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96-1202
�'i 1�� � ��� � ��� � � Council File # � d � $ . , , ". , , ��r Ordinance #` Green Sheet # 34999 RESOLUTION CITY F INT PAUL, MINNESOTA S9 � Presented By �� Referred To Committee: Date 1 RESOLVED: That application, ID # pending at State, for a new State Clas� B 2 Gambling Premise Permit by Twin Cities Autism Society at Over-The- 3 Rainbow, 249 W. 7th Street, be and the same is hereby approved. 4 5 Requested by Department of: 6 N�ys Absent 7 Baey 8 Gue�n Office of License. Inapections and 10 � Environmental Protection 11 12 Bostrom —� . Adopted by Council: Date � By' �'�^�"' �' Adoption Certified by Council Secretary Forra Approved by City Attorney BY� By: ` � � � Approved by Mayor: Date �� Approved by Mayor for Submisaion to By: ���'2� y`�,���� Council By: ** NEED COPY IMMEDIATELY ** ��j�, �0�,.,, LIEP � �T�INITIATED rREEN SHEET �° _�4 9 9 9 .� �` �DEPAATMENT DIRECTbH NIT1/UJDAATE. �CITY COtMICIL INITIAUDATE William F. Gunther - 266-9132 ��p �CIT1fATTORNEY �cmrc.�.eRK N- DA ( �p�Np� �BU0f3ET DIRECTOR �FIN.d MOT.BERVICE8 OIR. Hearin : °RDEN ❑��ca�nssisrnrrr� � TOTAL#G`OF SKiiNATURE PA 8 (CUP ALL WCATION8 FOR SIdNATURE� ACTION REOUESTED: Mary Powell on behalf of �ain Cities Autism Society requests Council approval of their application for a new State Class B Gambling Premise Permit, ID � Pendfing at State, at Over-The-Rainbow, 249 W. 7th Street. RECOMM�IDI►Ti0N8:Approv�(A)or Rs�ct(R) pL°R80NAl SERViCE CONTRACTS NUST AN�WER THE FOLLOr111N0�!lESfiON3: _PLANNINQ f�IM18810P1 _CIYIL SERVICE COAAMt8810N 1. Hes this persorUfkm aver worksd under a coMr�for tlds dputrnNlt? - _��E YES �NO 2. Has this psrwNBrm evm►bsen s city employeq? —� — YES NO _D18TRICT WuRT _ 3. Does ttds psrooNfhm p�a ekNl�wt nornw�Y Poeeess�d bY enY anant dlY�ploye�? BuPPOR'T8 VYFIICFI COUi�OlJECTIVE9 YES NO Explaln all y�s�nar�n o�apuat�sMwt and�ttaah to�n shNt INI'f1ATM10 PROBLEM,ISSUE�OPPmRT'UNITY(Who�VWat.VlMisn.VVhm�.WMI; • . RECEtY�� sEP �2 �s Cir�r ADVANTAGE6IF 11PPROVED: DI8ADVANTAOEB IF APPROVED: . �CS� , ...'���'Ch C�(ltef Stl� 16 1996 DISADYANTAOE8 IF Ndr APPROVED: TOTAL AMOUNT OF TRAMiACT10N = C08T/REVENUE BUDOETED(CIRCLE ONE) YES NO FUNDINO i0UlICE ACTIVITY NUNBER FINANCIAL tNFORMATION:(EXPIAIN) Greensheet # 34999 L.I.E.P. REVIEW CHECKLIST �ate: /�� '� �0� In Tracker?� App'n Received / App'n Processed License ID # PendinQ at State License Type: State C1 ass B Gamh1;r,g PrPmi ca pP,-,�,;r Company Name: Twin Cities Autism Societv DBA: Twin Cities Autism Societv Business Addresss: 249 W. 7th St. (Over-The-Rainbow) Business Phone: 641-0709 Contact Name/Address: Mary Powell/CEO Home Phone: 641-0709 Date to Council Research:�b/q1� ve. Public Hearing Date: So ��+�"�5_` I`1`�6 Labels Ordered: N/A Notice Sent to Applicant: �9.h District Council #: 09 Notice Sent to Public: � � Ward #: 02 Department/ Date Inspections Comments , City Attorney g��3/9� o,� q�i�-�g� Environmental Health /V A Fire /V � License s�te�an aeceived: Lease�ived: l� A Police O 1/ S{�/It"`7 �`���b ��C-O i'C.3 �e� /� 9 �� q ��e� � � � Zoning / " �' . .�� . � . . . . . . ` .. . ' � ��� . . '.� , ,.. , , , � � � �, � � '`� �, y�'� - >.r �„„,,�; ,c y T. y-r��.:r a r,� �.4 � q ,�}q . � r. ` t, `'z � FOR BOAR E ONLY , �r ; �R �!' � '.;. LG214. , ° '� BASE# , P��! �^ , ,,. ,. PP# �., � ,; ` : a FEE ,,,rr:;,; . . �,,. F+ , ,�, Minnesota Lawful Gambiing . y{ CHECK T '� a' ' Premises Permit A lication'- �Part 1 of 2`� ' INITIALS � �� � �; .a, '�n h �. ��.:;. PP `t �• , ^ s !� ;:., .�,,, DATE y4 °�`�`r ;� � . . ... , .�; t �f � At''�;,}r�.N �3 {� . 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Cl2S5 G�P�@RiIS@S.PBRTIII.,'..' t � �k�.�� ��� .. 1 � Renewal: t ...,�� � ':.:. (chxk`one) , ;,, "'i .� �,;' �t... . �Orgarn=atwn base license number ;: Q A(5400) Pull-tabs,Gpboards,paddiewheels raffle�sy.W.ngo . ?".�� ��` '•>.:�., ,. . u ,'' � v v � :;' ��,�.,, t_� . � ��i" r^n � `,.. ���,�r'r'°)P�� . � ' Premisea permit number' . • �B(3250)`Puli-tabs;tipboards°paddlewheels raffles � ,. ,�x F,1 , ' � New � - [] C($200) Bingo oniy t ., ' 1 � '_ ;°� k ; ❑ D(5150) Raffles ony": , � .. � � '� �`�,, } {_: f t � ., L � .�r. J Orgctniza�ivn �r�formatio�t '` ` ° F�" �' ` .:..,. .....,.. ......... ... .. ... ......... .. ...... . ...... ...... .....,.. >.{.< � ..;.... <....... < .,,..... ... ... Narne o(Organitadon '� ; ` � . . , � ' f�' ,t ti 'ill��r ���'ce 5 -�u.-E'cf ri� SOc��y : �` •- B siness Address of Organizabon-Street or P, Box(Do not use the address of your gambling manager) Gt r Z U-2 �2 � ( 'n . City State Zp Code C unry "°� Daytime phone number S' G��,,Q , yY�=N �S' Gt�s� � (d�� ?=�4 � �` Name of chief executive officer{ca not be your 9ambling manager) Tide Daytime phone number � 1► wl� _. . i.r. u,.�.�. �k�c. D� r-• ��-�.a G Y 7..°ro� 3 � � Bingo Occ ions ° ,;,�:i ,� , • ' � If applying for a class A or C permit, fill in days and beginr�ing & ending hours of bi.ngo occasions ;: No more than seven bingo occasions may be conducted by your or�anization per week. : : Day' Beginnfng/Ending Hours Day Begtiuzing/Ending Houra Day Beginntiig/End[ng Hours t � Y�. � � ] r to ' � i . H.i�.v ��.s .. ��;;� ; u'/-' •��''Y�Y�f'�d:�i"w�' r.��'�� ,M ,i w'+ t� �>;Y✓�s ay}g o i t . � _ � � r! s�i ,�.�" 5 ���:. t�- � r Y'. �� � . `�.. , .��-,.'. ��.� :. r '�,# Y`'+ 2� � r S s Y �' 'v ,- to � If bingo Will not be conductcd.check here� � ?° ''� `yf :T , ..,' k �' r �_ u'/ firy,�T". •ivr.`a:,_ - � . ' . . 17 �. 1 .�'�'y•',.YSr�i�.{N. 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Q�.� �. :': ::+i.•..... :::............:•.:•::•:nv.:w:.::.::..�.. ................�:f�:.i^'v. r•�tiY::v:r•:.:y::�.�.4:.;v,y,.•.y::S::;::4 .4..v S . ,, �b� ��qni. .esi...Inf`ormation.::...�:;:.:.r:�r:�::�:,.::.....;,;,:.:•::'•:::<::•::;>;,:,::.::.:�•.r.�:.. .<•.. >.a.::. � tr. � r �;a».....•..:a•....�0�.�_:..:..::::........... ...:.:::.:..;.;.....,�::::•::::..::: ::..:..;;.,.....::.. ....a.:::..>.::;:.:.;�:tio. .aF.:s�:•:+, :pi,. � :r .... :<,.. .... :;�+:?',?>%:.: : r �:. , ,� ; �5 �'� `��,a e o,esta ishment re gam ing witl con f? ,; a J/����� veet►J' ss not use a,�p,ost � ice x num r� ��,,�,�,( 7`'r • y� x<;" U�.r � /��/� d W .� !� r�� WP.v,� / ���ds���/r'�`� d ���J,,t''R '�'+Y4Y�ri-!'"�i ��' �� �Is the premises�ocated wi�i�n Gty runits?�' � s O No• If no,is avmsh�p :0 organ�zed�°��;, 4unorganized'�p unu�oo�rporated.,� �,��°; .� ; � City and County where gambl'ing premises is located OR Township and County where gambfing prem►ses ts located it outside of aty G�r�mts ' , . .ry.. �, , t , t � . � . . 1�..��„a i.� i �,. 5..�.,�, �Pa�,,,(_, ..,, :(?d�,�'5.��� � � �,�, j �s� .�:,���-� �' 1 �-+ Name and addres of{ega�,own oi pre ���e ; City ;,t ��4,7 f{5.- State � �, t . �,'�„Zip�Code�t-�`'��-�? } rY , !!I�D ', a, ��-S":�C�r.c=:ti '' , ��,,;; 35 �ul ��'" /1,��� �1G��s� y.. �{z ;�� � � t . , �.� �. 3 .. � � , nrt�.�'� � .� � � *� 4,. � Does�o orpaniza0on own the buildnp whe�the yamblinQ vnll be conducted �O:YES '� �NO �. `r''- �'�rk, r *� ti�.}w� � . ^'�+u v a�irM �� > > �, '1�k: � ,y� / y��{, `■�,��� S�y 'k:' _�_��j r 1�.- 4' _, D f u�}Si Vlj .� 5*�A`r 1��Rw� q�^'! ���/nQ�a`1CY11��IV�N11Y19i1+'� ���7,).i•�d.�ial'�N� . � "'M1��e'a��'�. � �'p':t ' �:'�� �:� � �� 4 �y i 1' rd: w a( � a v�+. r,, .s +�d. Y Arr.•. ,r ,. r' v i Y1�,.� � P�= S, �'�� .r%rf��,�^ ;'�',,�,:copy d ttie lease(form 1G202)wn ms�: at leasx one year, ,��� , ,�v<<� � ; '�'� � ,'�,` '�w�''' �"^,'�`. hy a copy ot a'sketch�of the floor plan;y i r�th dimens�ons aPxiwu►p w rpon a boin9 leasad. b ,_. �,, r ",' � ,�$ �,: i�r: ,�. +�. �.A lease and sketch are not requ�ed fo.��Glass D app6cations�,..;'�r;r���,s�. "r �i,;�`�`�'�^ ,:;: 4 � ` ` �� ..... � '..� : . . . .. -. �...: . ..'�. I � f � 1 .`:'!^� . - Y. ' r '�' t S:v�. ,Yf6'r ..n< .c M tl}rSrt� tt •clY {7� k`,T`a"r r.',�jy�<s <'�'�`Lr� t .s. .rt�+�'���+� t f�,� �� I . > .� f°!�'e � /Y C., Y i�..! <.0 r +�{'q. �La�tat �kl'. f � .i, � ':.f,Y'�.S" %.^o '2, �. . � A.dc'�xe�s of'a��... �� �����` a�at'b ���� e��� �� S �. 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Wl e111 11�::>:«.:<:,:::............:...:..........:..::..:,.;:::::,:,.:,.:::::.::::::::��:::.:..:::::::::,;.:._::<,;:::::.:::<;:::<:::.,.:>::.::.:��>;:;:�..................,,,..:.:::::,>.�:•::.:::;:.,,;<.�<.�.;:..,..,,..;;.;..:. Ackrio �clg ,:<:� .,. . ...,:. .:.,:..... . ... .:.:.. . .,,.::.. . ....... ....... ... .. .,..... .... .. . .,. _ . .. ,.,. �:. :.� (aa ng S te ut o za oa •I am the chief executive officer oi the,organiiation; ' ' :. I hereby consent that bcal law enforcement officers,the .I assume fuli responsibility for the fair and lawfui opera- ' board or agents of the board,or the commissioner af tian of all activities to be conducted; ' revenue or public safety,or agents of the commissioners, .�Will familiarize myself with the laws oi,Minnesota ' may enter the premises to entorce the law. governing lawful gambling and rules of the board and Bank Records Infotzuation agree, 'rf licensed,to abide by those laws and�ules; �� The board is author'�zed to insped the bank records of the _ including amendments to them, �; � '�� " f' ` , gambling account whenever necessary to fulfill •any changes in applicatwn information will be s,ubmitted_ requirements oi current gambling rules and law. � to the board and focai unit oi government within 10 days . Oath of the change; and , I declare thai: •I understand that failure to provide�required information �;- : �I have read this:�pplication and all iniormatian submitted or providing false or misleading informat�on�may result in`' '' ` to the board is true, accurate and complete; ` � the denial or revocation of the license " '' `�' `'" ��` '� ' ` •alt other required information has been fully disclosed; . - . ,' � � �ignature of chiet executive officer Date� a'" �' ` : ��1,t�.'L.0 ���-_ ct'�i i�.�Q„� ' : _.,�...._ ; �: . < :.: . :� � �.,. � � (e �,._ ......... :. � ::. ,. ' .� ::>:;:�:;>;>�»:<i , :, .: :::<..::...; � �....; � .�:�. . .:,:::::::::;.:..::....:.:..::;:>;::;:.: cknowled ement : ::.<;».... ;>�..:::>;<.;.::�.....: Local<;,Govemm nt.A _. ... :.:<.......:..::...::. . :.. . . ,::� .::... . 9 :. .... .: :.;.:;.;::..::.,..�:::.,: ... >,:::;:;:;.:�:.:<:.;::;::;� :„::;»::.:::. ::... . ,... .::..: :.:.,....,..: > . 1. The city•must sign this application 'rf the gambling prem- ' 4. -A CORy of the local unit of o�ve�nQ�ent's resolution ao- _ � - R,rovinq thi�a�,ol'�cation must be attached to this a��lication ; ises.is focated within,city limits.� , ' - 6. If this appl�cation,is denied by th,e local unit oi govemment, � , 2.�The county'•AND.4ownship•'must sign this appl�caUon rf"� � � � ; `• ., • . , , ,. . t be subm►tted to the Gambling Control,Board r; :, - the gambling premises is located wRhin a township. `` , ;, , � •- ` ` � � ' ' , .. �should no; ._, ;:� , � �: �` ; , ":_� ` :;; . , 3 -The local unit govemment(city or county)must pass a , �" � k� '� _ �Township� By signature below,the towriship acknowledges�' resolution specifically approving or denying this appl'�cat�on:� ;.' k, „ ; � that the orgarnzat�on is ap�,�p.lying for a prem►ses perm��d wrthin • �¢� '" 5 "�.nt+y f � s a S,�' { i ,. township limits i`. 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