87-642 N�HITE - Ci7v CLERK
PINK - FINANCE COUACII ry ///�
CANARV - OEPARTMENT GITY OF SAINT PAUL File NO• •J • �• �
BLUE - MAVOR
Counc ' 'o ��
Presented By
Referred To C mittee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#16291) for a St. Paul Gambling Location License
by Awada, Inc. DBA Awada's at 199 E. Plato Boulevard be and the same
is hereby approved.
COUNCILMEN Requested by Department of:
Yeas p�� Nays �
Nicosia [n Favor
Rettman
Scheibel �
Sonnen __ Agei(lst BY
�edexe
Wilson
; ��Y ��j' — �7 Form Appr by City Attorney
Adopted by Council: Date
Certified Pa s y Counc�l S� r BY
B}� _
Appr by :Navor: Dat � Approve y Mayor for Submission to Council
sv - — By
PL�����p �,�aY 15 1987
s � . . � � �7-1���
pplication To. Date Received By
CITY OF SAINT PAUL, MINNESOTA
CHARITABLE GAMBLING LOCATION
Directions: This form must be filled out with a typewriter or by printing in ink by the
sole owner, by each partner, by each person. who has interest in excess of
57 in the corporation and/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) �1 (,1 �� I�/� �/(;�� ,•
,
� `/ F
2. Located at (address) �r� � /'��/-�/ G' �L�L� Y��, ; ` �l � u%�I.t�-1 /�/fu� '��/0 J
� ,
3< Name under which business is operated �-�v i-1 >>r� � �'/��= � ��S T!-)����/�A�;/�
4. True Name ,�c f-1 ti� � � �� �'�- � �7 � Phone c� j� " �l�/�
(First) (Middle) (Maiden) (Last)
-2 C S� ( �%�N�c L_ /<7/��.
5. Date of Birth �� — � J — .� � Place of Birth � �
(Month, Day, Year)
6. Home Address � Z� �l �r /��-V/ �� Home Phone �-� � 5 ' � t f
7. Have you ever been convicted of any gambling violations? /��f �
8. List licenses which you currently hold at this location. �� �� �� � �� �',�. S /�1����1 �� �
, �
.� �� l�' (��}Y .l_ � C� l,1 c�(`� , �-( � (-�(JZ�� 7 / ,E
,
9. SUBMIT A SITE PLAN WHERE THE GAMBLING BOOTH WILL BE LOCATED
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMITTED WILL RESULT IN DENIAL OF THIS
APPLICATION.
I hereby 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 under oath that I have received no money or other considerations,
directly, or indirectly, in connection with this license, from any person by way of loan,
gift, contribution or otherwise, other than already disclosed in the application which I
have herewith submitted. .
State of Minnesota ) ,
� SS /
County of Ramsey ) % � °
�' �7, l��' �'--
Subscribed and sworn t before me this � ,
�` ,� � _� �,� (Signature of Applicant)
� day o f � - ' �' " 19 �� ,
-=�--�-- � .
/���"�-.l"._��,� { � . ..., ' .. , �+.�.�.:�.t!"6`fi.fi'.x"iN9� fi�- � ,,-. � .a.,s..r�o,{�.rldi«`ri•� � .
%� � � �� �
��;, � i ���� � ��:'R +�
Notary Public, Ramsey Coun y, Minneso �� " • � V?
My Commission expires , , ,�'?
f
1
. . � � � ' °�"�7 ���
�,
• --�.' :9 ��� � � �' `Y � C Q � �� C E L.
� ► . � . l �.� �_ .
� 6-� � �, t� lf� � �IQTI � � .
�-' �,.,f f� f��.. � �
' � E`� � �� � � � I� IC �, T 'tQE��
!� � G
' F I L E N0. L'16291
�ear Property Owners: � P A G E
Application for a Gambling Location (to allow charitable youtli
�U R � � 5� organization to sell pulltabs)
. .�e
��P�"''�'A�T Awada Inc. DBA Awada Restaurant F� Liquor
�Q C�T �Q (� 199 E. Plato Boulevard
. b9ay 6, 1987 10:00 A.M.
�Ctt,y• Council Cl�ambers, 3rd Floor City Hall - Court House
H E� R 1 Ri G ;.r-__.-_ -- - =--�
By License and Permit Qivision� Department of Finance anri
NOTICE SENT �tanagement Services Room 203 City liall-Court House
S;�int Paul,hlinnesota
298-5056