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88-1771 WHITE — CITV CLERK � PINK — FINANCE CO11I1C11 CANARY — DEPARTMENT GITY OF SAINT PAUL �J / 7�/ BLUE — MAVOR � Flle NO• , - Council Resolution -�--� Presented By � � �� ��°} � Referred To Committee: Date Out of Committee By Date RESOLVED: That application (ID #16391) for a Gambling Location (A) by Pub East Inc. (Mary Jo Krivanek - Pres. ) at 1180 E. 7th Street, be and the same is hereby approved. COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond �ng _ r, [n Favor Goswitz Rettman 4 B �hQ1�� _ Against Y Sonnen Wilson �Q,/ — � '�8 Form App oved by City Attorney Adopted by Council: Date , , Certified Passe b ouncil Sec tar By B� � N�ti — `z l�t7� Approv y Mavor: Dat Approved by Mayor for Submission to Council By F'.Tp K`�oe', .J V V ��..�;�'�::, _ ! ��=���/ �„�.�,,,� �„�� �iiR�El�� ����i` r�.0E��1 4� � ! Mr. J. Carchedi � �� ����� ' �Christine Ro�k �� � �.��� 3�«� �cs . _ . ROIIiING - euooET o�croR 2 Courtci 1 Resea c financ� & t.: . , 248-5056 or�: 1 ��►„� . ,W Applicatfon for a Gambling l,bcation License (A-1ess than 100 seatsj. � " : Notification Date: , 9/19/88 ` rin Dat • 3 88 � 'nOns:taoorwe(�►1 a�y�t(R)) cotN+ai.e�n�nr: � . xew+.+ca�_ c�v�se�caeM� a��aa on,E«,r ,wuvsr vHOwe ra._ ao�tK�oo�rreean� mo aae et��+ooi.eo+�ro-: gr,� cea�rrr�� _ c�:��s�s �oo+.rw:,�oom* r+�rv m�xr�r _�rm�=Nr: . . . . _ � � ._FOR ADOi M7F0. t *��� . .pSfAK.T COUNpL . �� *D(PUNATION: . .. � .. . _' �: :_SI�rCfRB NRNCM COUNpL 0&IECTTVE9 '. � . . , � . � � .. . .� � . . . . .� . . . '>• .. �IA7#10 r110��,NN��OP�OR7111M�11(VN�o.NRrt.VV11en.VMen.NfhY1� r ; . Pub East Inc. DBA Pub East (Mary Jo Kr�var�ek - Pres. ), i^equests Eoun+cil approval of its applicatiot� for a C1ass A,`C��ting Location Lficetts:E � . ' �.. ,(less than 1DO seats) a.t :T180 ,E. 7�h Street. , ' . � ,+uenac�no���.�..r�..�r. . . . - _ : .. A�l fe� a�d applications fiave been submitted. A1 requir�d depatrta�er�ts � have apprc�ved this, app�ication - Licertsing', �ire, Hausi . r ��c�°�'�earch� Cent 45. day`-�tices have Ixen sent. " _; QGi� 1. 11�$$ ,,,��r.w�.�as�wna�►; . . _ .. ;_ . ,. . - . :.: .: � � . .. . _ . : _s. ,.: If Council approval is given, a chari#.ab�� organization �Harding Area- Hockey) wi`i 1 be abl e to spQnsor a pu11 tab boatl� at Pub East. . . : „ . �sab�ct� : : . _ s�nos. . ce�s _ . _ . _ ; :yll�'ORYIV11�c�DBl1�e ° , , : .. . . . � tEWIIS�ti�e _ . ��= /��i T � � � � g� Q p� , DiVISION OF LICENSE AND PERMIT ADMINISTRATION DATE / I3 O � INTERPF.PARTMENTAL REVIEW CHECKLIST A.ppn Processed/Received y Lic Enf Aud Applicaut �(,L� G(�s'� �,�C, Home Address _ Rusiness Name �(,(,b ' Q'R,�''� Home Phone Business Address � ' g� G �� �� Type of License(s) C"�Qu'�► b�/� Business Phone �7(/"'����p `,CCQ'!"!Or'1 '' C�s I-1� Public Hearing Date � � �� License I.D. 4f ��34� at 9:00 a.m. in the Council Chauibers, 3rd floor City Hall and Courthouse State Tax I.D. �� s� p� � �Q� � llate ATOtice Sent; � ( � �� Dealer �� IV I � to Applicant � � � g� � �) Pederal P�_rearms 4� � /� Public Her_iring DATE IrSPECTIUN REVIEW VERFIED (COMPUTER) CUMMENTS A proved Not A roved � Bldg I & D � l� Jv � �' Health Divn. ' � U� � i Fire Dept. � ��) �r i O � � '�J1CD � ���— � i � Yolice Dept. � G I13 � � G l� I 1 License Divn. n �� i O� ••� l City Attorney n ��� � ��. Q � Date Received: Site Plan � 1 0 � O ^ �j!�( To Council Research � 1 �� O Lease or Letter � � � ate from Landlord �,a�b t�5 0 r c�v4X- �� I Z � . . ' . . - ,� e , ' � i . •, • CURRENT INFORMATION NEW INFORMATION � � •. � 1 � Curren� Corgonation Name: ' ' NeW Co�rporatiot� Name: Current DBA: • New DBA: � Current 'Officers: Insurance: Bond: Workers Compensation: , ; New Officers: Stockho'lders: .= _ .�.../�-? �/ . '.K_.:.. ..�. - ... . . '. '- •; . . . ,.° . ' City of Saint Paul . . . - � Depa�tment of Finance and Mansgement Services I r"'. - - License and Permit Dirision : . �g �?� ] . ,,, - -;- . '�:.,r : . •,•• ,..: .; _ , 203 Cit Hall _ . .� . .�; , , St. Paul, Minnesota 55102•298-5056 �� � ' • � APPLiCATION FOR UCENSE � � � ,�., . . , . . . . , � CASH CHECK ;;' CLASS N0. � � '� New enew • ' �: : x� 4� ;�,.� nv_ r�rt�� �;'�'�" ,���j��c'�,4?7 � � +�"r ��.. M L ,� o-,. c R �-.: '� ' , I yu:�� � .s:� . . �� �� -.;f� t� .�n ° .� � E�' �.�Q ..:� y �' 3 . -�"T• • --9 . � : - . ,', .Date� '''.'.� 1 ^I . t9�. .r ::i�� . . .. _.�..- .. . . .' .: w . _ . _' .. � '' . . .� �. . : .::- .. . 4_�. '.-•. .. . , . .1 . . `{ Code No. . . Title of license . � Fro • 'O .19 V"To • �, 3( 19'v C ��� C IQ 5s � C�,G m b �� N , �v � � _ . . . .�: . . . ' ,00 �a 'f" �-y�� � C Q `�(� 1r1 — ' � APPticintlComPany Name .;.t. _. . �. .. ,�, ',.o �a�. ,� , fi�C� •�Cc b �a S�' ' 100 . Businas Name -- , ., : �,- , , . . . . . . .;. . - . , . -. :.. ,00 . '.= . "-���` ��p � '1-�f-h S� Y�e..Q�' . . . ' Busen�ss Addnas Phon�No. �. . ,00 � Sl• �o�. � , �'1j � : � 100 MaU to Address Phont No. . �oo � . p v � �(� �Y►Uq y�4..��i � ManapeHOwner• ms -. l . ,oo f l SO �.1 t,� (r e f �t,t.Q� �: - - -- - •. . , _ _ 100 ;l ,, ;. AlansperK►wner-Hom�Address Phon�Na :. . ., ;.1� 4098'y APPlicatlon Fee � _ 2 50 ' r s ?4. �" � �.: ' s - s: � Recsived the Sum of 1 100 �� Y _ , `'��-!r��Q (.� �. �� ,��V�3 � � Y,� ;.'� , . . � : :"' r =�', ' ` �.SV �»,�Y .�.ManaqedOwner Clty State a Lp Cod� • �. .. �:'' * .��: , «�4 100 ;;i .,;Total •100 ,+�'�' '"�3�,;r �:' , .�,�� .�:-'� .. _.., s -:4 �.�n rz .�+�3L' . ni. . :� ._:s.t' .-Jr. JS'�ar��.>n.1,.... F. . Jt r`�..L.� . . .. .. , - '...._ - . ���.+.[ .:",x , � . ._i ����. � ,`_ �L ' ii•: - .. : . . � I �'t�.1i�' .r�. . ,.: f. _ ./J � . . . ... . . . . ' • UCense InspeCtor ' . gy: j����' �. . - ture ot Applicant .. ., . . �;. . _ _ .!n'��_ �Y _ .. - ' 'Kr� ' . . . . . 1 x�� . � . � �� . �� �, � . �"' ' " �x,Bond . . :,.�•.�x , . q.ear' • . _ . _ ca�_, •.CompaMr Name _ •« . .. ;..rir•POIiGy N0. +:.. ,.� �z _. ExpilatfOfl DiN :.�: , , ; _ . ,_.;. _ — , _ Insurance: ' -�.- �- ; - Company Name -..:.: . . , .Polky Na , . . , ,. Expiatlon Oatt _ - .. ' Minnesota State Identificat(on No � - ' Sociat Secu�ity No '. '. , : � , Vehicie Informatton � � . ' ' , ` s..,: ;. .,., . S�rialNumbsr . , ' lat�Number ; , . . , , ._ . , . ._ ..s . , . , _ . . • . Other . . . _ .. . , -• - � ;� :_ ��• -.. �. THIS IS A RECEIPT FOR APPLICATION � . _ � " f �i` THIS IS NOT A UCENSE TO OPERATE Your application for license wiil either be pnnted or rojected sub(ect to the provisfons of the mning ;;. J �''` ordlnance and completion of the i�spections by the Health, Fire,Zoeinq and/or Ucenae Ina�ctoro. �.':�,� . „� �,� , , _ . . ., . L: •.' �, ,. , r,,_ ,,.. -. .. . a:'r _ ,. . . . ,.., , � n: .-�, . �. �."' �, �F'� F ,� .. ,-.. ... - .-. ..: ' .�:. ' ': � ... �.:; - ... . . . .._.. . . ... � � . ._.. . ,�. . � :... . .• . ;. .. . � . . . . . �.... . .. . -- ., . .... ?.. -. , . � . _ . ...�,,.. . .. . . '_'. �.... ' � _, '..£ . . . . • " . . . .. . . . ; $15.00 CHARGE FOR ALL RETURNED CHECKS � . . _ ,q-�.� o�• � .( (03 q _ _ ,.; � � � �-���-� _ ,�uf�.�h. � ' TO BE COMPLETED BY BAR OWNER �� ���� �ppl�ication No. Date Received By � � ' CITY OF SAINT PAUL, MINNESOTA CHARITABLE GAMBLING LOCATION Directions: This form must be filled out with a tqpewriter or bq priating ia ink by the sole owner, by each partner, bq each person who has intsrest in excess of Sx in the corporation aad/or association in which the name of the license will be issued. THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC 1. Application for (name of license) ���,� �'�' ��—�- T ��,r � 2. Located at (address) ___\\�`�G �_ ^.�� �� 3. Name under which business is operated �� ( ��-- �;_� ��C-� , ��c,-. , 4. True Name �'A�..\1 ` c-� �-�� ���:���`t Phone �"t �.-.-�(c-1!t, (First) (Midd e) (Maiden) (Last) 5. Date of Birth � �\ �� � L�_ Place of Birth ��`~c ���j �.� �\��,,:;�,. (Month, Day, Year) 6. Home Address �\�� ��, -�_�� � ��.R Home Phone �c��-1Z;,,`1� 7. Have qou ener been comrict�ed. of any gambling violatioas? �^�,C� 8. List l�icenses which qou cuzrentlq hold at this location. ���� �,,�.,�� ,--� _���'��Q'���.�.,�t��'��. \ .-.._ �l � .��a Q�C F `A��� � ^ �� `�.\Q �•c�_ � - 9. SUBMZT A SITE PI:AN WHERE THE GAMBLING BOOTH t'IILL BE LOCATED ANY FAL�IFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTID WILL RESULT IN D�TIAL OF THIS APPLICATION. I herebq state under oath that I have answered all of the above questions, and that the information contained therein is true and correct to the best of my knowledge and belief. I hereby state further uader oath that I have received no moneq or other considerations, directlq, or indirectly, in connectioa with this license, frrnn anq person by way of loan, gift, contribution or otherwi.se, other thaa already disclosed in the application which I hane herewith submitted. . State of Minaesota ) ) ss County of Ramsey ) Subscribed and s ; o before me this \\ �� ,��� � (Sign �ure b.t�A�;plicant) day o f �� 19 �� �, 1 � � \ � j" � \e\\� -�.�� � �' � � -.,��..�.:�,«�� No ary Public, Ra os�r�+y� �i'i�sota ,, � „,� My Commission expires�'� � ' . - _ . �; . � � . �a�a.+c'Ji�:•i• .r i`•r ..i�:, .. .. .. .,.}r:<•,- ---- --- � • • ' • � . . �� �'��� ( , . . TO BE COMPLETED BY BAR OWNER T understancl ancl will uphold che ordinance amending Chapcer �tA� ot che St. Paul Legistative Co�le (Incoxicating Liquor) . I Eurther understsnd chac failure co comoly may resulc in che si�spension or revocacion of .., Qn Sale Liquor and corresponding licenses. , �, . . Signature � ��, � �C� . ��1 C_�. Eszabiishmenz Oace Recurn ca: �icense v Perni.c Oivision Room :U3, Cicy Hall � Sc. Paui , �IP! SSIUZ Please retain the attached ordinance for your records. 3�s6 � �� f /�I , �AZ�v�r PA� cz� co��z� � P UB I�I C �ARIN� NO`�Z�� L Z��N�� AP P�Z C.A.�ZQ N �CEIVED SEP�1988 CITY CLERK llear Property Owner, F�'+� N�. 16391 Application for a Gambling Location License, This license will � allow a Charitable Organization (Harding Area Hockey) to sell P��OS� pulltabs and tipboards at Pub East. ����C`�Y�" Pub East Inc. doing business as Pub East �+��ATZQN . 1180 E. Seventh St. Thursday, November 3, 1988 9:00 a.�. �•.���s Cit� Couacil Chambers, 3rd floor City SaLL — Cou=t House Bp LicBnse aad Permit Divi.sion, Departmeaz of Finaace aad NO�=C� ��*� Maaagemeat Services, R�oo� 203 City Sa.11 — Court House, Saiaz Paul, Miaaesota 298-5056 This date ma.y be changed without the conseat and/or knowledge of the License aad Permir Division. It is suggested that you calZ the City Cleric' s Office at 298-423i if you wish confir.aation.