90-2197 ,� ' Council File 7► O �� / �
� R1 � i ! '� l�lL 122�6
Green Sheet #
RESOLUTION
CITY OF SAINT PAUL, MI ESOTA �
Presented By
Referred To Committee: Date
RESOLVED: That application (ID ��13101) for renewal of a State Class B
Gambling Premise Permit by Hayden Heights Booster Club at
. Kick-Off Bar, 1347 Burns Avenue, be and the same is hereby
app�oved/��ed.
��as Navs Absent Requested by Department of:
n _ �_
o w __�
License & Permit Division
ccs ee
e man �'—
une —r��
�z son �'— By:
O
Adopted by CounCil: Date DE� � .�r • gorm Approved by City Attorney
Adoptio Certified by Council Secretary SY: �`_��.CJ
By° Approved by Mayor for Submission to
pp y yor: Date DEC 1 4 1�gp Council
A roved b
gy; ��?���.G�C� By:
� PU�I�SHED �c C 2 w 1990_
` 90 -al��'
. . /
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED
Finance/L��ense GREEN SHEET N° _ 12206
CONTACT PER30N&PHONE INITIAUDATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Roze 298-5056 A$$��N �CITYATTORNEY �CITYCLERK
NUMBER FOR
MU3T BE ON COUNCIL AOENDA BY(DATE) ity Clerk ROUTING �BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
ORDER �MAYOR(OR ASSISTANT) ���
TOTAL#OF SIGNATURE AGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval f an application for renewal of a State Class B Gambling Premise Permit
Notification•
RECOMMENDATIONS:Approve(A)o Reject(R PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUE3TIONS:
_PLANNING COMMISSION CtVI 3ERVICE COMMISSION 1. Has this person/firm ever worked under a contract for this department?
_CIB COMMITfEE YES NO
2. Has this person/firm ever been a city employee?
_STAFF YES NO
_DISTRICT COURT 3. Does this person/firm possess a skill not normall
y possessed by any current city employee?
SUPPORTS WHICH COUNCIL OB.IE IVE? YES NO
Explaln all yes answers on separate sheet and attsch to groen sheet
INITIATING PROBLEM,ISSUE,OP RTUNI (Who,What,When,Where,Why):
Daniel Le pold on behalf of Hayden Heights Booster Club requests Council
approval f th ir application for renewal of a State Class B Gambling Premise
Permit at Kick Off Bar, 1347 Burns Avenue. Proceeds from the pulltab sales
are used or y uth activities at Hayden Heights Rec. Center.
ADVANTAOES IF APPROVED:
If Counci app oval is given, Hayden Heights Booster Club will continue to
operate a pull ab booth at Kick-Off Bar, 1347 Burns Avenue.
DISADVANTAOES IF APPROVED:
RECEIVED
DEC041ggp
.
���1' CLERK
�
013ADVANTAOES IF NOT APPROV D:
....W,. . ....` ..l� 4..s...s..
. D�� : :c�:�
TOTAL AMOUNT OF TRANS CTION COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXP IN) N W
u
. �
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO. 298-4225).
ROUTING ORDER:
Below are correct routings for the five most frequent ypes of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION(Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. Ciry Attorney
.3. City Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. MayodAssistant
5. Human Rights(for contracts over$50,000) 5. City Council
6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Accounting
ADMINISTRATIVE ORDE#iS(Budget Revision) COUNCIL RESOLUTION (all others,and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. City Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. City Attorney
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
eaCh of thsse pfges.
ACTION REQUESTED
Describe what tF►e project/request seeks to accomplish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
issue.Do not write complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in question has been presented before any body,public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the cirys liability for workers,compensation claims,taxes and proper civil service hiring rules.
INITIATING PROBLEM, ISSUE,OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by taw/
charter or whether there are specific ways in which the City of Saint Paul
and its citizens will benefit from this projecVaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce if it is passed (e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When? For how long?
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved.?Inabiliry to deliver service?Continued high traffic, noise, .
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
. � '' 9�- a�9�
,
DIVISION OF LICENS� AND PERMIT ADMINISTRATION DATE �0 �� �1U/ �! I� Q(�
INTERDEPARTME�TTAL �.EVIEW CHECKLIST Appn rocessed/Rece ved by
Lic Enf Aud
Applicant � q�Q,�, /�-�S c��T��(L� Home Address �S ��n 52�1
Business Name T�� �l�-�C�b-�� Home Phone ��1�0 S �� ��c �'
Business Address ; ���7 �(,�rq5��e/Type of License(s) �� �_S 7/�
Business Phone '� ��'(Q(,r� ��� � �ltim�j�t�� / 1''Prl7/� �r��rt
Public Hearing Dat 1�-- 3- License I.D. 4i �3 �0�
at 9:00 a.m. in th Council ham ers,
3rd floor City Hal and Courthouse State Tax I.D. 4� � �5 � 7/��
Date Notice Sent; �I Dealer � �I�'
to Applicant � ' ���
—? Federal Firearms #
Public Hearing
�
I DATE INSPECTION
REVIEW VERFIED (COMPUTER) COrIl�IENTS
A roved Not A roved
Bldg I & D I
�1�-
Health Divn. ; I
n�/f} I
Fire Dept. �I �
! � � I
Police Dept. �� I ���1�'��
License Divn. I �
�t � �c� ���
City Attorney �
ll����0 � 0�--
' ( Date Received:
Site Plan Cb d v
' To Council Research �� ��—�L�
Lease or Letter ' /� Q Date
from Landlord ' / � � ! d
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� FOR BOARD USE ONLY
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II�RRALS
��� LG214 DATE
� Mirirusota La�ful camblin�
��' `°�s�� � Premise Perrait Application - Part 1
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8usineas Address of�anaapan-Street or P.O Box(Do rat usa addreas of qambing mar�
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ciry staoa zip code counry Businesa p,oe.number
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Name of chief executive ofBoel'(cannot ba 9ambCny manaqar) T�N Business phons numbar
Da N�i� � l..L�P' ��, Pa-�.a,��r�� �/ �S-49 �'
'x Address af chief ex�#ove o -Su�eet ar P.O.Box . .
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,�.�� Class af Premise Pez�it
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❑ Class A— 8t�go.Raf�tas.Paddlawheals.Tipboards.Pui{-tabs .. __ . _ .....__.._. -
� �. Ctass B— Raffks.Pa�ddlawhaals.Tipbosrds�PuN-tabs 7ho CleSS Of p�1ri1Se peRfllt
❑ C1ass C— Bingo only� must be rsfleCtQd by Class of `
❑ Class D— Rafflas on�y tht O�panlzatloA llCBns�
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if class A or C. S�1 ia days aad be;ianin� aad endin�ho�s of bia�o occasioas:
� .y' No more thaa seiea biago occasions may be condncted by aa or�anization per�veelic.
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` :i' " DaY �SI�#a8 Hosus Day Beglnntng/Endl:sg Hau:s DaY �8/��8 Hours
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� Statas of Premise P�rmit-clzeck one: .
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y�� ❑ New promisa—Fil in�organization promisa paRnit rnm�r
� Ranawai of axisting piramis�peRnR—F�I i��S pnmisa parmd numbK
❑ Previously a�cpired prpmisa permit—Fli 1 in�pjg�prarnisa parmd rwmber .
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;�..- . D[irinesota Lau�ful Gambt�D .
�`:: Premise Perrait Application - Part 2 .
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` � Nama of estabt�e�ut where qamblirq rrill be con�d S�eet Addrass(do not usa a post of6oa box number)
1 'c. C� F 3 4`7 u. �5 d-V�; .
� Is the premisvs foaeacf wifhin�iry Gmi[s? yes ❑no
C+ry and County wh�re 9amdirly premisas is tocaeod OR Tawnship and Caunry where yambGrp premises is foated'd a�ids of ary 6mits
. ��r-,�A,.�.�,� � �A-���'x' I � � �
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Name and Address d Leqal Owner of Premises City Staas Z�P�
�.i4�i�i2.1< <oZo W l l; 1 ��{"7 �w21u� �� �t' PA�u.C. �ti S`S(O(o '
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Doe�the o�anization own the bu8dn�where the pambGng wi�!ie eonduet�ed? Q YES ❑NO
NOTE:Organizations may hot pay themsolvas ro�t�they own the bui{ding or havo a holding aompany. A lattx must bo sub-
mittad showing rent paymehb as zoro from gambling funds if the organization's holdi�g company owns tha promisas. The
latter must be signed by tha chisf axecutiva affica�.) ' •
r.a�:.
If NO, ati�ch the,folfow�g:
:�;:
��`: • a copX of the lease with terms for one year.
:�=� ' a copy of a s�cetch of the floo�plan with dimensions. showing what po�on is being leased.
��'- - A tease and sketch are not required tor Class 0 applicantions.
Rent:
Fo�gambling with bi�go $ Totai square footage leased
For qart�ling without bingo $ .�•w Total square footaqe teased 3v SQ FT
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'`�'�'` Addrass of stora90 sP� 9��MJ�1WPmoM
Addross Cityy Stata Trp coda
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D�Nie�� �+�oPa�� � 14"S45 L. �vr �ru:s�ec:�u3'
L.��tL.a� �u�c=�.f Iqt�o � h-�vvr �krneuu� ll�t.�2
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LG214
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�`'' �[iruicsota Lau�fui Gambii�ty
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��: Premise Permit Application - Part 3
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�;�,` Gamblia�Site Anthorization
�'�'``" 1 haarby consont that local law a�orcement officsrs.tha board or aga�s af tha board.or tfie commissionar of revenua or
pubiic safary�or agortts of tha commissioners,may antar tha pramisas to enforoa tha law.
Banl�Records Iaformatioa
The board is authotizad to insped tha bank recotds of the gambGng aocouM whanaver necsssary to fuifili
roqui�amants of a�trant qambling rulas and law.
' I dedara thad: .
1 hava road this application and all i�ortnatio�submitted to riw board;
All ir�fortnatiort is trua.aocurata and oompkte;
IW oth•r nquirad;u�formation has baan tuly d�sdosad;
I am tho ahiof axaicutivo oii'�r of tha orqanizadon; . •
I assuma fuil rosponsibil'dy fo�tfia fair and lawful gambling and rutas of tha board and agraa.if licansad�
;�,. to ab+da by thcsa laws and rulas,u�du�nq amandma�ts to tlwm;
�: A mambarsh�Ast of tha orqanizatbn wi9 ba aw�labk within swran days aftar d is roquastad by tha board;
�:', Any chan9aa in appiication iMortnation wiA ba s�mitiad to iM board and locai govemmoM within 10
�^,�° days of tho chango;and
�`' A t�rtnination ar!i w�l ba submittad to tha board withi�15
;;, pl days of tha tarminatioe aF all premisa paRnids.
�`''`>' Fa�ura�o provida�raqui�ad iMoRnatio�or providing falsa infamati�on may rasuR in tha danial or ravocation of tho
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a .t licansa.
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Siqnaou�of chiN�x�cutiv�dtfioer OS�
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fi 1. Thr cdy'must�ign�th�a gambling premis�s is locatad within cdy 6nRa.
� � 2 Tho oounty"AND bwnship"must sgn'rf th�9��^9 P�amis�s is loca�ad within a township.
. 3. Tha Ixai gov�mmant(city or aoumy)must�ss a rosoiution�spad'�alhr�PProving or domring tho appfication. ...
`� 4. A copy af tha nsolutbn approvirq tha appGc�ion mwt ba attaclwd m th�application.
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:���;:� 5. Appl+catio�a which ara daniod by tho bcal govoming body should not b�submitsad to tha Gamblinq CoMrol Oivision.
Townshlp: By sgn�tu�a l9�bw.tha township adcnowbdgas that thf aganiutio�is appi�ring fo�a promisas pam�it within
township limits.
:{i Gty�or Cour�ty" TOV�shlp••
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�,s-�., Gty or rny Name� 1_ Township Narta
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- R�fK to th�tnstruetions fo�th�roqutnd attxt�en�rtb Mail to: Dapartmant of Gaming '
. • GambGnq CoMrd Oivision �
Rosawood Plaza South,3rd Fbor
1711 W. Courny Raad 8