89-143 WHITE - C�TV CIERK
PINK - FINANCE COURCII /�
CANARY -•DEPARTMENT GITY OF SAINT PAUL File NO• �/ ���
BLUE - MAVOR �'
Council Resolution �a�
Presented By ���
Referred To ' Committee: Date
Out of Committee �y Date
RESOLVED: That application (ID #16211) for a Gambling Location License -
Class A - by Walmont Inc. DBA Tiffany Lounge at 2051 Ford Parkway,
be and the same is hereby approved,4�e�ri�
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� � In Favor
Goswitz
�� p Against BY
Sonnen
�Ison
�Fg - -� 1ggg Form Ap roved by ity torney
Adopted by Council: Da e ' . �i
Certified Pass uncil S ta By �Z/w
gy,
t�pproved Mavo . ate �E8 - � ivL� Approved by Mayor for Submission to Council
By BY
U�llSti�D _.y; �. �; :9�3 9
. y..�— . .
. � � � ����.�
I J �DIVISION OF LICE SE AND PERMIT ADMINISTRATION llATE �� ? ga / �� ZZ
INT�,RDFPARTMFNTA REVIEW CHECKLIST A�pn roc ssed/Received b
. Lic Enf Aud
Applicaut G II �Iy�pv�t �✓IL _ Home Address � 3�a ALTau � 305
Rusiness Name / LaK/'��j(�Home Phone S � '�u�
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Business Address a�Jr� �O► �,K� Type of License(s) C�ks$ �} ^
Business Phone -�r„b�� l.oca,��an
Public Hearing D te � ` a,(� g License I.D. # ���'�)
at 9:00 a.m. in he Counc 1 Chaibers,
3rd floor City H 11 and Courthouse State Tax I.D. ��
Uate Nutice Sent; �� � 0 `-����1 Dealer 4� N/�}
to Applicant
I'ederal rirearms �6 �
Public Her�ring I - -$�
I DATE INSPECTIUN
REVt�:W VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
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Bldg I & D �
a-
Health Divn.
N �} �
,
Fire Dept. �� � �
; I a�5���� o/G
� �
Yolice Dept.
����I�� o �.
License Divn. ��I���
;
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City Attorney �
I zz � C��c�
Date Received:
Site Plan
To Council Research �; � �
Lease or Letter Date
from Landlord
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• ' ' � � City of Saint Paul
� , Department of Finance and Management Services
License and Permit Division
203 City Halt
St. Paul, Minnesota 55102•298-5056
' APPLICATION FOR LICENSE
CASH �CHECK CLASS O. New Renew
aa no �
Date � �� 19
Code No. Tftle f License !� -�' gy ( J �C
From 19_To 19 �
�3�5� ��C�s.s � C�kmbl�n ��, S� /� �
� i oo �-(.JLL� rn a�� �n C,
L� D�l ApplicantlCompany Name
100 (� �
- ,('�.�2.� � �D� �-t-t'Ct n�,, �.D u n cr F �
100 Business Name
C7l �� � r0{-
,00 �l 1�- �w
BusinessAddress P naNO.
100
�`�' •��-GLI r� ��J�l�(o
100 Mail to Address PhOne No.
ioo �Cc r� �a n� �� �-(0 n �t-":�`�-�'�
Manager/Owner•Name
� 100
13 a a !�-�-T o � /-�o t �o S
100 Atanager/Gwner-Home Address Phone No.
4098 Application Fee 2, 50
Recefved the Sum of 00 �1 ` �C((�{.,� � M��
-1� `� Manager/Owner•City,State&Zip Code
100 Total 100
License Inspector �� I By: ��� Signature ot applicant
Bond:
ompany Name Policy No. Expiration Date
Insurance:
ompany Name Poiicy No. Explration�ata
Minnesota State Identification N . Social Security No.
Vehicie information:
Serial Number Plate Number
Other:
- THIS IS A RECElPT FOR APPLICATION
THIS IS NOT A UCENSE TO 0 EAATE.Your application'for license will either be granted or rejected subject to the provisions of the zoni�g
ordinance and completion of t e inspections by the Health, Fire, Zoning and/or License Inspectors.
$15.00 CHARGE FOR ALL RETURNED CHECKS
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�i%�-4.'-�t'cfi �,'"-�i.�--��-(✓
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. � ' � TO BE COMPLETED BY BAR OWNfR (�'"��- l T`3
. II�
lippl�ication �No.�l Date Received Bq
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• CITY OF SAINT PAUL, MINNESOTA
, �i
I CAARITABLE GAMBLING LOCATION
Directions: Th�s form must be filled out with a tqpewriter or by prfnting in ink by the
so e owner, by each partner, by each person who has interest in excess of
Sx �in the corporation and/or association in which the n�e of the license
wil�l be issued.
THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
— — — —
1. Application'� for (name of licease) �/�L►'�0�11 1 Tj� C ,
2. Located at 14address) e�,D.�/ �'`pRG� �l� • s I�, 6�i9✓� N, ,�J���
3. Name under w�hich business is operated �F'f-�gth/t� ��Z d_ ��<<.p-
4. True Name II�13R�. , � ,/
����eL I"lON Erj i Phone �p Q—�` �
ii (First) (Middle) (Maiden) (Last)
i
5. Date of Birt 'S // � Place of Birth SG: �y�Z. /�jv .
� ( onth, Daq, Year)
6. Home Address II � ��� �-L]'j�/1� 1}�j �O.�j s��� Home Phone �`1�/ -C(: 1 �
/ �7. Hane you evex� been convicted of any gambling violations? �_
8. List licenses which you currently hold at this location.
� � n 'i'G� _
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9. SUBMIT A SITE �PT:AN WHERE THE GAI�LING BOOTfi WILL BE LOCATED
ANY FAL�IFICATION F ANSWERS GIVEN OR MATERIAL SUBMITTID WILL RESUI.T IN DENIAL OF TIiIS
APPLICATION.
I hereby state unde oath that I have answered all of the above questions, and that the
iaformation contain d thereia is true and correct to the best of my knowledge and belief.
I herebq state furt er under oath that I have received no money or other considerations,
directlq, or indire tly, in couaection with this Iicense, from anq person by way of loan,
gift, contribution r othezwise, other than already disclosed in the application which I
have herewith submit$ted. . �
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State of Minnesota i)
) ss
County of Ramsey I) � '� � `
, / I , /' � a �
Subscrib, a �nll� t�efore me this ! ���.-r,% � � ' ' ���
,[ ��'���� ,9�2 Q� (Signature of Applic , t)
K 9 �J �
��,,,..,� RIC �M�NNESOTA
�J " ��� OUNTY
s .z.��
No b , nesota
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My Co�ission expires�
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. ` TO BE COMPLETED BY BAR OWNER
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I underst�ncl �ncl will uphol�t che ordinance amending Chapcer �tAn ot che
St. Paul Legi�lacive Cede (Incoxicating Liquor) .
I Eurther undqrsc�nd chac fsiiure co comoly may resulc in the st,spension
or revocacionlot . , On Sale Ciauor and corresponding licenses.
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Signarure t.
C'� v �-- Q•L
Esz�biishmeat �I -
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Dace I
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Return �o:
License v Pe:-ni Oivision
Roam =U3, Ci cy l alJ.
Sc. Paul , `�M 551U�
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Please retain th attached ordinance for your rECOrds.
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s�t�fi �r:.v L ��� �o u�-cl�, � _�,�
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. �I� ►-_�E�i�� �PP LT�A�za1� �`yr 19��
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Dear Property Own�r: L 16211 ..
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Application for a Class A Gambling Location License.
� This license would permit a charitable organization
���— Q S� I (Trade Lake Camp) to sell pulltatis and tipboards in
Tiffany's.
� -
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��pT����fi I Walmont Tnc DBA Tiffany Lounge
ro�-; 'r��� �� .
-' �-- 2051 Ford Parkway
� .
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T---,� Januar 26, 198� 9'`�� a.'". .
�
,.; �' � �.-=`T - C�c7 C�uac::L zarsaers, rd iloor C�c7 �a.L - Ccc:.-_ �usa
3y L�c�se aad ?�--�.c DzT.s�os, De�ar.=e=c az :=='acs a�^ I
�Q _!�i� ��*r+ II ��a.g�eat S��:.cas, 3aors 2�3 C�.:� caL' - Caur; :.�usa,
Sat:� ?au.L, u;^^�ata
��8-��56
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• 2'Ii� daca �ag� be c�aa;e� cT�chout t�e cnnsaac �a/or �.o�?e�;e os c�e
L+c_asa �a °�—�= Biv��ion. r: is su�Q=s�ea t��t pou c.:j? �`�e Ci�T
Cie_t' s Of:�c zc 2°8-�r".31 i_ �ou *.r�s« c�n���.t-��.
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7G1� , • ., o,�re awiv►tm �►�cor►e4co �• ' �`-
, . t�����x����'"f" �:p03476
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: ,►ssw�. `— �8��� 3���
o�rr: Ho. nur�eEa Fd�+ —
� Roun�c �p� � C�tancil Research
ORDER: — qn�Trow�Ev
r
Application for a Class A Gamb1ing Location License.
Notificatio Date: 12-14-88 Hearing Date: 1-26-89
��tAao�w tN a�ec► ) � c�+a�.Res�►ncH�nEJ�r:
� PINM�qf�M�8810N � CML ICECOANA188tON DA7E�IN � DATEOUT - � ANi1LV37 � . .. WiOI�E�Np. � .
. . � �ONNfi OOI�MIBBION . . 18D- SCf400L BOARD . . . . . . . � . . . . . .
� . -� STAl� � . . CQMWNSBION .. . � .COMPLETE AS IS . .. �ADDt�1P0.AOOEfJ� . _-�IIEDL N��FQ� _��+► � .. �
OIBTWCT COUNCR" . . ..- � . � _ . . ' . . . .
.. *E%PLANATION: :� � . � . . . . - . .
.. � SUPPOR7S YN�CII.CONWCl06'EQfME? . . .. . . . �. . � . � -. . ..�� . . .. . �. . . . .: .:..�.;-.
M1M7N8�IIOM�,MM��lPOIRYNIiY .VM�t.YIR�r�.Wtw*VNhy)[
Walmont Inc DBA Tiffany Lounge at 2051 Ford:. Parkway, requ�sts Council approval
of its.app] catlon for a Class� A Gamb1ing:L��a�tion License. This licens;e v�uld '
-:allorv the r to. lease space to a charitable organization (Trade-Lake Camp) . .
who will se 1 pulltabs and/or tipboards ir� Tiffanys.
,n+.i.sc+►n���eww.o.., ;
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All fees an applicatibns have been submitted. 45 day notices have been
sent. :
�twar.v�:�a�ro.w�,�: _ , . ., _ _ _ ,.;:-
If Gouncil pproval is �iven, Tiffany tounge will be able to lease space
to a charit ble organization for pulltab sales. -
�u.�wnn� . rno� ooNs
Co !�cif Fies��rch Cent�r
JAN 1'�' ��89
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