87-1344 N�HITE - CITY CLERK
PINK - FINANCE GITY OF SAINT PAUL Council
CANARV - DEPARTMENT � �
BLUE - MAVOR
, File N 0.
Council Resol tion �
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Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#14410) for renewal of a Gambling Managers
License by Steven Younghans DBA Johnson Area Hockey at 955
Seminary Avenue (Minnehaha Lanes) be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas D�eW Nays
�s _� In Favor
Rettman
Scheibel
Sonnen _ Against BY
Weida
W11SOA SEP � ; �g� Form Approv y City Attor y
Adopted by Council: Date
Certified Pa• ed by Council S retary BY
r
Bl'
l SEP � 7 �S7 Approve by ayor for Submission to Council
A►pprove by iVlavor: Date ,
B By
T�UB�IS�D ��P � 6 1987
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' DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �� (���.� �,��I �("�
INTERDEPARTMENTAL REVIEW CHECKLIST
Applicant �j�-���_�pc.�,ti etiti5 Home Address J5���� (� v
Business Name �o��S�„ � a _ �r-�_ Home Phone �33 - a �5 �1
Business Address � � � � e of License(s)
�S S �J �m�y��.,�,�-c,o,/�P
T"i _
Business Phone I�Q ,�.� �
Public Hearing Dat License I.D. # ���� U
at 10:00 a.m. in the Cou cil Chambers, -r
3rd Floor City Hall and Courthouse State��. #
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REVIEW DATE DATE I CTIO
APPN REC'D VERFIED (COMPUTER) CO1rIlrIENTS
�aved Not raved
Housing & Bldg �
Code Enf orcement � I(-Y I
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Public Health �
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Fire Prevention 4
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Police i �
��"� +
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City Attorney �
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ENS �
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300 Foot Notice � 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 REQUIRED.
_ . ., . .: ,, ..
. . ti� ' ' � .� . - . . . . . . , . . .. .. . .. . , . .. . ., .. .
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond: .
New Officers:
Stockholders:
� -� ����� .�- '�l� '��' ` ��
�' - - City of Saint Pau1 /,J,`,G..j ����
� i ' Departme�it oE F�rt�nce and FSanagement Services �/�` d ��
Division of��sicer�s,e .a�d Yermit Registration
{,�- i .,..':;i L�..
.'.�_..._ .,.
INFORMATION RE UIRED WITH APPLICATION OR ,�F.,RM�T` TO CONDUCT CHAR.ITABLE GAMBLING GAME IN
SAINT PAUL ►J�'. !'t'J�.: L � . � ` -
1. Fu11 and complete r.ame of organiza[ion whfch is applying for license �OV�11SdV1
l��f"2.G._ t'1 OGi���I A O G .
_ 2_. Address where games will be held �S 5 � �� v�c�v�1 .�.J"G'•T'a'^-� SS�b�1
vumber Streec City 2ip
3. Name of manager signing this application w'r.o will conduct, operate and manage
Gambling Games S-k�21/2. �O�✓�q��r�S Date o f Birth � � ' ��—5�v
(a) Length of time managsr has been member oL applfcant organizztion �Q V��,r-S "�
4. Address of Manager � 5� 1 m�' Q'��'��, �-E-.Qa�� 551oe�
Number Street Cic� Zip
5. Day, dates, and hours this application is ror $ '" g� —' � " O�
6. Is the applicant or organization organized under the 1a*«s o= t;�e State of �1? � e,
7. Date ot incorporation ��" � 3
8. Date wnen registered with the State or �!ir.nesota � � -- �] �
9. How long has organization been in esiscence? �� �A,4/Lp�
10. How long has organization been in existence ia St. Pau1". �(� �! 2..c�.tr'S
_�
11. What is the purpose of the organization? C e,G�`� �l pC•�-}-� �pG��,i
12. Officers of applicant organizatioa
Name � a..✓'o� � 1� �.✓'-��� va�e J 2�� {�Gt✓"�'y 6'2
Address l ��� � �„�-N� :�ddrass p� 3 �l � Gc.���r ��Q�v Gr'�f- .
Title P ' DOB °) —a.'" �Jd Tir?e ~ �— � !
rL�.c.�-e..�n+— l r'e5�-�� DOB �—�o
Name l l a.y� ��Cp rnv�01� Name �r1 t l (�o�T 2.1r'
r � /�
� address �•`��''��-� l= /`F���(Jf-� :lddress ��� �S V [�✓'►�"
�
Title lit.���'.<-r 'J%� DOB •� '"'/r —'`�`1/ Ti�le . S�G.. DOB
13. Give names of officers, or any otaer ?ersons �no paTd :or ser-r�ces to t�e or�ani�ation.
�
�ame . Vame
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Address � � L�'���' � �dcress ��� ����
, i
Title __�?e
(Attach sepzrate s:�e�_ '_.- a��-==.,,.__ ..�=�� . �
14. Attached hereto is a list of names and addresses of ali members of �he organization.
15. In whose custody will organization's records be kept?
Name ��,r o� � I � �Qr"�`�� Address � �„ �'{'V� c..
16. .Persons who will be conducting, assisting in conducting, or operating the games:
Name e,V� ` Dl�V� 1n.G.v� S Date oi. Birth � � ' �, � 5�
� Address � 5 p I �C Q-�-�� �
Name of Spouse Date oF Birth
Dates when such person will conduct, assist, or operate � " � � --�t'� � -^ � a
Name C ���p� \I �U V� v Date of Birth �D—p� L! `- ��
Address 1 Ll� � �-��
Nane ot Spouse �- Date of Birth
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Dates w�ea suc?� person �ai11 concuct, ass:st, or ope=ate
.�--
17. Have you �ead ar.c do ^ou thoroughly understand the provisions oE a11 laws, ordinances,
and regulatioas �c��e-ni�; the operat_on o= Char�table Ganbi:n; games?
18. Attached here�o c.^. �!�e fo�: �ur::ished 'o�� the City o� S�. Paul is a Financiai Report
whic� ice�izes ai1 receiacs, e:��eases, ar.d d;sburseaer_cs o� the applicant organization
23 We?� gS 21i O.rdP._ZdC'_OTIS �i110 :12�T� _?C�_TEQ =*uI1QS �Or L,'12 D:'�CZG�iZ�F calendar year
whfc:� has bee;! s'_s-:ed, p;272r?d, ar.d �re__�'_ed �v
� me
��ci ► I 1� ���
:ilyQ�BSJ
who is t?�e �' �,�„�b��,,,�p� � AY... o� che applicant Organi2ation.
Vame � Oi==ce '
19. Operator of oremi;es �rhe-e �anes :r�?_ be he?c� :
Name
�1i I � � � o r�-t-
B�esiness address q 5 � ��y� �'n�V. �� p`� �
Home Address lV��
20. Amount of rer.t aaid by a�ni:canc O�gz.^.;�a�ion �or re�c o= the hall; specify amount
paid oer 4-hour ;e-c:on� 1 �1. U� �
, ; ���3c��
,,. �: ,
21: The proceeds oi the �a�aes will be disbursed after deducting prize layout costs and
operacing espenses for the rollowing purposes and uses:
Gd c�.J o m�v�.�l"' t� g- -� �'✓v�� � n 5 �-�.v'�,tn c..�
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1'A2�n�.�-E-�,a►�- •�-e o"'� �-✓, �1 D l.."t`�. _�.Cr c tJ t��t-��e��
2Z. Has the premises where che games are to be held been certified for occupancy by the
City or Saint Paul? e� �S
Z3. Eias your organ�zation riled cedera' �orm 990-T'. � IL answer is yes, piease attacn
a copy wit;� t;,is apoiicat�on. I: answ�er is no , e:colain why:
Any changes desirec �;� t�e a�ol=cazc .'.ssoc�ac�on m�f be �ade on1;r wit?� t;;e conser.t o� the
City Council.
�'V��n r-e� oc.l`�e. ,
Or�az'_za�ion
�ate O�°��'� � � ( By: S-�,2V�° v� ��
'faa �e: in c . rge oi game
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