90-2103 o� I r� nl H i Council File # d� .�
v i v �.
Green Sheet � 11596
RESOLUTION -
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CI SAINT PAUL, MINNESOTA . � j�
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Presented By --
Referred To ' Committee: Date
RESOLVED: That application (ID ��87140) for renewal of a Gambling Manager's
Licen�se by Carole Donaghue DBA Church of St. James at Sonny's Place,
919 Randolph Avenue, be and the same is hereby approved/d�.
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_ ea� Navs Absent Requested by Department of:
iaron 1, .�
an�''i �- License & Permit Division
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Adopted by Council: D�ate NOV 2 7 1990 Form Approved by City Attorney
Adoption Certified by �Council Secretary By: , � � . ��..�,jL..�f�
By' Approved by Mayor for Submission to
% Council
Approved by Mayor: Date ` j
�� �?��' 2 '7 1990 By:
By: �
PUBItSNED ��� 81990.
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DIVISION OF LICENSE �iND PERMIT ADMINISTRATION DATE �0�� �(� / Il /� � ';;.,
INTERDEPARTMENTAL REIVIEW CHECKLIST Appn Processed/Received by
i Lic Enf Aud
Applicant � Yo � �c Home Address �j(� , �/f�ry j)
Business Name , rfi{') D � c�iti�'t�S Home Phone o� av+ ' � 3�
Business Addres� Q T" (Q L2� Type of License(s) C�am bjll?ti �IQYla��i''�
Business Phone � �� �Q h �� /,p� Y��YL2.(,��'�
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Public Hearing Date I! �l' � ���f� License I.D. � � 71 `��
at 9:00 a.m. in the ouncil Chambers, �
3rd floor City Hall nd Courthouse State Tax I.D. 4� � �Cja�t�S
Date Notice Sent; Dealer � �114"
to Applicant ' r�� q- �}C7
', Federal Firearms � �fa
Public Hearing
� DATE INSPECTION
REVIEW , VERFIED (COMPUTER) COI�IlKENTS
A roved Not A roved
Bldg I & D � �'� (
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Health Divn. �
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Fire Dept. I I
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Police Dept. r��� I �?
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License Divn. ' �
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City Attorney ' �
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D�ate Received:
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Site Plan rJ c
' To Council Research �'`���/�
Lease or Letter Date
from Landlord 1l� �'
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. -- D, �D 3
� FOR OFFICE USE ONLY
�9�go� Minnesota Lawful Cambling FEE
Gambling Manager Application DATE
INIT
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ame: N ate o rt aa urity #�
Donaghue Carole Lucille Connolly 4-23-42 473-46-2867
Address State Zip Code Business Phone
810 Juno Avenue - St. Paul MN 55102 293-9114
O��i�A��i�� ������Ql`�.. <
...
Legal Name ^ . .. . . . . .. .
Church of St. ilJames of St. Paul
Address , Ciry Phone
496 View Stre�t St. Paul, MN (612) 227-7029
'�y�� .q��,t��x �ttt�O�1
❑ New Giye date that gambling manager seminar wes completed._/ /_
Locadon o(training
(city) 13-
�C Renewel Give dete of training reoeived within three years pr'ror to the date of the application for renewal.02 /�/�Q
Location of training Burnsville, MN
(Gti)
_
�Ond �n�orrn t�ion >
_.. _ ._ . ......... . . ... . .... . .. . .. ..
A 525,000 fideliry blo�d covering the gambling manager is required by Minnesota law.The bond must be maintained in favor
of the Stat�of Minrlesota AND the organization.
Provide a¢opy of the bond. Catholic Mutual Relief
Name of insuranoe bompany(do not use agency name) Society of America g�d Number 8140
_;
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1�1C�1'10'W'���� ��1�...... , '
I dedare that: '
' I have read this applicadon and all informa6on submitted to the board;
' All informaGon is true,aca�rate and complete;
' All other requireid information has been fully disclosed;
' I am Ihe only gambling manager of tl�e organization;
• I will familiarize imyself wi�the laws of Minnesota goveming law(ul gambling rules of the board and agree,if licensed,to
abide by those laws and rules,including amendments ro them;
' My changes in',applicatan in(ormation will be submitted to tl�e board and local government within 10 days of the change;
' An affidavit for g�ambling manager has been completed.
• Failure ro provide required information a providing false informadon may result in the denial or revaca6on of the license.
Signature GambFng M�nager D te
� �°�y/��
E� ��, �
Re(er to the instructions for th uired attachments and fee.
Department of Gaming
Gambling Control Dlvlslon
Rosewood Plaza South,3rd Floor
1711 W.County Road B
Rosevllle,MN 55113
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LG213 Minnesota Lawful Gambling
�9�5�0� Gambling Manager Affidav�t
(Attach to the Gambllng Manager Applicatlon. LG212)
STATE OF Minr�esota ) AFFIDAVTT OF QUALIFICATION
) s.s. FOR GAMBLING MANAGER LICENSE
COUNTY OF, Ram�ev ) AND CONSENT STATEMENT
(Pursoant to Minnesota Statute 349.16 Subd.2(e)
I� ,under oath state tha1:
(typd/print name
1. I have never been convicted of a felony.
2. I havc not,wilhin f�ve years,committed a violation of law or board rule
that resulted in the revocation of a license issue�by the Lawful Gambling Control Boazd.
3. I have never been cbnvicted of a criminal violation involving fraud,theft,tax evasion,
misrepresentation,�r gambling.
4. I have never been cpnvicted of assault,a criminal violadon involving the use of a fireann,
or making temoristic threats.
In addiuon,I�nderstafid,agrce and hereby irrevocably consent that suits and actions relating to the subject mattcr of
the attached gambling�manager license,or acts or omissions arising from such application,may be commenced against
me in any couet of conlipetent jurisdiction in Minnesota by service on the Minnesota Secretary of State of any summons,
process or pleading authorized by the laws of Minnesota.
By signature of this document,the undersigned suthorizes the Department of Public Safety to conduct a criminal
background chieck or review and to share the results with the Lawful Gambling Control Boazd.
Failure to provide required infamation or providing false or misleading information may result in the denial or
° revocation of the license.
�.��� o�.dC� �_
(signawre of applicant-g b ' g manager)
Church of St. James of St. Paul
! Name of Organization
02613
License Number
Subscribed and sworn to before me this
��F�'day of 19�
� rNNAMAMMMnMnhMh/1Mhn.�!i�nMAh/�■
�f�.Q�-�-- �,. ; . CYRII_LA DELANEY �
Notary Public `�� NOTARY PUBLIC-NiNNESOTA
RAMSkYCOUNTY �
'��...: `
�. My Comm.Fxpires Ang.9, 1995 �
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� _115 9 6
Finance/L �ens GREEN SHEET
CONTACT PERSON&PHONE INITIAL/DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Roze -298-5056 Ag$�GN �CITYATTORNEY �CITY CLERK
MUST BE ON COUNCIL AGENDA BY DATE) NUAABER FOR gUDGET DIRECTOR FIN.8 MGT.SERVICES DIR.
ity Clerk ROUTINO ❑ �
ORDER MAYOR(OR ASSISTAN'n
Hearing/ 11-27-90 y/ 11-20-90 ❑ � Crnin�il R
TOTAL#OF SIGNATURE AGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�UESTED:
Approval f an application for renewal of a Gambling Manager's License.
Hearing: 1 —a't C�. Notification: 11-9-90
RECOMMENDATIONS:Approve(A)or Re)ect(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING�UESTIONS:
_ PLANNINO COMMISSION CIVI SERVICE COMMISSION �• Has this person/firm ever worked under a contract for this depertment?
_CIB COMMITTEE YES NO
2. Has this person/firm ever been a city employee?
_STAFF
YES NO
_DI3TRICT COURT 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJE IVE4 YES NO
Explain sll yes answers on separate sheet end attach to green sheet
INITIATINO PROBLEM,ISSUE,OP RTUNITY ho,What,When,Where,Why):
Carole L. onag ue DBA Church of St. James requests Council approval of her
applicatio for renewal of a Gambling Manager�s License at Sonny's Place,
919 Randol h Av nue. License fee of $134.00 has been submitted.
ADVANTAGES IF APPROVED:
If Council appr val is given, Carole L. Donaghue will continue to manage
the pullta /tip oard sales at Sonny's Place, 919 Randolph Avenue.
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DISADVANTAGES IFAPPROVED: �^��
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C�����ER�
DISADVANTAQES IF NOT APPROVED:
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�C3LI��Ci,' f'"4cn-,��.� �:E3C1'iEi''
NOV 15 i99U
TOTAL AMOUNT OF TRANSACT ON S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN)
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