89-1728 wHITE - Cirr CLERK COI1flCi1 ��� /���
PINK - FINANCE G I TY OF SA I NT PA U L
GANARV - DEPARTMENT
BLUE - MAVOR File NO.
Counci esolution °�``
�
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Presented By
Referred To Committee: Date ��z�
Out of Committee By Date
RESOLVED: That application (I #16104) for a Class A Gambling Location
License by The Jane Corp. & Donval , Inc. DBA Sherwood Lounge
at 1418 White Bear venue, be and the same is hereby approved/
--Q,;;�:..
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� [ Favor
�
Rettma" B
Scheibel � _ gai n s t Y
Sonnen
Wilson
S�P 6 }Lj8(� Form Approved by City ttoc y
Adopted by Council: Date •
Certified Pas e Counci ecr r By ��/Z
By
Approved � �o�: �o _ EP Z 71989 Approved by Mayor for Submission to Council
By � BY
pUBL�n o c T � �9a9
. . �' Sq- i7� �
DEPARTM@NTIOFflCEICOUNpI, DA INI D
�i nance/�i cense GREEN SHEET No. 5�� 4
iNmnv a►� INiTIAUDATE
�NTACT PERSON 6 PHONE DEPARTMENT OIRECTO�i CITV COUNpI
Chri sti ne Rozek/298-5056 �CITy ATTOFiNEY �cm c��c
MUBT BE ON COUNCIL A(�ENDA BY(DATE) �BUDfiET DIRECTOR �FIN.a I�T.SERVICES DIR.
9-26-89 ❑�Y���R�$��A�T1 C2] CounCi 1 R ar h
TOTAL#�OF SIGNATURE PACiEB ( A LOCATIONS FOR Slt#NATUR�
ACTION RECrilES'TED:
Approval of an application or a Class A Gamb1ing Location License.
Notification Date: 9-8-89 Hearing Date: 9-26-89
RE�ENDAT�NB:Apqova(AI a►�IRl REPORT OPTIONAL
_PLANNINO OOMMIS810N _qVIL SERVICB OOMMI8810N Y8 PHONE 1�.
_C�WMMITTEE _
_STAFF _ MME .
_DI8IAIC'T COURT _
SUPPORI'8 NMICH OOUNqL OBJEC7IVE?
IPqTIATINO PROBLEM,ISBUE.OPPORTUNiTY(Who.Wh�t,YVhen.WMrs.
The Janet Corp. & Donval , nc DBA Sherwood Lounge at 1418 White Bear Avenue
requests City Council appr va of its app1ication for a Class A Gambling
Location License. This li en e wi11 a11ow the liquor establishment to lease
space to a charitable orga iz tion (Hayden Weights Booster Club) for the sales
of pulltabs and/or tipboar s. All fees and applications have been submitted.
All required divisions - Z ni g, Fire Police and License have given their
approval .
ADVANTAOE8 IF APPROVED:
If Council approval is gi en The Janet Corp. & Donval , Inc. DBA
Sherwood Lounge will be a le o lease space to a charitable organization
for pulltab/tipboard sale .
i
�
D18ADVANTAOE8IF APPROVED:
SEP 1 t!.��
�ITY CLERK �
DI8ADVANTAOES IF NOT APPROVED:
CQUncr� �e�earch Center.
5�� 1s3 i�89
TOTAL AMOUNT OF TRAN8ACTION �_ COST/REVENUE OUDOETED(CIRCl.B 01�) YES NO
FUNDINO SOURCE ACTIYITY NUMOER
FINANCIAL IN�RMATION:(EXPWN) I
. � � . � c.� 89- ��a 8'
DIVISION OF LICENSE ANI) PERMIT A.DMIN STRATION DATE $ ' 1�� l l O � l �O �
INTERDF.PARTMENTAL I�.VIEW CHECKLIST Appn Processed/Received by
`L I Lic Enf Aud
�D r� �i T Gi"�
Applicant `� _�Qno�' Co►'t� f��U �v�� Home Address ��'115 � Z�<i.�a
Rusiness Name S �Ol.t Q� Home Phone -]� � " 3�1 I
.
Business Address � �� � �t, � l,�.C�Type of License(s) C�I CiSS �}� C-1 4�'n bl` n�j
�
Business Phone � � (o �-SD (� L-(�C��tor� L� Ck�S �
Public Hearing Date vl�P O License I.D. �1 � 9 � � 5 a 5 ��
at 9:00 a.m. in the Council Chamber ,
3rd floor City Hall and Courthouse State Tax I.D. �� 2 � I 0�{
llate Notice Sent; Dealer �� � I�'
to Applicant �
�l rederal Firearms 4� NL'9'
Public He�.iring � � b � ��
�i st a n �te-�
DATE I SPECTIUN
REVIEW VEKFIED (COMPUTER) CUMMENTS
A roved Not A roved
Bldg I & D
NI�
Health Divn. I '
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�
i
Fire Dept. ; A ` `� �
i �v I
I �
: se n--� I �S 8 �� O�c�
Yolice Dept. I
� � �� ��
�
License Divn. ��� l �
� ' ��
City Attorney �
�IZ �'�1 + O�L
Date Receive :
Site Plan C� ��
To Council Research l� �3
Lease or Letter � � Date
from Landlord
' ' ` � . TO BE OMPL�TED BY BAR OWN�R `�� � /� ��� �
npplication •Vo. D te Received By
CITY SAINT PAUL, MIVNESOTA
CHARI ABLE GAMBLING LOCATION
Directions: This form must be fille out with a typewriter or by prfnting in ink by the
sole owner, by each par ner, by each person who has interest in excess of
5� in the corporation a d/or association in which the name of the license
' will be issued.
THIS APPLICATION IS SUBJECT TO REVIEW BY THE P�'BLIC
1. Application for (name of licen ) �jGt��w� � �,v �j �„ c�+�"`�`✓ �, ���.•� S`.
�
2. Located at (address) l �S W �%-h�--- I S -�-�''�" `J"'�'�
3. *�am� un3er which b��siness ic c, erated ��,G►�� C+ � �- � ° ""� � ''"" .
4. True Name � ° �.I�1 d- rr +-�►^ � k v�, Phone �� � —"� 7��
(First) (Mi dle) (Maiden) (Last)
5. Date of Birth � � Place of Birth �'�' , ��-`"J`�'
(Month, Day, Year)
6. Home Address � � � ��` ° Home Phone �7 7 1 ^' � 77�
7. Have you ever been convicted f any gambling violations? � �
8. List licenses which you curre tly hold at this location.
1,.,,,: �,.� o v�.. � ,,� � �.,,� w'c� K- " !�-�,c..�.ti-a.dJ'" —� G�
9. SUBMIT A SITE PLAN WHERE THE AMBLING BOOTH WILL BE LOCATED
ANY FALSIFICATION OF ANSWERS GIVE OR MATERIAL SUBMITTED WILL RESULT IN DENIAL OF THIS
APPLICATION.
I hereby state under oath that I ave answered all of the above questions, and that the
iniormation contained therein ia rue and correct to the best of my k;►�wizdge and belief.
I hereby state further under oath that I have received no money or other considerations,
directly, or indirectlq, in conne tion with this license, from any .person by way of loan,
gift, contribution or otherwise, ther than already disclosed in the application which I
have herewith submitted. .
State of Minnesota )
) ss �
County of Ramsey )
Subscribed and sworn to before m this �• '
f� T � (Signature of Applic nt)
�`,��.v` 1 day o f %Z c.� 1 v
`�/��� ��? �7 *�MMnnnnr.nnnMrnnnn��,,',.,,, '
/ ��` ..��MnJV�n
,�//G� _�1 r;1 � �N�,�_
C.- . � � �°' 'r �
t� NOTMRY.��-_,r�__ - - �
Notary Public, Ramsey County� IK nnesota �-- ;;:;�.: � ;
My Conmis��,;,; - >
� 0�1' ■�vwwvwwvwv„v_.�..:,•,..,,,,,... . :
My Commission expires ' • � � ,. ,.�,
�__.._ --- _ _ . _-,------ - l�D/0�
' , City of Sai�t Paul �1 � ��� J���
' Department of Fi ance a�d Management Services C..r
Licen and Permit Division
203 City Hall
St. Paul, Minnesota 55102•29&5056
APPLIC TION FOR LICENSE
CASH CHECK CLASS NO. New Renew-
� � � a Oate o � � 1
. �
Code No. , Titie of License From ��'�� 19�To , ���� 19�
a� 1 � � .
4'���
� Appli UCompany Name �
r �00 n A �
/ 2� 2�� �f�'..�-�r.� ✓�d'-�1�-�'�'�
�- 100 � Buslnes9 Name (� � '?�f�j—
� , ��G
100 / ' ' , `i
Business Ad�dress Phone No.
100
�-G��1 i��
100 Mail to Address � Phone No.
,00 .�5�'����� `7,c�_/'�/ �l�°"3I�/
ManaqerlOwner•Name
100 ���-�-f�--C/
' 100 AtanagerfGwner•Home Address Phone No.
4098 Application Fee 2, 50
Recelved the Sum of 100 .��� � � ��
� ManagerlOwner•Ci y,Stale 3 Zip Code•
100 Total 1
. �
License Inspector By: Signature of Applicant
Bond:
Company Name Policy No. Expiration Date
Insurance:
� Company Name PoliCy No. Expiratio�Date .
Minnesota State Identlficatfon No. Social Security No.
Vehicle Information:
Serial Number Plate Number
�th8f:
THIS IS A RECEIPT FOR�APPUCATION
THIS IS NOT A UCENSE TO OPERATE.Yow applicati n for license will either be granted or rejected subject to the provisions of the zoning;
ordlnence and completlon of the inspecRions by the ealth, Fire,Zonin� andlor License Inspectora.
$15.00 CHA GE FOR ALL RETURNEO CHECKS
. � ��;�o/��
�C�,��1� �'-�-�I � � � � C��
. � � � 89 ��� �
. .
. . . .
TO BE CO PLETED BY BAR OWNER
I understancl �ncl �ill uphoi�i t!�e ardinance amending Chapcer •tf19 ot ctie
St . P�u1 Legislacive Co�le (Incoxi ting Li�uor) .
I Eurcher underscand chac failure co comply may resulc in ctie ;i�spension
or revocacion of , Qn Sale L:quo :ind corresoonding license� .
�, �. � �� ..�.� �-�-����
Signacure
�..;
�-;
Estabiishment
�v
Dace ,-�
c��
Recurn �o :
License v Per�i� Division
Room =U3, Cicy Ha11
S�. Paul , �tN SS lU2
Please retain the attached ordi nce for your records.
3/se
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L UB I�L� �r R!L�TC L�'O lT��
RECEIVED
. ���E���E .�pP LT�A�ZQ�t Au� 0 8�9a9
' •CI7Y CLtKK
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Dear Property Owner: L 16104 .. �
Application or a Class A Gambling Location license. This
license woul allow the liquor establishment to lease space
�tJ��Q 5� to a charita le organization (Hayden Heights Booster Club)
' for the sale of pulltabs and/or tipboards.
,S. !�p I I�;'�„�� Donval Inc BA Sherwood Lounge
. ,
������-��� 1414 White ear�Avenue
r._.. � —.. Se ember 26, 1989 9:�J0 a..�. �
, .r_� �.r`�C C:c7 Co c:.? Ca�scers, 3r� i?aor C:.�7 'r.a.L? - C:.u-_ =ousa
3y I.ic� a aad ?�^_.i.c Df��ion, Oe�as'-.,..eac ot :�cs �.: i
11�T .- S��*j+ �ag� az Serryces, 3.ao� 203 C��� :a.L: - C�ur= ausa,
L�o ����r• 5�+� , ' W3^�f P4C Ca.
�08-]t75
• 'i�.� daca �g be c�aa;e^. Lt�ouc the censzac �ci/or 1:.e�:?ecgs oE C�e
� _� *+ ?_=T Di=r�; . r= is suga�staa ��a_ vou c=?_ c�e C:=:%
L.:c s a �a _ •
Ciz�ti� ^3 Qi��C_ ZC =�8—uL? '� 'TOLI 5T?SiI C.^.n�r�r=OLT.
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