89-1597 WHITE - CITV CLERK
PINK - FINANCE C I TY OF SA I NT PA U L Council (/��{ /}
CANARV - DEPARTMENT X�/�Y7
BLUE - MAVOR File NO. 7
- . C nci Resolution ��� �
t
._ _
Presented By
Referre o Committee: Date
Out of Committee By Date
RESOLVED: That application (ID 18545) for the transfer of a Class A
Gambling License by 4 h District VFW currently located at
1060 University Avenu , be and the same is hereby approved
for transfer to 733 P erce Butler Route.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Favo
Goswitz
Rettman � B
s�he;n�� __ A gai n s t Y
Sonnen
Wilson
Adopted by Council: Date SEP — 7 �� Form Approved by City Attorney
Certified Passe ncil Se a y By �' ��
By
Appro Nlavor: Date —� �
� �� Approved by Mayor Eor Submission to Council
By
p�.�:::.:�;'� 16 1989
� ��i���
DEPARTMENT/OFFlCEJCOUNqL DATE NITIA ED GREEN SHEET No. 5 0 6�
Finance�License
OONTACT PER80N 6 PHONE INII7AU DATE INITIAUDATE
DEPARTMBNT DIRECTOR �CITV COUNpL
Chri sti ne Rozek-298-5056 cRr�rro�v �CITY CLERK
MUST 8E ON OOUNdL ACiENDA BY(pAT� �BUDOET OIRECTOR �FIN.i MOT.SERVICES DIR.
9-7-89 ❑�u►va+ca+nssisrnwn [� t'ni�n�il
TOTAL#�OF SIONATURE PA�ES (CLIP ALL LOCATIONS FOR SIGNATUR�
ACTION REWESTED:
Approval of an application fo t e transfer of a C1ass A Gambling License.
Hearing Date: 9-7-89 Notification D�te• $'23-89
�oa�Na►„oNS:�,v►�e w«��� i�PORT oPTroNu
_PLANNINO COAAMIBSION _qVIL SERVI�COMMI3810N �� P�E�.
_CIB O�AMITTEE _
_STAFF _ �'
_D187AICT COURT _
SUPP�iTS MlFlldi WUNqL OBJECTIVE4
INITIATI�K�PROBLEM,ISSUE,OPPORTUNITY(Who.Whet,Whsn.WMro,Why):
Fred Wanner on behalf of 4th is rict VFW requests Council approval
of his application to transfe a Class A Gambling License from
1060 University Avenue to 733 Pi rce Butler Route. All fees and
applications have been submit ed
ADVANTAOE8IF APPROYED:
WBADVANTAC�EB IF APPROVEO:
DISADVMITAOEB IF NOT APPROVED:
Cour,cil Research Center
AUG 2 51989
TOTAL AMOUNT OF TRANSACTION = C08T/REVENUE 6UDOETED(CIRCLE ON� YEd NO
FUNOINd 80UACE ACTIVITY NUMOER
FlNANdAI INFORMATION:(EXPWN)
� - � � G� - .�9�
DiVISION OF LICENSE AND P�;RMIT A.I)MINI TRATION DATE � �� ��/ � �! � �J
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �e� �(�r)n Pr� ! Home Address �O/� �QIQ ��-?�
Rusiness lv'ame � �tSf V f` �/ Home Phone � / /�O3y9
Business Address 733 �jCrce. ���►� Type of License(s) `i"1'AnS�e� � �O«t�LOn -
13usiness Phone (���SS H �j(,�vrl ,Ej�lnl� C-�CQnS��
Public Hearing Date � �� " g l License I.D. 4{ 1 � 5 �5
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthause State Tax I.D. �l IU �4
llate Nutice Sent; c, Dealer �� �1�
to Applicant � ' a3'g I
Pederal I'�_rearms 46 ���
Public He�.�ring
DATE ITSP 'CTIUN
REVIEW VERFIED (C MPUTER) COMMENTS
A roved N t A roved
�
Bldg I & D j
Jv �9- ;
Health Divn.
, � �� �
Fire Dept. I �
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Yolice Dept. i b K _
O iu ��4.�
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License Divn. !
i
�-Z3 8y o �c_
City F�ttorney �
g zt �` o��.
Date Received:
Site Plan Z
To Council Research �"' a�-g�
Lease or Letter �'/� �( � �� Date
from Landlord b
. . City of Saint Paul ����(�'�
Finance and Kanagement ervicesiLicense & Permit Division
INFORMATION REQUIRED WITH APPLICaTION FO PERMIT TO CONDUCT CHARITABLE GrV�'iBLI�G G�124E Z�I
SAINT PAUL (To be used with the followi g: vew a & C application, renew � S C
Licenses, and new and renew B in Private Clubs.)
1. Full and complete name of organizat on which is applying for Iicense
d ,�, s: F� -
2. Address where games will be held �.3 � � ,� vT � ER J7: /.A+��
Number Street City Zip
3. Name of manager signing this applic tion who will conduct, operate and manage
Gambling Games 6 ,- ivN� Date of Birth /..��/7��,�
(a) Length of time manager has been member of applicant organization �y y9
O --
4. Address of Manager O/.� .4�.q v �-. / tlE. S�S/D J
Number Street City Zip
S. Day, dates, and bours this applicat on is for ��'T�,�;9/ — �. „3U - �' 3v /`'�'�VJ
6. Zs the applicant or organization or anized under the laws of the State of 1�4I�? //,;y�
�--
7. Date of incorporation � - �G %. � �' �y/7�
8. Date when registered with the State of Minnesota �p,�. � �l-/���
9. How Iong has organization been in e istence? /' y� ?
10. How long has organization been in e istence in St. Paul? l J'�7 •'
lI. What is the purpose of the organiza ion? �,�;Fn q,�s
12. Officers of applicant organization:
Name �W R � . :tame �jO�E'�7��n� f'( li?/�
Address � ,� d ,✓ Address ��� /'✓ ���R /Qv�
Title �o„��y_ DOB �-�-3'�l Title �R � G „� DOB 3 '�.� 'z-?
Name J E v c�Ri �1 Z Name
Address � � ,_ Address
Title nj .!�'• DOB o7 /•ss� � Title DOB
13. Give names of officers, or any other persons who paid for services to the
organization.
Name Name
Address Address
Title Title
(Attach separat sheet for additional names.)
� - � ��i�9�
14. Attached hereto is a Iist of names nd addresses o€ all members ot the organizat�on.
15. In whose custody will organization' records be kept?
Name �r:f ,6 t�0 Address %�oi /7C A r�
16. List all persons with the authority to sign checks for dispersal of gambling proceeds:
�Name OW ,p // ,i�C' i Name �iQ,e,d J�I�A.d N E/t
Address J S /y� � � �,� Address �O/�� / -9 ��4 PE
Member of � Member of
DOB y ..7,� 2 Organization? ,v DOB � / L J Organization?��y
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
17. a) Does your organization pay or in end to pay accounting fees out of gambling funds?
yes no
b) If you do pay accounting fees, t whom will such fees be paid?
Name Address
DOB Member of rganization?
c) How are the accounting fees cha ged out? (flat fee, hourly, etc.)
18. Have you read and do you thoroughly understand the provisions of all laws ordinances,
and regulations goveming the opera ion of Charitable Gambling games? �
19. Attached hereto on the form furnish d by the city of Saint Paul is a Financial Report
which it .emizes all receipts, expen es, and disbursements of the applicant organiza-
tion, as �ell as all organizations ho have received funds for the preceding calendar
year which has been signed, prepare , and verified by N'�
r
Address
who is the of the applicant organization.
Nam
20. Operator of premises where games wi 1 be held:
Name ; /1
Business Address �� j < � v7Lr�C i -r7
Home Address
y � . �-���9�
'L1. Amount of rent paid by applicant orga ization for rent of the hall:
�05 a J .�.� �.£1'� ,v•[J
22. The proceeds of the games will be dis ursed after deducting prize layout costs and
operating expenses for the following urposes and uses:
,E���(A.c� F�i9�RI " y s - .So c f.�I �o r�� L� T G •
� . � /� /� �/
'—f� G�° J/ / %�/� I — /oJ•%! • y 0 C,' /�F • !/ � �
23. Has the premises where the games are to be held been certified for occupancq by the
City of Saint Paul? �'.S
24. Has your organization filed federal orm 990—T? If answer is yes, please attach
a copy with this application. If an er is no, explain why:
Any changes desired by the applicant asso iation may be made 'only with the consent of the
City Council.
`� � !� �r - !���
Organization Name
Date � � �� By: W
Manager in charge of game
Organization President or CEO
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" City of Saint 9aul �
Department of Finan e and Management Services n�-- (�_�Jl��
' License a d Permit Division (/T"o �
2 3 City Hafl
St. Paut, Min esola 55102•29&5056 �t
APPUCATI N FOff UCENS� ��
�.. CASH CHECK CLASS NO. ` . '. N ; Fienevw .. . -, .�c � ;
T . • } � f
a � .� -. Y . . _ Date � :_t �:
• - _ �
Code No. . Title of License Fro't:` � , � 19��To .. 1 :':��
� — ;n �' � - _ '
�� ��-h �,5-� � �- �
, �-`—y � D AppllcantlCompany Name
\ 100 f r�
� o C. G 't-c v,-1 �� �� � �t�?✓CZ ��t�f�'. �:-+�
100 Buslness Name
M 5� fa �/
�� S�• �CiL�. � � ( li� /
Business Address Phone No.
100
100 Mail to Address Phone No.
/ � l !'1 `
i oo ��E'.� (,( �4 ;�n P�: �:.3 �l �
ManapertOwner•Name
'� U�v15 rG 1GC2�
100 AlanagenGwner•Home Address Phone No.
4098 Application Fee 2 5p
ReCelved the Sum of �1/0� � v� • � C( r� � r� i1 �r�a�
1 Z ,�p ManagedOwner•City,Stale 3 Ztp Code
100 Tot 1 100
- ��(�C�J�/it.ra.L..�
liCens@ InSpBCtOr v � By: �• � Signature of Applicant
Bond:
Company Name Policy No. Expiration Oate
Insurance• �
Company Name Policy No. Expiration Date
Minnesota State Identification No. Social Security No.
;�
��
Vehicle Information:
Serfal Number �ate Number
Other:
THIS IS A RE EIPT FOR APPL{CATION
• YHIS IS NOT A UCENSE TO OPEfiATE.Yow application for li �ensewilt either be granted or rejected sub)ect to the provisions ot the zonina.
� ordlnance and completion oE the inspections by the Health, ire,Zoninfl andlor License Inspectors. . .
��
$15.00 CHARGE F R ALL. RETURNED CHECKS
. ;� .
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