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96-1194 ,�, --� • , Council File # � � E � n4 � t � . ` � ' '�� ;�"��'' �-�- Ordinance # Green Sheet #` 34998 RESOLUTION CITY OF SAINT PAUL, MINNESOTA JL' Presented By Referred To Committee: Date 1 RESOLVED: That application, ID 68256, for a new Gamblinq Manaqer's License by 2 Daniel W. Rietz DBA TSE, Inc. at Midway Pro Bowl, 1556 University Ave. 3 W., be and the same is hereby approved. 4 5 Requested by Department ofs 6 � Nays Absent 7 Ba �y 8 ._Guerin �^ Office of License. Ins�ections and 9 a � 10 e � Environmental Protection 12 T Bostrom � Adopted by Council s Date , � \ � By° ""^'�"``� -��`��'�►�AO Adoption Certified by Council Secretary �'orm Approved by City Attorney � f��By• /\ By: u Approved by �tayor: Date �!��1 � ��,.�.���'1��",r,J� Approved by Mayor for Submission to By; Council By: `. y °'��" ^ N� �3499�� LIEP �1REEN SHEET _._ _ . __ a e ���err o�secrofiNmwo�►Te ��ytr couNCi� iNmnuo�re William F Gunther — 266-91 2 ��� ❑cmnrroANev �cmc��m 1 1 �p��p �BUDQET DIRECTOR �FIN.d MOT.SERVIf;EB DIR. � � �R �MAYOR(OR A8818TAN1') � TOTAL#►OF 8KiNATURE PAGES (CUP ALL LOCATIONS FOR SIGNATtJREj A�CTION REGUE8TED: Daniel W. Rietz DBA TSE, Inc. requests Council approval of his application for a new Gambling Manager's License (ID #68256) at Midway Pro Bowl, 1556 University Avenue W. RECOMMHNDATIONB:Appow(A)a Ry�ct(R) pLR80NAL SEpVICE CONTRACTS MUST ANSWER TNH FOLLOWING.OU88TION8: _PLAPMlM1G COMMISBION _GVIL SER1nCE c�OMM188lON 1. Has this psrsoNfkm e�ror worksd w�dsr 8 contract for lhis depsrimsnt? - �CIB COMMITTEE _ YES 'NO ' 2. Has thb psraoMflrm ever bsen a city emptoyse9 _STAFF — YES NO _wsrR�'c�uFrr _ 3. Does Mis psreoNNrm pasess a skul not rarmaly Posseseed bY anY cu►re�okY�plqw? �rs Nni�COUnC�oe�Cnve� YES NO Ezplaln all ya�nsw�rs on ap�nb shwt�nd�tt�ch to On�n shqt MIRIATWO PROlLEM.ISSUE.OPPORTUNITY(Who�Nnad�Whm.Whero,WhY). ���C�'���? SEP 12 1896 ADVANTil3E8 IF APPROVED: as�ru�r��s���: CO���VJi Y�r.e..M�u VIA �/\�ii�V� SEP 16 1996 D18ADNANTAOE8IF NdT APPFIOYED: ' TOTAL AMOUNT OF TRANSACTION : COST/REVENUE BUDGETED(CIRCLE ONE) YL8 NO FUNDINO SOURCE ACTIVITY NUMSER FINANCIAL INFORMATION:(EXPLAIN) Greensheet # 34998 L.I.E.P. REVIEW CHECKLIST Date: / � `'��qy In Tracke�'? App'n Received / App'n Processed Llcense ID # 68256 License Type: Gambling Manager Company Name: Daniel W. Rietz DBA: �'SF,� Tn�_ Business Addresss: 1556 University Ave. W. (Midway Pro Bowl�usiness Phone: 489-2595 Contact Name/Address: 2027 Rice St. Roseville 55113 Home Phone: 489-2595 Date to Council Research: ��/��.d Public Hearing Date:�.rc�' a S� I`�H� Labels Ordered: N/A Notice Sent to Applicant: l 9,h District Council #: 13 Notice Sent to Pubilc: � Ward #: 04 Department/ Date Inspections Comments , City Attorney ���`9� o� 9�i�.�9� Environmental Health N�/� Fire /✓ / � ! License Site Plan Received: Lsase Fteceived: /Y )� / Police P�I'� �cord (��e�� ���i� �/�/9,� ��9�9,6 Zoning /v � � LG212 fAR QFFICE USE ONLY � (Rev. 7/2192) BASE UC i1 ' SEO� . Minnesota Lawful Gambling FEE • Gambling Manager Applicatioa cHK DATE • INIT _ " ,,. ,. . ..:;:.>:.:�;::;.;;::>:;;:.::«•;;:«;.::.;:<�:;<•;:.:�;:•;>:>::;:.:<•;:>::>::;::>«:<>. :; . : .>: . , ,, <. < . 'T�,�e o.f'App1 tcatton ��� ` . , ,. ,,: _ >. .. . ::.... . .. :. � New Give date that the two-day gambiing manager seminar was completed.�!Z/_g„� � �, ��`�� Locaoon of aaininq Ea$aii, ;�LN ' (ciry) � Renewal Give date o(training received within three years prior to tfie date o(the applicaoon fof renewal._// Location ol vaining ;. .., ,.:. ..:... >., , (citY) :. :.GambIin' .Mdna er In o dtion ' ' ; ;:: . ;; ; : : ..,:: . lAST NAME FIRST NAME MIODLE NAME MAIDEN Date o(Birth Soc.Securiry Number Rietz Daniel iailliam 7-4-60 4$0-84-2432 Address State Zp Code Daytime Phone 2027 Rice Street, Roseville MN 55113 ( 61a �►?�-25�5 MEMBERSHIP:Date�ambling manager became a member of tl�e organization Ll,�l� Sex: �$Male ❑ Female .... . . .::.. ,:.:::..,.........:,.::;.. ..:. ,::, :>:: �.:... ..: .,•:.. ...... .. :,...;: ; . . , _ _ ,: ' •�:;:.:�: ..,.:...,:,: . , ;: <.: . .: , ..:, . ;. -, . ; :.:>:.:.::•.<:;:;::::::::<>;:::>°:: .. ;: lZCit O ;I _ CI , ' { .:. ,. ....:... ... . . Name of Organizadon Licenae Number TSE, Inc. None Addres: Ciry/State Zip Code Phone 2027 Rice Street Roseville, Pi:�l 55113 � 612 ) G89-2595 ,>: >.,, :., ,. ,: ",: ;. �. � ...;`> ,�ond 7,.� rma tion' -•A s10,000 fidefity bond in lavor ol the organizaDOn must be obtained for the yambling manager. Nams of insurarke company (do not use a9ency name) Seaboard Surety Cu. Bond Number 2569�8 . ..... .................................................................................::.:::,:,., .....:::: ..:::.:,.::::.� ....................,..,....:...,............................._.............................,......,..............,.... ,...�,,.:.>:<:.;�<.::,.:.....<.;;:.;;:;.;::.;:;,:.,....... .::....... .. .:. .;..::,..:.;:: ,. ... < :. ,.:..:::,,::<.: : ..:�:.:: ,:......:.:.. . .. .....::::.:>�::,,.... :.: . ; . .. ::.. : :.. .. .........:.:: . . .. . . .... .... ::.:..:. �::::;:::.::::; ... ... ....::... .. :.... :. . : ..... .. ;.. .. .:.. :..:::..: ;;:<:�:<•:::..::::.;;: ::.: : ;;..: .;:: ;; -:;: ::: �. ..: ;.:; �' _ ,: ;<: ; « I dedare that • I have read this applicado�and all intorma0on submitted tc the board; • ail infortnadon is trve, acwrate and complete; • all other required information has been fuliy disdosed; • I am the only gambling manager of the organ(zation; • i will familiarize myself with tfie laws of Minnesota goveming lawful gambling and rules ot the board end agree, if licenaed,to abide by those laws and rulea,induding amendments to them; — • any changes in applicaoon information will be submitted to the board and local unit of govemment within 10 days of the change; • An affidavit for gambling manager has been wmpleted and attached, and • I underatand that lailure to provide required intormatlon or providing false inlamaoon may result in the denial or revocation ol the license. Nre ol Ga nager I - Date � S���S� Send the oompleted application and all required attachments 10: Gambling Control Board � , � , Sulte 300 S. ' 1711 W. County Road B t. , �.,, - . ,. ,t �° � .�.t:tit � := . ,., » ,, - , , , : �,+ . ;, ,;•,. .• <_,: � Rosevllle,MN 55113 , , . ;;, �'���': ,o.ca.�.b ������ . . . , :����. :: :. . �- ,. . . .�. ..��,�: ���¢,����� . ..�.,...