state: p a) Date purchased _ b) Name and address of person' purchased from c) Who currently holds mortgage? , d) Who currently holds Contract for Deed? -- I e) Term of Mortgage f) Term of Contract for Deed g) State the rate at which Mortgage and/or Contract for Deed is be ' c_ liquidated -6- • h) Are the payments on Mortgage and/or Contract for Deed up-to-date? 1 14 . State separately the amount of the investment that the applicant ha. ' in the bus4ness premises, fixtures, furniture, stock in trade , and attach supporting proof of the source of such money: Business Premises $appox. $1900 . per ; Fixtures $ ; ' month Furniture $ ; Stock in Trade $ • ; Total investment equals Other $ . $100, 000 . Money derived from savings of the 3 sole shareholders of corporation. 15 . 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 husiness, buildings , premises, fixtures , furniture, or stock in trade. (This 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. ) ' 1 . Landlord of building: Seven Forty One Partnership, 3601 Minnesota Drive, Suite 110, Edina, MN 554.10 (Leaseholder of Standard Restaurant Lease) • I • 1 r rIF THIS APPLICATION IS FOR PREMISES EITHER PLANNED OR UNDER CONSTRUCTION OR UNDERGOING SUBSTANTIAL ALTERATION, ' THE APPLICATION SHALL BE ACCOMPANIED BY A SET OF PRELIMINAI PLANS SHOWING THE DESIGN OF THE PROPOSED PREMISES TO BE LICENSED. • • IF 1 -7- t 16 . State the floor number, square foot area, and rooms where in- II toxicating liquor is to be sold and consumed . (Applicant shall attach a floor plan showing dimensions and I/indicating number of persons intended to be served in the dining rooms, and indicating and identifying all other rooms and other areas where intoxicating liquor is to be sold and consumed) II The entire restaurant consists of one dining area. Beer and wine is to be consumed in this area alone which consists of approximately ., 1500 square feet. • II 17. What permits required by the Federal Government by the Laws of the 1 United States 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? II None .. . .. II . 1 18 . What permits or licenses required by the State Government by the Statutes 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? Minnesota Dept. of Health, Food License, Pending. Applied for in the Applicant ' s name. II License required for serving food. 1 19 . Are any real estate or other taxes, special assessments, or financia claims of the City of Chanhassen delinquent or unpaid for the premit to be licensed? No If "yes", give details. • 1 II -8- II • 1 I20 . What vending or mechanical amusement device company has or will have machines on the licensed premises? Describe nature of machines and devices . None . I I 21. Will live or filmed entertainment be offered patrons of the licensed premises? No If answered in the affirmative, give comple details of the nature of said entertainment. 22 . Name, residence address, business address and telephone numbers of three persons, residents of Carver County, of good moral character, I not related to the applicant or financially interested in the premis or business, who may be referred to as to the applicant's character. IName Woo, Bok Chai Residence Address 4120 France Ave. S. , Edina, MN 55416 Phone • I Fortune House Business Address�303 36th Ave. N. . Cr,. „ . MN 55422 Phone (612) 521-1078 IName Szeto, Man Chung • IResidence Address5.1349 Xerxes Ave. , Minneapolis, MN 55410 Phone(612) 920-1005 Business Address 7534 W. 149th St. , Apple Valley, MN 55124 Phone(612) 891-3333 Name Larry Zamor • 1 Residence Address Phone Chanhassen Inn Business Address531 w. 7 th St. , Chanhassen, MN 55417 • Phone (612) 934-7373 I 1 . -9- w.._ I CITY OF A ‘ CHANHASSEN • 690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317 (612) 937-1900 • FAX (612) 937-5739 MEMORANDUM 1 TO: Karen Engelhardt , Office Manager ' FROM : Scott Harr , Public Safety Directors DATE: May 22 , 1991 , SUBJ : Background Investigation , Liquor License Applicants for Happy Garden Restaurant , Inc . Pursuant to your request , l have conducted routine investigations on the following applicants : Ha , Cuong Quang I Tat , Nancy Hua Sang, Cam Ky This office finds no detrimental records on these parties . If you have any further questions , please let me know. 1 I 11 ICITY OF CHANHASSEN, MINNESOTA IN SUPPORT OF AN 11 APPLICATION FOR ON-SALE OR CLUB INTOXICATING LIQUOR LICENSE ' Part II - Personal Information Directions: This form must be filled out in duplicate with type- writer or by printing in ink by the sole owner, by each partner, by each officer, or director, by each manager, proprietor or other agent in charge of the premises, by ' each person who by combined ownership or control has an to erest in a corporation or association in excess of 5% . ' Date: 4-15-91 Ha , Cuon , Quang II1 . 'True name: (last, first, middle) 2509 Birchview Lane , Minnetonka , MN 55343 (612) 593-5480 • 1 2 . Residence address: (number, street, city, state) 3 . . (phone) 2645 White Bear Ave. Maplewood, MN 55109 (612) 777-1893 4 . Business address: (number, street, city, state) 5 . (phone) II 6 . ,=Place of birth: (city, county, state) 7. Date of birth: (mo. , day, yr. ) aion, Viet Nam Nov. 8th, 1958 8 . U .S. Citizen? Naturalized? If yes, give date and place: ' x Yes No. Yes No . 1987,. Minneapolis , MN 9 . If you have ever used or been known by a name or names other than the true name given in #1 above, list such name (s)- and information concerning dates and places where used. Names Dates, Places and Circumstances. I 10 . Marital status.: Single x ' Widowed Separated. Married—� Divorced ' 11. If married, true name, place and date of birth, and residence address of spouse: I True name: ' Place and date of birth: Residence Address: 1 If yes, where are you registered? Is your spouse a •registered voter? Yes No If yes, where is spouse registered? 13 . Addresses) at which you have lived during ,preceeding ten years (begin with present or last address and work back . ) II No. and Street City and State Dates 2509 Birchview Lane • MTKA, MN 55343 June 1988 to present !' 16216 Tonka Road MTKA , MN 55345 March 1982 to June 198E II • II 14 . Address (es) at which your spouse has lived during preceedin ten years . (Begin with present or. last address and work ba�. No. and Street City and State Dates II II II• 15. Kind, name and location of every business or occupation you have been engaged in during the preceeding ten years. (Begin with present or last address and work back: ) II Business or occupation Location: Street address Nature of busines city and state or occupation Yin Yang Restaurant 2645 White Bear Ave. • e - 7 • uJ o • Chinese Rest. - ear - E Happy Garden 5560 Three Point Blvd. ,,, , ,,hinese Rest. - Cook Great Wall 4545 France Ave. S Edina iChinese Rest. - Caok i 16. Kind, name and location of every business or occupation your spouse has been engaged in during the preceeding ten years . (Begin with present or last one first and work back. ) , - Business or occupation Location: street address Nature of business • city and state or occupation I II • -2- ----_........ ...__ . ----• — -- .-_..w.-.._._._ ._._---- 17 . Names and addresses of your employers and partners, if any, for the preceeding ten years . (Begin with present or last one first and work back. ) ' . Names :Employers or partners Addresses:City and State Dates 15543 Sussex Drive 1 Sang Cam Ky Partner Minnetonka, MN 55345 1989 to present Sang Cam Ky Employer 1986 to 1989 ' Andy Sham Employer 4515 France Ave S. Edina 1984-1986 1 II 18 . Names and addresses of your spouse 's employers and partners, if any, for the preceeding ten years . (Begin with present or last one first and work back. ) Names: Ernployers or partners Addresses:City and State Dates • • 19 . Have you, your spouse, or a parent, brother , sister or child ' of either of you, ever been convicted of any felon' doss or petty misdemeanor, or violation of any ordinance, other t , traffic? Yes X No. If yes , give information as to the time, place and c_i ense for which convictions were had. 20 . Have you, your spouse, or a 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? X Yes No. _ If yes, give information as to the time, place and length of time. , See answer to question #15 • I . -3- • 21 . Have you been in military service? x Yes If yes , was discharge (s) ever other than honorable? Yes X No. (Upon request, you may be required to exhibit all discharges . 22 . Names, residence address, business address, and telephone numbers of each person who is engaged in Minnesota in the business o selling , manufacturing or distributing intoxicating liquor and who is nearer of kir to you or your spouse than second cousin, whether of tfi 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 Relationship ' ,' Residence Address Phone Business Address . Phone 2 . Full Name Relationship 1 • Re-side-nce Add-r-e-ss Phone • Business Address Phone I 3 . Full Name_ Relationship Residence Address Phone Business Address Phone , 23 . Are you a manufacturer or wholesaler of intoxicating liquor or interested directly or indirectly in the ownership or operation oll any such business? Yes x No. 24 . Are you directly or indirectly interested in other establi1- ments in the City of Chanhassen to which a license of the same kind ha: been issued? - -- Yes X No. • 25. Are you the spouse of a person who would be ineligible for a license? (Refer to Ordinance No. 2, Section 4 for persons ineligible for license. ) Yes X No 26 . What is the amount of investment that you will have in -the business, building, premises, fixtures, furniture, stock in trade, etc. , and what was the source of such money? (You must be prepared to furnish proof of the source of such money. ) 1 $ 25 , 000.00 -4- 1 I • '27 .' Have you had any interest in any previous intoxicating liquor I license that was revoked , suspended or not renewed? Yes X No. If yes, explain in detail . r ' 28 . Have you ever individually, or with others, made applica- tion for an intoxicating liquor license and had such application denied? Yes X No. If yes , explain in detail. . I 1 STATE OF ) ss . COUNTY OF � ) \1 r` !'� , being first duly sworn upon his/her I. oath, d poses and-hays that he/she is the person who has executed the above Personal Information form'and that the statements made therein are true of his/her own knowledge and belief. Signed: e (,'l (JftIC. /7(' Subscribed and s.kaorn to before me this \Cc� -day o ; , l9C\\ 1 Notary Public,\ _ - County, Minn. • My Commission Expires F f JANET JAC N '' , NOTARY PU ,C-I•:NNFSOTA • HENISE.Piti COUNTY tih'Comm. Expires Hoy. 3Q 1992 1 • •i . -5-- • • • The City Council wishes to have from all applicants - individual , partnership or corporation, and including also persons required to complete the individual personal information forms - a notarized declaration of all direct or indirect contributions made to or in behalf of a candidate for Chanhassen City Councilman or Mayor, including but not limited to Candidates ' Committees, Volunteer Committees, etc . , for all City elections from and including 1961 to date . This additional information is being requested at this time to establish a precedent for future license consideration to protect any license holder from being solicited for political contributions under the burden of knowing that any candidate could conceivably be II making a determination of a license renewal. 1 . Have you made any contributions as described in the first II paragraph above? Yes X No. I • 2 . If Yes , state year, to whom made, and amount. J SignauYe y_ / '// Date 1 Subscribed and s orn to before me • • this \V-) day of �� , 19\\ Notary Public,\ Minn. , My Commission Expires \\- -,!!)0 /17.',67:4;\ JANri JACOBSON NnTARY Pak j :,'_ t1St4LF�Fi�! cctm iY _ ` tviY. Canal E µ:i ivcw ? • . 1 IICITY OF CHANHASSEN, MINNESOTA IN SUPPORT OF AN APPLICATION FOR ON-SALE OR CLUB IINTOXICATING LIQUOR LICENSE, IPart II - Personal Information Directions: This form must be filled out in duplicate with filled I out or by printing in ink by the sole owner, by each partner, by each officer, or director, by each manager, proprietor or other agent in charge of the premises, by each person who by combined ownership or control has an I interest in a corporation or association in excess of 5%. IIDate: Apk►,- 17, / ,/7/ 1. True name: last, first, middle ►T, N mNC H(4' 2. Residence address: (number, street, city, state) 3. (phone) sv 444 A✓Fou6 54ru Fi2Ai,/crsw CA g qi�/ 1/s 3(r7/i7/ 4 . Business address: (number, street, city, state) 5. phone) II 00 MW kr- ; 5? 2F 57,_,,i FkA>JC 4S cr CA 84410. -I c)43 r-)9, 6 . Place of birth: (city, county, state) 7. Date of birth: I .SAICR J , Vi t-rm n (mo. , day, yr. ) . (76/c)453 8 . . U.S. Citizen? Naturalized? If yes, give date and place: X Yes No. X Yes No • 1 kpR,i_ S IV', s,1_,,,Prim,v�c.o 9 . If you have ever used or been known by a name or names other - - than the true name given in #1 above, list such names` and 1 information concerning dates and places where used. Names Dates, Places and Circumstances. NUS, Do) 7-4/ ca � a i • 1 I . . 1 '10 . Marital status: Single Widowed - Separated Married Divorced 1 11. If married, true name, place and date of birth, and residence address of spouse: True name: . /rim) KFE 77;47- I Place and date of birth: 54/620/i, Vi,� T,✓q,N "/ /• Residence Address: ,-� 4 c�� /f y, -✓dr-; 5�,L,--,/z,�rs_ /�"--- I _ If yes, where are you registered?_ _ gi/wJ 1/iF7,V4/4 Is your spouse a ,registered voter? X Yes No If yes, where is spouse registered? . 1-7vr 4,Jc,cC,o , CAL-4170k/J14 13 . Address (es) at which you have lived during �preceeding ten years (begin with present or last address and work back. ) No. and Street City and State Dates . - I DJ S? f1--/fXE ST T. 54-A., rrq✓vci-s c-v . 64- / 3 -iy:.s— S4-i,, 744J C cs W CA , 113-1- / I d3 1 y3y LF4vrivwotciy ,iJ e., St-kl 3'I41UCc.$ C , C4 l d"-b- /V/ 14 . Address (es) at which your spouse has lived during preceedi ten years. (Begin with present or last address and work back No. and Street City and State Dates I cSD 44 416 ..� ArvC rsC o, CA 'q$,s--- ?kc STiv 5 Ci l�i-4K 5- Ste' �'x2 �-'S LO C'� 83 _ I F (Cl lq 5. l > -S-- /S Ave. S FRk/JXi s(2;o CA 19sr - tga'3 z I 3 y 1 y v cN w 0 K 0-7 *„)-(:2-- s (-R4--/JC i s , (-4 I ye•v - i le I 15. Kind, name and location of every business or occupation yowl have been engaged in during the preceeding ten years. (Begin with present or last address and work back: ) B I usiness or occupation Location: Street address Nature of business city and state or occupation r•cU 1 Ff+Ciok ��9d�(-,�C:"ski✓r ,/a�1 �t�/IKk�T ST 2-F. S F pirK SEW'4.14. cifCfJky I Jim- 19e.9.) 3v 14/,y S?. •h Ir47r�4ji_=,� ,S ztui'✓‘? r4Li&X ( bti-/ s- - JS � M(✓/ A .S_ S/=. SFfFM7Krs-5 I - 16. Kind, name and location of every business or occupation youll spouse has been engaged in during the preceeding ten years. (Begin with present or last one first and work back. ) ' • Business or occupation Location: street address Nature of busines • city and state or occupation • CA Rpr ArT1 ( 17g4 - 1I9°) 1066 4-6r-A-v�. 49,4 ke4,41vD 1 �t s7' +K/V-A✓T ( ((j SC- ,cja ) #/ 44oi✓7-61omcRy s.F. '(,t)4 r T1-i'2 • -2- 111 • 1 17 . Names and addresses of your employers and partners, if any, for the preceeding ten years. (Begin with present or last one first and work back. ) . Names :Employers or partnerslAddresses:City and State Dates �r,�CSvfJS ptSKtofJ Iti'C ' /0// pneer-r 5 7 2f 5F ' S�f ti' GV A Srt/u ci sr-fop . / 57 s . i l8a - 7 S wt./S N IA.'C 4 f01-7.r- /37 Mifj'JA ST ST- 64 17 Pv - ( 7 y z 18 . Names and addresses of your spouse's employers and partners, • if any, for the preceeding ten years . (Begin with present or last one first and work back. ) Names:Employers or oartners Addresses:City and State Dates �LJL�t_s 1-9 1 k(70 5 k CArc70K04 b1.04,760MrX/S i ST. C4• • 19 . Have you, your spouse, or a parent, brother , sister or child of either of you, ever been convicted of any felony, gross or petty 1 misdemeanor, or violation of any or :nance, other than traffic? Yes X No. If yes, give information as to the :e, place and offense for which convictions were had. • II II 20 . Have you, your spouse, or a 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? X Yes No. - If yes, give information as to the time, place and length of time. K�V1.t� / 7517.- Gt>OK/ Ffrk67 /34--Nk- CAFF7ck/h AS 4 ( J I EK T °"1 I _ e4-4 1 . -3- 21 . -Dye you been in military service? Yes If yes, was discharge (s) ever other than honorable? Yes No. (Upon request, you may be required to exhibit all dischargf 22 Names, residence address, business address, and telephone mbers of each person who is engaged in Minnesota in the business o selling, manufacturing or distributing intoxicating liquor and who i nearer of kin to you or your spouse than second cousin, whether of the whole or half blood, computed by the rules of civil law, or who is all brother-in-law or sister-in-law of you or your spouse. 1 . Full Name ,S41V0 (',f- /I Relationship c R00-ir , Residence Address f559 3 -Sussex Dr?. MIX/f1 lo'✓-' Phone ( .12) X133-0066 m(NNrSO TXl II Business Address -� V 1� _ �'� �xCJI5 4, ^^^� CC-43/3i Phone 7 - / 7 ice- 2. Full Name Relationship Residence Address Phone Business Address Phone 3 . Full Name_ Relationship . Residence Address I Business Address Phone • 23. Are you a manufacturer or wholesaler of intoxicating liquo or interested directly or indirectly in the ownership or operation of any such business? Yes ,K No. 24 . Are you directly or indirectly interested in other establi ments in the City of Chanhassen to which a license of the same kind been issued? Yes No. 25. Are you the spouse o€ a person who would be ineligible for a license? (Refer to Ordinance No. 2, Section 4 for persons ineligible for license. ) Yes 7 No I 26 . What is the amount of investment that you will have in •the business, building, premises, fixtures, furniture, stock in trade, II etc. , and what was the source of such money? (You must be prepared to furnish proof of the source of such money. ) 11' 25"(5150 1 N Vt S7 4 EAJT 7 aM t o oI 1''i.N C' //✓Ga✓,4 . . I I --7------27 . Have yo u had any interest in any previous intoxicating iiqu license that was revoked, suspended or not renewed? Yes 2c No. II 'If yes, explain in detail . 1111 t 28 . Have you ever individually, or with others, made applica- tion for an intoxicatin liquor license and had such application I denied? Yes No. If yes, explain in detail. IF ISTATE OF CALIFORNIA ) ) ss. COUNTY OF SAN FPANr.TSCn ) NANCY HUA TAT being first st duly sworn upon /her oath, deposes and says that he/she is the person who has executed the above Personal Information form•and that the statements made therein are true of his/her own knowledge and belief. I • • Signed: yr �c ,1�-e- - • II /, Subscribed and sworn to before me 4 - /'----,this 17 day o -, April , 19 91 . • - --7--y, l 1. /1 w A A A A w SEAL raft; OFFICIAL E N o t a z Pub i c �`�»�}•. � NOTARY Mlle•cALFORNA San Francis _CALIFORNIA 1+-1 -: �� urrI MITT CFLi um 1 • My C • ission Expires A,t ist 1 1993 ,''mz:-:� my comm. tskg.lo,1993 • • � 0, 993 ... ....� .�..� ,. .. ....- v .. I . I •I •• -5- • • The City Council wishes to have from all applicants - individual , • partnership or corporation, and including also persons required to complete the individual personal information forms - a notarized declaration of all direct or indirect contributions made to or in behalf of a candidate for Chanhassen City Councilman or Mayor, including but not limited to Candidates ' Committees, Volunteer Committees, etc. , for all City elections from and including 1961 to date . , This additional information is being requested at this time to establish a precedent for future license consideration to protect any license holder from being solicited for political contributions under the burden of knowing that any candidate could conceivably be making a determination of a license renewal. • 1 . Have you made any contributions as described in the first paragraph above? 1 Yes )< No. • 2 . If Yes, state year, to whom made, And amount. _IL • 1 11 Signature �`� 4- — /7 " / )• 7 Date , Subscribed and sworn to before me this 17 day of Anil , 2991 _ OFFICIAL SEAL J`/ ° LYNDA YUEN • t '"s�_ • at NOTARY QUBUC•CALi0RN1A CALIFORNIA 4 ufli tiresAug.1'0, Notary Public San Francis "'�°'""'�cresA„a.1o,1993 My Commission Expires August 10, 1993 In • I • CITY OF CHANHASSEN MINNESOTA Il IN SUPPORT OF AN APPLICATION FOR ON-SALE OR CLUB INTOXICATING LIQUOR LICENSE IPart II - Personal Information IDirections: This form must be filled out in duplicate with type- writer or by printing in ink by the sole owner, by each I partner, by each officer, or director, by each manager, proprietor or other agent in charge of the premises, by - each person who by combined ownership or control has an interest in a corporation or association in excess of I 5% . Date: •6-773 / j/ 1 1 . True name: (last, first, middle) I 2 .Ky Sang Cam Residence address: (number, street, city, state) '3 . (phone) I 15543 Sussex Dr . Minnetonka, MN 933-4056 4 . Business address: (number, street, city, state) 5 . (phone) II 2645 White Bear Ave. Maplewood, MN 777-1893 6 . Place of birth: (city, county, state) 7. Date of birth: (mo. , day, yr. ) Saigon, Vietnam 12/20/63 II 8 . U.S. Citizen? Naturalized? If yes, give date and place: X Yes No. X Yes No April 1987 - Minnesota II 9 . If you have ever used or been known by a na e or names other than the true name given in #1 above, list such name (s)- and information concerning dates and r-' aces wh= -e used. IINames Dates, Places and Circumstances. • • None , 10 . Marital status: Single Widowed Separated IMarried X Divorced 11. If married , true name, place and date of birth, and residence address of spouse: - II . True name: ' Nhi The Ky Place and date of birth: Saigon, ie nam 5 29 6 IResidence Address: 15543 Sussex Drive, Minnetonka, MN . 14 . 2 ILe you a registered voter : ^_Yes X No. • If yes, where are you registered? ' t Is your spouse a registered voter? _ Yes X No IIIf yes, where is spouse registered? 13 . Address (es) at which you have lived during preceeding ten I years (begin with present or last address and 'work back . ). No. and Street City and State Dates I 15543 Sussex Drive • Minnetonka, MN 3/1/90 - Present 6145 Chasewood Gate Minnetonka, MN 5/15/89 - 2/28/90 1 • 2509 Birchview Lane Minnetonka, MN 6/88 - 5/15/89 16216 Tonkaway Road Minnetonka, MN 12/81 - 6/88 II 14 . Address (es) at which your spouse has lived during preceedin ten years . (Begin with present or last address and work bac . No. and Street City and State Dates 15543 Sussex Drive Minnetonka, MN 3/1/90 - Present 6145 Chasewood Gate Minnetonka, MN 5/15/89 - 2/28/90 1 2509 Birchview Lane Minnetonka, MN 6/88 - 5/15/89 59 Blake Road San Francisco, CA 6/88 15 . Kind, name and location of every business or occupation you II have been engaged in during the preceeding ten years. (Begin with present or last address and work back. ) Business or occupation Location: Street address Nature of business city and state or occupation General 2645 White Bear Avenue Er Yin Yang Restaurant Partner Maplewood, MN 55109 Chinese Restaurant 5560 3 Points Boulevard Happy Garden Restaurant owner Mound, MN Chinese Restaurant 4773 S. Hwy. 101 peiiing Restaurant \ Minnetonka, MN Cook - • 50th and Lake St, A Dong Restaurant I Minneapolis, MN Cook , 16 . Kind, name and location of every business or occupation your spouse has been engaged in during the preceeding ten years . (Begin ' with present or last one first and worX back. ) - Business or occupation Location: street address Nature of business" city and state or occupation 8100 34th Avenue S. Control Data Blopmington, MN Assembler II -2- I Young America Corp. Young America, MN Data Entry I l7 .Bank of America San Francisco, CA I.P.O. Clerk (data entr_ Names and addresses of your employers and partners, if any, for the preceeding ten years . (Begin with present or last one first ' and work back. ) Names : Employers or partners 'Addresses:City and State Dates 2645 White Bear Ave. Cuong Quang Ha Maplewood, MN Feb. 1989 - Present • I 18 . Names and addresses of your spouse 's employers and partners, if any, for the preceeding ten years . (Begin with present or last one first and work back. ) Names: Emplovers or partners Addresses:City and State Dates • I I 19 . Have you, .•: };r spouse, or a parent, brother, sister or child of either of you, e been convicted of any felony, gross or petty misdemeanor, or vio_ on of any ordinance, other than traffic? Yes x Nc If yes, give informa .,_ •-:: as to the time, place and offense for which convictions were had . 20 . Have you, your spouse, or a 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? x Yes No. - If yes, give information as to the time, place and length of time. I am the owner of the Happy Garden Chinese Restaurant located at 5560 Three Points Boulevard in Mound, which has been in operation since May 1986. ' I am also the General Partner of the Yin Yang Chinese Restaurant located at 2645 White Bear Avenue in Maplewood, which has been in operation since February of 1989. I -3- • IL . voymem,... • 21 . Have you been in military service? Yes x No. If yes , was discharge (s) ever other than honorable? Yes No. (Upon request, you may be required to exhibit all discharges . ) 22 . Names, residence address, _ business address, and telephone ' numbers of each person who is engaged in Minnesota in the business of selling, manufacturing or distributing intoxicating liquor and who is nearer of kin co you or your spouse than second cousin, whether of th� 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 None Relationship Residence Address_ Phone Business Address . Phone 2 . Full Name Relationship I Residence Address Phone Business Address Phone 3 . Full Name Relationship . Residence Address Business Address Phone 23 . Are you a manufacturer or wholesaler of intoxicating liquor or interested directly or indirectly in the ownership or operation of, any such business? Yes x No. 24 . Are you directly or indirectly interested in other establis ments in the City of Chanhassen to which a license of the same kind has been issued? Yes •x No. 25. Are you the spouse of a person who would be ineligible for a license? (Refer to Ordinance No. 2, Section 4 for persons ineligible for license. ) Yes x No 26 . What is the amount of investment that you will have in .the business, building, premises, fixtures, furniture, stock in trade, etc. , and what was the source of such money? (You must he prepared to furnish proof of the source of such money. ) $50,000.00 -4- 1 11 1 • • . • I 23 . Applicant, and his associates in this applicatiop , will strictly I comply with all the Laws of the State of Minnesota governing the taxation and the sale of intoxicating liquor; rules and regulations promulgated by the Liquor Control Commissioner; and all ordinances o. I the City of Chanhassen; and I hereby certify that I have read the foregoing questions and that the answers to said questions are true of my own knowledge. I further understand that an investigation fe I not to exceed $500 .00 may be charged an applicant by the City if th• investigation is conducted within the State, or the cost not to exceed $10,000 . 00 if the investigation is required outside the stat I I . STATE OF v -� ) II ) ss . COUNTY OF ,i�� ) I /I/I (5/ & CAyn , being first duly sworn, upon Ihis oath deposes and says that he is the person who has executed th above application and that the statements' made therein are true of Ihis own knowledge and belief. f. R AANNNN v WtAA.,WM/✓,A wAcM� f I VC-4.y. r, ♦rp3 n f :E / A`'Z HErEPIE:COUN Y MY Damson Expires Mar 28,Iss5 u'e 9 Subscribed and sworn to before me this 43n day of 494y , 199/. • 1 gr-z,...Jec._ - _ /10.„.0 . - -. .._ -.-. z_ wf • 1 • • 2-IT Have you had any interest in any previous intoxicating liqu license that was revoked, suspended or not renewed? Yes X No. If yes, explain in detail . 28 . Have you ever individually, or with others, made applica- tion for an intoxicating liquor license and had such application denied? Yes X No. If yes , explain in detail. I STATE OF ) ss . COUNTY OF ) ,5.7q-/v L CA/Y? , being first duly sworn upon his/her II oath, deposes and says that he/she is the person who has executed the above Personal Information form' and that the statements made therein are true of his/her own knowledge and belief. _ -Aftfa Signed: My GOml I SiJft fix: • Subscribed and sworn to before me \/ this /3 ;w day of 44 47 , l97/LC, Notary Public, l ��, �. C un y, Minn. ' My Commission Expires ,_3 yr • • • • • • -5- IL ' ' ' The City Council wishes to have from all applicants - individual , partnership or corporation, and including also persons required to I complete the individual personal information forms - a notarized declaration of all direct oY indirect contributions made to or in - behalf of a candidate for Chanhassen City Councilman or Mayor, • I including but not limited to Candidates ' Committees, Volunteer Committees, etc . , for all City elections from and including 1961 to date . I This additional information is being requested at this time to - establish a precedent for future license consideration to protect any license holder from being solicited for political contributions I under the burden of knowing that any candidate could conceivably be making a determination of a license renewal. I1 . Have you made any contributions as described in the first paragraph above? IYes — .- No. . 2 . If Yes , state year, to whom made, and amount. I I ‘1.s-}K-‘---\( '° Signature r y ; , . ., c.,, t : E s--- ('j c ' p ate I • Subscribed and sworn to before me - th i s /3,-f4 day of Ilni , 199/ . . ,e,---1.--- ____ ii,_ /Ate INotary Public, / ,n,:.. oun y, Minn. My Commission Expires r6- _ I L . I . I • • I • • [:::::;"..."171 1800 SF SOMIAY VIDEO .\ UPDATE M. • ; 101 102. , 1n3 105 ,•ti ,...• ,rt1 _ MS. t 1. a 1200 2400 ;SF D� `��s.. SF 1 1306), ..� \ 1-5, • 1 �°fO 1 .\` sfi ,, fOP rs°° ,` y.., 4._,r111_,..._, , -t. • fit.' -r O .. , 4;c n • ' \ • . . 14.1. 1111 �y PROTECT DATA . 01_A. OF 11t.1.01. CFtITtin 25.8118 t`t. - . : ,e4.40.0.voote, 7 utrctnootin.tott 172 f1. Seven Forty One Crossing 1111.A. 26,060 tl1. Shopping Center S ►1 i Ai rn?SS D ACCESSORY , e00' f. ....../ t''' i b . - 1 T I.ntt.A. 30,688 s1. a /�• 1 PARKInID nTAll. REQUIRED PElt 300 1.1. 4.1..11. , • 2845 S�•Fr Ii1p)t P fillit t ' i30 stmt . rATI )Il} tTalnl ITI SLn 2i flails N. • ME 0.1110. 1 tFUQlmjn am = 1 S b I to E ow No NE EN EN m am t um ariurf•u'..; c .n .SIT-TIA 1 r Seven ort One Crossing . sholvsng Center. - TR13/41 -1/13 I . ----------Th , 1 1 s�zM. , 0L ....{ . I . . • AMM- I.IC.:A :j -c- • ' z ACCESSORY , ID I Pa�,?L C=�1 ff-71mm , z I, //i • I 1 n*' 2 S 7G' 1..7 SD ZS i IN . -------:j