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96-1200 �'- �� ! �-, � �,� �� � Council File # " ��� t � s � T� � Ordinance # Green Sheet # 35247 RESOLUTION AINT PAUL, MINNESOTA �j? Presented By Referred To Committee: Date 1 RESOLVED: That application, ID #Pendinq at State, for a new State Class B 2 Gambling Premise Permit by Sexual Violence Center at Billy's On Grand, 3 857 Grand Avenue, be and the same is hereby approved. 4 6 Nays Absent Requested by Department of: 'I B a ev 8 Guer.in Office of License, Inspections and 10 Environmental Protection _� 12 � Bostrom —�7` '1 O O B 1 '•� �-��C' Adopted by Council: Date � 9� y' � Adoption Certified by Council Secretary Form Approved by City Attorney By: Y� Approved by Mayor: Date L l� G� Approved by Mayor for Submission to By: ��`� � s����� Council By: ** NEED COPY Il�lEDIATELY ** �� �� a�0 LIEP � ���NmA �REEN SHEET _N_ _3 S 2 4 7 a �oew�rM�r c��"��� �c�rv couNCi� ��ru►ua►r� �swe cmr nrroAaev cmr c�RK William F. Gunther - 266-9132 ��� ❑ ❑ �BUDOET DIRECTOR �FlN.8 M�T.BERV�EB WR. �J!' �L � �R �MAI�t(OR A891STAN7) � v TOTAL#F OF�iNATURE PAOES (CUP ALL LOCATIONS FOR$ItiNATUR� ACTION RECUESTED: " Barbara Dotty-Thomas on behalf of Sexual Violence Center requests Council approval of their application for a new State Class B Gambling Premise Permit at Billy's On Grand, 857 Grand ����8`��N°���R� PERSONAL SERVICE CONTRACTB YUST AlISYYER TNE FOLLOWING QlFESTIOfIS: _PLAWPIING COtiMA18810N _CIVN.SERVK3E c�0AAM18810�1 1. Hes tlMs person/Ifrm sver woHced undet a corNraCt�tlds dsp�rbrNnt? - _C�COMMITTEE _ YES NO 2. Has ihie per�n/Ntm sver been a City employae? —�'� — YES NO —���RT — 3. Does tMis persoMirm poassss a skill not normalM�bY�Y«+���� SUPPORTS WMICFI COUNCIL O6,IECrNlE7 • YES NO Explsin aU ya a�sw�n oe s�nt��hNt�nd mach to On�n N�t INITIATMI3 Pfl0lLEM.188tJE.OPPORTUNITY MAw.wh��Whsn.Wlars:lM+YY ADVAMAOEB iF APPRONEO: 018ADVANTAdEB IF APPROVED: �� fl�� � AUG 12 1996 oieu►ov�wr�s�Hor,�vr�ov�o: ..�'-""r�" _ TOTAL AMOUNT OF TRAMSACTION • C08T/REVBNUE dUDGETEQ(CIRCLE ONE) YES NO FUNDIHO s01/RCE ACTIVITY NUMBER FINANCIAI INFORMATION:(EXPLAIN) Greensheet # �5�0? L.I.E.P. REVIEW CHECKLIST �ate: / ��-� a0d In TraCke�? .� App'n Received / App'n Processed . ' License ID # en a� n License Type: � /? /`P!'I'I!S P� �C�!`/'!�l'�' Company Name: e CL°-n"f'£r DBA: £�GU Q 0 �e C� Business Addresss: V L'. r ' � n d�ausiness Phone: ��8� ���� Contact Name/Address: 6t-�'`DQ ' CFO Home Phone: q�8' �7l Date to Council Research:�l �� S � J �` ' � S` ���T Public Hearing Date: Labels Ordered:_�� Notice Sent to Applicant: S /3�9� District Council #: /� Notice Sent to Public: �✓� Ward #: �� Department/ Date Inspections Comments , City Attorney Q� �/��9� ����9� Environmental Health /V�� Fire ��� License ����+����� Lease Received: /v / � ! Police �PCvh(1 C�I1eG1�.. �-���� Ql�— 7/31 19� s/t l9� Zoning �v�� .�FSr i+f�� `wt .. :.-;F.� .. : �= ,- ;��. � � -� -_ .. r . . . ' . . - . . ... .. . . _ :s_. ' {.V. :t 1 1 :. ..-.. , �. . :.; . . . � ..,s�"':�` '- - -_ - .- " . . .� � .•t ��-�� . _ _ . > .�_ . ��00 � . : t<, ;.' „ I _ FOR BOARD USE ONLY • s s ` LG214 , .. , ` BASE# . . . r t ,�.�;��,� `- PP# .�3 F�.- • . �' � .. ' .- y_ � � . . ... � �. � . . �- - . . ' , ' .�.. -. . . _ .. .: . . , .. . - FEE -. �` "�. . '� :.' Miruies�otn Laivfui Gambiing ; _ CHECK `r ;h�;.y °;-_ �_�. ,_.; . � �.:, . ._ : , . INITIALS- :' . _._.. :., , Preauses Pernut Application,- Part 1 of 2 � : � - :ra DA� • i t�5., �.♦- , . . . , . . /\ - r� t.s� . . . . . . _ . - . � : . . �� . - .� r _. . . , . . . . . . .. . . . .� f�:. �.�} -: . .. .� .� . _ .. . . � � . . . .. . . . . ' . . �%r ,.�;' � � - t ��. • S : . ,.t ' ." ., . . � . - � T «i a, ... . : • . ;.. .. . .. . . .. . . . .... � . .� � �� � _ � . f: < � %�� }A<PD � +CY. ..L � ^P .} \ SVO }•..fiM.i•-.!:� Y.Wt NYKi:;'7^ 7 �'W,�;�+ayk'q� ,.... C•'�'""' ,7yp' 'J�'+ 'S4 .e� :'-�',�,.G.G. . T�.;"tc:^c3- . .ti�,3'N.qy 7� '� '" .,A ,c'•. •r1•.:.^�74�:.tr•�'.'��' ..�f..t"" `'��••"Y'. : "�P �`.�9ky��:;;yj7o-��`-.J..".,..".�.V.",,�y,�.'' �` i'r'�..';i : � . a ' ,:�'...,'�`f.`s;.•:':`p, '_.. '-. .."w.�;�h�°�' a4:N;$'?-�;,s:::•.�.'y "aS .,�i.. ' '.� '1:. ,3�� ..r: 4 ,,�c .,'"�'a,'`:�..;4.,`•:t,y:..r:�?���L..:;..r'•:'.:�. t >'h,`_ y ..y}",. n '..y.::•.. ,l•t'•� ,S ' ::.c: ••;�.. � ..�,�`�,-"�'.�• :.:.��'"o, at:'• .,,,, ..w�, .�':,;�s�`.�`�.•,'_y�� . �.. :• .�-.. � ... . ... � �v { .r :.::... 'K� ,�'. i �� w�: e o ;;�. 1 �a�ori.:::..�'� c.�'y+ji, yG{'.�7.,t'?q �..,kc��>�';.y;'.�,�.:::,.::.Z:;u�;�bt:+r4 }:x;.•: .rb}k�.:.a,�+c;:y �)�`�.i-i:9�e.�-. :a:wr �J� ..... . .. . . . . - � .. ... :� . . r� . , .. . �: ���4 - ,�� . - Class oi premises pertnR i • _.: ,.,,� _.-.; . ._ « .� ` - Q ' Renewal . . __.. ___..:� �d��ek one)'-.. •� ..�.: � ... *�'`:t�. , � Or9an�on base Gcense number � A(5400) Pun-tabs,tipboards.Paddlewheels.raf}lea.binQo r �¢}-� `' Premaes permit number _ ' ' � B(5250) Pu�-tabs.tiPboards.Paddlewheek,raffles _ , . �." �?�-.;pl1,�' N� � _ . _ . ' _ ❑ C(S20G) Binpo ony • . . �: C� ��y{.. . . . � �':�t> �� . � t�{.i4 � '- , ; ❑ D(S150) Rsifles ony - � � � � �� t _ . _ � �' (/���' O� J�7+ /y) /'��>�'�•'ti. � . . : •:.,- �� x •' ; .x Y� M�Y �O���If� .�. n ..�}� . . " ��� �')�-:?:n nw.v•.w:•.i••:. - . ri. :v.�t ' ' t�'?C?iCt4:: �S Sn.v ..,. ".. . �( . ::�•. vrr�x '. .r..�.: . . ..4..r.. J4:^::: :..v.�:. �v �A�i:• ..{................ .. .. .i.. . ::�.^0'•:.v: O Y�' �VI��Q�VM, �... . - . � " . , � � � . ,:. :- Se. 1;� c�L- : � � i �.,j, v�r � (' Q �-,�-,2.�' �Husiness A ress of Qganization-Steet or .O Box( not use it+e addrsss of your 9amb5np manaper) ; ." �I (?� �1 l I I S I�i 11 R�1 A V� . �" +,. 'o C ry - State . Zp Code County } Daytime phone number t'�'� Yint► Ls M �i'�� ` S� �lo�l•a�y� N�r►nc���l c(o1�4 �l I-5(oU �. � �Nartw of chief ezecutive off'�eer(cannot be your gambGnp manaper) Tide � Daybrfw phone number 8;� =-"�o:�baro•. �o�'�—'il,�rn a � �r��.�; r��f �G I��d��l-y9 R 0 �� , ' singo occasions > .,_ � . : . _ ,. -. ; :� ,�.- �-.If applying for a class A or C permit, flll in days and beginning&ending hours of bingo oecasions: - �' _ � No.more thaa seven bingo occasions may be conducted by your.9r�anization per week. ' � � r s _ D Be ndirs Hours D Be Endts� Houn Be Endin Hours � ai,'.-: �8/E B a3' �8� B �Y 8��8/. � g _ � �� �^ <� . , � � ' ��{ r � ,. .... , - . . _ _ �� t*�y ��� _ . . � .... . � . . Ls . , r�-l;iK� �-,� . . � . � . . � , . Y '' ' . . .. . _ _ .. . . �'�::� to If bia�o�vill aot be eoaducted.cbeck here ' Q , � :. 4 il� � . .. .. . ,.. . . ... . 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''. 1'•. . .............. ..: ... ......::::::.:.. � � G S te An o oa •1 am tha chiet oxacutiva otf'�car ot tha organization; � ti;.s�' ;� ,��,1 haraby conser�t that bcal law oniorcamer�t officers.the •�assume full respons�biGty for tha tair and lawful opera- :�, � . board or a�arrts oi tha board,or the commissionar of tion ot all adivities to ba conduded; - y ` ravanuQ or publ'�c safety.or agants of tha commissionars. .�„�,���tamiliarizo mysaH with iha laws oi�nnesota ' °v ��inay ontar tha pramises to aniorc6 the law. governing Iawlul gambling and rutes of the board and � Bank Records Information agrea,if I'icensed,to abida by those taws and rules. ; ' ,�The:board is authorized to inspect the bank rec�rds oi the including amendments to them; . �.,,r ..... , ,„� gambling account whenever necessary to fulfill •any changes in appl'�cation intormation will be submittsd , a . �rrequiremants of cunent gambling n�les and(aw. to the board and bcal unit oi government wrthin 10 days � -=��ti0ath oi the change;and � :�,� 1 dedare that: . ' •I understand that tailure to rovide re uired inlormation ' � '�,._ ..�. ,, .,: A q ',, .{,��,�I�heva raad this ication and all informafion submrtted aPp�� or providing talsa or misleading iniormation may result in ';k � to the board is Vue.accurate and complete; ._ . thQ denial or revocatbn of tha I'�cense. : p aq other requirod iniormation has baen tuly dsdosed; ' i� �_ �`>�Sgriatur�oi chief executiva oiticer Date : � - � �����,-3 �W�t�•- �� � 01'r��� ' 1 � " 9� ����z + ! rx o.� ..::nrz:.,.r....-,..::,...:::.:>;.:�•. .��y.. �:-:.J: ��.::. ...:.:... .a<- �i .s��.. ..Z:::�.' ::;,k�;i.;'.% .Ji.a _. � !!i�f��.t'w;>*.,��,,,,.. y.:: - :�.: �. t.� - : ... �.� ;:.: :•.: ��•i4{.,�+��.,ry'�-.�,')?�'t'.(x�' . �,V-. k.v}� �- ,i�`�t� �. a,,Yay � ,F��r „:,n�r s .,-...' ( �� �... � ,Locat��Government Ack � owiedg�men�.<...:.�: ���'� � ��>,� `;,��: '�- .v'.��:�.,�,�,.�.�°... .X��,4.;..� �. ,_.� .... .> . . _:. . , ,..,. .,. :., .. .. .. .. . . ... . r{ `����z,.���, • '.` 4 A cornr oi the local unit ot QovemmeM's resolution ao-�__ ,� ''�� 7 ,,The city•must si�n this application if ihe�ambGrg pram- v n h I' ' ^h G ' � �, �, ;��, � .r>� . ��y �ses is tocatad within city limits. 5. If this appl'ication is denwd by the local und of govammacn. �P _.. ....�' . . . r�;�l�1'�+e cou+�t y"A N D towns hi p••m u s t s i g n t h i s a p p l'�c a t i o n d R should not be wbmitted to tha Gambling Contrd Board � '`� ihe gambling pramises is located within a townsh�. ,• . . - ,. �._- - ° . ,� '. �' � 3�Tha tocal unR government(city or county)must pass a .�Township By sgna4ure below.the township ac�cnowledpes � I s�,, esolutwn speufically approving or denyin9 this application '=' , _ that tha organ�zation�s applying tor a prem�ses permrt wrthin � _w�. �, a�.- ._ . - ,. � F� � , township bm�ts s<F p +, � ` ,,, ;.�-. ,. . . .. . , . -, � _ h Ci ;,;�or�� Count .., . -Townshi� ..,; : `?. 3`.{ .-. r.., .., +v . _ .., i .., .,. _ l ,�.,: ' e_ � Township Name r - ' � '" �_ - ��� f,� � .,.+ r y .�� �� '��-.��x �, � 4 ��h { l..,.�� };.';�i j t ,-. ��`. - �. �'�• �' � =:c ''���'x.'�'+t�?ax u"�",'��ts"�'�ariw �,�5;:r,r t .es-t,'�;rY` �-,.. ro d � reoeivin p Gc�oon :z s ;< <� �. p�Sgnature of P�����Pd����";`+ - F •'� � ' ... . ,. < , - �r -rL � , ya. �.''• -. � . ..i.'.R` f} • . �y y � Si''#i=.;. . �.. �:: ' �r�l -�' �31 y�c ":.�1 st R )r-' 1,: ��. 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'x I �- . a�"'' Rosswood Pt�z�Souih�3rd Floot �� '• 6 * �` 1711 W.Countr Road B '� { is ,.,c o • s - •.- , . . �- � y*k�.,,�.���� w . ,Roswllls.lu1N 55113 , LG21!(PaA 2) ;, ��}� .�;,z.^�* ", �a..v�a�) ; ,/, . . �k�J.�C-T���e�`f . ��c:a rd G��c.� T le K.S��.-.� � `Th�,�, Xs, ,.��:-�t a`_� ao 0 LICENSED GAMBLING ORGANIZATIONS i�eLe�eL����������LL�e��ee������e�����������L��eL��e�����L#���i�L���������������i ° NAME: SEXUAL VIOLENCE CENTER NUMBER OF SITE3: 1 ° ° ADDRESS: 2100 PILLSBURY AVE S MINNEAPOLIS MN 55404 ° ° STATE LICENSE #:22222 PHONE ,�:871-5100 LIC CLASS: B STATUS: AC ° 0 0 �/° CEO LAST NAME: DOTTY-THOMAS FIRST : BARBARA ° p ° ADDRESS: 922 FAIRMOUNT AVE ST PAUL MN 55105 ° ° HOME PHONE: 224-4990 BUSINES3 PHONE: , DOB: 07/26/50 ° o ' o ° TREASURER LAST NAME: NOWLIN FIRST: MITZI ° �'' O ADDRESS: 3536 ORCHARD LANE MINNETONKA Mtl 55305 ° ° HOME PHONE: 933-3�84 BUSINESS PHONE: DOB: 10/09/48 ° 0 0 ° MANAGER LAST NAME: DIRKSEN FIRST: LOIS J ° �° ADDRESS: 410 GROVELAND #`302 MINNEAPOLI� MN �5403 ° ° HOME PHONE: 928-4711 BUSINESS PHONE: 871-5100 DOB: 09/10/55 ° 0 0 ° LAST RECORD CHECK: / / � ° ��������ee�e�e��eee�����ee�������ee������L�LLe��������L����L�Li������3����������f Press F1 for Help Press F10 to Save ��i�'�t, , ��` /� \ � � ��