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96-1521 �� ��` � �'' ! � I �'; � Council File # - �S ot � �� E �� C ��- � � m _ , , %..,, Ordinance #` Green Sheet#` 35407 RESOLUTION CITY OF SAINT PAUL, MINNESOTA � Presented By Referred To Committees Date 1 RESOLVED: That application, ID #B-05083, for a new State Class B Gambling Premise 2 Permit by Twin Cities Autism Society at Cab's Pub, 992 Arcade Street, 3 be and the same is hereby approved. 4 5 Requested by Department of: 6 Yeas Nays Absent 7 B a ev � 9 Narr�;n � r Office of License, Inapectiona and 10 Me a ✓ Environmental Protection 11 Re tman � 12 —T�iune � Bostrom r Adopted by Council: Dat -� By° � ��r � Adoption ertified b C c l Secretary Form Approved by City Attorney :� sy: c�"� i By: - Approved by May r: Date � �� �� Approved by Mayor for Submission to BY; ��( � Council By: ** NEED COPY IrIl�'EDIATELY ** q (o - IS o�.1 �N� � CREEN SHEE�' N_ 35407 LIEP __._. • �o��►m�eNr oiRECrop��� �cm couNCi� �"mwa►� - 266-9132 "�0N �cm�ra+r�v �CITYC�ERK MU Il ( ��� �BUDOET WREC7�OR �FlN.8 Mt�T.8ERYICEB DNi. . !�, �l � �►�u►va+�on�sra�rn ❑ TOTAL#f OF SKiNATURE PAOE8 (CUP ALL tACATIONB FOR 8KiNATURE� ACTION iIEGUE8TED: Mary Alice Powell on behalf of Twin Cities Autism Society requests Council approval of their application for a new State Cl�ass B Gambling Premise Permit at Cab's Pub, 992 Arcade Street. (ID #B-05Q83) RECOMMB�OWS:Appiow(A)a Ry�ot(R) p�pSONAL 8EWVICE CONTRACTS MUST ANSWER THE POLLOWINO�UEBTIWis: _PIANNMq COAAAM8810N _CIVM.8ERVICE COMMI68�N 1. Ha18 ihl=psrsoNfirm evsr worited undsr a t�11tf8Ct tor tlds depeuhltsnt? - _CIS WMMIiTEE _ YES "NO 2. Has th�psrsoMlirm ever bean.dry amployee,? —�� — YES NO —�T�RT — 3. Does tMa peraoNfirm poss�s a akill not normaqY Po�sed bY�Y�+��Y�P�Ye�� 8UPP�iTS NMICM C�OBJECTIVE9 YES NO Expl�in a11 yq answsrs on s�pKat�sM�t and�thch to�a�n sta�t INITIATIPIO PROBI.E1A.188UE.OPPORTUNITY(VYho.W1wb Whsn�Wh�ro.WhY); RECEIV�� �ov oz � CITY ATTORNEY ADVANTIKiE81F APPAOVED: DISADVANTAQE8IF APPRdVED: D18ADVANTAOES IF NOr APPROVED: TOTAL AMOUNT OF TRANSACTION = COST/REVENUE BUDOETED(GRCt.E ONE) YES NO FUNDIWG�OURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPlA1N) . Greensheet # 35407 L.I.E.P. REVIEW CHECKLIST �ate: / � � '� Sa � In Tracket'? b App'n Received / App'n Processed Ucense ID # B-05083 License Type: State Class B Gambling Premise Permit Company Name: Twin Cities Autism Society pgq: Twin Cities Autism Society Business Addresss: 992 Arcade St. (Cab's Pub) Business Phone: 641-0709 Contact Name/Address: Mary Alice Powell/CEO Home Phone: 641-0709 970 nd Ave. 101 5511 Date to Council Research: T�9� Public Hearing Date: Q�. 11 � 1494 Labels Ordered: N/A Notice Sent to Applicant: District Council #: OS Notice Sent to Public: N/A Ward #: 06 Department/ Date Inspections Comments , City Attorney SE'rI� � �i� ��Q/��'!e l�oL� / � D� /�-/3 9� � � Environmental Heaith N�� Fire N�f� License s��������� Lease Received: �j � Police Q�C:-P1�"� d ���C,l� �-�'�C I1e L! o� ����1g� Zoning �v �� '_ � , � (� --\s � � � FOR BOAFD USE ONLY LG214 FASE � ;,�zss>> PP � FEE . Minnesata Lawfui GcimbIirtg CHECK � Premises Permit Application - Part 1 of 2 D�LS . ...............:..:.:.,.:::................. ::>:�:;:<:'::':':`"=:>:�:�>:<>:::;:>::>;»>:;«_>:;:<.::::;::<;::>:::';:>:>;<>�::�::::;<:>:<::;:>:`�»:<::::>`::>:;''.<::::>:<- ; .........:.. ........:::.:��::.:..;�:.:��. :.:......... :.�.;�:::::::;:.<:.;:..;..:::...:..�.::, :; :. :,:::::::...::...:::...::...:.::..:....:.::...:.::::... :..:::.:�..... ..........:�::.;.:.::.:;;:� .. ...;:,,.._,.::......... ...... ............:;::::.:::.:::..�::::.;;:..::.::::.. .�::::.::::::�:::.....:::::.:::�..r > ........ ... .............. .......................... ,,,.:.:::�..:.. . __ .,:�..::. �.....: .::,,::<•:;;:::��::;;;;>;::<:::i•;+....::.::::::.::.�::•.:::>:;�•:;:;<>::;�i:;>.:�:�:::::t�:;�:;><::r:'<;�s:�;:c::si:�:....s.. ^ :•`.1S i[Ct:'.{::T::::�[:c%::::{:f.:[;::`;'�ii:`-ii�:4':i::`:;':;`.i)]t�;i_$tJ?:::f�i:;[[:%::{[[F`;Lit;;;tt;t;i:<;c;�t�'I UQ e o Ti no �:::::�:::::::>�::::::::::>.:.;.::.:;.::::::::���..:;::.�::.::.:.:.:..::.:. :�-:::::::::<:»:::::;; . ....:. ..::..........::.:..:..;.:.:.::::.;::;:.::... n:.:::>:.>......:....:::.::::>::::.:.::<,.:::::.::::..:.:::<::;:::::::. �P.... .f�PP �:.>: ;. � Cfass of premises pertnit RenewaJ (check one) Orc,anization base I'icense number � A(Sd00) Puil-tabs,tipbcar's,paddlewheels,rf`fees,bingo Premises permit number (� B(5250) Pull-tabs,tipbcards,padc"ewheels,affles � New ❑ C(5200) Bingo only ❑ D(5150) Raffies ony ..<:<.,:.;::,.::�:.:;: :>:�;:::�:'.`:;:.":':`>;:::<::::::.`,_,,:,�;��;; >:CZ::: .......... :.>::.:;.::,.�::,:.,.�: ::::::::.�:,:::•:.,:....,.::::::::::x,:- .:.:.>:::;:: ....:.:.�:: : ;; ...:.�..:::.r:;::»:::::>::::;: :::::.:.r: ::-. ......�:::::..:. :,.... . .....::.�, . . ...........:::��:: ..... :...... _ . . ...:..;r�>�:�::<��>:��.;•:::;:�.�:::>�:::i;::�:;::::::::;:::::::; (�,,�,/'� �tt�r� ��c,,, �T� :::�.:.�::.:::.:::t'�•r'�:....:��':'�::;�:..:.;:i`:::::i�:,:%';<ti`;;'y'; LJf ��.K�V1i�.� Q��t1LiQ�ii:':=c'`;:';'ii�;`r<3�:�i:.`•`.`i[:;�: ,� _ ;;:r:«::.:::�;:::::;:::::o::;:>: ,......7 ::..::,.::.: ::... ..... � ....::..,... . .... ........ .. . .... .. . _. __._. Nare of Cryan�aDon /W!n �i�'iCs f�µt76�'+'1 �OC(�� B::siness Acidress o(Organization-Street or P.O Box( o not use�z acdress of your gambiing managerj R 7 a ,�,c� �„o� oL ,4-v 2. S�.�:�c /�/ C�ty Sate Zip C.ode Gounty � Daytime phone number s� Q.w.e ,�,�✓ S S!/� /�.���-�-, I c�y) E�7-/D�-� Name of a�ief executive otficer(cann t be your gambling manager) Ti�e Day�ne phor,e number �a,�.� /-�l�'�� �o��!l �xecw./�'v� (�.'�'e�fc.-- K<�-) Gf�7- /ag'3 Bingo Occasions If apply-ing for a class A or C permit, fill in days and beginnina & ending hours of bingo occasions: :�o more t��an seven bingo occasions may be cbnducted by your or�anization per week. Day 5cglrs.:ng/Ending Hours Day Be�.rs.ing/Endtng Hours Day Bcginning/Ending Hours to to to tp LO to tA If bingo will not be conductcd,chock here � ... ::. . . .. Gamblin.g Preiiiises.Inforination. . ..:. ' : . :,: ......:. .... .:. . .. .. .... . ...:. ... : .,. ..,:..... Name of esablishment where gamb�ing will be conducied Street Address(do not use a post office box number) ��-gs �u.B Is the premises Iocated witt�in city limits? �Yes C� No It no,is township U organized � unorcanized � unincorporated Ci,y and Counry where gambling premises is located OR Township and County where gambiing premises is located if outside o(city Gmits �t. P� �aMsey � Name and address ot legal owner o(premises City State Zp Code �.••� Sfs-(--ti ll�lcts.'c �ov� /Y�/ Q/LcL�t /2d �ztc�sov� W�' S�D�L Ooes your organization own the build,ng where e gambling wili be conducted? Q YES � NO If no,attach the folbwin9: • a copy ot the{ease(form LG202)witt�terms for at least one year. • • a copy o(a sketch ot the Aoor pian witt��mensions,showing what portion is being leased. A lease and slcetch are not required Ior Ctass D appficaDOns. . . :. :. : ... :� ;: : .. Address of stora.ge space of gambling equipment = Do not use a PO boz number ' Address ' City State Zp code �7° �..�m-t� tt'^t • S f��-�^--� �t�Y S S//� ,- . Minnesota Lau�ful Gambling � � -� S� ' Premise Pernut Application - Part 2 of 2 ... ,..... : ::: ; ,:.. ;:.;::::>� :.�.: GumbZinq Bank:Account 7nformcztiorz . Eank Name Bank Acraunt Number � • ;� / s�� � �� - 3 ys� � nk A ress ��y �� P C� /a�-o /�'� S� 5 f- �R..,F �� �S" � ( 7 .. .:::...::.:.....:: ....:..,. . ..... , :,.:,.:,...f:.:.�,:.:,.:_.,:.......:.....,:.. :.... ::.:.......:: .:... ....:.:::...:.... ....:.::::..:...�::.�.::..::.::.::::.::..::::::::.:�.: :;::;::::>:::;::»:<:::>;:;.N..?!iiq:�ai,?dress,_ar,tf�i's af at�,zed�i :.. ... ... . ... ............ .........:..::......:.:.:...:.:.....::::: ........�s...................: ...... .:.:..........:.... ..... . .: �ts and►nd�dra►s�ts�;;::>:::<>:::>:«;:<:;:<��»;:::<::'>:::.<.:»:.;_: ....:_:._:. ::,.,,,.:........,..:.............:......;.. .....::.::.. ...�:::.:...,....:-...:.........:......... .. �.............:..:..,::......�.::::��.:::::.�:::::::.:::::::.:::s�.::::::::::::::::.:::::......:,.:... ....... ............. .:.....,: ,,:.,:.::..:::,.::,,.:,..,,...;..:...: .:.... , .. :..... .:.::,..::... :.::, .,,:: . .:..�.::<.�:>;: a�au caar - aas:bsas ao "� tha Ltr :...:.:::::.....:::.::.... rx,re e�rr6 fru�ds:«:;>:.:::::;::;::;:;::;::s::::`:::>:>:;::::»:i<:i>:::::«::::z»>;�:::>r:>:<;'::::>::>:;;;::>::::>_ :;;.:::.::.::�:::.:.....:::::::::�;<;:: •:�:::<::;;�:>: �71ay ¢ ............................ Name ss ��e Lt�i�'tsrt /L . S�G+ wa�'"I'j (o� 7G,, �✓e/'�r. le !/CilC.t� // - 0 � C--,a.>r5/i.� c� �a.,,4�,✓ �%'o..s� L'V;_,;.�/ �3$� Jan sa. (�✓�. S<.cr�✓��t.c� NjN� �Xec�r�'i� ��/erc..��✓' _`/6"h- /�-e-E-� ��� �-- � �n S o vl t1"v�• 5 f. / �� ��✓ MC iri.S�C.r� .:;:i�::5tfi;:.:�:::!``2'i':::�;:::::':'-?'':'•:;';�:'�':i'�:�:�::���::�����i:f::';:?;;:%:;;?;:�.;::._;�;;�:�:"�'�::2':'•:'�:``:=�:�i:��:�:::�:�:2�::'�:�'::�:�i:;;:::`::::f?:':`;:;:;::::::;_::;�':;��::2�?:':�":�::'':.';;::>: :��..��:>;. -..:��:::� •.�•:.:.:.�:::.:::...::::..:�::...�:a �- :::: � :�:.:::;•:;�:;::.:�.:�:.::,..-:.:_::::::>:;;;:�..;';;.:t�::=`•:?:';:':::;2�: ............... ......�:.:..... ckno.wl ;�-�ezriei�t>::>�::'»>>�::�>:=>::>::>;�:::`=>:�:`-�:�:�:';;:;:.....:.. ::�,::::.�.�::. :<:.. : .::.;.:::::._:.,.::.;�.:......... ... .... .............._..............::..:�:>:::::.: ::::::::::::: .:::::.:::::..... .::;::.::.<:; ........ ::.;::::;. .::.:�:::.:.::.:...::...::<.;-.:;.:>;.:.;:.;;:::.....�::. ......:::>:;�........::::.::.... .............................:..::;:<,;:.,:.:.:;: ..... ..............:::.:::....:..::::. ...... .......:.::.. ... . .:: .:.......:.:,:.:r<.�::...>:;�.....n ......:.... .:::::.::.::.;:_:.,.:::.,,.::..:�::::..:::::::.::>..;:.<.;:.;:.::::::.;:;:;:;;;::>:;::;;«::<:>..::<;::>.:::>::::;>:><::>:>><:««::>::>�::>:<>::::>::>«:>:;:>::,:::::::>;:::: Gambling S te Authorizatioa •1 am the chief executive o�csr of the organ¢ation; 1 hereby consent that bcal law enforcemerrt officers,the •I assume full responsibility for the fair and lawful opera- board or agents of the board, or the commissioner of tion of ail adivitias to be mnduded; revenue or pubfic safery, or agen,s of;he commissioners, .�wiil familiarize myself with the laws of Minresota may enler the premises to eniorca the law. governing lawful gambling and rules oi the bcard and Bank Records Znformation agree, 'rf licensed,to abide by those laws and fules, The board is authorized to ins�ed tha �ar.k rec�rds of the inciuding amendments to them; g�mbling account whenever rece�say to fu�rll •any changes in application intormation wili be subm��sd requi:ements of current gambling r�ies and law. to the board and bcal unit of government within 10 days Oath _ of the change;and i declare that: •1 unders:and that failure to provide required information •i have raad this application and ali infcrma:ion submitted or provi�ing false or misfeading information may result in te ire bcard is Vue, accurate and qm,�ete; the denial or revocation ol the license. •a�l other required information has been fulfy dsclosed; Signature of chiei executive ouicer Date � �Z n • . :; ...: ..::;::::::�>::::. :. . . LocaI vernmerzt Acknowledgemertt.:� ;,�.: t. The cRy'must sign this applicatien if the gambling prem- 4' ��Y of the local unit of QovernmenYs resolution ao- � ises is bcated within city limits. Dr4ving this a�olication must be attached to tnis a�olication 2. The county "AND township••mus; sign this appl'�cation 'rf 5. H this appficafion is denied by the bcal unit of government, ihe gzmbiing premises is bcated wrthin a township. it should not be submitted to the Gambling Control Board. 3. The local unit government (c;ty or coun.y) must pass a Township: By signature below,the township acknowledges resolut�on spec�i�cally approving or denying this appl'�cation, that the organization is applying for a premises permit within township limits. Cit ' o� Count " Townsht " City or Counry Name � Township Name t`' lGC . l G S� natur f per receivin pplicaoon Signature of person receiving appiication � Tide G'!c y�� ,d/,' �t�l � Date Received Titfe Date Received % I /' � f1 �� . � �. //-� 7 Refer ta the instrudions for required aGac'vnen�s. � 1�iaif io: Garrtbflnfl Controi 6oafd ; Rosewood plaza South,3rd F1oot � • 1711 W.County Road 8 � Rosevtlle,I.IN 5511� LG214(Part 2) . . �R.v7r19'v�1