9.a Discussion on application for Tobacco licenseSCANDILA
Staff Report
Date of Meeting: April 16, 2019
To: City Council
From: Brenda Eklund, Deputy Clerk
Re: Tobacco License Application for Scandia Tobacco
Background:
Ordinance No. 92 regulates the sale and use of tobacco products within the City of Scandia.
Upon submission of a complete application, the tobacco sales license is scheduled for action by
the City Council which can approve or deny the license.
Issue:
Should a tobacco license be approved for Scandia Tobacco?
Proposal Details:
Osama Masoud has applied for a Tobacco Products Sales License to open a new tobacco shop
business, Scandia Tobacco, in existing vacant space at the Scandia Plaza, 21190 Ozark Avenue.
Mr. Masoud currently operates Ameers Tobacco in Centerville, and had operated Lindstrom
Tobacco until he sold it last year. Washington County Sheriff's Department conducted a
background investigation and found no criminal history on the applicant. The license fee has
been paid, and the required Workers' Compensation Certificate completed. Mr. Masoud
anticipates an opening date of June 1, 2019.
The application appears to meet the all the requirements of the ordinance regulating the sale
and use of tobacco products.
Options:
1) Approve the tobacco sales license for Scandia Tobacco.
2) Delay action on the tobacco license.
3) Do not approve the tobacco license.
Recommendation:
Option 1.
APPLICATION FOR TOBACCO PRODUCTS
SALES LICENSE 2019
City of Scandia, Minnesota
14727 209th Street North, Scandia, MN 55073
Phone 6511433-2274 Fax 6511433-5112 Web http://www.cl.scandia.mn.us
This application form is for use to request City approval of a local license for sales of tobacco, tobacco products or
tobacco -related devices within the City of Scandia, as provided by City Ordinance No. 92 adopted January 2, 2007. Print,
type or check all applicable information. Attach a check in the amount of the license fee, payable to the City of Scandia.
Fees are not pro -rated. All licenses issued are valid for a calendar year, except that if a retail establishment conducts
sales for six months or less in a calendar year it may be granted a seasonal license. Contents of this application are
public information.
1. Type of License:
Regular/ New (Fee= $272.00) Indicate date of opening: w►1 C
Regular/ Renewal (Fee= $272.00)
Seasonal (Fee= $196.00)
Change in Ownership (Fee= $272.00) Indicate date of change:
2. Name and address of establishment:
Name: ��,,�� ? 1u2cA Phone:
Street Address: 2 19 0 O 1�
E -Mail:
City/ State: ��`'��'U M�j Zip: S S D�k 3
3. Minnesota Tax Identification Number:
6-
4.
4. Name and address of owner—business address:
,� � e.�\-erV�,VeSes
Name: N Phone:
Street Address 6 Og fake S��tit� E -Mail:
City/ State: rs� � Zip: 5 S o ZS
5. Name and address of owner—residence address:
Name: (,Sawn_ lm'0 5o u d Phone: l3SD -5 3 �-
Street Address: 301 ( l e'd -> ` Camel { DY
City/ State: 2 1 Ct vte- M
E -Mail (%SaV►�ai�laSoud 1 u ppY./V'(ou 4—
Zip:
5 S 4 3 1�
ACKNOWLEDGEMENTS: I declare under the penalties of perjury and criminal liability for willfully
making a false statement that this application is, to the best of my knowledge and belief, true, correct
and complete. I further acknowledge that I have receive a copy of Scandia Ordinance No. 92
governing the sale and use of tobacco products, and that I am familiar with and agree to abide by its
requirements.
6. Applicant Signature(s)
Date:
311?/ m
Upon receipt of this application you will be notified of the date on which the City Council will consider the
permit. The City Council meets for their regular business meeting third Tuesday of each month. Applications
must be received not less than 5 days prior to the meeting date. No application will be considered complete
until the fee has been paid.
Application & Fee Received
For City Use Only
3-27- 2V19
Informed Consent and Release Received ►f
Worker's Compensation Certificate of Compliance Received ►�
City Council Consideration (Date)
Approved
Denied
City of Scandia, Application for Tobacco Products License
Page 2, 3/4/2019
PAID
MAR 2 7 2019
CITY OF SCANC
Washington
County
March 29, 2019
Office of the Sheriff N }
Commitment to E.xceffence
Dan Starry
Sheriff
RECEIVED Brian R. Mueller
MAR 29 Z019 Chief Deputy
CITY OF SCANDIA
To: Ms. Brenda Eklund
From: Curt Zacharias
RE: Tobacco License Background Investigation
Applicant: Mr. Osama Abdelaziz Nafe Masoud
WCSO Report No. WC -OE -18111902
Per your request, I have conducted a retail tobacco license background investigation on the applicant
to determine his eligibility to be issued a license to sell tobacco products in the City of Scandia. A
search has been made of the criminal history files maintained by the State of Minnesota and this
applicant does not have a criminal history in the State of Minnesota. This does not preclude the
possible existence of a criminal history in another state. I found no information that would prevent the
applicant from receiving a tobacco license pending approval by your city.
Please call me at 651-430-7843 if you have any further questions.
Sincerely,
Curt Zacharias
Inspector
Law Enforcement Center • 15015 62nd Street North — P.O. Box 3801, Stillwater, Minnesota 55082-3801
Phone: 651-430-7600 • Fax: 651-430-7603 • TTY: 651-430-6246
www.co.washington.mn.us
Equal Employment Opportunity / Affirmative Action