96-1424 Council File # � �o -- �� o�y
Ordinance #
Green Sheet #` 35432
RESOLUTION
AINT PAUL, MINNESOTA
Presented By
Referred To Comnittees Date
1 RESOLVED: That application, ID #75872, for a new Gambling Manager's License by
2 Gregory J. Lendway DBA Star Swim Club, Inc. at Grand 7 Saloon, 315 7th
3 St. W., be and the same is hereby approved.
4
5 Requested by Department of:
6 Naya Absent
7 Bs �}►
9 � Office of License. Insrections and
10 Environmental Protection
11
12
Boatrom
O �
Adopted by Council: Date - � By' �"'"""""r '°
Adoption Certified by Council Secretary
Form Approved by City Attorney
By= �� / ��
Approved by Mayor: Date
�� By•
G�� 6-� APProved by Mayor for Submission to
By� Council
By:
`� ` "��.��,1
LIEP IL �� �� � �REEN SHEET N_ 3 �4 3 2
8 PMON �DEPARTMEM aRECTOFl�� ❑CITY W�C�� --- . INITIALID,►TE
� CITY ATTORNEY CITY CLERK
William F. Gunther - 266-9132 Nu�un roR ❑❑��ET o�R� ��.a�ar s��v�cES o�.
� ca►'�1 nounpo
Hearin : /� oZ'1 ;,(� °"0ER �M�voA toA nssiar�rm []
TOTAL#F OF SKiNATURE!'+1RQIE8 (CLIP ALL LOCATIONS FOR StCiNATURE}
ACTION RECUEBTED:
Gregory J. Lendway DBA Star Swim Club, Inc. requests Council approval of his application for
a new Gambling Manager's License, ID 4F`75872, at Grand 7 Saloon, 315 7th St. W.
R��`�OV°��f°���R� PERSONAL 8ERVICE CONTRACTS MUST ANSWER THE FOLLOWINQ GUE�TIONS:
_PLANNMq OOMMISSION _CNiL SERNICE COMMI8810N 1. Haa ihis person/frm ever vrorksd undsr a�ntract for thia dsp�rtmsrlt? -
_��E _ YES NO
2. Has tlds psnon/flrtn ever been e city ern�oyss,?
—�� — YES NO
_o�srawr couRr _ s. Does er,�s psrton�nrm poesess a akn�not norinauy pas�ad bv any a,rnsnf c�ty employee�
BuPPORTB wFIKk1 c�uNCil OBJECTrvE1 YES NO
Explain all yN answsr�on Np�rat�sMst�nd athoh to pn�n�t
INIT1ATiN0 PROBI.@M�188UE.OPPARTUNITY(Who.VYlut.When.Whets.WhY).
_ RECEIVE�
OCT 08 �
� ATTORNEY
CtTY
,1DW,M„�3E8 IR„PPRO„E�: ,
W8A�/ANUK�E8 IF APPFiOVED:
Counc� R�s��rch Center
OCT 10 1996
������o:
TOTAL AMOUNT OF TRANSACTION = COST/REVENU@ SUDOETED(CIRCLE ONE) YE8 NO
FUNDIIiO sOURCE ACTIVITY NUMBER
flNANC1AL INFORMATION:(EXPLAIN)
Greensheet # ' 01. L.I.E.P. REVIEW CHECKLIST �ate: / ��-� yaL�
In Tracker? App'n Received / App'n Processed
License I D # 7J��7� License Type: ��d rl e
Company Name: • �P �BA: � e
Business Addresss: � Business Phone: 77a7� Z3c3�
Contact Name/Address: �f Home Phone: �7a� rl��
Date to Council Research: /4�/�g�
Public Hearing Date: `Yl�sir ��1 , �9Qd Labels Ordered: /✓ /�'
Notice Sent to Applicant: District Council #: O 9
Notice Sent to Public: Ward #: a o�-
Department/ Date Inspections Comments
�
City Attorney
�� �a��/q,�
�� � 9�6
Environmental
Health
/ V �
/
Fire
/V �' -
License ��P�an��^��
Lease Received:
/V �
Police eeOt,C�/ C�e¢.� �T"�✓�'-"�
� �� g� �
D�- � �
����-�9.6
Zoning
/Y �
� �GZ,2 � e1L --t �ay
�Re� ��2/92� FOR OFFICE USE ONLY
BASE LIC#
SECl#
Minnesota Lawful Gambling FEE
Gambling Manager Application cH►c
DATE
INIT
:<:;;::>:::.::�;:>::<:::>::::»;:::a:>:<;;»::::>z;::::>:<>:>::>;»>::::>::::>:::<:::::>z;>:<:::»:::<::<:::>::»�»>:<>;:<;:;:;::>,:>;::>�:>::»:<:::::<:::>::>::>:�;z>:<;::>>.:><:<>::>;:<:::>::>::::>::::>:z::;;:<:>:�s:»»::>::>::::::>>::::>:<:::::>>::>:<:;::»::::;<:»>::»>:;::»:::<:
>; ->:;;;<G' O ;����:>:<:::»�<::�� '.
;. .�A. GQ.$101'L .::;;<:;�:.;:.;>:;:<.;;:>;;>;::::::;:;:::..�:.;:.;�.;�.;:;:...::..:;;:;,,;;;;;;;;;;;;;::,:>::.;;;:::::..;;;:.;;;>::.;;:.;:.:.:
::�JP..:..:.f... :;:;::>::<:::::;;:::::<::<:�>::>::::::;:;:::>: .::..:.:.::.::.�::.:.�::::;::.:.:.:::::...:::::::::.::.:;;�.;;::;.;<:.:.:,;;;:;:;>;::.;:::`;.>;:;<;;:.:.:;::.;<:<.;>:
�p.....:....... .:...:.:::,,:,<.:;;;:;;;;:<;.;:.::.::>;,.;.:;;:;.;;;>;: <::.::::.:.,.. ::::::.::;»:::;>:::>::;:::>::>::;;:<;::<:.:<;>::::;::>:«:::;;:::;;>:::;::..<;::�:;�.;;;:.;;:.;;:.;;;;:<.;.;;;::<:>:;;;;;;:;;:.;::<::::.,:;;:
�, New Give date that the two-day gambling manager seminar was compteted.�I l �Z l�I6
�ocation ot training �AGA�v
(��tY)
� Renewal Give date of Vaining received within three years prior to the date of the application for renewal._/ /
Loca6on of training
_ _ _ ,;>::,:;<::»:::::::....(ary):::>,::<. :;,:::: ::>>;»::;::<:>:>;::>:>::::;::<..::>:_
:<.;:,:,.;::.;;;;> _ :
Gamb��ri Mana' �e�r.�'ri orrincatio :: ::<:«<:<::::::::::::>;:>:<:>::><;:<;::;:>:<::«:>::::::::::::::;::::::::>::>::>::<:>;<.;.' _ ::>::>::«<:;:<:>::»
n.. .. .... .........:::>::::;:::::<::<::<:: ,
.... . ........... . .
LAST NAME FIRST NAME MIDDLE NAME MAIDEN Date of Birth Soc.Securiry Number
�.��dwA`� G�E6oQY SosE�H G�c'-oY-S )3-��-3708'
Address State Zip Code Daytime Phone
f 27Z SUt/ET A✓E. /i.�N SS/oS (6iz) ��2- 7,�,�
MEMBERSHIP:Date gambling manager became a member of the organization ,�/�/� Sex: �Male ❑ Female
................................... ............... _ ...._._
r::;,:.:;;;; ,
......, .::::• , ;
Or 'an�`zation>I vrneaf�ton ..;.
__ .. ..
Name of Organization License Number
STA Sw�n.� C�U Q
Address City/State Zip Code Phone
/S36 //Ew� � �� -�lo ST, �AvL SS/o �6�2 > �`1l 'ZZ7�
�<:�..:>:<::;:;:::»::»:::>::::::.:::>:>::::<:>::;::::.:;>:;
:. ; ,
Bond Information ; ' ;:: :
.. ,
--A$10,000 fidelity bond in favar of the organization must be obtained for the gambling manager.
Name of insurance company(do not use agency name)�i►1�JuQETY �i1/l. C.D.�, , Bond Number D/9 oo8y2 J
........................................................................................................ __..........................................._........_........................................................................
........................_...................................................................._ _ _....... . .............................. .................................................. ...._..........._.........
.........................................................................................._............____............ ....................................................................................._..........._..........
;; ; :
Acknotx�t�d ment.> _, ;
I dedare that:
• I have read this application and all information submitted to the board;
• all information is true,accurate and complete;
• all other required information has been fully disdosed;
• I am the only gambling manager of the organization;
• I wili familiarize myself with the la�vs of Minnesota governing lawful gambling and rules of the board and agree,if licensed,to
abide by those laws and rules,induding amendments to them;
• any changes in applicaGon information will be submitted to the board and local unit of government within 10 days of the change;
• An affidavit for gambling manager has been completed and attached,and
• I understand that failure to provide required information or providing false informa6on may result in the denial or revocation of the
license.
Sig ure of Gambling Manage I Date
_ �
Send the completed ap lic ion and all required attachments to:
Gambtfng Control Board
Suite 300 S.
1711 W.County Road B
Roseville,MN 55113
°�5'87�.