89-1869 WHITE - CITV CLERK
PINK - FINANCE COI1flC1I
CANARV - DEPARTMENT C I TY O SA I NT PA U L �'`���
BLUE - MAVOR File NO.
Counc R olution �
�
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #19232) for the transfer of a Gambling
Manager's License cu rently held by Thomas K. Law DBA Hayden
Heights Booster Club The Kickoff, 1347 Burns Avenue, be and
the same is hereby a proved for transfer to Lester R. Hansen
at the same address.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
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O� '� 2 '� Form Appr ved by City Attorney
Adopted hy Council: Date • .
Certified Pa ed Council re By " `/� �"
By
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�#pprov y Yfavor. Date � 6 � ' Approved by Mayor for Submission to Council
By BY
p�g�� 0 C T 2 1 989
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DEPARTM@NT/OFFlCE/WUNCIL DAl'EINI � GREEN SHEET No. 5047
Fi nance :Li C,e�nSe ,Nmw�nre �N�uwonre
CONTACT PER90N 8 PHONE ' �pEp�p'fMEM qqECTOR �CITV COUNCII
Chri sti ne Rozek/298-5056 0 cm nrroRN�' �cm cx�RK
MUST BE ON OOUNpL AOENDA BY(DAT� �BUDOET dRECTOR �FIN.�MaT.�RVICEB qR.
10-12-89 ❑tiurroR coR�ssisrnNn ..�ZJ,�,p,��1 R
TOTAL N OF SIGNATURE PAGES (CU LOCATION8 FOR SIt�IATURE)
ACTION REOUE8TED:
Approval of an application fo ansfer of a Gambling Manager's License.
Notification Date: 9-22-89 Hearin Date: 10-12-89
RECOMMENDA :Appow W o►Fte�ct((� MITTEEJRESEARCH 11EPORT OPTIONAL
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SUPPaiTS WNICN COUNpL QBJECTIVE9
INITIATINO P�EM�ISBUE�OPPORTUNITY(Who�Whtl.Whsn.Whero,Nfi»:
Lester R. Hansen RBA Hayden H i ts Booster C1ub at The Kickoff,
1347 Burns Avenue, requests C u il approva1 of his application for
the transfer of a Gambling Ma a r's License currently held by
Thomas K. Law. All fees �nd p ications have been submitted.
�uv�wr�s��ovEO:
If Council approval is given, Le ter R. Hansen wi11 manage the pulltab/
tipboard sales for the Hayden He ghts Booster C1ub at The Kickoff,
1347 Burns Avenue.
DISADVANTAOES IF APPROVED:
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DIBAOVANTAOE3 IF t�T APPROVED: 0 .
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TOTAL AMOUNT OF TRANSACTION COST/REVEMUE SIlDOETED(GRCLE ONE) YE� NO
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FUNaNO SOURCE ACTIVITY NUMBER �
FlNANCIAL IN�RAAATION:(EXPLAIN)
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UIVISION OF LICENSE ANI) P�:RMIT ADMINIST ION DATE � / /a.
INTF,RDF.PARTMENTAL REVIEW CHECKLIST Appn Pr cessed/Recei ed y
Lic Enf Aud
Applicant (,� S�c7U5� �me Address 1 g�0�' � ' � y�
��-� l��d
Bus ine s s Name �2S{-e,r �►-�Se (� Home Phone � �
Business Address �� ��(��O-�� Type of License(s) �,,QVY�b�i nti ./�(.� ✓ �
Business Phone f 3 K� �Lt/h.S r4U ��(Q�'15-�t�
Public Hearing Date � v��O� ��� License I.D. �� ( �1 a3 a-
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� � 5 a-��s�
llate Notice Sent; Dealer 4� N f A-
to Applicant -�p� (��
rederal Firearms 4�
Public Hc:aring
DATE Ir'SPECT� N
REVIEW VERFIED (CQMPU ER) CUMMENTS
A roved Not A roved
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Bldg I & D �
N ��4
Health Divn. '
' N �1
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Fire Dept. �
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Police Dept. '
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License Divn. a
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City Attorney �
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Date Received:
Site Plan
N �
To Council Research ����-��
Lease or Letter N `� Date
from Landlord �
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City of Saint Paul
Department of Fi ance and Management Services /����/ �
Licen e and Permit Division ��� «
203 City Hal1
St. Paul, Minnesota 55102•29&5056
APPLIC TION FOR LICENSE
CASH CHECK CLASS NO. New Renew •
L�J � � � "' G
oate � � �s��
Code No. , Title o( License From 9—�� 19�_LTo ��—� 19�
�
, . , --�-'r . 3� 3 �,00 �a�� :�,, 1��I, �s �o c�s�i C�u �;
ApplieanElCompany Name
100 + f
L,f`,, .�.P,^ �Cr:i���)
100 Business Name
,o—o Cc f `r1�� ��c-��+-�
Business Address Phone No.
100 .
l/� . r� )
�3 ► 1��c.1 i r� � �-, L�.--
100 Mail to Address Pho�e No.
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100 l._� " i�1.:^ �C{ ;1 �Q�"� ��(Q`�1�
Manaqer/Owner•Name
100
IqG � � �� ��� -4��
100 AtanaperlGwner•Home Address � Pho�e No.
d098 Application Fee 2, 50
Received the Sum of 100 " ��„ � � ��l C� � �1 rl� ��-- ���
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33 � ManaperlOwner-Ctty,Siale 3 Zip Code
100 Tota 100
J c.� ��4 rz.. ����-�-�"'�� �
LiCense Inspector By: Signature ot App�ieant
•Bond• '
Company Name Poiicy No. Expiration Oata
Insurance:
Company Name Policy No. Expfnlion Oate
Minnesota State Identification No. Social Security No.
Vehicle Information: �
Serial Number Plate Number
Other:
THIS IS A RECE PT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your application for licen e will either be granted or rejected subject to the provisions of the zoNng
ordinanCe and completion of the inspections by the Health, Fire, oning and/or License InspeCtors.
$15.00 CHARGE FOR L RETURNED CHECKS
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CITY F SAINT PAUL
DEPARTMENT OF FIN CE AND MANAGEMENT SERVICES
DIVISION OF LICEATSE AND PERMITS
APPLICATION FOR A GE IN GAI�LING MANAGER
The applicant must return this a plication form, requested supporting
documents and the required fees n person to Room 203 City Sall. Make
an appointment with Christine Ro ek, 298-5056, to bring in your
application and to review City g mbling rules.
Date: y
1) Full and complete name of o ganization:
� � /�%S /��d� T v
2) Name of licensed location:
��C D /�i9
CURRENT MANAGER INFORMATION
3) Name m L l,/4�
' � First iddle Last
4) Address o?d00 a�✓ N� /9l�C-L-= ,_g� a` �"
Number Stree City Zip
S) City of Saint Paul License � / 3 3 d
NEW MANAGER INFORMATION
6) Name �.�S T.�K �l��/ i
First iddle Last
� 7) Date of Birth /�e c �/'°=�
8) Address /960 � �,lm �- U .31�i�� � -%/
Number Street City Zip
9) Phone � �1�/-��q�' Phone � �N T//�P
Home Work
IO) Member of organization sinc : ��i9i�( /q6 �
Month Year
11) Fidelity Bond: � v �� �v/y�
Insurance Co pany Bond Number
;
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_ __ , • /�f, . �, `�r/_C�
. (,l�"Q`y-� �s
CHANGE IN GAMBLING MANAGER
PAGE 2
' State of Minnesota)
) ss
County of Ramsey )
� � �- i i �� and
being duly sworn say that the are the petitioner(s) in the above
application; that they have r ad the foregoing petition and know the
contents thereof; that the s e is true of their own knowledge.
Subscribed and sworn before m this
o2hl� day of 19C�,�
.T � ^
.,y�a�. .,.. �, ;.
% _ '��Nui„n f
`�� RA�1S�Yi:������
Notary Public, Ramsey County, Minnesota � �y�mmissionExDiresAug.15,1994�
x
My Commission Expires �
12) Attach a copy of the bo to this application.
13) Attach to this applicati n proof of inembership in the organization
for at least the most re ent two (2) years.
14) Gambling Manager applica ions must be approved bq City Council
before managerial duties can begin. Allow 30-60 days for
processing and investiga ion. This application is not a license
to operate. You will be notified by letter of your hearing date
before the City Council. We suggest that you attend the public
hearing.
15 Attach a letter from the resident or CEO of your organization
requesting the gambling nager transfer and explaining the
aecessity for such a tra sfer. `�
16) 1989 Gambling Manager tr sfer fees are: �.�� � �
7/89