87-1317 WHITE - CITV CLERK
PINK - FINANCE G I TY OF S�A I NT PAU L Council �,?� �3� �
CANARV - DEPARTMENT /
BI.UE - MAVOR . � F1Ie NO. �
�
Council Resolution -
Presented By 'Y � /v
Referr o Committee: Date
Out of Committee By Date
RESOLVED: 'I'hat Application (I.D.#64080) for a Gambling Location License by
Reus Inc. DBA Butler Station (George Reus, President) at 733
Pierce Butler Route be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas Nays �
Drew
Nicosia in Favor
Rettman
Scheibel —�-- Against BY
Sonnen
Weida SEP — 9 �87 Form Appro e by Atto ey
Adop�lincil: Date
Gertified Pa ouncil Secretary BY
By �
A►pprov y iNavor: D
"r�' .� Approved by Mayor for Submission to Council
By
Ptl���� ���� 1 � 1987
G.Z . Yla� l �� � 7 - r3��
�. DI�ISION OF LICENSE AND PERMIT ADMINISTRATION DATE
INTERDEPARTMENTAL REVIEW CHECKLIST
Applicant �Q ��n��k� ._,_ Home Address ( ��('� I�. -►-pt���� .
-, - —
Business Name �� � �.�cs�-, Home Phone
Business Address �I. 33 i�► o �r��c,��,,t�'�•�'p� of License(s) -�n� ` �C�'t�c51�
Business Phone �oZq - �(c�i�� Vv�C?:..�
Public Hearing Dat - License I.D. # ��U� �
at 10:00 a.m. in t e ou c s,
3rd Floor City Hall and Courthouse State Tax I.D. #
REVIEW DATE DATE INSPECTION
APPN REC�D VERFIED COMPUTER COMMENTS
Not raved
Housing & Bldg �
Code Enforcement � � �` I
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Public Health � �
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Fire Prevention � 4
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Police �
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City Attorney �
I
ENS �
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300 Foot Notice 1
Y1 ��1- i
�
License Inspector's Comments:
I HAVE BEEN GIVEN A COPY OF THIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT
THE PUBLIC HEARING IS REQUIRID.
. . . . Y �. .. '�.p� a .i. .'. , � . - -. "':p'..i .,. .; � -Y.- .l , . ' . . . . .. -
. 1
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
New Officere:
Stockholders:
� 7 �3��
Application No. 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
SZ 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) �UF/�fiM� 1_vr,cnci� '- �-�uS , !nC
2. Located at (address) _�3��j V`�iel'(�� l�jtL=-t-�.�i-" - �T tJl� A( L
� 3. Name under which business is operated QV�.('(,�'�Q � ��,�/�.�
4. True Name ��PDrGe, ��'f� �Q,1,� Phone � 9' '� ,j
, (Fi�st) (Middle) (Maiden) (Last)
S. Date of Birth � Place of Birth �"f, p��,(,Z �
(M th, Day, Year
6. Home Address ��„�j�� n �OI�P.�f �SIYGd• � f-�YdQ() ��/li� Home Phone '� — � ,�
7. Have you ever been convicted of any gambling violations? nb �
8. List licenses which you currently hold at this location. (�f1-_�Q,,�t?, (�(.�j'l(�
,.5� (� � - ,. ^
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 )
Subscribed and sworn to before me this
(S nature of Applicant)
� day of�Cc�.� 19 `��
s• ,. KRlST'INA L. SCFi!�'%``-'R ? .
` C�` . �C:�-`=� � H07APY FUBt,IG-�A1IdIUFSU;: �
Notary Public,.-�earsa� County, Minnesota ���"� �AKOTA COUNT`' �
�' �'C:d�n :XP�RES.i«i�!. 2, '932
vt....�.u�:,.�...,,..,� _. , S
. . .,... _ .v„wvv�iv'v
My Commission expires � � . � �����
�
, _`. �� � � ��_��-�-��/
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.
P
Signature
Establishment
. S' 7� d �
Date
Return to: .
License F� Permit Division
Room 203, City Hall
St. Paul, 1�W 55102
� Attention: Kris
3/86
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