95-1080 R 4 G I N� t_, Council Fi1e # g S-l Lh
Green Sheet # 29308
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA �?.►
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Presented By
Referred To
Committee: Date
RESOLVED: That application, IA #33007, for a new Gambling Manager's License by Joanne C.
Grundhauser DBA Church of St. Bernard at T. J. Bell's, 1201 Jackson Street, be
and the same is hereby approved.
i _—�r-_—�r—,� Requested by Department of:
By:
Appx
By:
Office of License, Inspections and
Environmental Protection
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Form Approve¢ by City Attorney
B � �• �-l� -9
Approved by Mayor for Submission to Council
By:
Adoption Certi£ied by Council Secretary
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DEPAFiTMENT/OFFICE/COUNCIL DATE INITIATED �REEN SHEE �O 2 9 3 0 8
LIEP
CONTAC7 PEHSpN & PHONE WR�AWATE INITIPII�ATE
�DEPqRTMENTDiRECTOR �CITYCOUNCIL
ASS�GN CflYAT�ORNEY QNCLERK
Christine Rozek - 266-9114 NUYBERFOR �
MUST BE ON CAUNqL AGENDA BV D ) ROUi1NG � BUDGEf DIRECTOR � FIN. & MGT. SERVICES Dlq.
� �� Q� OPDEfl � MAYOR (OR ASSISfANn ❑
Hearin : �
TOTAL # OF SIGNATURE PAGE5 (CLIP ALL LOCATIONS POR SIGNATURE)
ACTION REOUESTED:
Joanne G. Grundhauser DBA Church of St. Bernard requests Council approval of
her application for a new Gambling Manager's License (ID Ii33007) at T. J. Bell's,
1201 Jackson Street.
qECOMMENDATIONS: Approve (A) or Relect (R) pERSONAL SERVIGE CANTRACTS MUST ANSWER THE FOILOWING �UESTIONS:
_ PL4NNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked under a Contract for this tlepartme�t?
_ CIB CoMMITfEE YES NO
_ S7AFF Z. Has this person/firm ever been a city employee?
— YES NO
_ O�SlA�C7 CoUaT _ 3. Does Ynis persontlrtm possess a skill not normally possessetl by any cutteM Gity emptoyee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answers on separate sheet and ettach to green sheet
INITIATING PROBLEM, ISSUE, OPQORTUNITY (Who, What, WY�m, Where, WAy)
ADVANTAGES IFAPPROVED:
��r9 3�.mr�.�nP 7
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,�A�11 � 7995
,�,.� _�._�_._.�,��.____._...i
OISAOYANTAGES IF APP0.0VED:
DISADVANTAGES IF NOT APPROVE�'
70TAL AMOIlNT OF TRAPlSACTION $ COST/REYEP{UE BUDGETED (CIRCLE ONE) YES NO
FUNDIfJO SOURCE ACTIVITY NUMBER
FINANCIAL INPpRMATION� (EXPLAIN)
°IS -log'
Greensheet #.
In Trackef?
L.I.E.P. RE1/IEW CHECKLIST Date: 1/10/95 /
APP'n Aeceived / APP'n Processed
LicenselD # 33007 Gambline Manager License
Company Name: Joanne C. Grundhauser DBA: Chnrch nP Rt_ RarnarA
Business Addresss: 1201 Sackson st. (TS xeli sl s5t i� Business Phone: �.RR—F���
Contact TJamejAddress: 197 w. rPra,,;,,m avP _ 5s1 t � Home Phone: t�RSt_���3
Date to Council Research:
Public Hearing Date: oZ i ��
Notice Sent to Aoolicant:
Notice Sent to Public:
Labels Ordered:
�istrict Council
Ward #:
Department/ Date Inspections Comments
City Attorney
( �i� ��`� o l�
Environmental
Health �
�
Fire
�/ �
License Site Plsn Received:
Lease Received:
' l � �� z� �c.
Police �/� � � �
Zoning
N t�
�
95 - l08
� STATE OF MZNNESOTA FOR BOARD USE ONLY
` � GAMBLZN6 CONTROL 80RRD AMT. PAID
ORMBLZNG MANAGER,LICEXSE RENEWAL RPPLICATION CHECK #`
'•212GHR PRYNTEDt 12fO8J93 ' . - . DATE
LZCENSE NUHBER: 6-00963 002 EFFECTIVE DATE: 06/O1/93 EXPIRATION DATE: OS/31/94
NAME OR ORGAPiZZATZONS Church O4 St Beraard-St Paul
GAMBLIN6 MANA6ER INFORMATION
Joanne Christine Grundhauser
16 Wiater St
St Paul MH 55103
DAYTIME PHONE NUMBER: 612-488-6733
a
DATE OF BIRTH: 04/20/45
SEX: F
SOCIAL SECURITY NUMBER: 474-48-9488
MEMSER SINCE: Ol/02J70 ' , //
J
LAST DATE YOU ATTENDED A GAMBLING MANAGERS SEMINAR/CONT2NUING EDUCATION CLASS: ��--
BOND INFORHATION
BOND COMPANY NAME: Catbalic Mutual BOND NUMHER: 8589'
I DECLARE THATt �
• I HAVE READ THIS APPLICATION AND ALL INFORMATION SUSMITTED TO THE GAMBLING CONTROL BOARD;
• ALL INFORMATION IS TRUE� ACCURATE AS3D COMPLETE)
• ALL OTHER REQUIRED INFORMATZON HAS BEEN FULLY DISCLOSED)
• I AM THE ONLY GAMHLING MANAGER OF THE ORGANIZATION�
• I HAVE BEEN AN ACTIVE MEMSER OF THE ORGANIZATION FOR AT LEAST TWO YEARS�
° I WILL FAMILZARlZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF
THE GAMBLING CONTROL SOARD AND AGREE� IF LZCENSED� TO ABIDE THOSE LAWS AND RULES�
INCLUDING AN.ENDMENTS TO THEM;
• ANY CHANGES IN APPLICATSON INFORMATION WSLL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND
LOCAL UNZT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE;
• AN AFFIDAV2T FOR GAMBLING MANAGER HAS BEEN COMPLETED AND ATTACHED� AND
• I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING
INFORMATION MAY RESULT lN THE DENIAL OR REVOCATION OF THE LICENSE.
SIGNATURE OF 6AMBLZti6 ?f7�NA6EA
e
DATE
�//� o
REFER TO THE CHECRLIST FOR REQI3IRED ATTACHMENTS
MAIL TOi QAMSLIN6 CONTAOL BOARD
1711 WEST COUNTY ROAD 8� SUITE 3005
ROSEVILLS, MINNESOTA 55113
SHIS FORH WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT� BRAILLE) UPON REQUEST.
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