96-1123 Council File # • � �
0 R I G l N A L Ordinance #
Green Sheet ,� 35237
RESOLUTION
CITY F SAINT A L, MINNESOTA 37
,
Presented By
Referred To Committee: Date
1 RESOLVED: That application, ID #B-04067, for a new State Class B Gambling Premise
2 Permit by Minnesota Licensed Beverage Assoc./Children's Fund at
3 Parrish's, 2176 7th Street West, be and the same is hereby approved.
4
5 Requeated by Department of:
6 � Nays Absent
7 B a ey
9 ��Gu�erin � Office of License, Inspections and
10 � Environmental Protection
11 e �
12
Bostrom
Adopted by Council: Date ����\��qqL By° ��^"^""""^ �¢k��•�•
Adoption Certified by Council Secretary
Form Approved by City Attorney
By: •, By� '�/
Approved by Mayor: Date �G
� � � Approved by Mayor for Submission to
By: Council
By:
** I DIATELY ** - � � � '��
�. �►��N�rA o �REEN SHEET _N_ 3 5 2 3 7
8 �DEPARTMENT DIRECfOR mwa�re Q cm courica �m�ua►�
1 Gunther - 266-9132 "�0N ❑cros�r�v �cmrc�nic
U IL (a► p�� �9UD(iE1'DIRECTOR �FIN.6 AA(iT.SERViCEH DIR.
ORDER �ypp(pq qgg�g��
in : /� 9 ❑ ❑
TOTAL#t OF SKiNANRE PAOE8 (CLIP ALL LOCATIONS FOR SI�NATURE)
ACTION REGUESTED:
Keith Poppenhagen on behalf of Minnesota Licensed.Beverage Assoc./Children's Fund requests
Council approval of their application for a new gtate Class B Gambling Premise Permit at
Parrish's, 2176 W. 7th Street. (ID �B-04067)
RECOw11�AEN0A'nONB:Appiow(A)a Ry�ct(R) PER80NAL SERVICE CONTRACTS MUBT ANSWER THE FOLLOWINti dUEBTIONS:
_PuWNNrO 00Mbt18Si0N _.GYI�BERViCE OOA�AISSiON 1. Has this pasonlfirm wer worked under a contr�ct for this deparhnsnt? -
_���E _ YES NO
2. Hae ihia persaUlimt ave►bsen e city smployee?
—�� — YES NO
_DIBTRICT COURT _ 3. Doss dtis psreon/Hrt11 pas3ses e sklll not normetlY poes�s�d bY�Y a��Y e��Pb'Y�?
SUppOR'TS WNICH c�uNCIL OBJECTIVE4 YES NO
Ezplaln eil yq an�w�n on�at�tM�t and�tt�oh to qn�n�M�t
wm�a Pao�.issue.o�oaruNm lw�w.v�,a.wnen.wn«.,wnrt:
�ES���ovEO:
018ADVANTAtiEB IF MPF�NED:
DIBADVANTAQEB IF NOT APPROVED:
� � �
JUL 31 1996 f
TOTAL AMOUNT OF TRANBACTION = COST/REVENUE BUD�iETED(CIRCLE ONE) YES NO
fUNDIN�aOURCE ACTIVITY NUMBER
FINANCIAL INFORMATIdJ:(EXPLAIN)
Greensheet #3.�0?.�'� L.I.E.P. REVIEW CHECKLIST �ate: J � �''��°��
In Trackel? App'n Received / App'n Processed
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License ID # - ��Od 7 License Type: � � �
Company Name: ! Q� L� �G• DBA• /C�P��7S'� -S`�
Business Addresss: ` � n Business Phone: — 3 �� �
Contact Name/Address: Xet� e � Home Phone: �X� �9�
Date to Council Research: � ���0�
�
Public Hearing Date: .$q`�' �� � j�� Labels Ordered: /I��}�'
Notice Sent to Applicant: District Council #: �
Notice Sent to Public: Ward #: � �
Department/ Date Inspections Comments
,
City Attorney
���.�'�9,� 7��a-`�&
Environmental
Health
N/ �
Fire
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License Site Plan Recetved:
Lease Received:
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Police O�
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Zoning
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FOR BOARD USE ONLY
LG214
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Minnesota Lauj�'ui Gambii�y CHECK
�� . Preaaises Permit App2�cation - Part 1 of r �NITIALS
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:^��".�aPP2Y�B for a class.A or C permi�811 in days.aad begiaair�g& endsng hours of biago ocxasions:
,. �R��' No maa�e than sevea btago oecasl�ons may be conducted by your e�a +�atfon pet week.
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' a copy of the iease(torm LQ20�with terrtu for at kast one year.
• a oopy of a sketch of the Aoor plan with dimenaona.shovrinp what por6on is Dein�leased
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� � Au o oa •I am tha chiaf axacutiva oHicer of tFw oryanization;
�'�` I haroby cor�M thai bq!law anloroameM offloers,the •1 assuma fuD responsibitity for tha fair and Iawful opara-
board o�a�arus of tha board�or tha oommissionQr ot
..ravanua or public safa .or tion ot all aetivRies te ba cenductad;
ty a�aMs of ttw commissionars; •1 wiU tamiliariza mysaK with the laws oi Minnesota
may anta�tha pramisos to allonce tha taw. govarning lawfui pambling and rulas of tha board and
Y^-Baak Records TaformatiOn agraa�d lic:ansad.to abido by thaso taws and rutes,
� Tha board is authotlzad to lnspacx tha bank rocords of ttw includin�amandmants to them;
'.�•'gamblin�a000unt whanavar nac�asary so fuHiA .�y�����I�n information wiU ba submktod
:.-, roquiramants of curtar�t pambW�p rutos and law. to tha boaud and bcal unrt ot govommaM withhin 10 days
�: v;:- Oath , ot tha ch
�� �� anpa�and
- •".'i dodaro tha�t:
•1 undarstand that failuro to provida roquirad Iniorrt�ation
. •i hava road thls applicaiJon and ali lnformatan submittad �providing falso or mislaading information may resuli in
�' to tho board is trua�aocurata and aomplate; tha denial or rovocation of tha license.
�`'�aq othar roquvad iniorma�on has baan fuly disdosad;
� Si�natuta f chiof axacutivo officor �ate
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'� 1., Tha c�ty•must si�n this appticatan If tha pambGnp pram- 4. A ceev of tha lecal unit of o�vemment'a re�l��n ao-
�_�•� • nrevin,_a th_eeolicatien m��st be sttached to th� aeeli,ea�
y:�..tsas ia bc�tad withhin dty limite. 5. If this apptication is danlod by tha bcal un�of pwrammont�
,. '�....2. Tha oounty"AND townsh(p"muat sipn this applica�on� a should not ba wbmittod to tfw Gamblinp Control Board.
�` tha Qambl�rp pramf�as is bcatad wkhin a township.
,;.3,,�Tha bcal unk Sovammartit(dty or aouMy)must pass a Township: By aignatura balow.tha township adcr�cwbd�as
_ �asolutbn sP�+��Y ePPro�����Y�O��pPUca�on.
-�.�: .t. •. . that tha o�anization is applying for a pramisos parmit within
: township limits.
_,_
Cit or Count Townshi •• ,�--
�Y a��Y� � Township Name
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� �� � � spnatura or person reoeivinp+�paication
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� :'r L Data Fiecei Title ( Oate Received
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�' Reter b tAe k►structions fa t�aq�ired attadrnents. . .
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. ; 'I�A�ail to• Gambt4p Control8oard ' �
_ . Roa�wood Plara South.3rd Floor '
- � •, 17tt W.Counry Road B
Roswitl�YN 55113 LG214(Part 2)
(aw7QD�Dt)
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LICENSED GAMBLING ORGANIZATIONS
S���L�L�L��L��L���L�LL�LLLLL�L�L�����LLL������LLLLLL�L�L�����L���L��L�����L�L�i
° NAME: NIId LICENSED BEVERAGE ASSN—CHILDRENS FUND , NUMBER OF SITES: 1 °
° ADDRESS: 800 42ND AVE NO MINNEAPOLIS MN 55412 °
° STATE LICENSE #`:04067 PHONE #:588-3953 LIC CLASS: B STATUS: AC �
0 0
° CEO LAST NAME: POPPENHAGEN FIRST : KEITH �
° ADDRESS: 14964 NORTHERN BLVD ANOKA MN 55303 °
° HOME PHONE: BUSINESS PHONE: 753-2164 DOB: 07/04/43 °
0 0
° TREASURER LAST NAME: APITZ FIRST: JAN �
° ADDRESS: o
° HOME PHONE: BUSINESS PHONE: 484-9273 DOB: 05/13/43 -� °
0 0
° MANAGER LAST NAME: RYSER FIRST: JUDITH M �
° ADDRESS: 42 HODGKINS AVE TACONITE MN 55786 °
° HOME PHONE: 245-1713 BUSINESS PHONE: DOB: 05/25/38 �
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° LAST RECORD CHECK: 05/10/93 * * * Notes Exist * * * °
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