89-145 WNITE - G1TV CLERK �. .
PINK - FINANCE G I TY OF SA I NT PAU L Council ��/�—►
CANARV - DEPARTMENT li 1
BLUE - MAVOR i Flle NO•
Co ncil Resolution
Presented By
�� ;\ ��
Referred To Committee: Date
Out of Committee Date
RESOLVED: �'That application (TD #46462) for a Gambling Manager's
'Cicense by E. Thomas Bauer DBA Trade Lake Camp at Tiffany's,
'�2051 Ford Parkway, be and the same is hereby approved/c4e��-:
I
I
�
�
,II
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Long In Favor
Gosw;tz
Rettman c7 B
Scheibel A gai n s t Y
Sonnea
Wilson
Adopted by Council: D te /� (Q�
FE8 - � i989 Form A roved by it Attorney
Certified Yass d o ncil S cre y By �T �L 0�
gy,
A►pproved avor: D te _ ��+.� � ��'�� Approved by Mayor for Submission to Council
By By
�UBl1SN�D � �_.�' 1 � i989
. �_ . . ����=i��
DiVISI0IV� OF LICE SE AND PERMIT ADMINISTRATION llATE '� '� �� / �� � Q �
INT�,RDF.PARTMFNTA' REVIEW CHECKLIST Appn rocessed/Rece ved y
Lic Enf Aud
Applicant � �l�QS Lttl'"' Home Address �1 C/l�}'�QY17�n
Rusiness Iv'ame P'6��L e, 41l1� Home Phone y 3�p - � 3r�
t 4r►t�
Business Address (� ��yType of License(s) ���jm�j��nG /��
A
Business Phone
Public Hearing Da e (u�"'�� License I.D. �F �-�'(�1 `�f bZ"
at 9:00 a.m. in t e Council Chambers,
3rd floor City Ha 1 and Courthouse State Tax I.D. �1 �'�
llate Nutice Sent; � �� �� ���� Dealer �� N'�
to Applicant �
� Pederal Firearms 46 �1 /Q
Public He�.�ring
DATE INSPECTIUN
RE`JLEW ' VERFIED (COMPUTER) CUMMENTS
Ap roved Not A roved
�
Bldg I & D �
N��4
Health Divn.
' �l� '
i
Fire Dept. . �
i ui� I
� ,
Police Dept.
�t`��� � OIC.
�
License Divn. '
�I�� ' ��
City Attorney �
1��a� + p j�
Date Received:
Site Plan � � (,�'/
To Council P.esearch jo2 q 6�
Lease or Letter � D te
from Landlord �`1 i�}
�
. '� �����
• . _ . City of Saint Paul
, Department of Finance and Management Services /�,,�� ���
License and Permit Division l�'
203 City Hai1
- St. Paul, Minnesota 55102-298-5056
' APPLlCATION FOR i.10ENSE
CASH CNECK CLASS NO: New Renew
a a � a o - ;�, �
Date �' %'�- 19�
Code No. Title of icense
From /�.^.l ��_19�Tc I�.!"/ �� 19 ��
o��%�(0 /°�=,�n��;� 11�)F��r7Cc.`t� �.�i�,� �
,00 � -,r•r/�n.,N-<- �;; ,,-,-
Applfca�UCompany Name'
100
�l�;^T:'P -�-'.�.�r� f� �rr--•,J
100 9usinesa Name �
�;�'�' f�l Nu..r_r
' ��
100 ;,"i- !i ,�'�`1;! i'-� �(� '
Business AddFess Phone No.
100
�7'� i, _.� ,-,__._ .
! ! L_/! '�1�� i �•11 �' ��," - ;/
100 Mail to ACdress �,,,,.'! �,;:�� �°c;: Phons No.
100 �' Ir('1Yi1�C i�f=i.:'��
! ManaqerlOwner•Name �
100 �r
/� C�!J��I��i(�/�� �/ ''i�— ��i l�-
100 hlanagerlGwner•Homs Address PAOn�No.
4098 Application Fee 2, 50
'� n
Recelved the Sum of � 100 �(;;��� ���}y; (j j-� �X`r���--
f',< �?�fyr,�/1 -�, `�'! �-!Z,,- ��/ ��'�< <oi`i•(,�`G� ManagerlOwner•City.State 3 Zip Code
100 Total 100
/ � �
License Inspector ✓� By: ��1 � Signature of Appli�
Bond•
mpany Name Policy No. Expintion Oate
Insurance•
ompany Name Poiicp No. Expi�ation Oate
Minnesota State Identlfication N . Social Security No
Vehicle Info�mation:
SeHal Number Plats Numbsr
Other.
THIS IS A RECEIPT FOR APPUCATION
THIS�S NOT A LICENSE TO O ERATE.Your application for license will either be granted or rejected subiect to the provisions of the zoning
ordlnance and completion of t e inspections by the Health, Fire,Zoning andlor License Inspectors.
,�, $15.00 CHARGE FOR ALL RETURNED CHECKS
�
�e�a.,.��e-�J �l:��'-�"
� • � G��j'��.5'
• Ci�y or Sainc Paul
, ' Department oE Finance and Managemenc Services
� � Division of License and Permit Registration
INFORMATION REQUIRED ITH APPLICAI'ION FOR PERMIT TO CONDUCT CHAR.ITABLE GaMBLIVG GaME I*t
SaINT P4UL -
and complec name of organization which is apnlying for license
f� �
2. Address where ga es vill be held ���� �� �/��.1 �v��JL,�Vt� , ,j.s/��p
� Number Screec • City Zip
3. Name of manager igning this applicatioa wha will conduct, operace and manage
Gambling Games , ` 1L t�Date of Birth T7(�,/7 /�(o�—
(a) Length of ti e maaager has bean member ot applicanc organizacfon s/N��C � (o
4. Ad�re s s o t Manag r "/ 7 ( '�Mf}i�Ra A� L,19KP CLrna_,�'l�. ��0�"0�
Number Screec Cic� Zi�
5 . Day, dates, and ours chis acplicacicn is �or ���,/(/, �f�� �t9-�'T��od�V1 /D ��%30�YI
_6. Is the applicant or organizacion organized under c:�e ?aws o: c;�e Stace o: !Qt? -7�
7. Date oi incorpor ti�n �(��'g. �-�, � �d ✓� _
8. Date when regist red wich the Scace o= uinnesoca �°�'�, 3� , �g� �
9. How long has org niza�tion been ia exiscence? � �b��?.�
10. How Iong has org nization 6een in existence ia St. 2au�? �`7' �f4�ZS -
11. What is the purp se of che organization?p�/�tJ�Z �i f3r��� �/C1SNO�ed
� �r r�- MMt?PZ � M I�Ui re,S U /f� t� C2S
I2. Officers of appl cant organizacfon
Name �C�' p S G� J Yame � CY`� �Je��'F'�
r
Address �( 3 � M � ! �� �C�A�UL. Aadress v�3'�7 `�1�..L �! d?('+ '�
�,I ..-
Title `P DOB �7 � ,S� TiC?e� \i�. � 70B ���.S'
. � / / �
Vame I ry� 'D � ;iame �% ff-J ¢�1V I 1'�1 �
Address � �n� � � L� :�ddrass �C� 3 ���'j��.��{¢��•
Tit1e � (��/ �(�P , DOB g ��/ � ci��?e �x, ��C. � DaB s/ �8 .�D
!3. Give names oi off cers, or any oc^er �ersans :rno ?a�d �or serr:ces co _;e o:3ar.:=ac'_c^.
tiame � V V Z° �iame : � O��
Address �, �Qa �1� �dvl2G G�/(�f' - �►ddress �3 p� (�(//[�oN �P� �� ' �
Title �l lL _..�'_e �C-'!¢ �U,��fSO/Z
�
(,�ccath separace snee- '.^.- ac�__:or.=: �=__ .
� � �;S - � ���i�l.s'
+ �-/����I1i� .. _ .. J . .. ' . • - . r` ^t . . ' rr
. � . . � ' , � .. . ' ' ,
` - . ' . , . , . . . . . , , . ' ... ' . ._ . . �� _ .. . . •
� 14. �ttached hereto is a list of aames. aad addressea of all members of the orgaaization.
15. In whose custody� will organization's records be kept? .
Name . Address �l� 'r✓�lT Ur � �
.
,16. ��Persons who wil3� be conducting. assisting in conductiag, or operAting the game�:
Name `�' — ' . Date of Birth � �o
1�P1 ?D
Address ��0fl ��I�L�dI� / l�P, .S�Qi9uL d�l�.
,
J
Name cf Spouse �! ��pp�PcI Date of Birth
,� Dates when such erson will conduct, assist, or operate �fJI�J, %�RU �H,T, — �'oo,�iy
.�--� ,
�� : Q , ' •
S �,�T v S c.s ..
Name Date of Birth
Address
Name of Spouse Data of Birth
Dates vhen''such erson will conduct, assist, or operate
17. Have you read an do you thoroughly understand the provisioas of aIl laws, o dinances,
and regulations overnfng the operation of Charitable Gambling gam�s?
18. Attached hereto a�n the form fumished by the City of Sc. Paul is a Financial Report
Which itemizts a�l receipcs, eY�enses, aad disbursements of the applicaat organization
as well as all o ganizations who have received funds for the preceding calendar year
which has been si ned, prepared, and verified bq _ �, �ns��.ue2
• . Name
� ` � .
�J.�j^ '�J � �2�On3 � 6.. trL. �N. .5 S I�Y� � '
�`^ 1A.k� h-►-v
� ' � Addr-Ess
aho is the �/��r,��1�rJ(r ��¢r,✓19.G-�IZ of the applicaat Orgaaization.
Name oi Office
�
19. Operator of premi es where games will be held:
Name — Q T •
B�s,iness Address �F� S i4t2f d21�,[� ,S �c{ �.(�• S�` U l✓. .S,>�l
Home Address
20. Amount of reat pa d by applicant Organi;.acion ror rent oi che hall; speciiy amount
paid P �uLL�4 S N�� �� Q�,�� �
�
� , � . ." . , . . � � ��/f.S�
• '. 21. The p oceeds o= the games w1.I1 be disbursed afcer deduccin
. operat ng expenses for the folloving purpcses and uses: g prize iayouc costs :
` � � S �
J � L�G�l C, U � �J ��ZA M,S
e�vG' t t� rv r V-� �
22. Has che�l pre�ises where the games,ara co be held been certified
for occupanc� by
City oE� Sainc Paui? e
23. Has you� orgar.fzacion riled cederal For,�t 9
a copy c�ic:� chis appjicacion. I? 90—T� � � Ii answer is yes, please :
answ2r is no, xplain why;
� Any changes d sLted b� .ae a�o�:�s;;c issociac_on ma� be ,:,ade onl• �
Cicy Council. � v•
� zch t„e conse�t of
.�-�'
►� L�K� �,�� .
Organ�za :on
Date �� ( ��
Bv:
� . _ zdgz� �n charge ot game � �
�
R � � "� ``C � � � • '
� � (D • � � � n, � �
i � � T� � `f � rr � � '.7 r�
� n � •� ,� ^* � ,.• ro � = _
n � a c :i T = T � T � ,e m
. . .9 d � ��\ `� � r. r � J
� �. S ;,� �, `�i Z rr r• �j C � �
�
R � 7 .� \', Q � � � .,� "'� �
. T 3 n � � � 3 3 n .,�� a �.
� ,7 � tD n � � ?
x z � � -� � f '" a .��n �o
-� n a � _ � " .� � m
� " � o
-� 3 �
�9 '�9 3: T � � ro ^ ' �
3
•7 � 7f '< � ._ �t '_ ' - � � �� m
�
'�_' '' i �� 3���` �, a � � �_ � `� .. ....
n f° ' = � <n� ° ; I
s I
ro ' - ' �y.�e 2 '- „ ;� � �
n I
� ,.►
� � , � �I �`�e a j � �_ � � .�
� n o ; , -
"' ' =
I b A ,� �� � � 7
^ � ; �' �C �(7 i ro � � ; n
_ �D I
�;I i n I �' Z ,z�D � � F ,:� r„ ti
-� _ T
il I ?� � � o� � � - � � � I�
I I �, � D �� � � tD
^ � , ... �o,� i Q`Q � � ,'9� � Si n..
I� � m
� I ' � � � � Q � �
JO ►..
� � � �.
,� 1 t
I
I
TQR'.-: , .,. . . . �.. . . .DATE INRIATlD � OA7E�OOMLl1@-. ,�j �i�F �i . `•� -
. . . . . .. .� � � � � � . . �■.'!'ii��ii�x ��`� �.
.. . Mr: ,�. Carch : i - 4 7 9
� ��� ������
tiristine Roz k � � �8:�..��:��«�
�.• �. � . � � �a�,
�ounci 1� Resear�ch
Fina ce &.. mt._ 29 -5056; . oRO�: -�-- �,;�;� - —
ApPlication r a Gambling �nagers License.
N+�tific�tion te: 12-14-88 Hearing Date: 1-26-89
•uw�.tw a�t�3► ca�c�nESe�wa+'nva�*: . _
. � . � }UIMMIQ COMMp9610N � GVIL ICE CORNNSSION DA7E IN � DATE OUT AWILYST � . . � � PlIOWE NO....� .
DOMIMO CAhIMI�ION � 1�625 . BOAt� .� . � . .. � .
... � . STAFF .� . .. . .OMARTEH OMMISBION. . COMPLETE A81S. -AODL RII�O.ADDE6'�' �. � �-�R TO OOIfiA�T . • C�Ii6TRl1EM' .
� � ADDI NN'O. _l�EDRA�K/iDO�*
DIBTFIICT COUWdL ;EXPLAPIAT�N:, .�.. - � � � .
dIPPONfB NRfICFI OOUNGIL OBJECRYE? . .. - . . � � � � ' . . � � .. . .� ... . . . � - .. .� . �
N11A7M�IQ PRON.E�,INk1E,�PP011�iNNTY .Wllet.Wfllfl.�M�M0.�Mh�: .
" E. Thomas Ba r DBA Trade Lake Camp requests City Council approval of .his
application ` r a Gambling Manager's Cicens� at Tiffany's, 2051 Ford Park�a►y.
'� � . Pro.ceeds fro pu'11:tab sales are used ta serve retarded and h�ndicapped youth
with youth a hletic sumner camp activities.
rus,wc�►,nc,Mecn.ae.n.�.,�aN.�.s: - , . ,
. _.. , . -
. All fees and applications have b�en submitted.
�i�.wn.�..�a.w v�,r: . , , . . , `. : .
If Council a proval is given, E. Thomas Bauer will become th� gamb1irtg '`
manager for. rade Lake Camp pulltab sa��es .at Tiffany's. ,_
. . . .
�u.re�w►�: . , weo� eor�s.
�sro�Y�rrs:
This will be the second location in St. Paul at which Mr. Bauer is manager..
He also mana es pulltab sales `for Trade Lake Camp at Pepperco.rns, 1174 Arcaide Street.
� ��s:
�