96-1126 Council File � � a�
0 R I G I N ordinance �
� � Green Sheet # 35230
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA �
Preaented 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 Porky's, 1080 Payne Avenue, be and the same is hereby approved.
4
6 � Nays Absent Requested by Department of:
8 Guerin � Office of License, Inspections and
9
Environmental Protect?on
i2 Re tm � �
Bostrom ✓
Adopted by Council: Date � C By' -" """°' �' ��
Adoption Certified by Council Secretary
Form Approved by City Attorney
By:
By:
Approved by Mayor: Date � �p 7 G �
Approved by Mayor for Submission to
By: �� lG � Council
By:
** NEED COPY IMMEDIATELY ** �� w,���
�� ���N ��� �REEN SHEET N_ 35230
LIEP _ _ _ --- -
i E �DEPARTMENT DIpEC7�OR NmA�� O CfTY COUNCIL INITIAUDATE
��N CITY ATTORNEY CITY CLERK
W lia Gunther - 266-9132 �R� 0 ❑
AOENDI► ( p�J�� �BUDOET DIRECiOR �FIN,d M(9T.SERVICE8 DIR.
He
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TOTAL N OF SK#NATIJRB PA�iE8 (CLIP ALL LOCATION8 FOR S16NATURE)
ACTION REGUES'TED:
Keith Poppenhagen on behalf of Minnesota Licensed Beverage Association/Children's Fund
requests Council approval of their application for a new State Class B Gambling Premise
Permit at Porky's, 1080 Payne Avenue. (ID �B-0�±�067)
����8'��(�����R) PERSONAL SERVICE CONTRACTS MU8T ANSWER THE FOLLOWINQ QUEBTIONS:
_PLANNRrci CONMAI8810N �GIVIL BERVICE COM1�A188bN 1. M�tlds pe►6oMirm e�rer worked ur►der a corKraCt for U1b dspvtmsnt4 -
_cb�e _ Yes No
_�� _ 2. Hes this penoNfirm ever been a city employee?
YES NO
_D18T'RiCT CWRT _ 3. Does thia psrson/firm posssss a skill not rwnnaNY pcsesaed EY e�Y artaM oNY e�by�?
SUPPORTS wNK�1 COUNCIL OB,IECTrvE7 YES NO
Ezplain dl yq answ�n oe s�rab shs�t aM�ttach to yn�n sM�t
MIITIATMIO PF�BLEM.�SUE.OPPOR7UNITY(Nrtw.VYMt.VYhsn.VNNes.V�fiY):
A�/ANTIlt3E81F APPR�VED:
D18ADVANTAOE8 IF APPRdNED:
DI8ADVi1NTi�E8 IF I�f APPROVED:
TOTAL AMOU!!T OF TRANBACTION : COST/REVENUE BUDOETED(CIRCLE ONE) YES NO
FUNDIN�i WURCE ACTIVITY NUMBER
FINANCIAL INF�iMAT10N:(EXPL.AfN)
Greensheet #��o?�'SO L.I.E.P. REVIEW CHECKLIST Date: �a` ',�''�'G
In Tracker? �. npp'n Received / app'n Processed
Ucense ID # ` ��`��� License Type:
�. ss a r�inme rrr���
Company Name: n. 1��25� l7�aC. ` pgq: . �lG� e ,P d�Y!
Business Addresss: d � d Business Phone: _5^� —��'i.5��
Contact Name/Address:�'��� � �� �� Home Phone: J'��''��S3
Date to Council Research: r�2 �9-d -� ��°?'
Public Hearing Date: 11� 1 q4� Labels Ordered: /If /�}'
Notice Sent to Applicant: District Council #: 05�
Notice Sent to Public: Ward #: ��
Department/ Date Inspections Comments
,
City Attorney
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Environmental
Health
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Fire
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License Site Plan Received:
Lease Received•
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Police �J/
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Zoning
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FOA BOARD USE ONLY �
LG214 gqgE�
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�dinnesota Lau;ful Gambiire� CHECK
Premises Permit Applicatioa - Part 1 of 2 INITIALS
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�• Clas:of premliea permit
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- . Orpanization base licen:e number [J �s400) PWI-tabt,tipboard:,padd{ewheets,raffles.binpo
�," . Premises permit number �B(t250) Puq-tabs.Opboards.Daddewheels,raffles .
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, s�ness, s bon• treet or P. x( not u� �ss o your pam rp manafler)
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Name of chief executi Hicer(camot be your partibGnp manaperj Title Daytime phone number
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If app2yiag for a class A�C permi�811 in days and beginair�g&ending hours of biago ocxasions:
:�, No mon than stvea bingo occasions may be conducted by your o�,-ganization per week.
'�':Day " �g�sni�s�/Ending Noun Day gegtnning/Endl:sg Hours Day B�Bfriai:�8/Endin$Nours
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� Is the prom�es Ixatad within dqr�mits? (�Q Y�s O No If no, bwn�h� �orpantzed 0 unorpanized O uninoorporated
�. 'Gty and wrherr pam mis�ie loeatad OR ToMmship and County where pamblirq premises is bcated if outside of aty imits
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N and address of lepa owner o}prerti s CEN $ � Z�p Code
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Doas your orpartization own the buil�irp where the pamblinp will be nducted? p YES NO
. Ii no,attach the fopowinp:
• a oopy ol IM lease(brm LGZO�with 1�ms br at least ons yoar.
• a oopy of a sketch of the Ibor plan with d'imensions,showinp what portion is beinp teaaed
_ _. A lease and ske�h are not roquired tor Clasf 0 appBcations.
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:� � Premise Perinit Application - Part 2 of 2
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� te An o oa •t am tha chiat axacutiva otiioer of the organization;
I heraby consent that bcal law oMon:ement oHfoors,tha •1 assuma full rasponstbility for tha fair and lawful opara-
board o�agents of tha board.cr tha commissioner of tion of ail actNitias to ba aonducted;
ravanua or public satoy�or a�ents ot tha oommissbnars. .�Will familiariza myself with tho laws o(Minnesota
may ontar the pramises to antoroa tha law. povarnin�lawful�ambiing and rules of tha board and
Baat Records Iaformatloa agraa�d lioansad,to abido by those laws and rules.
��Tho board 1s authorizad to inspect tho bank r000rds of tha �luding amandments to them;
: gambUng aocouM whanavar necassary to fu�ll •an ch es in
. requ(raments of current gambi'in�ruks and law. y � aPP��tio�intortnation wiA be submitt�ed
to tha board and bcal unit oi govemmar�t within 10 days
Osth of tha change;and
I dedara that: •1 undarstar�d that tailura to provida requirad information
•I hava road this applkatbn and a�l intormation submlttad or providing falsa or misleadinp informatbn may resua in
t°th°b°ard is tru°�aocu�te and°°mpl°te; tha dania!or ravocatbn ot tha licanse.
•ail othar roqui�ad iMormatlon has baan fuly disdosad;
.� Sgnatu�a chiat oxacUtnro off+oar Date
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;f:+�cal�:l'��overnm,�E;i��kr.�ov�tec[ ent:��� � '� ;��> ."���.
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� 1. Tha •must rt this 4. �of the locat t�nk of qovernment's re�l��ion ao-
City sip appliCe�ion if ttw�srttbikp pram• Drovina this aeelicatien m�st ba attached to this ee�l'iratien.
. isas is bcatad wkhin dty limita. 5. If this application is daniad by tha bcal unk of�ovammon�
_ 2. Tha oour�y"AND�ownship"must sipn thls application� �should not ba wbmittad to tha Gamblinp Control Board.
tha gambiinp pramisas�bcatod within a township.
� 3. .Tha local unit povarnmont(city or o�unty)must pass a Township: By si�natura bebw,tha township adu�ow(odges
rasolutbn spacitically approvinp or danyinp this application, that tho a�anlzation is applying tor a promisas permit within
° township limfts.
Ct or Cou Townshl " ..
�� , Town�lp Narne
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Sip of n noeivin� p6 'on \ • Sgnatura of person raoeivinD aPa��
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. Titl� I Daee Reoai Title Dats Received
�b �
`� Reter b ttw instrudions tor roquired att�dwnents.
Mail 1�: Gambllrp Conttol Bo�rd . ,
Roswrood Plasa SoutA,3rd Floor
1711 W.County Rwd B
Roswp{��AIN 55113 LG214(Par1 Z)
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LICENSED GAMBLING ORGANIZATIONS
fee����������LLL��LLL��LLLeLLL������e�L�ee��L�L�L���L���e�L�����L������LLL�e��;
° 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 °
o a
° 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: °
° 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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