88-2042 •__-
WHITE - C�TV CLERK
PINK - FINANCE GITY OF SAINT PAUL Council /�C �/�/�
CANARV - DEPARTMENT /j) a ' O(7��_J
BLUE - MAVOR File �O• v � �'� `
Council Re lution ;�3�`;
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Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #76482) for a Gambling Location License
(Class A) by Food & Pub Co. DBA The Kick Off at 1347 Burns Avenue,
be and the same i s hereby approved�#ewi-e�1.
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
�� In Favor
Goswitz
Rettman
Sc6eibel � A gai n s t BY
�e�.
�� JAN - 5 19$9 Form Approved by City Attorney
Adopted by Council: Date • _
Certified Yas e unc' S r By �• ��'/���
sy
t�pproved Mavo . Date _ �� - 6 198� Approved by Mayor for Submission to Council
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By ~'-- BY
�R7�1V� v r-!i... �, `.� 7�7Uy-1_
. 0�19R�AT�OR ' �� . . � � � . CN7E MM3'[D OAR Cf�! . . . . �`/'-�����1� � .
. �t '����'1"�No. 0��`5 5
- -Mr. J. Carchedi _
��T osau�n�rr an�c�ron re�voa toa�srMrn
h > Christine :Rozek ��e � �:��� ��«�
. . _ aounNC� �� �Coun��1 Res�arch
F' nc & t 2 -b056 o�R: � �►„-�� —
Application for a- Gambling Location License (C'�ass A).
Notification Date: Hearing Date: 12-22-88'
11ECOIMIBIOA7f0116:(APP►ovs(A)a FieJect ER)I ; COUtIqL RESEARCl1 R�OAT: _ ;
� . �PLAMMNR.COAp�S10N � - Clva.891VICE C�IM�81oN ' oATE ud . , DATE aUr � MY�lvsr � � - RIOpE N0. , . .
. . .�OWNO OOM�ION : 190 826 BCHOOL BOAi� . . . . - . . . . . . .
� : . ...BTA�F � . . GNRTER t�AAMi38lON � - � . � OOMPLE7E AS IS � � MDi N�iO.ADDED?r � RETD TO COH�#�T� � . � COfi811i{�NT . j . ..
. . . � .. . . _ . _F'Oli AODL M�I"O. __FfEDBACI(AQ�ED R�1 � �
,016fRICTCOUNCIL i *EXPLANATION: . . . � .. { .
. ac,rrt�rs Mn«cxi couNCw ae�ecrnre� }
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Larry Bowie, on behalf of Food & Pub Co. DB� The Kick Off, at 1347 Burns Ave. , ;
requests City Council approval of his application for a Gambl4r�g Location r
°Cicense' (Class A). This license would allow a charitabl�� organization �,
(Hayden Heights Booster Club) to se11 pulltabs at. the bar. `
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.�CA'110M�Co�UBwrM�.AdvrM�pe�,�1� . - . T-'
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All fees and applicati�ns have been submitted. 45 day notjces fia�� been sent. �:
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: If Council approval is given to the Gambling Location License, a charitable �
organization (Hayden Heights Booster Club� wi91 be ab1e to sel'f pulltabs i
at the Kick� Off, � ,
u�atut�s: - . . w�os u�s � ,
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Gou� �=1 ���e�rc;h C�nter �
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• DIVISION OF I.ICENSE AND PERMIT A.DMINISTRATION DATE � aq 8d ��
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INTERDF.PARTMEI�TAL REVIEW (:HECKLZST A.ppn Processed/Received by
Lic Enf Aud
[.�Ql'1 ,� Home Address
Applicant __ 13y'� ��Z �IAS A�v4�
Rus ine s s IvTame d �' l.Q Home Phone ?7(� � �7��
d a. t��c.� o�P /�
Business Address Type of License(s) C �j$S �T
Business Phone ��](p — �Q l� �Q� �'�� L DG�.� ��n 4�en�.r _�
Public Hearing Date T �����icense I.D. 41 ��D y''g�.
at 9:00 a.m. in the Counci Chambers,
3rd f.loor City Ha11 and Courthouse State Tax I.D. �6 �j��}
llate N�tice Sent; Dealer 4� ���}
to Applicant la- / ��
rederal Pirearms �� /V j�
Public Hearing ��l �OZ��
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�t b"t `�" �u o`��.��c.�
DATE II�SPECTIUN
REVIEW VEKFIED (COMPUTER) CUMMENTS
A roved Not A roved
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Bldg I & D
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Health Divn. � � '
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Fire Dept. � �
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Police Dept. I ��� ��I����
I� �2) � � ��
License Divn. �
10���; O/�,,.
City Attorney �
�o�i�� , 0�..
Date Received:
Site Plan -I � Zq ��� �
To Council P.esearch �O�" � �
LeaGe or Letter p Date
from Landlord � Z q � 0
. . . L, c�u����u, s�
. - ' City of Saint Paul � /_ � � �
, Department of Finance and Management Services �'D �p
" � License and Permit Division --��p L���
. Z03 City Hall� . ;y`"c -r L- ._�
. • St. Paul, Minnesota 55102-29&5056
APPLICATION FOR LICENSE ���0��
CASN CHECK CLASS NO. New Renew
�:0 0 -r,-," .� w�, . 0 C] � .- . : : � -
: �ate a 19' �
Code No. - � Title of License 1 ( �( �0 31
From � 19`_�o t�
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• �� ( l. i e � -+ � � •O� , �Du f ��.1 l� �(�� � (�I�IC��'T
S APPIICanUCompany Name TU�
100 Nd 7 �]�0 —
'��1� �(_!, I� � �T ��� �U 1�
100 8usiness Name
100 .�S� 1 Q(p
Business Address Phot+e No.
100
100 Mail to Address Phone No.
ioo �. QY ✓� �jOw �2� �7�� 1 R�
ManapeNOwner•Name
100 �
. . �3 'I � �� _ 1.�u v n `� i���-Z�
� 100 Atanager/Gwner•Home Address Phon�No.
: 4098 Applicatfon Fee � Z, 50
Received the Sum of , 100 � � `�Q l.i � /� y) �",,,)' S���,o
ManaperlOwner•City, tate 3 Zip Code
_ . 100 . Total 10U . �
License Inspector ,�..( - By: ��'�"� � na .e of appiicant
Bond•
. • Compa�y Name Policy No. Expiratioo Oats
Insurance:
Company Name Policy No. , Expirallon Date
Minnesota State Identification No. Social Security No. �
Vehicle Information:
Serlal Number �ate Numbsr
Other.
THIS IS A RECElPT FOR APPLICATION
, THIS IS NOT A LICENSE TO OPERATE.Your application for Iicense will either be granted or rejected subjeet to the provisions of the zoning
o�dtnance and completion of the inspections by the Health, Fire,Zonin9 and/or License In�pectors.
� $15.00 CHARGE FOR ALL RETURNED CHECKS
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-• � TO BE COMPLETED BY BAR OWNER �� ���'2'
- Ap.plication No. Date Received By
CITY OF SAINT PAUL, MIM�ESOTA
CHARITABLE GAMBLING LOCATION
Directions: This form must be filled out with a typewriter or bq printing in ink by the
sole owner, bq each partner, by each person who has interest in excess of
5� in the corporation and/or association in which the name of the license
will be issued.
THIS APPLICATION IS SUBJECT TO REVIEW BY T�iE PUBLIC
1. Application for (name of license) � �� �C ,��,d C� G ,
2. Located at (address) � ...�
3. Name under which business is operated '
4. True Name L.- ,���t/ d�/��? Phone ���-7l�/d
(First (Middle) (Maiden) (Last)
5. Date of Birth lC� -�� �- � g Place of Birth _��,p , �..
(Month, Day, Year) ' �
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6. Home Address �3 �� � ��,,L,�s �vP . Sj� �„� Home Phone 77�0� �'/�
7. Have you ever been convicted of any gambling violatio�s? �G
8. List ].icenses which qou currentlq hold at this location. �,', � n,., .5,�-l�,
�v... 0�,� Sa�� �,�. 7e�/.�.,N�.. - C/� 5 � ,�����,c,a��.f
9. SUBMIT A SITE PLAN WHERE THE GAMBLING BOOTH WILL BE LOCATED
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTID WILL RESULT IN DE.*tIAL OF THIS
APPLICATION.
I hereby state uader 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 herebq state furthez under oath that I have received no money or other considerations,
directly, oz indirectly, in connection with this Iicense, from any person by way of loan,
gift, contribution or otherwise, other than already disclosed in the application which I
have hereuifth submitted. .
State of Minnesota )
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Countq of Ramsey ) �/ �
Subscribed and swom to before me this
�
� / day of 19 �O � � ign ture of Applicant)
. /������`'°`''`'���2,�`�
Notary Public, Ramsey County, Minnesota
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Mq Co�ission expires �., _.�, e�����
p7ARaL,�11C—MINNESOTA
� • RdMSEY COUNTf �
.MY COMYM.IXP1Rf5 FE$. 15,1991
Y
; . . � � .: � � ���as��-
TO BE COMPLETED BY BAR OWNER
t �utderscand ancl will uphol� ch� ordinance amending Chzpcer aQ� ot che
Sc. Paul Cegislacive Co�le (IncoxicaLing !ic�uor) .
I Eurcher underst�nd �hac failure co comply may resulc in che si,spension
or revocacion of . , On Sale Liquor ancf corresconding licenses.
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Establishmenc
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oace
Re curn ca:
Li�ense w Pe:-�i� Oivision
Roam '_U3, Cicy f�all
Sc. Psui , �tN SS 1U�
Please retain the attached ordinance for your records.
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