89-1633 WHITE - GTV CLERK �
PINK - FINANCE G I TY OF SA NT PAU L Council . /�/� �/
CANARV - DEGARTMENT {/u � �IS
BLUE - MAVOR File NO. �� �� ���
u ' R sol tion ��;
Presented By
Referred o Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #13305 for a Gambling Manager's License
by Scott Nelson DBA Minneso a Waterfowl Association at
Beaver Lounge, 756 Jackson treet, be and the same is hereby
a pp roved/de�ri-e�€�.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Favor
Goswitz
Rettman n B
Scheibel A gai n s t y
Sonnen
Wilson
SEP i z � Form Approved by City Attorney
Adopted by Council: Date _
Certified Pas Counc' , c r BY ���/�
By
A►ppr e y lrlavor: Date �LI� � ,ai �89� Approved by Mayor for Submission to Council '
gy — BY
I�lBllSl� SEP 2 3 1989
. . ��i�3�
DIVISION OF LICENSE AND P�:RMIT ADMINISTRATI N DATE 7 a� �( � 7 a y �5
INTERDFPARTMENTAL REVIEW CHECKLIST , Appn Processed/Received by
Lic Enf Aud
Applicant �c0� �/e-�.SON ome Address �3(�v /On/l�Wo-r�d ��
Rusiness 14ame �IflCI � �G.�r-i�ul �ssn Home Phone q38''vs 33
�usiness Address ��� � JfcC/�SOh �'� , Type of License(s) �Ctm ��ir� r—'
Business Phone
Public Hearing Date icense I.D. 4� � �J �J O 5
at 9:00 a.m. in the Council a�n ers,
3rd floor City Hall and Courthouse State Tax I.D. �l �/�
llate Notice Sent; ealer 4f �U �-
to Applicant �^a��
Pederal Pirearms 4� 1�-�
Public He�.iring —�
DATE 7NSPECTIUN
REVIEW VERFIED (COMPUTE ) CUMMENTS
A proved Not A ved
�
Bldg I & D �
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Health Divn. '
�
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i
Fire Dept. �
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I ',
Yolice Dept. sen� ( �/a�/
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,
License Divn. � !
3- �� O lL,
City Attorney �
�a� � d ��
Date Received:
Site Plan �I/q— c
To Council P.esearch � Z 0
Lease or Letter ate
from Landlord /U
, .
- 1330�
, . City of Sai t Paul
Department of Finance an Management Services
License and Pe mit Division ����G3�3
_ 203 City Hait
St. Paul, Minnesota 5102•29&5056
APPLICATION OR LICENSE
CASH CHECK CLASS NO. New R new
� � � -02/ ,�'
. Date 19�
Code No. Title of License From �� 'l t��To r°�� 19��
�7��b �
� ,00
ApplicanUCompany Nams
1� • ��i�l�''"' ..���,
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100 Business Name ���
.�d�v
100 ��(p - '
Business ess Phone No.
,oo ,� 533�
�30� j.�,��.���� ��.
100 Mail to Address Phone No.
,1
100 .y�'i('�-�r.L'/LCj /'�i�--�c�`'i"C./ D`���
ManagerlOwner•Name
- �oo �� Gz�8����� �
J
100 AtanagerlGwner•Home Address Phone No.
4098 Appiicatfon Fee 2_ 50
Recelved the Sum of p i 100
�G�6 • � ManagedOwner•Cfty,State 3 Zip Code
100 Total 100 /� �
.,
/�. ,
License Inspector By: � � Signature of Applicant
Bond•
Company Name Policy No. Expiratio�Date
Insurance:
Company Name Poticy No. . Expiratfon Date
Minnesota State Identification No. ���aa� ocial Security No.
Vehicle information: �
Serial Number Plate Number
Ot�1@f:
THIS IS A RECEIPT F R APPLICATION+
. TN1S IS NOT A LICENSE TO OPERATE.Your applicatiort for license will thef be granted or rejected subject to the p�ovisions o(the zoning
ordlnance and completion ot the inspections by the Health, Fire,Zonin andlor License Inspectors.
v
$15.00 CHARGE FOR ALL R TURNED CHECKS
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