96-1124 Council File � � „ ay
Ordinance #
Green Sheet # 35236
RESOLUTION
CI OF S NT PAUL, MINNESOTA �9
�a
Presented By
Referred To Committee: Date
1 RESOLVED: That application, ID 12086, for a new Gambling Manager's License by
2 Judith M. Ryser DBA Minnesota Licensed Beverage Assoc./Children's Fund
3 at Parrish's, 2176 7th Street West, be and the same is hereby approved.
4
5 Requested by Department of:
6 � Nays Absent
7 B a e,y
9 Guer�,n Office of License, Inspections and
10 —�- Environmental Protection
11 Re �
12
Bostrom
Adopted by Council: Date ��._��_ �aalL By " � � ��
-�r
Adoption Certified by Council Secretary
Form Approved by City Attorney
By' By: '` O�-l�r��.
Approved by Mayor: Date G
� � ���`��e� Approved by Mayor for Submission to
Council
By:
By:
a` ,����
o �► IL DA E INITIA �REEN SHEET �° 3 5 2 3 6
LIEP w�ru�ua►� _ _ . _ -' wiri�uw�
�' E �DEPARTMENT DIRECTOR �CITY COUNCIL
William Gunther - 266-9132 � � ❑cirrArra+Ner �CITYCLERK
Il NDA (CA �� �BUDQET DIRECTOR �FlN.d MGT.SERVICE8 WR.
Hearin : �� ,6 ��R �MAYOR(OR AB8ISTAN'T) �
TOTAL#E OF SIGNl1TURE P�RtiEB (CUP ALL LOCATIONS FOR 8KiNATURE)
ACTION REQUEBTED:
Judith M. Ryser DBA Minnesota Licensed Beverage Assoc./Children's Fund requests Council
approval of her application for a new Gambling MM�nager's License at Parrish's,
2176 7th St. West, ID #12086.
:Appw�(A)a Rs�(H) PER80NAL SERVICE CONTRACTS MUST AN8WEp THE FOLLOWINQ GUE8TI0!!S:
_PLANNMKi COMM188�N _dVq.8ERVICE COMMIS810N 1. Has this psrBONfirm ever worksd under e oontraCt fa this dYparknant? -
_���E _ YES NO
2. Has thia psrson/Nrm ever bee�a dty smployeq?
—�� — YES NO
_DIBTAICT COURT _ 3. Doea dris psrsonMirm poeeese a sklll not no►malN Po�aed bY anY a�eM c�y sn�ploy�e?
8UPPORT8 WMKMI COUNCIL�CTNE9 YES NO
Explaln all yh�nsw�n on N�rab sM�t and attach to an�n�M�t
INITIATM�I(i PROBIEM.IBSUE.OPPONTUNITY(Who.WMt.WMn.�Nhe►e.Nihy):
ADVANTXOES IFAPPROVED:
D18ADVANTAOE8 IF IIPPROVED:
DIBADVANTAOES IF NOT APPROVED:
WYI1� ��1{�TI V�i{�1
JUL 31 1996
TOTAL AMOUNT OF TRANSACTION a COST/REVENUE BUD�iETED(CIRCL6 ONE) YES NO
FUNDIF�i SOURCE ACTIYITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN)
Greensheet #�3•5�07� L.I.E.P. REVIEW CHECKLIST Date: / �` `�,�y
in TraCker? App'n Received / App'n Processed
License ID # /�o8b License Type: ����� � '` �
Company Name: lU-dtT/'1 � • USPY' DBA:�n� /�-� � .d
• T /�p�Kf'
Business Addresss: 1 � � /7 � Business Phone: �-
Contact Name/Address: S, Home Phone: _�i'13'r�� 3`I'��
Date to Council Research:�a 9��,� �O�
Public Hearing Date:_���1' (I � lR°I� Labels Ordered: /¢
Notice Sent to Applicant: District Council #:
Notice Sent to Public: Ward #: �L�
Department/ Date Inspections Comments
�
City Attorney
���'/9.� ���-/�-6
Environmental
Health
/ y`�
Fire
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License Site Plan Received:
Lease Received:
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Police e��
�x s�n� � ���9',6 �e��"� C�
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�/�g� ,�,5��h� �
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Zoning
N �-
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ST1►TE OF PlZNNESOTII tOR 8071RD VSE ONLY
GAMBLZNG CONTROL BOARD AMT. PAID
GAM8LZN0 MANAGER LICENSE RENEWAL APPLICATZON CHEAC �
LG212GI9t PRINTEDs O1/10/9S D!►TE
LICL'NSE NUMSER: W00067 001 EFFECTIVE DATEs 07/O1/94 EXPIRATION DATEs 06/30/95
2�71b� 08 ORCANIZATZON: S�v�raq• Niaa�apolis Kiaa Liceased Cbildr�as Fuad
S�A�LIN(i MANAGER INFORIrlATION
Judith Nari� Rys�r DATE 08 SIRTHs 05/Z5/38
8104 SEX: �
Taaoait� �Oi SS786 SOCIAL SECURITY NIIMSERs 474-36=7768
DJIYTZ� P�iONa NUMSLrR: Z 18-Z 4 5-1713
1�EMSER aZNCB: 11/ZO/85
ll� l�lyq-
L11ST DATE YOII ATTENDED 1► GAMBLING MANAGERS SEMINAR/CONTINUZNG EDUCATION CLA3St �bfOY��
BOND INFORMATION
• SOND COMPANY NAMEs Old R�publie Sur�ty SOND NUMSERt RNS437294
ACIWOWLED6MENT •
Z DLCLIIRL� T871T t
• I HAVE READ TH2S l►PPLICATION AND ALL INFORMATSON SUBMITTED TO THE GAMSLING CONTROL BOARDj
• J1LL INFORMATZON ZS TRUE, ACCURATE AND COMPLETEj
• ALL OTiiER REQUZRED INFORMATION HAS SEEN FULLY DISCLOSEDj
• I AM T�iE ONLY GAMSLZNG l4ANAGER OF TFIE ORGANI ZATION j
• I HAVE BEEN AN ACTZVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARSj
• Z WZLL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNIN(3 LI►WFUL GAMBLING 711dD RULES OP
TfiE G1IMSLZNG CONTROL SOJiRD AND 7►GREE, IF LZCENSED, TO ABIDE THOSE LAWS AND RULES,
INR,UDING AMENDMENTS TO THEMj
• 11IdY CHANGES IN APPLICATION ZNFCRMATZON WILL SE SUBMZTTED TO THE GAMBLING CONTROL SOARD AND
LOCAL UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGEj
• AN J►FFIDAVIT FOR GAMBLING MANAGER FIAS SEEN COMPLETED AND ATTACHEDj AND
• I UNDERSTAND THAT FAILURE TO PROVZDE REQUIRED INFORMATION OR PROVIDING FALSE OR MZSLEADING
ZNFORMATION MAY RESULT IN TFiE DENIAL OR REVOCATION OF TNE LICENSE.
,
SIGNATVRL Ol� GAY�LING NANAGER �g
_ — ���
RL1�LR TO T$L CHECIQ.ZST !'OR REQUZRED ATTACffi�NTS
WIIL TO t GA1+�I.ING CONTROL SOARD
1711 WEST COVNTY ROAD 8, SUITE 3005
ROSEVILLE, IiZ23NESOTA 55113
THZS FORM WILL SE MADE AVAILASLE ZN ALTERNATIVE FORMAT (I.E. LARGE PRZNT, SRAILLE) �TPON REQUE�
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/``���� v V7..---.� / / - ��.� �-- / / �" �'/ .
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IL
Q`•i�ay
LICENSED GAMBLING ORGANIZATIONS
iLL�LL�LL��L�LLLLLL��������L����LLL�L�L��L�L�������LLL�L�������L����L������tL�j
° NAME: MN 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 °
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° CEO LAST NAME: POPPENHAGEN FIRST : KEZTH °
° 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 °
0 0
° LAST RECORD CHECK: 05/10/93 * * * Notes Exist * * * °
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