87-874 WHITE - C�TV CLERK
PINK - FINANCE COUIICII n /y
CANARV - DEPARTMENT G I TY OF SA I NT PA U L x X
BLUE - MAVOR File NO• u ��v ��
Co � 'l es u ion
Presented By .� �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#18287) for a Gambling Location License applied
for by L D S On Rice Inc. F� Taney-Troye Inc. DBA Lentsch's at
1091 Rice Street be and the same is hereby approved.
C�UNC[LMEN Requested by Department of:
Yeas �_ Nays
�� k-e��w � In Favor
�wee��.�
scne�bei � __ Against BY — —
��
Tedesco
W+Ison _�UN � 7 ��07 Form Appr v d City torney
Adopted by Council: Date
Certified Pa:•e ouncil Se eta BY
By
Approv y il4ayor: Date 2 [ ' Approved y Ma or for Submission to Council
By
PUB�lSltfD i;J�s 2 7 1981
, �, ;' ��'��'lcation No. Date Received By ��—d'7�
�,.
_ .
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
5� 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) � �,s Z,�JG . �,�� �e,�S� f�1.S�f�
2. Located at (address) ��jj Jplc,� ,s'� �'j�D�,¢�1 JV�,� ,�S//7
3. Name under which business is operated ,�e,V�gG�y,s ���
4. Tru e Name _ S�f)� /�f l L�/.,r��L ,�e.J�C/�� Phone 1���'��
(First) (Middle) (Maiden) (Last)
5. Date of Birth � /� �� Place of Birth ���L, �,J,
(Month, Day, Year)
6. Home Address 3�g �,�-L%f��� � ��L�L �� Home Phone ,��
7. Have you ever been convicted of any gambling violations? ��J
8. List licenses which you currently hold at this location. _�� �'�¢,[� �j�,
S�r,vo.�•� o.� 5,�� .�ir�. d?��5�.1 �.�Lr
9. SUBMIT A SITE PLAN WHERE THE G.�1�LING 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 Iicense, 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 ) �
Subscribed and sworn to before me this
� day of � 19 � (Signature of pplicant)
�nnNV+�,�t,>>r.,�n a,;•P::�/'�1%����V.pi�n.+nAh.�.�a
_ � - ,
' - ' �:. . . -. _ .
Not ry Public Countq, Minnesota �, ~�~` --� ,. �-��=�-� �' ;
�
` � YVW�hWVW�/W �.�4�i�W41/'�VWVW�Ys
My Commission expires �
,
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I understand and will uphold the ordinance amending Chapter 409 of the
St. Paul Legislative Code (Intoxicating Liquor) .
I further understand that failure to comply may result in the suspension
or revocation of my On Sale Liquor and corresponding licenses.
�
Signature
r
� .
Estab ishment
� �
Da e
Return to:
License F� Permit Division
Room 203, City Hall
St. Paul, I�IlJ 55102
Attention: Kris
3/86
. � � ` � �7-�7D
. � ; �
City Clerk � f ("` ( � ``I ' 'v � �„� i�i � I L..
386 City
Hall "� �`f
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� _ — --,
F l L E N �• LLL-'NT5CH �
Dear Property Owner:
� P A� E ____--___►
Application for a Gambling Location License to all.ow a charitable i
��� � (� J� youth athletic organization to sell pulltabs and ti.pUoards i
I
i
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,�._._. ----_�----_i
,�,F'PLtCAt�T L.D.S. Inc. DBA Lentsch's Bar , i
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;
�_oca�rlo � 1� �
1091 Rice Street �
L . _ ------�-------------------_1
-•------•___ _ -__ _.�_.�___.�
�June 17, 1987 10:00 P�.M. �
� � ,c� R �r�G , Cil-y Council Chamhcrs, 3rd Floor City Hall - Ca;:r: Hcuse
�.�-----• - -- -- ---- - �._ »
By License and Permit Division, Department of Finance ur.c;
i� OTI CE 5 �. NT rtanagement Services Room 203 City I{all-Court Housc (
S�;int Paul ,rfinncsota {
298-5056 I
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