88-424 WHITE - CITY CLERK COURCII
PINK - FINANCE G I TY O S�A I NT PAU L —�o�
CANARV - DEPARTMEN T �
BLUE - MAVOR File NO•
Counci Resolution
,�_ #�
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. # 7452) for a One Day City of St. Paul
Gambling Permit (Raffles, Paddlewheels, Tipboards, and Pulltabs)
applied for by the Payne Arcade Business Association at 1560
White Bear Avenue (Hafne 's) for March 27, 1988, between the
hours of 6:00 P.M. and 1 :00 P.M. be and the same is hereby
approved and the City Co ncil does hereby permit Hafner's to
allow the Payne Arcade B siness Association to conduct this
one time gambling event ursuant to the provisions of Section
409.8 (6) of the Legisla ive Code.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� � [n Favo
Goswitz
Rettman
��;�� _ Against BY
seeel6
Wilson ,`.�, � J
r��� �� Form Appr ved by City ttorne
Adopted by Council: Date
Certified Pas d by Council Secretary BY
By , �,,�A
Approved Mavor. Date
1-IHR 2 8 � 8 Approved b Mayor for Submission to Council
g BY
Pl�LiSMED �`.'=��c: '~ 19$�
_
_ pATF MHM OME OOY�LEi�lp �����
J� F, c�. ; ; G R��N-��i��T �. 0 016�,2
� ` ���, �„�,�„�,�
C�'�lstine RDZI�s �+ — �a e�w�r av�o�e,on 3 crtr c�oc
ra. POR _ .
. ' . . BUDfiET DIRECTOR ,?- ..�x. �!� ,
Finanoe & Mr�mt. 298-5056 o�r+: 1 o�n A,.�„
Appl.iCaticxl>fAa�.�t Qne Day Cfty of ' t Paul G�nbling Pe�.t � Ra�flea� Pdadle�eelSr
� Tipboards, z�t�d Pu].l.tabs c�].y.
D10�I'IF'ICATIQ�I LIAT�s 3/16/88 L1A�s 3j22/88
_ 7�oNS;(Mv►ovs U)a Relsct CRi) � . �� _
. .. :�PUl1Ml(i COMAIBSION -. pVIL BERNICE CO�ISBION DA7E M DA'1'E OUT . . ANALVST . � PMO�E N0..� . . . .
. � Z�1G�ON � 1�OZ6�FIOOI�ARp� . � . � . . � - � .
� . �.ST/�F . � - CFMRTER COMMA18810N . � � � . AS� A06'L WFO.11�D* � .. iiET'D TQ CONTA�T . � � CCI�TRUHiT . ..
- .� . . � ' _ � _FOfl ADDL MVRO. . _F�t'AC ADDED* ..
DISfl�CT OOUNCIL � � *EXPIANA� � . . . � .. � .
. `.BtIPPtIWt81MMICM OOIMCL 06JEC71VE4 . .. , .. � . �. ` .�. . . . � . . � . � . . .
Mf11�7M19 MOlL�1,NMIE.OPlOR7UMTY�WHo.VYt►at.WhBn.VYIIBfe.WhY):
I�. Mary Huber, ori behalf of tt�e Payne Busir�ess Assac�a,.a�kic�, regu�e�ts Oo�cil appraval
of her applic$� for a Qn� Day City of Sai�t Paz�1. G�nbi�g;P�r�.i.t - Raffl�, Pa�3d}.c�heel.s,
Tj-pboard�, arac�`Pul.ltabs. 'I�e Gambling ].i be held in`ct�j�ctie3n with ar Sprir�g Hati�et �
, Caidiil.ac 1�ir�ar o�t N1arc.�h 27, 198$ at 156 �.t�e Be�r 1�iv+e��e, be�i the:houts 'of 6:00 p.m.
ar�d 1Q:�0 p.m. Proc�eeds fraa this e�rent 11 be used tc� �hanoe ttye busir�eiss oar�uv.ty.
�us�►,�ow�.�ey.4a�..,.a.e�: . :
A�.1 required �plicati�s ar�d fees have sutxni.tted. I��7c�aci.1 a�praval is granted, the
Pa�e A� Business:Association will abie t� h�ld this'�har;�tab].e Ga�ab7.ing at th�e.ir
. ��l �t• . _'
. __. . _.
� �fl�►w.:wn.n:,�w rc wnw�): . _ . . _ . . ,.
If Cbiaicil a�ap�ctal is not gi.v�n. tYae Pa Arcaae Bwsiness Associati.t�ri wfli be unable to �
have C�ar'it�b� C�acnblix�g stt their Spring Ba�vc�roet.
_ � , �
��e.urv�s:
MsTOari�rs:
t�oa.t�s:
- �jC��'�`7"
' DIVISION OF LICENSE AND PERMIT ADMINI TRATION DATE � ��� r �" / 3 '�S ' ��
INTERDF.PARTMF.NTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
A�plicant 1 I�1✓' �� (— Home Address `Z � � 7�(� {� e Q-U� �f
Bus ine s s Name '�_�� ,�-y�µ.�� Pj�-�0 • rr�Home Phone � ���' a� °�7 ^
Business Address �J�(o� �-�-��'�C. �a �}��Type of License(s) � � � �Y/y! �`f
Business Phone �(,�-�-� �P1 �dd e u.J�p-� -f-+ bcxt✓o�S /„7ccll—
, / bs
Public Hearing Date 3 e1� ' or License I.D. �E (0 7 �{��
at 9:00 a.m. in the Council hambers
3rd floor City Hall and Courthous State Tax I.D. �l IV�/�"
llate Notice Sen , �� Dealer 4� —'
to Applicant (P j � ��
I'ederal Firearms 4�
Public Hearing
�Cyven-�' U�c��� � �7 ��
DATE I1vSPE TION
REVI�,W VERFIED (CO UTER) CO1�fENTS
A roved No A roved
Bldg I & D �
N �� ,
,
Health Divn. '
�
� E� !
,
Fire Dept. � �
N I�4 �
Yolice Dept. 5t�'1� I � �� 'a
License Divn. �K �
�
City Attorney �
I
Date Received:
Site Plan _�
To Council Research �I�'
Lease or Letter � � Date
from Landlord �-�✓ r�C�1�C� '/� � �
` � b� �b���y�--� �f
l.1►1�►�' SiLS�enSio�'� .
. . �r� ���
Minnesote Charitable Gambling Control oard LAWFUL GAMBLING EXEMPTION
.�s `: Room N475 Griggs-Midway Building
��� 1821 University Avenue FOR BOARO USE ONLY
��
y�"-� ' St.Paul,MN 551043383
�"�'��� (612)642-0555
�INSTRUCTIONS. 1:.:Submit request forexemption at I ast 30 days prior to the occasion.
: ...
-� Z:. When completing form, do not co plete shaded areas until after the activity.
� �'��`�-� � 3. Givethe gold copy to the City or ounty. Send the remaining copies to the Board.The copies will be
returned with an exemption num er added to the form. When your activity is concluded; complete
=�- PLEASETYPE the financial info�mation, sign an date the form, and return to the Board within 30 days.
�"' Organization Name � Number of Members License Number lif currently or previously
� �� + � � '� - ' /' � ' licensed)and/or permit number.
� +��c.;;;?�>F +1�K L.�l E ,r,�,.!�_ �;L'f_ _ ._ � !� . �,.
��� Address � I .�[ Cit _ State Zip� _ County , (
�. � � �� � ��j i� ( �� � r�. < < # � � � `- �;v . � ��1 � �1 '� l.. C�^ /
�dief Executive Officer's Name � Phone Manager's Name Phone Number ,
- c_ ! ' � rtNJUt +���'ja-� � ` �� .;;`. . �:. � � (: : . __ - � '' � `� %±`. - , -
;y� Type of Organization If Other Nonprofit Organization ICheck One and attach proof of nmprofit statusl.
"� ❑ Fratemal ❑ Veterans ❑ IRS Designation
❑ Religion �Other Nonprofit Organization � tncorporate with Secretary of State
Attach proof of three years existence. ❑ Affiliate of Parent Nonprofit Organization
Name(.of Premises Where Activity Will Occur Datelsl of Activity,drawing�sl
N i�: y T�i L' r`�.:
PrqmjsQs4ddres ' ,v� t �«�City , , .�r�L�� State ' • Zip Caunry 1 - � �
- 1 .: 6 i'l.•�(,(�5:.� �" r %'(�t..r�. v� ; . r`.. ;i;��1•1-..•t `-
.
.. . �:,. � . , � . .. ,. _. . „�<..... , y.
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`�� � Game Yes No
Bingo
�,�_
Raffles
,��`
��- Paddlewheels
.��;;;;
��.:� .
.,
Tipboards
t
�::
�: _.
� Pull-Tabs
Use of Profit f � q ' �
�'�t j t n....c_. -`' �t(.1�--��_v,:-cl _.�.�t.'�'._'__ '-'.:!, ;'f . -� -� .
�, � r+�r � .,p � �`•' � r Dis�ilbutOl�SL`ICMes�7YCs
s*b t"`'k�,� � '3 "�" .yx �"�"�` ' "z` ,� ,,+K- »*� .
_ iy �.t+� -�.,,>,,. =�;�r -.;'g°�,. ' y'?l�:
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.: � �:��� ,.
� �� . .,� .-03,.rzN ��£� n i�wa. ,'4 t. " , r . . �T ? s� .. .
atef a d c'om�letetion submitted to the Board is true, ac or- :� al, �c�al��'�a�otms�u�►� +0��8"°+�arc�'i�
_ P �� ,� '��:�4 �_. � ��.rA-
�.' .. - _ . �. J ,- �
� '� c:l../"�-/:.cJ/7": . /L�2,�.l.c:c.�� . ; ,----' _ �
Chief Executive Officer Signature Da e , ' � � ��"
....... .. . ...� �� ;�. '.�. , � � :� � �a
�°;.
ACKNOWLEDGEMENT OF N TICE BY LOCAL GOVERNING BODY
�'': t hereby acknowledge receipt of a copy of this application By acknowledging receipt, I admit having been served with notice
that this application will be reviewed by the Charitable G mbling Control Board and will become effective 30 days from the
- date of receipt(noted below) 6y the City or County, unles a resolution of the local governing body is passed which specifi-
cally disallows such activity and a copy of that resolutio is received by the Charitable Gambting Control Board within 30
_ days of the below noted date.
CITY OR COUNTY TOWNSHIP
; Name.niLocal Goveming Body-ICity or County) Township Name IMust be notified when County is the approving bodyl
� . ., -..�'✓ ;-` �v'L_ �i�-i.-ii�.r-/
�� � Signature o P�r,,�,Qp,Receiving-Applicatiork t J Signature of Person Receiving Application
�,;.� �,�.:!�:.�`—^--`-� j'..�/?_�,-_?•—ti'►/�,%• (, ��1`.. '..l . --
� ` Date ' ed Title Date
Title � �
`.,` __ __,�..:.�..r-� ..�:-, _ � :: -� - /� - .
CG-00020-01 I6/871 White-Board Canary-Board returns to Organization to complete shaded areas.
Pink-Organization Gold-City or County
� ' City of Saint Paul p�����07,�
" Department of F nance and Management Services ��'`�
• Licen e and Permit Division :P� (�,s�,
203 City Halt �
St. Pau Minnesota 55102-298-5056
APPLIC TION FOR LICENSE
CASH CHECK CLA. N , New Renew
� 0 '�- OL� . , ��.
Date �� 19
., Code No. Title of License From � �� 19�o O `�! �--
� at� �� ' •,�• _ �� 19
.-r� 1�:� �a �. ! = , !, „ � ,
r � 100 ; rt�„✓�;t 1 • ..,,��ti: .` .�.•,,,,c:„v:.Y� �(.-�, ;
l�' h��t�J S �� h r S ��� ApPlicanUC�omPany Name-
. /� 100 �. �-� r ' ' _
4 I l�l����h S l �L� i/ ��--�'%�,��-r� �:�- 1 i _ _
100 euslneas Name
n r- , —<—
�oo !,�,-� -�cLt,..�; j�', r-,., � � U lc
Business Addross P1+o�Na
100
100 Mail to Addreas Phoiro Na
i ,
� � ��7(0 —�.7�—
�oo ��� L ��,.; , .���- �
ManapsNOwnsr•Name -
100 �
j � ��C.- �,() jl.�.�2- �,•Fa ;< '�-�-.,:�
100 hlanagenGwner-Home Addrcaa Pha+e Na
4098 Application Fee 2, 50 �
Received the Sum of 100 �-?'. ��.1 �..i ��i �'� `��.- /.:i/^
�
ManaqenOwnet-Ctty,Stat�6 Zip Code
100 T tal 100 ,
��..DO , ^ + `'- ;,
f� i'�,r ,� ,'� ;����_
1 � �!.�f.�Lt���_ti. '
� � j " � '•
License Inspector ' ' By: ' ' Signa[ure ot App�icanc
Bond•
Company Name Policy No. Expiration Oate
Insurance•
Company Name Poliey No. Expiration Date
Minnesota State Identification No. Social Security No.
Vehicle Information:
Serfal Numbar ate Numbsr
Other
THIS IS A RE EIPT FOR APPLlCATION
THIS IS NOT A LICENSE TO OPERATE Your appiication for li ense will either be granted or rejected subject to the provisions of the zoning
ordlnance and completlon of the inspections by tha Health, re,Zoning andlor License Inspeclors.
$15.00 CHARGE FO ALL RETURNED CHECKS
-, �,- 'f 8.-Q.� :lvt q.R v�. �-�r
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_ ' q I a �u.�n��'�-�^-�-�
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S i � 1�,��.� ► �`'1 n sscD�
w ►�t.���+s S�ts �}�a Co-u,hc"E.
� CITY F SAINT PAUL �LG_(���
dQ
. ' DEPARTMENT OF FIN CE aND MANAGEMENT SERVi�ES
DIVISION OF LICENS A.1'D PERMIT ADMINISTRATION
INFORMATION RE UIRID WITH APPLICATION FO PERMIT TO CONDUCT GAMBLING SESSION IN SAINT PAUL
Four sessions are allowed per year, wit each session being a maximum of four cvnsecutive
hours.. This application and aII requir d attachments must be filed with the License
Inspector at Zeast thirty days prior to the requested date of the gambling eveat.
1) Name of organization � ►J� G�E Ql.�S� ,J ESS fcN`SSO A-i"�i O�
2) Address where organization's regula meetings are held �, �o�y� � . �1���+�v I(1
,J
3) Dap and time of ineetings �o� 0� M� oZ � � g�, �
4) Address where gambling session will e held ��, � (��� �,cq„� f�l�.
5) Is applicant owner of property where gambling sessian will be held? Yes �_ No
6) If leased, who is the owner of prope ty where gambling session will be held?
7) Name of officer making application � � -- �• `
8) Address of officer 3-22� �'Y
� Date of birth
9) Name of maaager who wi11 conduct gam ling session y� �
10) Address of manager � I � f� S-� ��--, 5���p �
11) Ia connection with what enent is thi gambling session being held? ��
a.7a-1
� �P�2�nJC�- I�-� Q �"
12) Wlzat type of gambling device(s) will be use ? Paddlewheel Tipboard
Raf le � Pulltabs Bingo
13) Specify when gambling session(s) wi.l take place:
HOURS:
Day(s) �w►A- 3 7 ��ate(s) �7 88 From: �'��M� To: 9-'� ,�.
' (N[ax'�imum o f f our hou s)
14) Wi21 prizes be paid in money or merc dise?
r
IS) Is the applicant association organize under the laws of the State of Minnesota? (��
T
16) How Iong has the organization been in esistence?. � �- t-(�,y,$
17) What is the purpose of the organizati n?
18) Officers of the organization: J
Name—Title Address Date of birth
a•ri s_i. � � E �-�'f, 3 -a2�- �8
� — '� l c n�E ,Av�. �._ L— '�7
19) Give names of officers or any other person paid for services to the organizacion.�
Name-Title Address Date of ��rt�
Su.�E 'S�,s�,� 7a7- � ��- ►�- 7 - �a- ! �
20) Ia.whose custody will records. of organization`s gambling; sessions be kept?
Name ��C ���-�w/ Address 7°�� �. ��-!^,r�e-.�
1) Attach a cover letter defining the event for which you are requesting this license.
22) Attach a Ietter of permission to conduct the gambling session at the requested address.
23) Attach a copy of your organization's membership roster and date each member joined.
4) Attach a copy of the Department of the Treasurq, Internal Revenue Service "Return of
� Organization Exempt from Income Tax", Form 990. [Chapter 419.04 (1) j
Q� 25) Attach a copy of Department of the Treasurq, Internal Revenue Service, "Exempt Organi-
�}{,QSC zation Business Income Tax", Form 990T. [Chapter 419.04 (2) ]
26) Attach the annual report required of charitabie organizations by Minnesota Statutes,
Section 309.53. [Chapter 419.04 (3) ]
27) Have you read and do you thoroughly understand the provisions of all 1aws, ordinances,
and regulations governing the operation of gambling sessions? �/�3
28) Any changes desired bq the appTicant association ma.y be made only with the consent of
the License Committee.
29) Has anq person(s) participating in the operation of any of the gambling sessions
covered by this license ever heen convicted of a felony in the State of Mi.nnesota or
in any other State or Federal Court? Yes No C . If answer is "yes", provide
names, addresses, and birth dates.
Organization: � ,vE {d-r2.C.�}-17E �Si��I� �31'D�.•
3y: (Officer-Title) �� �,� cd',
and
State of Minnesota) (Manager n c arge of bling session)
) ss
County of Ramsey ) j�,
��1-(�-�L�./Le.J �- •��-� and �
being duly sworn say that they are the petitioners in th bov ap'pl.ication; tha they have
read the foregoing petition and know the contents there , th t the same is true of their
own knowledge.
Subscribed and sworn before me this oM/�MnI� nn�w.wv�■ r
� day of ''�`(1 r�r C'.h 19 ��;�:'�;":Y�, S:'���t� 4(�l.!?T �
":,.,,�:`, r. ;r_ �F���
�?:��--:� i:0?.=:R��'AU L i.v,�,.,:ESGT.S �
r�:�'�':.i�
�`' INi•',SH!R"�TCi•: !'�Q:liulY
�r,,i3
`"'-�'' My Camrtc.Eapires i,�;.�. 1992
No ary Public, ounty, Minnesotar .
My Commissioa Expires ��2��a
Building Department Approved Disapproved by
Fire Department Approved Disapproved by
Police Department Approved Disapproved by
i
� ��
' ' PAYNE-ARCA E AREA ��
� �
• C0111MMit TRMK •
� � •� �"�'� , BUSINE55 ASSOCIATION �
; . �
,.
March 14 , 1988
i
� .
i To Whom This Concerns ,
�
;
Enclosed please find a copy o the ticket , and reverse side
showing the prizes for the fu d raiser planned by the "Payne
Arcade Business Association" pring Banquet on March 27 , 1988
� to be held at Hafner ' s Restur nt on White Bear Ave .
, This ticket price includes di ner for two and cocktails , as
� well as the chance on the pri e money .
f
� Also enclosed is a copy of ou Federal Tax Exempt number and
, status .
i
� If there are additional quest ' ons , please contact Mary Huber
� 776-2727 or send to :
,
;
� Payne Arcade Business Associa ion ,
C P .O . Box 1222
� Payne Ave Post Office
�^ St . Paul , MN . 55101
�
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34���,=•a,. CITY OF SAINT PAUL
�e '� DEPAR MENT OF FINANCE AND MANAGEMENT SERVICES
+ � e DIVISION OF LICENSE AND PERMIT ADMINISTRATION
�'� ,��� w Room 203, City Hall
Saint Paui,Minnesota 55102
George Latiiner
Mayor
� � ��
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�._=e, C1TY OF SA NT P��
''~ � DEPAR MENT OF FINANCE AND MANAGEMENT SERVICES
: �� ;
; �e DIVISION OF LICENSE AND PERMIT ADMINISTRATLON
,��, Room 203. City Hall
S�int Paul,Minnesota 55102
Gaorgc latimer
Mayor
March I6, 1988
Ma.=y Huber (Payne Arcade Busi ess Association)
912 Payne Avenue
St. Paul, MN 55101
Dear Ms. Huber:
Your application for a City G ling„�ermi.t has been received ia this
office.
A hearing on your app.Iication for Raffle, Paddlewheel.s, Tipboards, and
Pulltabs ID �(s) 67452 will b held before the St. Paul City Conncil on
March 22, 1988 at 9:00 A.M. , ird Floor of the City and Countp Court
House. This date may be chan ed without the License & Permit Division's
consent and/or kaowledge. Th refore, it is suggested that yon call the
City Clerk's Office at 298-42 1 to confirm this hearing date..
You are herebq notified that our attendance is required at tiiis
meeting. Failure to appear y result in denial of your application.
Verx.•truly yours, �
;' �
_ - . , . .,...
Jos ph F. Carchedi
License Iaspector
JFC/Ik
.. �Gr�"�°�'T
,«_•.. C1TY OF SAINT PAUL
� ~' ' DEPA TMENT OF FINANCE AND MANAGEMENT SERVICES
��AO
DIVISION OF UCENSE AND PERMIT ADMINISTRATION
` „�� Room 203. Ciry Hall
Saint Paul,Minnesota 55102
George Latimer
Msyor
3/15/88
. To: Lt. Bailey�
(� �
From: Christine Rozek v
Re: Record Check
In connection with an application f r a One Day Gambling Permit (Raffle,
Tipboards, Paddlewheels, and Pullta s only) by the Payne Arcade Business
Association at 1560 White Bear Aven e (Nafner's) , a record check is requested
on the following:
Suzanne Parisi Mary Huber
1000 Payne Avenue 912 Payne Avenue
St. Paul St. Paul
Birthdate: 3/22/48 Birthdate: 10/21/48
Joe Turk June Johnson
1139 Payne Avenue 727 E. Larpenteur
St. Paul St. Paul
Birthdate: 4/6/47 Birthdate: 7/12/17
A copy of the application is attach d.
CR/car