87-1729 WMITE - CI V CLERK
PINK - FI ANCE GITY OF SAINT PAITL Council fff���
CANARV - pE ARTMENT . ��J� J��
BLUE -MA oR . File NO. � �
Cou cil R s lution .
, ,
Presen.ted y '
R ferred To Committee:-- Date
0 t of Committee By Date
RE LVED: That Application (I.D.#62478) for a One Day Gambling Permit
(Paddlewheels, Tipboards, and Pulltabs) by Ramsey County Voiture
838 40 � 8 at 1129 Arcade Str et on January 23, 198�, between the
hours 8:00 P.M. and 12:00 Mid ight be and the same is hereby
a�proved.
CO [�iC[LMEN Requested by Department of:
Yeas Nays
Ni osia [n Favor
Re tman
. 1 � By
So en _ Against
b��i sOn �E c _ z 'g87 Form Approved y C' tt ey
Adopted Council: Date
Certified a. ouncil S r ta BY
By �
Approved � avor: Date ' _ � 4' Approved by ayor for Submission to Council
B BY
PUB�.�'�D '�'� � 1 :; 19
,,
. �-�177�5 �o _ 0'728
F' e & Mana. snent Services DEPARTMENT /'
K'C'1S• C���l,�P�'
CONTACT �U
298- 056 { PHONE �_
10, 198.7 `DATE ��`�� e e
ASSIGN N �R FOR ROUTING ORDER C1i All Lac�ati s for Si nature s
� Depa ment Director Director of Management%Mayor
Fina e and Management Services Director � 3 City _Clerk
Budg .Director " 2 C�r�il R,esearch .
� . _,__ - _ .
_1 City ttorney�
WHAT WIL B� ACHI�YED BY TAKING ACTION ON T+FE AT CHED N�ATERIALS? (Purpase/ �
Rationale) :
Siank�., on behalf of the Ra�nsey .Caunty Voiture 838, �0, & 8, are requ�astirx3
a� of their application far a One Day 13ng Pe�nit on Satu�clay, Jat�uary 23,
1988 tween the hours of 8:00 p.nt. aryd 12:00 mi:dnight.
The ger wi�i be R�o�ert King, ar�d the proc will. be used for nurse trai ni r,�,
Boy of America, an�d the Caro Conserva . The 'Voitu�re 838, 40, & 8 is an Hor�r
Soci of the American Legion.
COST BENE IT BUDGETARY AND PERSONNEL IMPACTS A(VT CIPATED:
N/A
FINANCING OURCE AND BUDGET ACTIVITY NUMBER CHARG D OR CREDITED: (Mayor's signa-
ture not re-
Total ou�t, of 'Transaction: N/A quired if under
� �10,000)
Fundi� Source: N/P� '
Activi Number: N/A .
ATTACHMEN list and Number All Attachments :
t ('h�lclist �
Resolu 'an -
. ���la �' a� :
DEPARTMENT REVIEW C�TY ATTORNEY REYIEW
✓Yes o Cnuncil Resolution Required? ' Resolution Required? +►�'"Yes No
Yes o Insurance Required? Insurance Sufficient? Yes No
Yes Insurance Attached:
(SEE •REVERSE SIDE FOR INS RUCTIONS)
Revised 12 4
(���-���� r
� �
DIV SION OF LICENSE ANn PERMIT ADMINISTRATI N DATE /
INT RDF.PARTMF.NTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
App icant Home Address ��
O
Bus ness Name�3���� Home Phone — � �3 -
O(� I�
Bus ness Address � � p�Ct ���(��y� Type of License(s) ,���j . �t�c.
Bus ess Phone _ ���}�� � � �,,QQ�,�o.
. -
Pub "c Hearing Date icense I.D. 4i _�� �-� �
at :00 a.m, in the Council hambers,
3rd loor City Hall and Courthouse State Tax I.D. 4t 1� �/�}
llat Nutice Sen ; �� ealer 4� � I�
to plicant ' �j� D $�
ederal Firearms 4� Y� �
Pub 'c He<�ring
DATE INSPECTION
REVIEW VERFIED (COMPUTER CUMMENTS
Ap roved Not A r ved
B1 g I & D +
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�
He lth Divn. '
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� � � �
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Fi e Dept. � \ � �
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Po ice Dept. �\M I
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Li ense Divn. � �_ ' � �-' `�'�''�
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a_ �l✓ Uw�+-0/�'^'�!�
Ci Attorney �
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I
Date Received:
Site lan '��(k
o Council Research J � ��p y'\
Lea�e or Letter Date
from andlord `(� �
g . � :_:, . _ .. . .. ... . . - - . .� .: -. - . . __. .
�.:.. ` ti
- �'� C��'7��a�
' Mi`nnesota Charitable Gambling Control Board LAWFUL GAMBLING EXEMPTIO
Room N475 Griggs-Midway Building FoR sOaRn usE oN�tr -
- 1821 University Avenue
St. Paui,MN 551043383
������� l612)642-0555
1
, INSTRU IONS: 1. Submit request for exemption at least 30 days prio�to the occasion.
: . 2. When completing form, do not complete haded areas.
3. Give the gold copy to the City or County. Send the remaining copies to the Board. The copies will be
returned with an exemption number adde to the form.When youractivity is concluded;complete the
PLEASE YPE financial information, sign and date the f rm,and return to the Board within 30 days.
Organization ame t.iceneeNunberllrcvrernyapawaeN`mr�eedl
RA?"�E uCUNTY VOITLIBS 338 4� d� S X 6202�=11 � -. .
Addross City,County, tate,Zip Code
- 1229 cads strest st. . Raadsey. Mimtssot�► 55106 � .
Chief Executi e Officer's Name Phone Number M nager's Name Phone Number �
�0 3ianka 772-6t328 _ .obert �. �iug 291-c37?6
Type of Orge zation If ther Nonprofk Organization(Check One1
❑ Frater al (�CVeterans IRS Designation
❑ Religi ❑ Other Nonprofit Organization Incorporated with Secretary of State
Affiliate of Parent Nonprofit Organization
` Name of Pre ses Where Activity Will Occur Oatelsl of Activity
."•►rcade r�^.a].sn �o�t $,�'j �erican Le on Jan. 23, 1988
. Premises Add ss �j� � ti].�z �Q� i.
1�.2� � �de S�. St. Pa.ul, t�izmesota ��1Q6
G es Yes No Gross Receipts V iue of Prizes Expenses Profit
' Bingo � -
Raffies ,}� . b,
� .
..;;;_ __. .. t ,� _ .__ -, ,- � - .
Paddlewh els �
.
Tipboard �
�
Pull-Tabs �
Use of Profit
Distributor Fr Whom Gambling Equipment Acquired Distributor's License No.
I affirm all information submitted to the Board is true, accu- I ffirm all financial information submitted to the Board is
rate, and mplete. � -� t ue, accurate, and complete.
. , ,� �
,r
- , .1 ...� -' i-',�.r` 'e�'i-"�`
Chief Executi Officer Signature j`.�(�i:YAJ..al} Jy�'rK('.! Date � C ef Exacutive Officer Signature I�;I�ALD �l�;(KQ Date
- ACKNOWLEDGMENT OF NOTICE Y LOCAL GOVERNING BODY
I hereby a nowledge receipt of a copy of this application. By ac nowledging receipt, I admit having been served with notice�
that this a plication will be reviewed by the Charitable Gamblin Control Baard and will become effective 30 days from the
- _:.`�'date of re ipi (noted below) by the City or County, unless a res lution of the local goveming body is passed which specifi-
4>�`?�v=�caNy disal ws such activity and a copy of that resolution is rec ived by the Charitable Gambling Control$oard within 30
;,�,�. �days of th below noted date.
: ClTY OR COUNTY TOWNSHIP
Name of�ocal oveming Body(City or Cou�ty) To nship Name(Must be notified when County is the approving body)
��` .' ..i.-�
Signat(ue of P son Receiving�Ap ation� � I� Si ature of Person Receiving Application
, .✓ J�,
+_;�.
i r`�i
- Title • �%;,,;,_, ,,rC,r�%"s;�`t,,.��,Date Raceived Tit Date
�Y;=:, -
�%Cl.°.�'1 --' - G�7("�
� _ CG-00020-01 /86! White—Board anary:—Board returns to Organization to keep
� Pink—Organization old;;ti��or County
�. �..V >,y�ti�
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� r � y.�,T �'� ..,. ]:_JL l/i' O / ��!v/
� . 7:.r�,.�T?.�r.'3T OF :I?���C:. +� tl�;;�G�:�:T JY.��ITCLS �
. 'ifl.S101; aaT �Ci"a�� 'ii i��•�''1Li� i�u�:��SiL`���i*iT
�1r0 ':�TICN �C�I?� '.�tI'_':? �DT��.C�2IGP1 FOR :°'° T i10 �C':DIIC'_" G�•�TT"G SESSIOA' T:? ST. PAUL
?. ':�e o� 0 oarszat�on Raansey County Voit e 838-�0 dc 8
1129 Arcade st.
2. 3d:�-sss �r'r.ere `�arization's re�ular �ss �s a� !�sld St. Paul, Mn. 55106
3. �ay �d tiae� of �eeti.�FS • rd��Wednesds f Month 7:00 P. M.
L... Address Where_ Gamblin� Session wi11 he ?d 1129 Arcade St. St. Paul, Mn. 55106
�. Is aapr.icanti otirner oi propert� where Ca� L� Session wi11 be �elc? Yes XXX �*o
�
. I° leasec, .zno �s owner of aro�ertp :�i-w Ga�b?inF Sessier_ �ai il oe heid'
American Legion Arcade Phalen Post 577
7. Tr �zasaci, at'r.ac� '_etter of per�ssion t cor_duct Gz.�bLr� Session, s=gr:e� by lessor.
�. Vame of oificer �aa�ng applicati.on Dona d Sianko
9. Ac.dress of of�icer mai�.ng a�Lcation 9 E. La.wson St. Paul Date of birt:� 1�22�28
10. ,`lame of mana.ger wco will conduct Camb ' Session Robert E. King
L. :�ddrsss oi zar�s.ger 133 Ca St. St. ul, Mn. 55117 �ate of ��rth 7 5 39
12. In connection �n-lth �,�hat even� is th:s G bling Session beir.g held? Steak Dinner
?3. '+v"nat tppe oi ga.nbLng device(s) ri-i11 be ed? Paddlewr�el � Tipboard XX p�f�e
Pulltabs XX
IL:. :�a�, da.tes and. hours th�,s agolication is 'or and number oz sessions.
�ay(S) Saturday Dates J�• 23, 1 �'r'_ours8s00-I2s�0 P.M.i:o. oi Sessions ONE
i5. �Ji1i pr±zes �e paic �n ;�ane� or �e-s�ch.a.*� 'se? BOTH- Cash and Coimtry Store
16. Is t."_° 3DD�.Ycant, association orK 2�.ze� d�r y�he i asas oi �he State oi :�:ir�esoia? YFS
�7. �ow long �as Cr�a.nization. been i��. e.-�ste ce? 19?9--8Yrs.
1�. ;r'r:at is �he pvr�ose oi �.':e Or�anization? Nurses Training
19. �fyyC��J oi ��e Orga,r.izatiion.
'iame-Title 4ddr�ss �ate oi..air�h
,
Donald S ianko Chef de Gare 0 E. Lawson S t. Paul Mn. 106 :'< 1/22/28`� '
. ! �
. � ;� ,
Gilbert Fernandz Chef de Train. 1 80 N. Aaate St. Paul. Mn. 55117� �'.`'1�29�22
� ,, ��, .
Don Heininggr Commissaire Atend E St. Paul Mn. Y'Ol% 1•,�21/19"
c ;
Ray Saunders Correspondent 129 E. Case St. Paul, l�. 5511? 4/2$�38
- . . ��7 r�a�'�
• ZQ. . �ve :zu:es oi oi=?cers or a�r ot:�er aerso paid _or se�ces :o �he Qr_��za�ior..
'3ame-Title address �ate o*" ���tr
NONE
. -
21. wiose c•:s.tod;. -ai11 �cords of Qrgazi.za ion's Gamb1?u*� Sess�ons te �epi'.
: e Robert E. Kin� � ss: i33 CayuAa St. St. Pa.ul, Mn..
22. . tac� a ccpy� oi lour. Organization's me�b rs'r.::.p roster and date each ;�ember joi.ne�?.
23. ��ach �..e GaabL^.Q Sessior i•anarer's bon .
2L. . t�ac!� a copy oi �he Depa.*�*,..��ent oi t..e T; asu,�-y, Intern2? :?evenue �ervi.ce "Retur^ oi
ga.nizaticn ;�ec�ti rrom Incocae '"ax", ?o . 9Q0. (Chapter L1Q.�L (1).)
Z�j. t3C:: 2. CC'J`J Of �2�2.�"'L:S2IIL OS the i':°2S ,, � TII�z2':12.1 .'_evenue �2S`'�,T1C°� �T='.:iE/:!IDL (�'F2.I1-
' ation �11S3.II@S5 !ncome ?'2X��� .'"OI'iA `3ofli. �C[13'CLB:' LZQ.�i�:. �G�. I'fi/,d �'���ls���`3
26. :t�ach �"e �ua? re�or� �ecu:.�d of c."_ tahle organizat�ons bv �'i�*�esota :,tatutes,
c��en 3C9.�3. (Chapter �.19.01� (3). )
27. . ve �ou read az:d do �ou �horou�hl� under �ar.d the �rov=s�ons o� a1I 1a*as, ordir_a.*�c=s
d -e�ula�ions govern:n¢ the operation o Gamblin.g Sessions? yeg�;
28'.:� cn�es des__ed by �he anpl_cant,asso �.ation may �e mace or.lf r.�rith ihe conseni o;
le I�icer_se Caum�ittee.
� .
29. ar.� person(s ) �art�ci�ziir� _n �he op rat�on oi �n� oi .�e Ear:bl.�r� s2ssior.s cov-
sd by cr.is Lc�nse ever been conc;c�ed i a ielo� i.z tt-e Stata of jiir.nesoLa or =n
. otiher Statie or _iederal Cou:t? ?es No XX T� �r_s�rer is ";�es", �roviae
es, add��esses and birth-da.tes.
R e Covnt Voiture 8 8 40 et 8
�Or anization
. ,
. ��
(Of i r T�tle Donald S ian Chef De Gare
� v t
��' ?�?Z� LTl C-�r��'cg Qt' (�8I.1i'J,� v�SJ1OA1%
Sta�.e i :ii.�r�sata; Robert E. King
jSJ
C ount i ?aras ey ) ' �
� ' �
' and
ceing �u1y sworn sa� �.'�at tr�e� a:,e �:�e �et�t�o_ ers in �he above a��.lica�c; ; r,:�at �::e�r zave
Z'°c'Lj ` 2, iOT'',9g0.'�T.F :e�s.�lOII dZ:C�i t�lOW �.�'1@ COA� �S t"ereoi; �hati y�.�"iE sam _s `�ae Of �:��=Z'
OSIIl' T N!.°.�?°,i
StI.�',SC. �F�2:'� :11C.' SW02'^ .'JO 022'O2'° ^1@ t.iiS
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3ui1 ���epar::^_e��:-`--rloproved: . 'Disa�rvv d by � " -. _
F�re � �art;�ent .�DD:oved �i.sa���v d �p
°oi�ce �epartner.L -Dproved-7isa�r�v2 �-oy
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ID#: [488 DATE REC: [11/18/87� AGENDA DATE: [00/00/00] ITEM #: [ ]
SIIEt.�CT: [1- AY 6AMBL I N6 PERMI T -RAMSEY CLIUNTY VOI T 6:38 4U & t�-11�'9 ARCADE]
STAFF ASSIGN D: [NONE ] SIG:[NICOSIA ] 0 T-[X] TO CLERK-f98f�66t6Q] y ,/9
(
ORIGINATOR:[ ICENSE DIV. ] CONTACT: SCHWEINLER - 5056 ]
ACTION:[ ]
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C.F.# [ ] ORD.# [ ] FILE COMPLETE="X" [ ]
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FILE INFO: [ SOLUTION/CHECKLIST/APPLICATION :] �
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