87-1238 WHITE - CITV CLERK COIlI1C11 ���ppp/� ,,/
PINK - FINANCE G I TY OF SA I NT PAU L �3d
CANARV - DEPARTMENT � �-a_/
BLUE - MAYOR . Flle NO• �
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Council Resolution , . _--��
Presented By � ��'L-- �' ��� `�
Refe To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#41588) for a Gambling Manager License
applied for by Dave Anderson DBA Como Area Youth Hockey Association
at 1084 W. Larpenteur (Ted's Rec) be and the same is hereby
approved.
COUIVCILMEN Requested by Department of:
Yeas Drew Nays
Nicosia
Rettman [n Favor
Scheibel � Against BY
Sonnen
Weida
wilson AUG 2 5 �7 Form Approved by City Attorney
Adopted by Council: Date
Certified Pas e b uncil Se tar BY
By
A►pproved avor: Date - � ��87 Approved by Mayor for Submission to Council
By BY
PUBIISNED ���' 1 ' 1987
`� � 3l � ��1 ; � ; �,-v
R �/�� %�
r DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE
INTERDEPARTMENTAL REVIEW CHECRLIST
Applicant �Y�a� �'�(►�p�-� Home Address j�`"l(.D 1.X1����5�- -
Business Name ��,�Yhh a. Home Phone '�-�1 ' ����
Business Address 1��� �J, �(]iLn Type of License(s) �-�a��p mo�
�^
Business Phone � �Lp�( •
Public Hearing Date License I.D. #
at 10:00 a.m. in the Coun il Chambers,
3rd Floor City Hall and Courthouse State Tax I.D. #
REVIEW DATE DATE INSPECTION
APPN REC'D VERFIED COMPUTER COrIl�IENTS
�aved Not ed
Housing & Bldg �
Code Enforcement �'(� �
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Public Health n �� i
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Fire Prevention h( �
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Police � �
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City Attorney �
I
ENS �
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300 Foot Notice n I�, I
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License Inspector's Comments:
I HAVE BEEN GIVEN A COPY OF TIiIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT
THE PUBLIC HEARING IS REQUIRID.
. _.. .. . . _ :
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CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corparation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
New Officers:
Stockholders:
/�,l..-- Q ! ��,�� J '�.
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� - ' City or Saint Pau1 �
. ' Deparcment o[ Finance and Management Services
Division of License and Permit Registration
INFOR��IATION REQUIRED WITH APPLICATION :OR PERMIT TO CONDUCT CHARITABLE GAMBLING GAME IN
SAINT PAUL
1. Full and complete name of organization which is applying `or license
�r3 /'�� v � !� �IOCKC . .��e�,4T/O
2. Address where games will be held ���� ,J ��a�p�y,�.,T�cu.�' 7r': G�`r1�i/ ��/��
Vumber St eet City Zip
3. Name of manager signing this application w�:o wi?1 conduct, operate and manage
7
Gambling Games �v� �,1, P r.S'UW Date of Sirth d'd y" ��
(a) Length of time manager has been membe= o= appl;cant or�anization
4. Address of`,Manager /7�� �{t��1`a�."��� ��, ��, ,� ��1�'?
Number Street ` Cit� Zip
5. Day, dates, and hours this applicaticn is ror /�•�C� �2� �4.j '��, 5 "�; rrt-�
6. Is the applicant or organization organ.ized under the laws or t:�e State ot `�II�i? �i � =
. ,
7. Date of incorporation �( o"� c�3'. t t��
8. Date when registere� with the State oi �4innesota �( � � �. Q c(8 a
9. How long has organization been in e:ds cence? �;�u C G ���
10. How long has organizacfon been in eYiscence in St. Pau�^ ���� -�, (.0 ��
11. What is the purpose of the organ�zation? �uf�c, �7U�C-� •
I2. Officers of applicant organizatior.
i
Name �i'lnt � ����'C. `Tame ��s:t �1o�.u.sa �J
Address �`« � ��e�se� ��• Address ���+�o C� �>P�;►�tU-e
� � � �-- T.icle z . �OB 7-1�-�`' !
Title � �n `�,,,1 DOB �-p � ,�C,,
Yame ��� .D��.�.�Y- �Iame u.�w �r�w4 -�
Address ���3 �bv'c� �r,,: �c�_ �� • :�dd:ess /n/i' �rys-!U
T��� �
Title v�C 4-�1'cs�. DOB ,j-,�-��'"� �'it,e ��°_ �.S . DOB (y"� 3O_(//
13. Give names of officers, or any ot^er ?ersons ano pa;� �or =_e--%'ces to tZe or3ar.izat�on.
�'ame vame
Add:ess �ddress
Titie T:�'_e
(�;ttach SeP2:'dC2 snee- -.,. ��c:__cr.__ ..__�s . �
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2i. The proceeds oz the ga�aes will be disbursed after deducting prize layout costs and
operacing expenses for the following purposes and uses:
�c /l�e � e , �jcv� r tf �-e. e�m
22'_ Has the premises where the games are co be held been certified for occupanc}• by the
City oE Saint Paul?
�3. has your orgar.izatian :iLed =edera'_ �or:n 9°0—T' ��' I� answer is yes, piease atcach
a copy wit:� t;,:s applicac�on. :' answ•ar is ao , �e:cplain why:
P.ny changes desirec �•� cae aa�1�c��c :.ssoci3C_OII ma� be �ade onlv wich t;;e conser.t oi the
City Council. - _
�O t'�e. �t]�-a� .S��C f'�1�"i o 6.1
Orgaa_zac:on
Date �—.,�r"� 7 By: .
: anage� i.n charge or ga�e
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--____=�_______________________ AGENDA ITEMS -_____--_______-__________-___���
ID : Cib 7 DATE REC.: C08/13/87] AGEMUA I�ATE: C00/00/00] ITEPI #: C ]
SUBJECT: CGAMHLIMG MAhIAGER LICENSE - COMQ AREA YOUTN HOCKEY ASSN ]
S7AFF ASSIGNED: ChIONE ] SIG:CDREW 70U7-CX] TO CLEkK:C00/00/00]
O�IGIhiATOR:CLICEhISE DIV. ] CONTACT:C 7
ACTIOM:C ]
C ]
OkD/RES #:C ] FILED:C00/00/00 7 LOC.:C ]
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FILE SNFO: CRESOLUTIOM/CHECKLIST/APFLICATIOM 7
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