88-536 WMITE - C�TY CLERK � COUIICII
PINK - FINANCE G I TY O SA I NT PALT L �''���o
CANARY - DEPARTMENT
BI.UE - MAVOR File . NO. -
c ' Resolu on
,.. ----�.
� ;�����;
Presented By ,
� _,
Referred To Committee: Date
Out of Com tee By Date
RESOLVED: That Application (I.D. #84657) for a One Day City of St. Paul
Gambling Permit (Raffl Only) applied for by the Shop Pond
Gang at 991 North Lexi gton Parkway (Gabe's By The Park) on
April 24, 1988, betwee the hours of 5:00 P.M, and 9:00 P.M.
be and the same is her by approved and the City Council does
hereby permit Gabe's B The Park to allow the Shop Pond Gang
to conduct this one ti e raffle event, pursuant to the
provisions of Section 409.08 (6) of the Legislative Code.
COUNCIL MEMBERS Requested by Department of:
Yeas �ays
Dimo
Lo� In Fav r
Goswitz
Rettma° t B
�he1be� ` _ Agains Y
Sonnen
Wilson
Adopted by Council: Date
`APR 1 � 1988 Form Appr d by City Attorney
Certified Yas o cil Sec ry By— _ �
gy. ��� -
t� by Mavor: Date
�� � �-` � Approved by Mayor Eor Submission to Council
By
ptD�tlSNED �-:,�:'�� ? ' 1988
. � TOR. . . . � � � RATE TED��. :DAT!OOM�tli�. .� . . �����.
, Jo�ai.F, c��d� ���EN ���' aa► 0 016 3$
��,.�,y.� �,�,,.�,y . � � -. .. . DEPARTMEKf DIREC[Ofi � . MMYOR{OR A8818TMIT) . ' .
�� � 41,1i..4a.'i t..L�~i'i1XiCn . � . .. .��� ^:HiWICE i MMWIGE�1@!f�DIi�C79R �pSY CLERK. �. � � . . � .. .
. . �� ' � ' .. ! YUO(iET DIREC'1GA�.. : .�. � . . � � �1 �rC�l. _ .
Fin�tx�e & �t: '298-5t�6 � z «n�,�
,r
a�e n�ay cit� of sa�t Paui ca�� t (���e or�:y�ouncil Research Center.
i�om�zc�u�: 3/as/s8 �� n�: 4/�2/ss APR 4 5 i�$$
�TIOl1s:I�PV�oMe t�)a�(R)) n�w a�vein': .
PLAMMiO OOI�AIBMOM � . CIVIL 8ERVICE CIX�910N DATE IN � DATE dJT � ANAL . . � � Ph10NH NO..
. �I771ir/li OO�Mi�810N� � �IOD 826.3Gi1001 BOARD . . . � l ��'��.. � � . . �
. STt1FR . . ... � pV�RIEH WMAH6310N � � PI.ETE AS IS- � -ADDL NiFO.ADDED� . �� .RETD TO CONTA�T . . �flBTfRI@/R . �
. . _�fOR ADD9.lIFO.. _PEEOBMYC ADDED*
DISTRICT COUNCL . . . � . .. . . .
� •E7(P TION: . . . . . � � �
• 6l�PORTB�WMICN.00IMC�09JBCTNE4� . . . � � � � . . � � . . � .
�f11�M10�R0lkLM,�lIK..GlPORTUN7Y i�.11VI�et.Whs�►.YVIIEa.WhY):
Mr'. �Y`t ItllS�t?li[taIl, C�1 �.f O� `�12 P� �,d�1S�, �3t.4 d�'V� O� �lE1Y` 8j7pI.].Cc'�t]A31
. far a Or�e �ay City of Saint Paul C-�nblin Pe�mi.t' 4�affle C�].Y?. Z'tv.s raff�e w�3:1 'be he��d a.n
vonjuncti�on wl.tt3 a Ca�ilTac Dinn�er at s, 991 Ne�rth Lexingto� �arkw�.y, on �ii 24; 1988
be� fh� I�us of 5:OQ p.m. ar�d 9:00 .m. Prcc�eeds frcm th�e e�ent will be u�+ed to �mt�e
ar�d spor�or y�outh athtetics �. the C7arxa ark ar�d Oi�ard �laygrvtuxl r.�-reas. .
-,wsnne�►ncK�.�.r�r• ., . . _ .
If Ooiuicil appx�a�res t'�is applicati�, S`�ap Pond Gang wi.11 be able fi� h�ld th�ai.r raffle.
qor�aou�4wn�.wn«,.�To v�,omy: _
. _ . .
If (7a�acil �proval is not gi.ven, 7�e S Pt�d Gai'ig will rx�t be able �0 3nld thi.s raffle.
K'tflMtAlAfl�d . PROS CCNi
M�TOIIY/lI�C�ENTS:
L[fiAL MYIJlS: �
�- �r��� �
• D,IVISION OF LICENSE ANI) PERMIT ADMIN STRATION DATE .3 Jg � / .3 .Zo2 b
INTF.RDF.PARTMENTAL REVIEW CHECKLIST Appn Proc ssed/Rece ved y
Lic Enf Aud
Applicant �Q�QY'"� �j,(S--kyrnd Home Address R9�' �Oi'f')Q ��C;,C.(,�,
Business I4ame � � Home Phone �'g a � ��ga
Business Address r1� �• �I h Type of License(s) C � '��y�/�1��� •
Business Phone C�, N�1
Public Hearing Date � �01 g b License I.D. 4� g �� v /
at 9:00 a.m. in the Council Ch mbers
3rd floor City Hall and Courthouse State Tax I.D. 1� � ��
llate Nutice Sent; Dealer �6 � I�
to Applicant � /$�
I'ederal Firearms 46 N /q
Public He��ring
DATE I1�'S ECTION
REVIEW VERFIED ( OMPUTER) COP'IlrIENTS
A roved ot A roved
�
Bldg I & D I �
N �}
;
Health Divn. '
N��, '
�
Fire Dept. i �
; N �A i
Yolice Dept. �t� I I�'= la�
License Divn. 0 � ,
City Attorney �
, � C� (9-t- J I�\ �1^1'Yl / S
��(-(.I✓�C�- �r `f'1�(5 e-�P n`t'•
Date Received:
Site Plan � �
t To Council Research � � ��
""���
Lease or Letter Date
from Landlord �V' Y' C.Q.t1�
� City of Saint Paul (��S��
Department of inance and Management Services
• Lic se and Permit Division � �� C,(1
• � 203 City Hali
. St. P t, Minnesota 55102•298-5056
� APPLI ATION FOR LICENSE
. CASH CHECK CLASS O. New Renew
.a o �� ao _ , � ��
�;.. . Oate � 19
_':= Code No. Title of License Q Q�l�+�
�; From a 1��%To 19
�ao(�z i�„� r�f o p. 7� } �� �
. 100 �t\.�� ?"'��'i r�, �, /� i� :;�
� ApplicanUCompany Name ` �
100 � �
�/'1�iJ Q j ��--� `!'i,.:..� 'J l .C.i�
100 Busl�ess Name '
�)
,� ,U- �r';: ,��c;� ��, 1'���J .
Business Address � Phone Na ,
1� ` �`�.j � '�` i^1
�: " --
100 Mail to Addresa Phone No.
100 `� (� �.."r " ;-r , � i;Gl i
._ r�`
Manaqe►IOwner•Name
i� �
'°° y �r � t�_'vn�� `i c� .��
100 AtanageNGw�er•Home Address - Phone No.
��
4098 Applicatfon Fee 2 50 � ' ��s0 ;:.rY��i�_
Recelved the Sum of 2 ^1 10Q� � •� (:_�����•�
n v •GS � ManageNOwner•City,Slate 6 Zlp Cods
100 Total 100 .^ �
`� � 1 � ;�wTi�. � ' � ,�,�s��;,�.✓,�rti•ti�.�
f
Ucense Inspector �' �� By: � !� : /' (-' `' Slgnature of AppliCant
- �
Bond•
Company Name Poliey No. Expiration Oate
Insurance:
Company Name PoUcy No. Expiration�ate
Minnesota State Identification No. Social Security No.
Vehicfe Information: Plats Number
Serial Numbar
Other
THIS IS A ECEIPT FOR APPUCATION
THIS IS NOT A LICENSE TO OPERATE.Your application fo I(cense will e+ther be granted or rejected subject to the provisions of the zoning
ordinance and completion of the inspections by the Healt , Fire,Zoning andlor License Inspectors.
$15.00 CHARGE OR ALL RETURNED CHECKS
. ^+�
., � ;;
j�L
r
t,"
'� - ' j � ��� �
._;,Z� .� . �
� .' =� : u�' -� � 31��1 � �.
�
3�a-a�g�e��
� CITY OF SAINT PADL `� � `s��
' ' DEPARTMEYT OF FIN CE AN►� MANAGE":IENT SERVICES
�• "' . ' DIVISION OF LICEN E A�\'D PERMIT ADMINISTRATIOi1
INFORMATION RE UIRID WITH APPLICATION F R PERMIT TO CONDUCT GAI�LING SESSION IN SAINT PAUL
Four sessions are allowed per qear, wi h each session being a maximum of four consecutive
hours. This application and all requi ed attachments must be filed with the License
Inspector at least thirty daqs prior t the requested date of the gambling event.
I) Name of organization � Q Q /t(' /v'��
cr�,�,ea /! IPovNd CE -l�
2) Address where� organizatioa's regul r meetings are held �' Q c R D R Y�,
3) Day and time of ineetings 3 E /y�L�' p O O - : 3F� ,Nr•
4) Address where gambling session wil be held � ES ,f�y TffE �i4RfC ���N'6�'
5) Is applicant owner of property whe e gambling session will be held? Yes �No
6) Ir leased, who is the o��ner of pro erty where g�bling session 4�i11 be held?
C E � ll�L
7) Name of officer making application G O S OL /
8) Address of officer , E'N7'� U � � o Date of birth
9) Name of maaager who will conduct g bling session n O,tg�,R'� U ST,C/�'NI�/�'
��-
10) Address of manager C O O � � $ • �fi'G
,-
11) In connection with what event is t s gambling session being held?
�� E
12) What type of gambling device(s) wil be used? Paddlewheel Tipboard _ � _
Ra fIe � Pulltabs Bingo
13) Specify when gambling session(s) wi I take place:
HOURS:
Day(s) � Date(s) "y From: ,J'�,"�70Pr'�( To: �:d�� �1y1•
(Maximum of four hours)
14) Will prizes be paid in moneq or mer haadise? ��?�/�
� -
t
15) Is the applicant association organi ed under the laws of t e State of Minnesota? /�
16) How long has the organization been n existence? U E O ,�
17) What is the purpose of the organiza io ? p p � �,S p�/'Sv o S 9�G `S Ov� 7'/�!%
/N'77`f� Co,HV PA�RR£/g RI�D m�P4fR �� UuKD C,�M'� �(r-r w/a� vo.ST�R c �dS
18) Officers of the organization: � �
Name-Title Address Date of birth
i C 1� E, o - �'s pEi�]— o � n �¢c� yi. R-uG � � 9�
P�f�4�t°1� ��E' Sv _�x'� �ey � /�l' S7r .. • i��L � 0 9 �/
/
�L/ -� c�r - E�s� E� ' n , ��r�� �o . �G �� o
�/'�G.(f' CffSSEG.L/uS-f�S�r'�FSa��K 9 9r � G�'SS � .Sl. ' uG �/ � Q3�
1�) Give names of officers or any other person paid for services to the organization.
Name-Title Address Date of Birth
// �� .
20) In whose custody will records of organization`s gambling sesaions be kept?
Name �17'/4���F1. �D$�LN�/l� Address ���D �/�• `f�'l�'l��/�(�T�11E' !r/ �• a�7
21) Attach a cover Ietter 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.
24) Attach a copy of the Department of the Treasurq, Internal Revenue Service "Return of
Organization Exempt from Income Tax", Form 990. [Chapter 419.04 (I) J
25) Att3ch a copy of Departaent of the Treasury, I:�.teraal Reveau�: Service, "Exenp* �rgani-
zation Business Income Ta:�", Form 990T. [Chapter 419.04 (2) ]
26) Attach the annual report required of charitable organizations by Minnesota Statutes,
Section 309.53. [Chapter 4I9.04 (3)]
27) Save you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations governing the operation of gambling sessions?
28) Any changes desired by the applicant association ma.y be made only with the consent of
the License Committee.
29) Has any person(s) participating in the operation of any of the gambling sessions
covered by this license ever been convicted of a felony/in the State of Minnesota or
in any other State or Federal Court? Yes No !/ . If answer is "yes", provide
names, addresses, and birth dates.
' Organi�ation: �L�-aL ,
By: (Officer-Title)� ^ — ���w�1`�
and
State of Minnesota) (Ma ger in char e of gambling session)
) ss
�',011.^.tV Oi �3IIi.3�`�' � �
�,�1� �.►� �� �oS►`O1/1/iGK and �o�2kT �����PRm�/!�
being duly swora say that they are the petitioners in the above application; that they have
read the foregoing petition and know the contents thereof; that the same is true of their
own knowledge.
Subscribed and swom before me this �
� day of �j�'�/�� 19 ��
� � �
� ,l.4PjET A..QDA:L�,"1
Nota Public County �''e'soti~�'�'�''u�!.f::-rr.:;.��:y:a �
� ' ' Y�::• CF,XOTA C��::i�' S
My mmission Espires � t.;v cct:.t.E;��:�s i�t;G.2t,���t �
7vrvvvvv�n�rnn�v�n,v„�vvhr��vyyyyw,r.
Building Department Approved Disapproved by
Fire Department Approved Disapproved by
Police Department Approved Disapproved by
�
, .f � �����
.
� �P=�
�' -:- Y . � _
IY � ' /,�_�I
�� � �//� �`
. � �
�
������ :o + • � �'
�' a � �'
� � � d'���� i '
t.• � � n f ��� i� -
_� oV+ `, , '. , t'.
� �r �
.�.•
i�� � � $ $
C�� " � ,� �
.
�� �-� ,� _ � .
_ �`.�.�"' °� -
� �, � /o o_o a 0.. RQ,a-�St, �_
� � R � �
�� � a� , �. gg �: oo
G.�"�. ._ .
�� _ �`�''�.. �P"'�'�Q `� . o o -pnr., .
�Q �.e. �: 6 6� �
� � � . ao
� �. •
°��`�
�
�
��'�
� ,
�� �
�
�
� �� �� ��
.
� � ���� � ���' -�r�z ��. ��-�-���
,
� , ,� .
;
,
�
�
� ' � _
, - , �
, -
� �
, .
,
r
/
e
,,��
� v
�,
r ,
� C��s��
�..=e, CiTY OF SAINT PAUL
�'�~ ' DEPA TMENT OF FINANCE AND MANAGEMENT SERVICES
� u�� ;
±, �• DIV151ON OF IICENSE AND PERMIT ADMINISTRATION
,��, Room 203,City Hall
Sai�t Paul,Minnesota 55102
George Latimer
Mayor
�•
3/22/88
To: Captain Steenberg
From: Christine Rozek��
Re; Record Check
In connection with an pplication for a one day gambling permit
(raffle only) at 991 L xington Parkwa�r, a record check is requested
on the following: �
Philip J. Kosto]nik Robert Kusterman
1270 W. Larpenteur 994 Como Place
St. Paul St. Paul
Birthdate: 3/16/10 Birthdate:
Richard E. Koran Richard Anderson
1039 Como Place 914 Parkview
St. Paul St. Paul
Birthdate: 6/28/38 Birthdate: 9/10/41
Phillip Cassellius
991 Burgess
St. Paul
Birthdate: 1/2/35
CR/car
� /G�-���-�
_ .�._•o� CITY OF SAINT PAUL
`� � � ' DEPART ENT OF FINANCE AND MANAGEMENT SERVICES
' •�
; it ;
y, „ DIVISION OF LICENSE AND PERMIT ADMINISTRATION
,��� Room 203. City Hali
$aint Paul,Minnesota 55102
George Latimer .
Mayor
March 28, 1988
Robert Kusterman (Shop Pond G g)
994 Como Place
St. Paul, MN 55103
Dear Mr. Rusterman:
Your application for a City bl.ing Permit has been received in this
office.
A hearing oa your applicatio for Raffle ID �(s) 84657 wi11 be held
before the St. Paul City Cou ciI on April 12, 1988 at 9:00 A.M., Third
Floor of the Citq and County Court House. This date may be changed
without the License & Permit Division's consent and/or knowledge.
Therefore, it is suggested t t you call the City Clerk's Office at
298-4231 to confirm this hea ing date.
You are herebq notified that your attendance is required at this
,
meeting. Failure to appear y result in denial of your application.
�
Ve ly yo r�;1 �
�! ��.
�, � �
` ��,i �
Joseph F. Carchedi
License Inspector
JFC/lk