89-223 WHI7E - GITV CLEpK '
PINK - FINANCE ' COLIICII 1� Ij�
CANARV - DEPARTMENT ' GITY OF SAINT PAUL Q(QF��
BLUE - MAVOR I File NO. � - "
� � Council Res ution
_ - � � 1g
Presented By
Referred To � Committee: Date
Out of Committee By � Date
�
�
R�SOLVED: Thlt application (ID #73326) for a Gambling Manager's
Li ense by Alan Bloomquist DBA The Lower EastSide Football
As ociation at Flaherty's Bar, 499 Payne Avenue, be and
th same is hereby approved/de�ted.
I
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COUNCIL MEMBERS i
Yeas Nays Requested by Department of:
Dimond
���- In Favor
Goswitz
Rettman p
,,�;� A gai n s t BY
Sonnen
Wilson
��B _ � 3(�� Form Approved by City torney
Adopted by Council: Dat • . �,�(
Certified Pa s ouncil S tar BY � �'2 L�
By,
i �r • '` Af'� Approved by Mayor for Submission to Council
Approve lVlavor: Date i:�.�
g BY
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DiVISION OF I,ICENSE ND PERMIT ADMINISTRATION DATE �� �3 8� � �°� �'� l�
INTERDFPARTMENTAL RE IEW (:HECKLIST Appn P oc ssed/Received by
; Lic Enf Aud ,
Applicant I�XGvr� ' `_ Home Address ��� �• ! � a"��'r�-�'�
Rusiness Name L �, �� S�c�, ��y�,(,Q Home Phone
Bu�iness Address �� Q�,7�pe of License(s) � .�trY1 b ��rlG�
Business Phone ���X� S �� QY►(�, ��
Public Hearing Date � � �� License I.D. 41 �133Z�e
at 9:00 a.m. in the Council hambers,
3rd floor City Hall and Courthouse State Tax I.D. 1� jV I�
llate Nutice Sent; p '�y,I Dealer �� ���
to Applicant � 5 p � �,�"l`t'�
redera2 I'j.rearms 4� �I�
Public He�.�ring �
DATE INSPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
I Approved Not A roved
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Bldg I & D ; �
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Health Divn. i '
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Fire Dept. I � �
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Police Dept. ; �n
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License Divn. I� i �/�
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City Attorney j �
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� Date Received:
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Site Plan � a- ���a
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To Council r.�search � �
Lease or Letter � Date
from Landlord Z 3 �
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, City of Saint Paul
, , Depa�tment of Finance and Management Services ��c�'_�a3
, License and Permit Division
, 203 City Hall
' St. Paul, Minnesota 55102-298-5056
' APPLICATION FOR LICENSE
CASH CHECK CLASS NO. New Renew
0 0 .-�'-�- � Cl �,�j, � s�
Date 19
Code No. Title of Lic nse . � � ��J L f!� ��`
From j�:r,, � �g�`-%Tp � �. 19 ��
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pplieantlCompany Name
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100 -=* y
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100 Business Name <-
ioo
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Business Address . Phone No.
100 . � i�; � i
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100 Mail to Address � Phone No.
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100 `,�� ��c i1 �_ ` '✓�ilj"J;��i/�
ManaperlOwner•Name ^
100 '
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100 AtanagedGwner•Home Address Phone No.
4098 APPlication Fee ' 2. 50 \` + �� --
Received the Sum of t00 J I � ��` t,{ ' � ; � �� �✓ ���
� f�Y� �� ManagerlOwner•City,Slste 3 Zip Code
100 Total 100
liCense InSp@CtOr J �I' By: �/��� Signaturo ol Applicant
Bond:
mpany Name Policy No. Expiratfon Oate
Insurance:
C mpany Name Policy No. Expiration�ate
Minnesota State Identificatlon No. Sociai Security No.
Vehicle Information: '
Serial Number • Plata NumDer
1
Other.
THIS IS A RECEIPT FOR APPLICATION
THIS IS NOT A LICENSE TO OP RATE.Your application for license wili either be granted or rejected subject to the provisions of the zoning
otdinance and completio�of th inspections by the Health, Fire,Zoning and/or License Inspectors.
$15.00 CHARGE FOR ALL RETURNED CHECKS
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� Ci�y oc Saint Paul
, . . , IDeparcmenc o� Finance and Manageaenc Services C�� ��
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' Division of License and Permit Registracion
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INFORMATION REOUIRED WI�TH �PPLICATION FOR ?ERMIT TO CONDUCT CAARITABLc GAMBLiVG G�4'� I*t
S�►INT PAUL ,
1. Full and complete !name of organizacion which is applying for license
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Lower East� Side Football Association
2. Address vhere gam�s vill be held 499 Payne Avenue , St. Paul, r7N
� �umber Screec Cicy Zip
3. Name of manager s�gning this appl.ication vho will coaduct. operace and manage
Gambliag Games ;Alan Bloomquist � Date of Birth 7-27-45
(a) Length of tim� maaager has beea member of applicanc orgaaizacion Augus t 19 85
4. Address of Manage� 758 East Magnolia, St.Paul , I�1
;Jumber Screec Cic� Zi?
5. Day, dates, and h�urs this applicacicn is ior Pen din�
6. Is the applicant r organizacion organized under c�e Iavs os t;�e State o� �4d? ye s
�7. Date of fncorpora ion August 11, 1987 �
8. Date when registe ed with the Scace of Kianesota Sen tembe r 3, 19 87 �
,
9. How long has orga ization beea ia esiscence? 2 0 ye ars + '
10. How long has arga ization beea in existeace ia St. Pau1? 2 0 Ye ars +
11. Glhac is the purpose of the organization? Organized to promote and support
activities and functions of the Lower ast i e—'Froot �Tall—�ociation.
We ofter yoimg boys the opportunity to learn the basic rules and to nlay
g in e� eams in , au .
12. Officers of appl cant organizacfon
� Name Dennis J.j Fitzgerald 'tame Alan Bloomctuist
Address 735 Jessie Street Address 758 E. MaQnolia
Title Presider�t DOB 4/13/50 Tic?e Vice PresidentDOB 7/27/45
v�e t4argaret �Staats Name Marlene Thilgen
Address 670 We�tern Avenue No. �ddress 756 DeSoto
�
Ticle Treasure�t DOB 9�19/55 Titla Secretarv �o$ 11/5/46
13. Give names of of�icErs, ar any ot!-er ?ersoas ano �aid �or se^�ices ca c^e or3aai_3L:cn.
tiame I V�e
Address :lddress
'_-
Title •--�� --- -
-7 (A[tach separace sha�' '^•: ac�_::or.�: -==as.�
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, ;G. Actached hereco , .s a list of names and addresses of all aembers oE cie o:3an_za_i�r..
. 15. . In vhose custod}� vill orgaaizacion's records be kepc?
Name lan Blo 'm uist Address 758 East Magnolia
16. Persons who vil� be conducting� assisting ia conduccing, or oper�cing che �ames:
Name Donell� Hoffman Date of Birth 11-24-49
address 965 Ea t Geranium Avenue
;lame of Spouse None Date of Birth
Dates vhen such ;person vill conduct, assisc. or operate pPnriin�
►1ame i Date of Birth
4ddress
Name of Spouse Date of Birth
Daces vnen suc:� 'person *Ji�I con�ucc. ass.st� or operate
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17. Have qou read a � do ?ou c�oraugE►ly uaderscand ch� provisians og aIl laWS. ordinances.
� and regulacior.s ;o��e:z:ag ::�e operac=an oi Cha:itab?s Gambiing games? Yes �
18. Attached here:o ca c:�e Ea:r :ur»ished 5y the C:ty c: St. Paul is a Financial Reporc
vhi:.:� ic�mizes �I'_ recei�cs. expeases, and d'_sbursemencs oi che applicanc organization
as ve2� as a_? airgaa:za._ans vho zave _ecei��ed `unds ior tae oraced�zg calendar qear
whica has beea s�:3::ed. g:a�ared, aad ve:_?_ed Sy Margaret Staats
- Yame
670 Weste�n Avenue North, St. Paul, NIlV
�ddress
who is che �re asure r of the applicanc Orgaaizac:on.
Vame �c OfE-ce
19. Operator oi premiises vhere games :r���: be held: ,
Name Flahar ' s Bar and Restaurant
B�rsiness address � 499 Payne Avenue
Home Address 12171 Parade Avenue , Stillwater , NIN
20. Amounc df rent ? id Sy app�:canc Or3ani=ac�on cor reac or che hall; speciEy amounc
paid per 4-hour �eQg:on $400. 00 per month
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r . � . � ��--a�
� ' ,21. '�he proceeds oi t;he games will be disbursed afcer deduccing prize layouc costs and
operating expense�s for the folloving purposes and uses:
New Footba 1 E ui me
miscellane us o eratin costs relatin to the needs of the b s.
�
22. Has the premises here the games are to be held been certified for occupanc� by the
City of Saint Pa 1? Ye s
23. Has your orgar.ization riled cederal fora 990-T? rjp Ii ansWer is yes, please at:ach
a copy wic:� chis ppiicacion. I: answer is no� explain why:
This is ou first ear of o eration and our re u
until afte ear en din December 31 1 88. W� av f' F 2
for a Non-Profit Status from the Internal Revenue Service .
Any changes desired �v tae apol?caac �ssociacjon ma� be �ade only vich the conse.^.t of che
City Council.
Lower East Side Football Associati�
Organ�zacion
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' Christi:ne Ro ek �FOR _ �.�►«�►�� �«r�
. "°. woun�c� �*�«, � -2 Cuur�il Research
Finance.& M . 98-5056 oRO�: 1 �,,�Y
aPP�i��tion r a Gambling Manager's License. -
Notification Date: 1-5-89 Flearirtg Daite; 2-9-89
!1lCbIMIl�uRTWM6:G�PPi'o!»(�)a RejaG(Rl 1 COINICIL N�EARpI REPORT:
PLIJ�MN10(�116810q qVIL COM9113310N DATE�IN� . . . DATE 01J'f � . .AWILYST . � . . � � �PNOlE NO. � . . .
� . ZO�LNO COMMI8610N � . 18D 825 .80NRD . � , . . . _ . � . � . . � .
.. . . .STAFF� .. ' dURTER OMMISBpN � � � . �WMPLESE/�S IS � � MDL NIF'O..ACGiD* . RETD TO<70N�A�T ..00NSTRUEM .
. .. . . .. . � �_ . � _�fOR�A[)D<��FYf. . _fEEE1BAqC ADO�• .
.. ' DI�TAICf COUNCIL - *EXPLANATION: . . � . .. � � .
.. . 81MPOATB-�WNK�10011NCLOBIECTNE4 � � . - . . . . . . � . . � . .
' �TIA7f1�PRC�LBI.NW�.O/POR7{N�IITY .YYMt.VMIMO.WtIBIB�YVhy):
Alan Bloomqui t DBA Lower EastSide Football :Association at Flaherty's Bar,
499 Payne Av `ue, requests Council approval of his a�plication for a�
Ga�ling Mar�a er's License. .
.��,�ar tc�e.r�.�.�,as� . , . , , ;
All fees and pplications have been submitted.
�.IYN�at.WIM�.ind To WAOrn). .- : , .,h
If Council a�p roval is given, A1an Bloomquist wi11 manage the pu?itab
and/or tipboa d sales at Flaherty's Bar for the Lower EastSide Foatba�l -
Association. :
N.�a►nves: . �os co� _
. ���: ..�: i'���a�ch Center
�NN 2 :�: 19�
���: _
Mr. Bloomquis ` has been the manager for pulltab sales fbr Lower East�ide
�'ootball at H rges Bar, 981 Univers`ity Avenue, since i1-1-88. ,
��s: