89-1169 WHITE - CITV CLERK
PINK - FINANCE GITY OF INT PAITL Council ///A
CANARV - OEPARTMEN T ////�.[7/
BLUE - MAVOR File NO• /�_ • -
Co ncil esolution 3 i'�,
Presented By
,i.�� - _�
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #81 78 for a Gambling Manager's License
by Neil Johnson DBA DEAF In . at Mr. Patom's Sa��loon, 995 W. 7th Street,
be and the same is hereb a proved{e�e�:
COUNCIL MEMBERS Requested by Depart�nent of:
Yeas Nays
Dimond
Lo� In Fav
coswitz
Rettman � B
Scheibel A gai n s t Y
Sonnen '
Wilson �
JUN 2 7 � Form Appr ved by �ity Attor
Adopted by Council: Date 1 -
Certified Y- • y Council cre ry By �'/� �
sy
Approved avor: Date Approved by Mayor for Submission to CounCil
By — By
pus��� �u� - s � a
. . ��r����q
. ,
DEPARTMENTIOFFICE/COUNpL DATE INITIATED
Fi nance/�i cense GREEN SHEE No. 4„��E
INITIAU DA
CONTACT PER80N 3 PHONE PARTMENT DIRECTOR �CITY COUNqL
Chri sti ne Rozek/298-5056 ��� m nrroRNev m CITY CLERK
MUST BE ON COUNqL AOENDA BY(DAl'� AOU71N0 UDOET DIRECTOR �FlN.�MOT.SERVICE8 DIR.
6-27-89 ❑ voR coR nssisr �]�.ou.pL�l R
TOTAL N OF SIGNATURE PAOES (CLIP ALL L A ONS FOR SIONATUR�
ACTION REQUESTED:
Approval of an application for a Ga bi ng Manager's Licens .
Notification Date: 6-9-89 Hearin Date: 6-2 -89
REWMMENDATIONS:Approvs(A)a Reject(R) COUNCIL E/RESEARCH f1EPORT OPT
_PLANNINO COMMISSION _qVIL 8ERVICE COMMISSION ��Y� PHONE NO.
_CIB COMMITTEE _
OOMMENT8:
_8TAFF _
_DISTRICT COURT _
BUPPORTS WHICH COUNqL OBJECTIVE?
INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Whero,VYh»:
Neil Johnson DBA DEAF Inc. at Mr. at '.s Saloon, 995 W. th Street, requests
Council approval of his applicatio f r a Gambling Manage 's License. All
fees and applications have been su mi ted.
ADVANTA(iES IF APPROVED:
If Council approval is given, Neil Jo nson will manage th pulltab/tipboard
sales for DEAF Inc. at Mr. Patom's Sa oon.
D18ADVANTAOES IF APPROVED:
OISADVANT/14E3 IF NOT APPROVED:
��'�^�' ��^�ch Center,
u,:.,,. �e., G,
JJi�I 16 'i��s9
TOTAL AMWNT OF TRANSACTION COST/REVENUE BUDOETED qRCLE ON� YES NO
FUNDIN�i SOURCE ACTIVITY NUMBER
FlNANqAL INFORMATION:(EXPWN)
. . ; ����6�
DIVISIUN OF LICENSE AND P�:RMIT ADMINIST T N llATE IJ � o / 5 g 0 5
INTERDF.PARTMF.NTAL REVIEW CHECKLZST Appn o essed/Rece ve by
Lic Enf Aud
Applicant ����, _.lphn5�j _ Home Address �� q���� �,..� ����
Rusiness IvTame �E� � ZhG` Home Phone y ���— � g �3
Business Address �fZ ��'�/!'�S ��OU Type af License(s) � � r--
Business Phone
a�l 5 w 7�'t, St ' �—
Public Hearing Date a � �f License I.D. 41 ���� �
at 9:00 a.m, in the Council Chambers, �f�
3rd floor City Hall and Courthouse State Tax I.D. �t (
llate Notice Sent; Dealer �� �IA'
to Applicant (�—9 ��j �
Pederal I'irearms '�6 /U '�
Public He��ring !
DATE Ih'SP 'TI N
REVtEW VERFIED (C ER) CUMMENTS
A proved N t roved
�
Bldg I & D � I
�
� �
Health Divn.
,
�l�- � �
Fire Dept. � �
I AJ R. � �
Police Dept.
� Se n � s�l �
� 12 b�� ;
,
License Divn. �
� G ' Q� ,'
City Attorney (
� ��� �� � � '
Date Received: !
Site Plan � A ' / Q'
To Council P.e'search �P �� U
Lease or Letter D te
from Landlord Iv
. _ _ s _�. ...— ._. - . . _ . . ._.._ - .��.._- ..-le�.. r.r �./' . . . �. .� . r ,�
' - ' - �f/3?�
' ' Ci of 'aint Paul
Department of Fina ce nd Management Services ,(J� `�,�, `���
License nd ermit Division (�— J'f
03 ity Hall
St. Paul, Mi nes ta 55102•298-5056
APPLICAT O FOR UCENSE
CASH CHECK CIASS NO. N w Renew
a � � Date � 19��Gf
- �F—
Code No. Title of License From "��19�To��(19_.L_V
.
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; : � o �1 n [ � 1� �! >>SO rl
.
� APPIICanUCompany,Name
� �IJ�� !J��`�' � 1 hC�
1 Businesa Name '
' (`,���''2 �C��vm 5 JC. �c�U i�
Businesa Addresa PAO��No.
1
� �l � C� � �� S-� r�-e.;�`E
1 0 Mait to Address Phone No.
` � �U L
, 0 5� . �'c �-t � / n 5.�
�
• MansperlOwner•Neme
� ; ��, ' IV e � I �'.,.�v 1 i n svf l
• -� 1 0 AlanagenGwner•Hpme Addresa Phone No.
4098 Application Fee � � �. 2 � I� � 1
Recefved the Sum of t � �� N• �� bQ ✓� � � `i7i
p� Manager/Owner•Ci► State 3 Zip Code
100 Total t S"�` , � � /� SS /�Z
_ /
License Ins ector _ 1 � � `
P BY� ��� ture ol Applicant
Bond•
Company Name Policy No. ExpiraUon Date
Insurance:
Company Name Policy No. Expiratfon Dats
Minnesota State Identification No. Social Security No.
Vehicle Info�mation: I
Serial Numbsr ~Plat�Numbsr
Other:
THIS IS A RECEI T OR APPUCATION �
• THIS IS NOT A LICENSE TO OPERATE.Your application for Iicen wil either be granted or rejected Subject to the provisions of the zoning
ordinance and completlon of the inspections by the Health, Fire, oni y and/or License Inspectoro. ,
I :
$15.00 CHARGE FOR LL ETURNED CHECKS
� s-�-�9 � � � � �'-