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88-1099 NIHITE - CIT,V CLERK PINK - FINANCE I TY OF SA I NT PAU L Council /y CANARV - DEPARTMEN7 J([/ yn BI.UE� - MAVOR File �O. �+ //O`�� � o cil Resolution Presented By ° ;� Referred Committee: Date Out o,'� Committee By Date , RESOLVED: That Applicati n (I.D. #30886) for the renewal of a State of Minnesota Class A Gambli g License applied for by the 4th District VFW at 1060 Universit Avenue be and the same is hereby approved/�.eriit��: I I �I , ,� i COUNCIL MI�MBERS Yeas Nays Requested by Department of: Dimon ��g In Favor Goswi Rettm �/ B Scheib 1 Against Y Sonne Wilson Adopted hy Co�tncil: Date JUL " � �� Form Ap roved by City ttorney Certified Yas•e ouncil Se tar BY � � ' sy � —7 � Approved by Mayor for Submission to Council Approv Mavor: — By p���ie4�ED U L 16 1��� ��--�'`fdQ9 ._ � �„�.�,� a,��► ��#�#����if ET �:0 0 2 0�5 , M . J. Car hedi i o��Nr nwEC,vn e�,von�on�,wr� R Z �N —�.��R�� ��«� q+or�tao. , NUMBEFI FOR - ,I nounNC �� 2 Cauncil Resear�h : or�+. � — y . .• .GfY.ATTOi1NEY . . . . _ _ . . .. . , . � ' � .. . .._ . . . . plication for renewl of a State C1ass A G�mbling License, I � • n Dat : Heari:r► Date:���• _ na+�=� u)a�c�> oa,�cx.n�s��o+�r: PLANNMIf3 , CML BERV�CE COMMp8810N �'� DATE NJ DA�E d!T _ . � PFIOPIE ND.. . . . . . �IMNp 18D 83b SCFi00L BWVIO I. � .. . � . . . . � . . � 8il1FF � . � _ . GMR7ER COMMISSiON _.� �;.) COMPIETE AS IS .. -ADD'L *. . _FOR ADDL�� � _�• � . DIBTRICTCOI�ICL I i *EXPLANATI�t: . � .. . . . . . �� ; Coufl�il Research �e�ter, , � . ,' ! JUN �1�9� i _ - i � ; - ..,�.�.�. �►�.�.�. .�: . _ red Wanner, on behal� of the 4th District VFW, requests CounciT approval f their application ifior renewal of a State Class� A Gambling Li�ense a� . � �fl University. Th ' 'gam�ling sessTOns a�^e held Fr�iday afternoo�s b��en � fie hours of I i 3U'PM nd 5:30 PM. Proceeds fram the `gamt�l i ng sessions are sed.for varjous cha table purposes. - , ; .ws�.�c�,ia� :�owr.�ea a.�►: _ _ , .. . _ � 11 applications and �fees have been submitted. OON�1� . wNia.ne to wnom>: ., .. _ , ., .. ,: : - - , .,. ' If Council approval Is giden, the 4th District VFW will continue to sponsor a gambling s ssion at 1050 University Avenue. :If Counci� appr�nral � is not given, the �9a: bling session will be discon�inued.- . : . � ; a:ta�u►�aes: _ , I Pnos , oo�e . - . . � . ' � � , � � _ � �r . _ ;�. _ , , , ; , t�oAL NpJ�: � . _ � _ ,. . .. . . i ;_ . . .. . . 3 d8�'.6 '�.,::;=�: . City ofi sainr Pauk . '�.���:" DepaKmerrt of.Finartce an�Martag�nent Senice� f���l�Q� � w;`=�'; , � - . I . Ucensera��Rsrmit Divisio� (/l� �;: 203 City�FFa11' :, . �, r� ' Str Raul.Minnesota5510Z-29� `�. . : � I APPl.1Cl��iQtV�PQFF UCENSE CASFh CHECtCI C1.ASSNQ_ New• Renew� ��Q [� _ _ Q Q� �. . . � � � .:��.;, Dat� 19� �-��'Cod�Nc ' Titla�of Ucense� �( � .�:,;• Fro � . � 1��?"To � �� 19� � «,: .39 � _ ,oo �f� �r 5�'" �c f" � !=Lc� ''Q m .�p(� n H �.�C-2 ns ��'1�, S� Aaa�ca�nrc«nv.nr.r,.mf f _. 10Q / � ' f i���:'l� t�f 11 I•���S ��� � 100 8winsss Nam� I � i � �, ^� ,00 C�• G�.�.� � �( ;�� S% ' v - � ' Busin�ss Atldross Phom�NO. ' 100 I ' j. . 100 MaU to�Wdnsa P�M� � , � ; � '°° f'y o d c�.� t�1 n � ;,'" , , i i Mlanap�flOwMr'N�nts� �� �pH��� �/ � �� f 'fJ ,�,�'l.�-L�; �0 � 5 � �Crc ` ' 100 AlanapMGwea•Homs Add�i Phon�No- f� 4098 Appli�atlort Fee• 2 Sp �t � � ` Received ths Sum of 1Q0� `� ( ' ��`'r��� � � � ) �� �v�� �3� �• u�� M,�„a.n o,�w,e r-c a e y,s�a��a z t'c:o d r 3 l �00 Total 100 !, f� � � �� � � � I ��� T` /� '�� � j Ucenao-Inapecton � - BY Stqnature o(Appiieant e �-Bond- I '' Company N �_ . . PolieyNO� . ExWntion Datt :-;_ _ .... ��'��insurance• , ___ _.. - _ . Compury Nam Policy No. ExPiradon Oate� .-� Minnesota State-Identification Noti �. Social Security No � Vehicle Information: ' � S�n�l Nu bK ate umWr � Q'ther ! TH1�I�A.RECEIPT FOR'APPUCATIOf� � THIS.IS.NO'1"A�UCENSETO OPERATE Yo applicatiort forlicense will eitherbegnrtted orreiected sub�ect to theprovislons of the�zoning � • ordlna�ce a�nd completforr of therinspsctfo�a.by thr Health, Flre;Zoning.and/or Ucansa�lnap�ctors. I - ! i I � . ! I � � , ��� $15.OQ CHARG� FOR ALL RETURNEII CHECKS � � ` ,� I G , � ����� �:L� v� �� � ' '� y�� � � �� �;�.' � � O-p � 1��Z � i � ��\ . ., ��� � ^ - �, ;�� . ������ ' I J �l����� I ��0�9 . i � UIVISION OF LICENSE ANI) PERMIT ADMINISTRATION DATE � /3 / � /� �� INTERDl�PARTMF.I�'TAL REVIEW CH,ECKLIST Appn Processed/Received by Lic Enf Aud Applic�nt �Vt� �,(,�a,K Y1,Lir" _ Home Address OZ C7�� �C� �a��✓ �� � I �- � Home Phone Rusineiss IvTame V'[��! �4J . � �j Busine�ss Address ���Oa �(tK.Y3�� Type of License(s) �Q.,��f ��"�'�T'�,/ �_� Businelss Phone � C �Q�S� �rn�1'►/1� C�cenS� Public Hearing Date 's �� License I.D. 4{ 30 B�G� at 9:d0 a.m. in the Counci} Chambers, 3rd f�oor City Hall and Cou�rthouse State Tax I.D. �� � Uate Nutice Sent; �Dealer 4� � '� to A licant � (p PP � I , rederal F3.rearms 4� � Pub1iG Nearing I I DATE II�'SPECTIUN REVIEW VERFIED (COMPUTER) CUrII�IENTS A roved Not A roved Bld� I & D � I � , I� ' � Health Divn. ' � , ! �,,�� � - ; , Fire Dept. ' I � � i � � ! � n,� I Yol�ice Dept. I �� '� I 'c�ense Divn. � � Li I '�'�/� � � City Attorney I ��( � �p I�'�.[ o l � Date $�eceived: SitellPlan �Q � To Council Research � Z C� � I�,as�.or Letter � ate from Landlord I , I �, i . . � • - j I Cicp ar Saiat Paul /�� ,��Q� '� . 1�. ' Depatzmenc oc Financa aad Maaagemeac Services C f Divisio� of License and Permit Regis=racion INFORMA�ION RE UIRID WITH APPLI�ATION r'nR PERMTT' TO CONDUCT CHARI�'ABLE G�MBLP.�TG Ge1ME IN SAINT PAUL 1.� Full �ad compleca name af organization. whicfr. is applying Ear licease � I r /V / � U�ST.C/CY 2. Addre9ts where games will be held %� � 0 (,NfvEP..t�r�/ /�✓� .57. /.�4vL/�w .�.T�a`l� �° I yumber Streec City Zip 3. Na�e� of maaager sigrting th�.s applicatioa vfio wi?? conducc, operace and maaage Gambliag Games ��/�`.�,� �,r,,,��,/--i-���,; �•:,`,r,,v N �:,� Date of Birta f� /7/.,�� i (a) Langth of cime manage�' has beea member ot aopl.=canc organization �o,✓,-, /`7�yy 4. Address af Manager �D /� �L ,QGE �✓� �^ f A' r�w,/`'ic). f.�/a r' Yumber Screec Cic� Zfp 5. Da dates and hours chisl a licacion is cor a , • � �..�0 -- �",� v � , y� , rr , ,. �,»,� 6. Is ch� applicant or organizacion organized under c�e. Lar�s o? c�e Stace ai w►�I? �.S � T. Date pf inCOrporation I L�c: " � - �i�G 8. Dace whea registered with the Staca ot �K�aaesaca �PP, �� ' �G ' /� / - �/G �/`I`/ 9. Hew lpng has orgaaizatian Ibeea ia exfs caace? �PP - /y y�3 -� _ .. . 10. Haw lpng has organizatioa Ibee3 ia ex::s.cenca ia S t. �'aul� A�a. i 9 y.� L1. What iis the purpose of che. otgan=zation? f,.�T�,PAi✓ S � � L2. Officl rs of a Licanc or an�:2C=orr b PF 3 Name I�On/�4v f1/f��4,N[. Yaae �v,p,J o� /� i!�� Addre�ss f/�/ � �y.u11/ /L ' �✓iyirE�et.�.0 °►ddrass �.���uc�E2 .�i. Title� (. �?/1r1�.uJE�P DOB ��1.� ,Z T==�e JR.l�« �n•�r1• ]OB ��a�3/�3 vame i/7r?4J,�f'` Ul.�AJ�r i Vame '1's'£ �o f��2�Gv� L - Addrejss j.� �G �EG��.✓t� :�dd:ass yl�.� /4`�ATE Titlej fiQ.!i, e�. �o,•i,y DOB 1�.. :b ='=�:a ��AP. :iRr/Ar:ril JOB .��3�Z/ 13. Give� jnames oi octicers, o� any oc::e� �ersar,s �rao �a:= =or serr�'css .a =:e or3ar.:_ac'_on. *ta�e I Yame �` Addrejss adc:sss .� � ��iclel '_�:e � �rC�.�C:: SE�'L�:C2 SG2'!' -• 3C.C�'�....__ .'.���a. I . � � A ��-�a�y . � 1:'�. AtcacHed hereto is a iisc Qf names and addresses or all �embers of che organizacion. 15. In whose custody will orga�ization's records be kepc? Name !� l�i�c� 1�.4.,�.r�2 � Address Z 4/.t� GA a.v�E �d�r I6. ,Persoris who wiu be conduc�iag, assisting in aonduct�.ng, or operating the games; N�e ,�iPc"D l.s/.a�..i« Date ot Birth i �.1//7/Z•j� Addre�s Z O i ,Y ,? �,�c E , ,Qv ' Name aE Spouse �S�.�If,� I �. Dace of Birth 7�..��2� Dates ivhen such nerson �rf.11 conduct, assist, or operate � jjf',-�p,u,q c. - �l/.��C A T��.,. ; - �/r W ��v�1% - � .- G • Name � �NG v.t .f�sErA,�r�4 Da�e oi Birth /��� aJ/ :�ddress �l�.3•� �v�;a..J � �v — /�,��! /j'�.v - ,SS`%D � NaBe a* Spouse �i O �. ,�� � Dace of Birth /�y�Z G � Dates ,�aea suc's persoa *.ri?� cancLCC, ass_st�, or ope_aca �,(g,f�,'�Njs �,� /yA,�,per� � I7. Have �rou :eae a�a. �o ;rou charouaniy understand che orovisions of a�l laws, ordinances, and regulac_or.s ,ove:-�t:z:� cae operat=on cz Cha�tab_e Gaab�ng g:�es? ,�ES .` ` 18. Atta�:ied hereto oz �:�e io:$t �urished T�v c�.e C:.� o� SC. ?aul is a Finaacia.l Report whicz i i�e�i:.as �?'_ rece_=c�, e_�ensas, a.d �?s�urseme:�cs o� cZe appl:caac organization ' �s weT, as a�_ o�ar.jza�=o. s �ao aa��e =e�s_T�ed =szds �or cae �r°CEC{«.g cal=adar year wttica ';�as beez s:i�ed, �re�ared, aad ve=:==ec ��� � .) �,.�� .✓E�� i tiame- ZO/�,j �c.,�st�F J " — .� �� .� s ;. ��.� �fi.� ss�o� �dcress ' who is che �S'S ,-, /�,•���_ Q�, oi c:�e ap�Licant Organizarion. ' ' :Vaae �= Oi==== I9. OperaCO� o� �re�:ses �ae_ej ;ames ::;.1_ oe ae.c: , � � Name , � ,,o O�� /� c.E �,6 � - ��h!�d::,r..� �.,5' B�csine�ss nddress ��,7 dQi Uovi�r_',�.0 �T� �a J,,E . � Home �ddress 2�. e1II1011IIt� O: rer.� 7d1.: JV a�Dl�`3IIC Or3aAi�3C_�TI �Or ^O.^,C O� c�e ia�l� SD2C:.L;t dmOtIIIL O `� . pafd �er �-hour se�c:on I/��.5-� �J�,,o �_ �rict.�/ l��s�c.�: ,`\\ .'� �� J � , � I . I ��J�o�I ��i. Tt�e proceeds o= tne �a�ses' will be disbursed after deducting prize Iayouc costs and � operacing expenses for the iollowing purposes and uses: �/ , A�Piu✓ s I/�:E.P,v.•i �RGlN.GLio�A•- u�o.f'fr- /�ET.c �o.f/..-p��• . /�ocl• . � /� V�I'GS �ocvER yo�1� - f7' l/� l�:r,/ /�.91!/�A« LE.�c�E � Hoerr��� v O�(J.l'oRi) T y��ij- � � !/p .UEd - ?H.Pv R fi� .I'G'�oc;.. �} !?T;r1a'/I j��0�/PA�1 �4 J' 7NE�/ .4P� AOf�v✓t.1 /3 y 7NG �.�TR�G' /i✓ /fEt ri.�•c. 2Z_ Has the premises Where che g�rnes arr co Se held been certified for occupanc; by the City oE Saictc Paul? ��S 23_ Eias your or3ar.izac:on� a cedera? :ora 9°0-T' � I� answer is yes, please actaca a copy v�c:� ci:i; aeolicac'on. L: ans�:ar is ao, e:c�lain vhy: % iP �v j � UCs dJ �i ?HiJ — E � G� ��� N �Ti� T/�1E ���f. O^! .Bd i fi��l 7 7� ✓ '���• - Any changes desirec �•r zae a�p??c�ac �ssoc:ac'_ott aa� Se aade only Wich c4e conser.t o: che Ci:.y Cc�uac:l. y� �;s .- �F� - ! Orga�:zac:on , � � �ate ���� ��� Bv: Ll��t�u ' Maaa3a. =a cnarge o= game _ . I v � � s. �" .�t # ''•"'�'Y^M> � �7 � -► ^ .-� � i ('� U7 ' "3_ "� f7 '1 : � � i.,: ja"k, ; � � ' 7 7 ` O r�. rt T fJ ,T! �!or( � �µS � S 1 :? eT �� + � � (D ID � ^ 3 � � � �> I :A ^� � !0 7 I � r� - � !C , ' r� . . ;] "� v. ,. r'� (D � . . . n � e-i. � 3.I. � . .� - ,�.. ,q. - . . �.. .... . . � 3 'G1 � � � T �� � � O � r��. .,�L � � !D h� �. :J ►`� .+= D C � p. �D _ v, :9 T � �9 � nr A .'1. G � _;.�b S � �. 'J7 .�• � �C �. 3 � .� � y tis�G�1 ? u ^ 3 3 � � F+ i- _ 1 � iT!c;r-,-�YN �� � � %o � T T S 3 7 II • � � � ( �,>r ( � - 3 � -� C I Jl rS .7. • ,.:r�� � � i r�r .t fD N , � :< _-�'�_._. 9 :J � � `� � �t. q I r. � � ! C y_ -;; i� � �' C � rT '� I ! . -�•'C.� 'f � T � �� n 'A �.. 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IA✓: • _.._.-- 2, Addrssp vhere Gharicablt Cssb11n8 is coaducced f 0 ' .�� 1 i9� chrovgk y�� _l3� �, Repott� Eor period coveriag � 4. Tocal,lnuaber oE dapa played � -- "- � � �a� �p i � i g. Crosa recsipca Ear sbove p�riod �a ; ��� L 8°2' - —-- 6. Groulpriza payoucs for abovr period �� s fs�� 6 7, Nec r�eceipts - Line 5 mtnus lins b � g. Expe aen tncucred ln conduc[ing aod opecacing gsu�. v` � A. �ross wges paid. Accach vockec list viCh s �C,��0 .� — � nsmea, �Jdresa and grosa �sgss. / `��p O I j d � �. [lenc for �/,_uesks o ' � ��� � C. �.icense Ees � . $ L/y� o 0. �Insuranee � � �Z.�'' ' E, aond ` d� , ; „� � ' F. IDishonored ehscks noc raeoversd _ � �� 7� C-. IF.mployers F.I.C.A. _ .. ; H. I Ssles Tax p `'UO .r _ S T � � I L. �Ninn. O.C. 'Lsx . _ � /�;i � i � =� 1. Fed�ral U.C. Tax K. I riiscellaneous Expen:ss. Idsneit9 che amouac - I and co vhom paid. %��7�1eN<� $ !G, � /� � r t. L � s % I r. ; , i 3. i: I , G. ; 4 .. � f � /.�1�i �� . TOTAL. — - . 9. 'Cocal rxpenses �1 I s � LZ:� 10. ,le�c Incoae - liae 1 minua Line 9 � r S 3� `I''1 '–' �1, C�eckbook Salance beginning of period i s � �r �,,;r, 3� 12, Tp�al of line t0 and L1 S �i U J4� �,�% I 13, Toca_ coacributions :rom line V I 14. Cheekbaok balsrce end oE reporting perloJ - s y V�� .SG ��e L2 less Line 13 j �5� gP«-�y uss made oc amaunt on Lioe 13: � v i ,` � I �, _. .� . —_----_ � COMPt.l:Tf•. Ttlt REVCRSE STOE � i _!_. ----__._._ I