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87-1691 WHITE - CITV CLERK PINK - FINANCE G I TY O F SA I T PA LT L Council //// �aJ CANARY - DEPARTMENT Q��/y/ � BLUE - MAVOR. Flle NO. � <<�� � C ncil olut ' n Presented By ... Referred To Committee: Date Out of Committee By Date RESOLVED: That Application (I.D.#16161) or a Gambling Location License (Class A) applied for by Sonn 's Bar Inc. DBA Louie's Bar at 883 Payne Avenue be and the s e is hereby approved. COUNCILME[�1 Requested by Department of: Yeas� Nays Nicosia ln Favor Retttnan b Scheibel Against BY Sonnen Weida W].130ri �Qy � C� 198� Form Approv b ty At ey Adopted by Council: Date Certified Passe o ncil Secretary BY gy. A►ppro y Mavor: D �. N�V 2 � �V7 Approved by ayor or Submission to Council By P'��aF,�s .� � � ��r��'f`!�-Q� - • �� � �I.° 411331 � ' � ~YY�r,rr�...� �u • DEPARTPIENT , - - - - - 't�.ri,5 �.Q.-�— CONTAGT NAML a.�i S�- .5 U�� PHONE � t U I 21,� � �c� DATE ASSIGN N[JMBER P'OR ROUTZNC ORDER: (See reverse ide.) _ Department Director _ 1�Iapor (or Assistant) _ Finance and ldariagem�nt Services Director � Citp� Cl.erk Budget Director � f Q,c .,...,,-.�0_��-,c..2, � City Attorneq _ TOTAL NUMBER OF SIGNATURE PAGES: (Clip al locations for signature.) , 0 4 (Purpose/Rationale) �� l G�► u.�- r�.�.�v w�Q- ��e-- �. t�I�w V� ��1� • 1.,,� �.5�.� � � .��1�;�. �o� �.�..� C-o l -��.� � �� - � o _ �� � . COS B N F B DG AND P C D: Y l� NG AN G V B R C D D: (Mayor's signature not required if under $10,0 0.) Total Amouat of Trans�ction: i/l I i� Activity Number: �f� Funding Source: yl' �- � ATTACHMENTS: (List and number all attachment .) -� , • �P���`�``�' \ . ��— �S� ADMINISTRATIVE PROCEDURES � ((� _Yes _No Rules, Regulations, Procedu es, or Budget A�endment required? _Yes _No If yes, are they or timetab e attached? DEPAR,TMENT REVIEW CITY ATTORNEY REVIEW , �Yes No Council resolution required7 Resolution required? ,-vf["es _No _Yes �a Insurance required? Insura�ce aufficient� �Yes _No Yes No Insurance attached? . . � � ��"i�(�i DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE 1C�`(c� / 1 p� 4co f�!7 INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant ' H me Address �r�� �-. � � � i � Rusiness Name �,�j�i_,�;d ��. H me Phone ��(_p_ �p�{�� Business Address � �3���,y..�J � T pe of License(s) ��.� ��CC�IL,-� Business Phone ��_ 3��"l (�;L��,.,�-, Public Hearing Da icense I.D. 4F �����1 at 9:00 a.m., in the Council hambers, 3rd floor City Hall and Courthouse tate Tax I.D. �� llate Notice Sent;f� ��C/���� ealer 4� �l� to Applicant /- �� �� —T ederal Firearms 4� �y�,�q Public Hearing DATE INSPECTION REVIEW VERFIED (COMPUTE ) CONIMENTS A roved Not A oved � Bldg I & D � Health Divn. ' I � i Fire Dept. i � I � � Police Dept. I License Divn. � � City Attorney � 1 Date Received: Site Plan To Council Research t O � 2g � $"� Lease or Letter Date from Landlord � r�� � G 1 ( �3� . . .. �-'`� -^ � ��r��q� ''��plication No. Date Receiv d gy . ,•. � CITY OF SAINT P UL, MINNESOTA ' CHARITABLE GAMB ING LOCATION Directions: This form must be filled out with a typewriter or by printing in ink by the sole owner, by each partner, by e ch person who has interest in excess of 5Z in the corporation and/or asso iation in which the name of the license � will be issued. THIS APPLICATION IS SUBJEC TO REVIEW BY THE PUBLIC c 1. Application for (name of license) �.' � � ��'. 2. Located at (address) i� � ,_ f; � }� � 'r��- -- 3. Name_ under which business is onerated � ( r=S ^ r` 4. True Name C5 tJ l S Q Y I "Q Phone r��L --f� 'cT� , (First) (Middle) (Maiden) (Last) ���,. J�q� 5. Date of Birth .7 �' �. � �� lace of Birth ��j� ��}►�j �., ,/(/�,I�'IU - (Month, Day, Year) 6. Home Address � � ., ��i C �y VZ,� Home Phone �'",} (� ^- /��°��' 7. Have you ever been convicted of any gamb ing violations? �� � 8. List licenses which you currently hold a this location. �, � �'a�� �� C��(�� � � `..` t U Q `� '�v� 9. SUBMIT A SITE PLAN WHERE THE GAMBLING BO TH WILL BE LOCATED ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIA SUBMITTED WILL RESULT IN DENZAL OF THIS APPLICATION. I hereby state under oath that I have answere aIi of the aoove questions, and that the information contained therein is true and cor ect 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 t is license, from any person by way of Ioan, gift, contribution or otherwise, other than lready 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 App ica t) a °�i �� �-' _ . � 9. � � �.. ��snrua�m —�� NOTARY PU Notary Public, -iiearaE-}► County, Minnesota �: ppKpiq�1V7Y �G...IC.c��'"� tr I�Y OOlu6�t.�J�W.�. 1W2 My Commission expires , o � c�a .. �'°.. . �"���4i f . , � . �. I understand and will uphold the ordinance nding Chapter 409 of the St. Paul Legislative Code (Intoxicating Liqu ) . I further understand that failure to comply ay result in the suspension or revocation of my On Sale Liquor and corre ponding licenses. � r_ � �- � Signature �� ' � � Establishment �S1� �O v � c �3 ' �' � � /� Date Return to: License F, Permit Division Room 203, City Hall St. Paul, MN 55102 Attention: Kris 3/86 ,� . a � ��l l�4/ -------------------------------- AGENDA ITEMS ------------------------------- ----------------- ------------------------------- ID#: [411 ] DATE REC: [10/29/87] AGENDA DATE: [00/00/00] ITEM #: [ ] SUBJECT: [GAMBLING LOCATION LICENSE - LOUIE'S AR - 883 PAYNE ] STAFF ASSIGNED: [NONE ] SIG:[RETTMA ] OUT-[X] TO CLERK E80�07Q0] io�z 9 ORIGINATOR:[LICENSE DIV. ] CO TACT:[SCHWEINLER - 5056 ] ACTION:[ ] C ] C.F.# [ ] ORD.# [ ] FILE COMPLETE="X" [ ] � � � � � � � � � � � � FILE INFO: [RESOLUTION/CHECKLIST/APPLICATION ] [ ] [ ] --------------------------------------------- -------------------------------- --------------------------------------------- --------------------------------