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88-1063 WHITE - f.ITV CLERK � PINK - FINANCE COUflC1I CANARV - DEPARTMENT G I TY OF SA I NT PAU L �ID� BI.UE - MAVOR File NO• - cil esolution ----�� t�°.� Presented By ' Referred o Committee: Date Out of C mmittee By Date RESOLVED: That Applicati�n (I.D. #84709) for the renewal of a State Class A Gambling License applied for by Mary, Mother of Mercy and Good Hope Shelter, 1494 North Dale, be and the same is hereby approved/ c�,i.e.cl. � COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond � [n Favor Goswitz Rettmaa u� � Scheibel A g8i n s t BY Sonnen --�� -�i�'rea�1, ! ��p JU� 2 g f�uu Focm Approved by City Attorney Adopted by Council: Date . q Certified Yas e o ncil S tar BY '" � � // � gl. ��}'`L� A►ppr by IVlavor. Dat -� ��N � 19U� Approved by Mayor for Submission to Council By BY �UB�(SHE� J U L - 9 1988 � . � -,�063 �e1Maw►'t�R , . - oR��r� o�Te cawee�o � M . �. �a�hed� �� , GI�E�1�t �#���T r�. 0 2 0 2 4 � oEannn�r ar�croa .wron coA naeierM,n. C i�tine Rozek ��� T ����� �«n� oavr , wia�No. � — e�,oc;�o�c�roR' ! � �: � Co�nci T ResParcli � Fi►1dIElC� & . 298-5056 ! � cin Arro� ; , �. . � . �. . � � . �. f .. . . . .- .. A lication for Renewa ' �of a State Class A Gambling License. �1 ification Date: 6- ' -88 Hearing Date: �► �� W a►�(�►a caMn+ca�a�s�►pcN per+oar: a��wia cnri�seAV�ce coe�asaN i � r��w on�our wa�w. . . . �DOMNfi COMA�N ISD 826 BCHOOL BOARD I , � � - . . . . �.SlAFF � ' q1ARTER COMMI3910l1 . � C01�N'LEI'E A3 13 ADDL .. • NETD'f0 COMrA�T. . . .�COl�f41i1B(f. . . .. . � � .� �N _ _FON ADD1 ModFO. . ___FE�E�ICADQED t . � �� . . TON: � . . . .. . � . .- - . -BtIPPORIS YN11CH COIlICIL � . . � f . . - . . .- � � . .. � ... . � . . . . � . . . � - � " . . � �. �: �i �.� � . . . . . .. . . : . • � . � . '� � ��ur��il �e�aarch Center. ' � JUH 21� ; � ; �m�►,.ie tatl.�t, owo�rnn�rr cwrw,w�a.w�,.n. wa�rr , A Smith, on behalf ol !Mary Mather of Mercy and Good Nope Shelter, � r ues�ts Council appro �1 .of her application for renewa1 of a State Class A :G b7ing License at 1.4 � N. Dale. The week1y gambling. session i� field on . - W n�sday afternoons f ; 1-5 PM. ProcEeds from the gamb�ing sessions are ` d ated to the Shelter ; o assist single pregnant women .and their unborn c '1d ren). - �+�wci►t�ou ' �awrF,r.o.s.�s). , � . ...� . - , , 3 A l applications and f ��s have been subm�tted. _ , . � . 'I ; �(W�Mt. ad ro Whom).. • - . ` . . I Council approval is ��iven, Mary Nbther of Mercy and Goad Hoae Shelter w 11 continue to spons i� a gambiing session at 1494 PI. Dale. If-Council a`proval is not 'given, 'la gamb'�ing session will not be held. ° , � . . . _ : K7dr1A1Nl6r _ ,. . � ` PII08 , COM6 . f i ; � � t�smnr�oears: • . i � . I , LEOIU.resuES: � I i � ( , . , . . I , ��,�� DIVISION OF LICENSE ANI) PERM T A.DMINISTRATION DATE "` � 0 V / ` I(� p � • INTERDF.PARTMENTAL REVIEW CHE KLIST A.ppn Processed/Rece ve by ' Lic Enf Aud � '' Applicaut Jq-!'�1'� v/�'1 I TII Home Address ��'J w' G tdPt�GL 't�Kj Rusiness Name R,r G �rC� Home Phone Ol�n�, C�oOd► S ht,b r p� �,,(� � Business Address �c�qc� N� �,�L Type of License(s) �At6VA.� �T �� r'^� Business Phone �y4� �7� Cl,�tss � E�a�, bl�n�, LlCl�r�S� Public Hearing Date � �$ pp License I.D. 0� O 'i7� at 9:00 a.m. in the Council ,Chambers, w 3rd floor City Hall and Courthouse State Tax I.D. 4t ���-t� Date Nutice Sent• � Dealer 41 � '� to Applicant / � ^� rederal Firearms 4� �U �`f Public Hearing � ATE Ir'SPECTION REVIEW V, RFIED (COMPUTER) CUrIl�IENTS A roved Not A roved � Bldg I & D � N�� � Health Divn. � � ��� ' , Fire Dept. ;' I � � i I � � � Yolice Dept. I License Divn. 6 � i City Attorney � ��� ' Date Received: Site Plan � /4' ' (Q f �� To Council Research ��` L�e� or Letter Date from Landlord Q :. , ���0�3 . �•- Charitable Gambling Control �oard Rm N-475 Griggs-Midway Bld . � For eoard Use Only 1821 University Ave. Pe��� -' St. Paul, MN 55104-3383 Chedc No. ' �.. •'�' (612)642-0555 Date: MBLING LICENSE RENEWAL APPLICATION „ UCENSE NUMBER: ;..,;2p.2..r1O1 /EFF. DATE: �jA�� / 7 /AMOUNT OF FEE: ; yti 1.Applicant-Legal Name of Organization 2.Street Address h�RAY kOT�+E� � �E�' �D �x7G�7 �+]cx 3=�'i.'F, �.�� 8 �a+�naia 3.City, State,Zip 4. Counry 5. Businesa Phone tiesL 5t �au�. dW 552i8 ' Dakata 5it �+SJ-Sb&tl - 6. Name of Chief Executive Officer 7. Business Phone � �^,feryz -rn�vbl�v - 8. Name of Treasurer or Person Who Acxounts f r Revenues 9. Business Phone ��' P , � r P Lb ?���i 10. Name of Gambling Manager � 11. Bond Number 12.Business Phone �..� . . MfM1.�A�]���f ' � t'iY�^�±`� 13. Name of Establishment Where Gambling Will ake Place 14.County 15. No.of AcCrve Members ' ?�#eal •��i+ �t �.ani �ar�� �; - 16. Lessor Name 17.Monthly Renr �deai ;,a�: 21�5 18. If Bingo�will be conducted with this license,pl e specify days and times of Bingo. Days Times Days Times Days Times v. ' �3S�ct ,,,� .� , 19. Has license ever been: � Revoked Dat : ❑ Suspended Date: ❑ Denied Oate: . 20. Have intemal controls been submitted previou ly? �Yes � No(If"No"attach copy) ' 21. Has current�ease been filed with the board? � Yes ❑ No(if"No,"attach copy) 22. Has current sketcF►been filed with.the board? (}�'Yes ❑ No(If"No,"attach copy) - ° � C ��GAMBUNG SITE AUTHORIZATION By my signature beiow,local law enforcement offi ers or agents of the Board are hereby authorized to enter upon the site,aY any time; gambling is being conducted,to observe the gambling and to nforce the law for any unauthorized game or practice. - BANK RECORDS AUTHORIZATION By my signature below,the Board is hereby autho 'zed to inspect the bank records of the General Gambling Bank Account whenever necessary to fulfill requiremeMS of current gambling rules and I w. OATH I hereby declare that: � 1. I have read this application and all information ubmitted to the Board; 2. All information submitted is true,accurate and omplete; �';= 3~Alt�othenrequired information°fia�been fully-di bsed; . ,..�. �- , == .:- - : _ ,_ _ >.. . ._ �.�_ .. _ , � _ 4 I"am:the.ohief executive officer of the organiz on;:' - ,' -• - - _:` _ ` . °".,`'- , 5. I assume full responsibiliry for the fair and lawf I operation of all activities to be conducted; 6. I will familiarize myself with the laws of the Sfat of Minnesarta respecting gambling and rules of the board and agree,if�licensed,to abide by tliose . laws and rules,including amendments thereto. 23.Official L al Name of Organization Sigttature(Chief Executive Officer) Date Title �� " �►--�-- %� ,! ,' _ � . 1 ' �., n ; ,� ._ �- � �7 �,�-� M°�' , �- �� � i�;;�"L�t. �f!'%•�1�.'-'��.� `/ � ;,, �,..::y:il�..`. .�:(,f ,�:'�, �,°t<; ! ACKNO LEDGEMENT OF NOTICE BY L�'CAL GOVERNING BODY „ I hereby acknowledge receipt of a copy of this ap lication. By acknowledging receipt, I admft having been served with notice that this application will be reviewed by the Charitable Gamblir�g Control B ard and if approved by the Board,will become effective 30 days from the date of receipt(noted ` below), unless a resolution of the Ixal governing y is passed which specifically disallows such activity and a copy of that resoludon is received by R� the Charitable Gambling Control Board.within 30 d ys of the below noted date. « s 24.CirylCounry Name(Local Goveming Body) Township: If site is located within a township,please complete items 24 �- .Jr-i ,- and 25: Signature of Person Receiving Applicatioh: J 25. Signature of Person Receiving Application �r' _ i • ��� ,1 1 �� J ` ,�� . Title v Date Received(this date b ins 30 day peri9d) Title: �_.;c;- _ ,� := -._-,. , � ; ;,�, ;� �,��k.;; �Nam@,of Person Delivering,Applicatian to Locai G verning'Body: Township Name � � �� \ - CG-00022=0�(5/8� I White Copy-Board Canary-Applicant Pink-Local Governing Body I I ° � ` 7 -_ City of Saint Paul , , Dep �tment of Finance a�d Managemeni Services. , License and•Pennit Di�ision /� �i_/j�6.3 " I 203 ctry Hair (: I St_Paul.Minneaota 55102-298-5056� � - APPUCATION FOR UCENSE M� CASH CHECK CIASSNO. �I NeMr Ne�evr �{C� Q !� � - Q Q _ r ^ y; ' � �BtQ' � �9 � �./_�4^ ��. � II rn � .-ti,.+ Code No.. Tttle of Ucense From � � �U 1��To " � � 19 f �' ��2, CP ss A - , `" L Q I�, � �`° : �.�. Il'�F✓c f.:�. ,� � � `�G vn 10<< ►��.� n uP; '�� C{L�� .5� AppllcanUCom Nanw c � ioo � l�t c� l7 Cu �L {�'O("" ��tt.!�+'r' I I UG� !v• � +1� � � I100 Businsss Name t I j � �oo �j. ��- �i.�, '��' I ( Busineas Address PhaK No. i ,00 i i 100 Mail to Addnss Pha»Na } � /- (��_ � �� I 100 ,'-�' �!�� �f'Y! �'�%� G � �-� ?-� � ManaQ�NOwAer•Name , ,� I � /.� '� � ���' `. ! :�y� �� � � rt _�_:�-, � - --- — 100 Alanap�HGwna�•Hwn�Addrosa Pha+e Na o� � � 40�8 AppliGatfon Fee � Fiecelved the Sum of 2.100 � ( '. ��T (.�-�� �Iv� ►� ..J J l�� � ! � L": Q U• ManagerlOwn�r•Clty.Shte 6 Zip Cods- ! : . 1 Total 100 I / .�� '� � II l /1 �C� �(�.�.�� �/ �`".'�".y�-c/'�'�` ' UCense Inap@CtOr Qy: SignaWre of AppliCant � � � Bond• II + _ ComPanY N Paliey Na Expintfon Date t 1` Insutanc ' 1 Company Na Pdiey Na F�cpiradon Oate• Mlnnesota State Identlficatfort No. Social Security No � ..Vehicle information: SKiat Nu bK aa Numb�r � Other � THIS IS A RECEIPT FOR APPEICATfON i THIS IS NOTA LICENSETO OPERATE Yo application for Itcenstwill either be granted or reiected subiect to the provisions of thez�ing ordlnance and completton of ths inspection by the Health, Fire.Zoning andlor Licenss Inspsctoro. � + ' I - f � ����� � � $15.�0 CHARGE FOR ALL RETURNED CHECKS —aP`fi� a'�'`�`'�"�'U , �` -�, , 1 �, � , ,� /kti1.,s�.,i�!.� � ..� , , � J�, ��I� - `' , � 1 ` I ��, \ �� �,,,�.�� '�� . � ��� -� �r`o-�� ���J � � � �� ; �.<< � w �� 5 �.�. ��� � 6 lo-�-�� ' �. . , r Cic;� or Saiac Paul � (�i_j0�3 • . Departacenc oi Finaace aad Maaagemeac Services 0° . � . Divisio,n of Licens� and Permic Regisrratioa . INFORMATZON REOU2RE�J WITH �PPLI�GTION c�R PE�MIT TO CONDUCT C:3ARI'*dBLE G�MBLI'.`iG G�ME IN S.�INT PAilL L. Fa21 aad crnagl.ece. name a£ �rgaaizaci.oa. vhici�. is applqing for license M�. v���r-�Fr� o F=�c� �N� Goo� �a P� S �FLT�IQ 1 NC'� 2. Address where games will. b� held f ��q�/ �/�L E s T � ST �f� (/L SS/%� �-- Yumcer Stre�t City Zip 3. Name of-maaager sigriiag th aupl.icaziaa vao wf1? condue�, ocerate and �aaage Gambl.iag Games �11�, I!� �►'N�'"�, Date ot Birt� �7 `I � (a) Lengtit ot time maaagerj has beea �e�ber az apoL{caac oraaai=ation '�� a? '�1/ei4v,s 4. Address of Manager cZ�� UJ�--°S7f' ��r�� �(!?. ST7 /�'+�.� /�i". V`-S Yumoer Streec Cit? Zia 5. Day, dates, and 'ncurs chis applicacicrc is cor �. �t' � V P�• 6. Is che applicanc or arranizacion orgaai:ed under c�e Iaws o: c�e Staca oi :�? F$ T. Date ot incor*�arac;on �_ � .2. � l T �.� 8.. Date whea registered r.tith the Sta.ce az �aesoca S�1-nL� 9. Hnw long has orgaaizatioA �eea ia e:cfscaac=? /��v-�y�- � s . � 9 e�� -� _.__ ,. ._ LO_ How .Ioag has organizacioa. beea ia ex�csac_ iz �t_ Pau�? /�/�/� 11. What is the purposa o£ the� argan��ati oA? � c�a�,aJ� � �'••. „ ,�,�� . � . . • �� � LZ.- Of.ficers- o£ appiicant org i=zc��z � � ,5���� iVame �P�4�� Yarsa �� �e�+�� � . Address 1a�-a �K- •,.�.T� 1"�. 9ddrass 3.��'.� �� �'�Yg�- Tit1e /�.�'aG�a'�o�" DOB 3��'"'i�� i==== �ic�elL—�� 70B �•.� " T Narae �1 �� r' Address ��D Qha•� �, �dd�ss �� �� ��w�.ra �• 'ritle � DOB I � ` 7" �Jb '"=�a DOB � -' �"'— 3 / 13. Give names oi oizi cers, or amr oc::e� �ersc�s -mo ?a== ��r se:--=c_s c� _:e or.�aa:==t=on. �tame /�.��`�_ . - � •. Yame �� Address :�da=•=s _ •�.� \��Ti c l e I --=-= - � � - - - - � («��a se�ar_ca :�.-.a�- . - '-�=-=--••-- ••-_=-• .. .. � . I C��''d-/4 b3 14. Attached herecc is a Lisc o� names aad addresses cf a7.1 members o= che organisacfon. I5. Ia whose eustody vill orgauizacioA's reeords be kept? �_ �,�,�,+,�e _ �J.St:l9�L � /a o-c� r,,P.�c�. - Na�a /1�RRys �F�T� � �iiK �Sm,f-� Aaaress �as�s-tJ. t��Qr,�Qq�.q �e. I6. ,•Persans who vi1.l be canductiag, assistiag- i:r conductfag, or operat�ng che sames: Na�e ✓jK �. ��I� Date oL Bi.rL:l � Addres� �aZ�s �r F�C�1^�`�Q',e !'ft�� �1- �l¢'K� , N, ��� , Name oF SQouse f���Y' �� sM.1�T�. Date of 9irts �a y0 Daces when suc`.: oerson vf1L conducz, assisc, or operac� �j/�.y`y�' W�. �'f'. l -fo .S �/�1, � Name �/ Date oi Birth � / �ddress 3 .S% �f�e.(,L ��. / Naae aF Soouse Dace of Birth Datas �-nea suci verscu ��f�?�I coacuc��, ass:.s�, or ape_ate �/�e»eJ�er rilfhl�!-qer < is un�b�� -t-a - si�n�s,. ��-fi`vr. efc. � L7. I�ave �ou raad arc �o �au c��rougi�� uacersraud che orovfsioas oE� as.1. 1avs, ordiaances, � aad regulacier.s �ave��:� c�e. ope=ac:Qa Qr Cha�tab_e Gaa:a i^ g��s.' gS _. 18. dttac::e� here:� �a c:�e io� �urished 6v c.':e C:� o.: Sr. Pa�1 fs a Fiaaacia.? Report vhic:z ;;.a�i�as �?? :eca_�cs e.-�e�ses, a.d. Sis�urse�encs a= c�e anpl?canc organization . ' as we?� as a_? o:_ar_=�ac:�as :-ito ia��e =e�_:rea =s:.as - r �:.e � ecac --g calendar year ahicz :tas be�:: s:-^.e�?, �r_� r=_d aad ve_f�=�c S�� � " ' _ 5 � � �ame ,�a�-� L��- ' ���. s���-.Q ��/ �-/� , ��:G�=Ss � . vho is c:�e �CJd�-D� oi c�e avpLicaac Organizacion. ' V e �: 0�=_�e � L9. Operaco� or �rz�:�es »�e:_ ;ta�aes �:�: �e aeLc: Name D-S� �Y /`U(f�V'� �eY![l�l�J�C� Z���k� �14LL B�siness �.ddress � ON�i �A-Le � S?; Pi4t�,L fj�N. ��/�ZI , Kome Ad';dress " V`!,� �']�' -S%, //�t,�. , �'�, ��/l 0 20. amounc oz reac pais �y a�p� �sac Or3aai_sc�z '�r -e::c o� c�:e ia�?; saec:�;� amounc v� d� �p e n e►� �� paid per y-hour se-=:o:z ��� '� r �i�! a SeSS�`arl ��tS ���. /1 7- � E �. `�'� �in.�a �c �� I . • . . ; , , I C��/d63 2L_ 'Ihe proceeds oc cise- gaiaes� will be disbursed afcer deducting prize Iayouc coscs and ope�aciag expeeses for che follcwiag purposts and uses: , ' o o� '� �'�c � si` He�e.ss'�-i'c d� �v CLv7`�i;K �c S�ieL��r . L res`d�+'�"S � -f-��lr4'�' c� ei� Wn�ov�r C 'L ��re� I . 22_ Has rhe prea�ises where cfs� games are co be held beea carcified for occupanc, by che City oc Sainc Paul? Yj�S ��� 23_ Eias your orgar.izac_orr L_Ied �edera� �ora 9a0—T' �!c I.' ansaer is ves, please actaca a copy vi c� c:i; apol:cac�on. I: ans�:ar is ao, �lain vhy: � Any chaages dasirec b? �:e app?=c;:�c �.ssec�c_on ma� be �e onl•r vich c�e cons��c o� che Ciry Cc+unc'_?_ y�� � �� �� q� I "�` ,��.z.�, , �"�'`"�� � � Orgaa_zac�on . Date � l 04 Bg: - U�--✓� U. . ' I �4aaa3z_ i.a charge aL game I I c 3 _ � f � I („J :r� _ — � — cs cn � � � •< 3 � � .� ► � � I � r- rt .r �7 � :? r� � � C (7' � � " �; I ;p � � p " � rt _ . � .. - � 3:-�O�' �. Z"�b. . . . , ( :7. . . � .^. .+. ,. � � fif�. — n 3- '< � ;— � � .. � � �+� G � — T �� � � \ � � �_ �� = �, ` � Y !1 r► V 9 ►+ m ~ � �� '� � � � �+ � � A � !7 � � � �C � � .� G m } . C � .^, 3 � �� h+� i •� � F �f �T � � � T :7 � ` Oi � r � .. . m Z � N %D rr S C 3 � I - :s � ' u U � � _ � (r'1 ;T n � ' m m � :e �j , Q � a :s = I� �-- ` `t T � m F w � � '� �9 �0 ' � � Y � � �. � �� � ;A a f0 ".S ' <p � 0 W � + i9 F. (� T `G v v v "y 'zT �' �T O ►� '� I �'I i p .. C� � �� N F� T � � y� �r �A I N f4 A � � , m ,:� �0 � r� • A �0 ' .4,,.y�51.. � !D � ! f7 f': � i I I r 7�� k S ' � I� '7 I I � I �, O ] •� ,•• ± 9. f7 r� o � e..�� � ! '� � � �i rr n T ? � = j = `� m � �9 � I � � � ^� � � I '0 � r � � � a i ?' � � � '� ; � :� < I a � �n — - � ` � I � _ — � _ � i `D f I ,n_ ° ' � � I � I ` ! � I �•r� S T -r � m � �o � �'� � _ , , �� = � ''- = I s .. i 'i `�� I � �\ . I � . ! �st,► o� � p� ��`063 . . . , . D.par�ac as rsn.n�. .od n.e.f.uar s.:.ie.s . �.•... Dt�isioa oi Lic�a�aod P�it �d�daistsstsoa r � D�I�1I CB�iI=AQ.S Ci1�LDG lIMAIICI�L � Daq � � � .���'� � �. �o� o��� �%�,_��,�d 7�i'���'�P of �E7PcY � 6 _Sh�E1rE�,� ':` :_ .��...�. �.�.t.�.�...� �� ly�y �n�r� �Q.�i-, sr. P,�,u�, �� ,.A • .y . • �^• 3. LprC tos p�eloi ao+�eio� �i�lY��P 19,�thsoa�b. /¢ l! �6 ,:.p �. Total sar�b�s o! dspt ls„d- �� . � • '•'. 3. 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