87-875 WNITE - CITV CLERK
PINK - FINANCE GITY OF SAINT PAUL Council /�
CANARV - OEPARTMENT File NO. Q_�^�
BLUE - MAVOR
Coun il solut 'on
Presented By �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.# 36596 ) for a Gambling Manager License by
Charles Van Avery DBA Brunette's Youth Boxing at 1091 Rice Street
be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas �� Nays
�"°�'�' ��°-�'�� In Favor
,�cee.a �
Sc;heibe� _ _ Against BY --
�
TedesCo
Wif�on JUN � 7 '1�07 Form Approved Att ney
Adopted by CounciL• Date
Certified P-ss Council re BY
By
Approve ;4lavor: Dat J�+� � � ��� Approved by Mayor for Submission to Council
B1 - — BY
PU81-iJ� , ..l`i �� �� ��✓��
:��' � � Cicy oE Sainc Paui �d/ � "'
. ' Deparc:ne�i� o[ Finance and Management Servfces
Division of Licensa and E'ermit Registration
?:�1FORiu.r�TION REOUIRED WITH APPLICATION FOR ?ER`tIT TO CONDUCT .CHARITABLE Gk�tBLIVG Ge1ME IN
S�INT ?AUL
1. FuII and complete name oE organization which is applying for license
�' f'� �-��+, ��� `..l� ,� -- .
��`�,� tt'f�� �1�:�i � � �
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2. Address where games will be held ��.�:c"t \ �� ,� ?_ �__—'• . ���_ `�1��, � �� �'_ —!
vumber Screec City 2ip
3. Name of manager signing this application who will conduct, operate and �canage
Gambling Games � 1"�� y�� e�_ �-•;.. �t��, '�L)QF�� Date of Birth �] � � r )'�
(a) LengLh of time taanager has been membe_ o: aoolicar.c organ�zation
4. Address of Manager ���, �r, ��.al� 1�,3�� � �1 s �� � �R u �
Number Streec .� C�:� Zip
S. Day, dates, and hours this applicaticn is cor � '' �� r �
6. Is the applicant or organization organized under the ?a��rs o: ��e State a: ?�i? �_
7. Date of incorporation
8. DaLe when registared with the State oi �S::.nesota _-
9. How ?ong has or�anization been ir. �:tis�ance? � r, .
10. How long has organization been in eY�scence ia S�. ?auI^. ���., .-, ,
V _� •O
1I. What is the purpose of the organzzation?��, �,�r,,�j.,��_�____ ��L-}�W �a� ;�y�
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I2. Officers of applicant organizat'on
Name V�e �
Address � �ddress - - ,
Title - DOB T:cle �'�: �03
Name vame
address ?.dc:ess
Title DOB ':'_=1e �aB
�3. Give names Of ofticers� O[ dRV OL.^.e� J�.'_SCL!S NPO 7a:1 L"J� SP.:"�_C_S =J ��e O��?:2�:.:L�Ot1.
�ame Va�e
Acdress -'•a�=°`�
Ticle - =2
(Arta.ch se?a-ate :�ne�-- '- - =��-=-. .._- ---_:�= .