95-208Council File � ����'V �
Green Sheet � 29309
Presented By
Referred To
RESOLUTION
CITI( OF SAINT PAl3L, MINNESOTA
Committee: Date
That application, ID #22278, for the transfer of a Gambling Manager's License currently
held by Mildred Carlson DBA Big Brothers-Big Sisters of Greater St. Paul at Midway Pro
Bowl, 1556 University Avenue, be and the same is hereby approved for transfer to Rodney
A. Toft at the same address.
r —����� Requested by Department of:
By:
App�
By:
Office of License, Insnections and
Environmental Protection
By: � D h
Form Approved by City Attorney
s � �p /�2fJ �15
Approved by Mayor for Submission to
Council
By:
Adoption Certified by Council Secretary
_ 9�_�a�8'
DEPARTMENLOFFICE/GOUNpL DATEMITIATEO GREEN SHEE �O 2 9 3 0 9
LIEP INITIAIJDATE INITIAUDATE
CONTACT PERSON 5 PNONE � DEPAf[TMENT DIRECTOF O CITY CWNqL
Christine Rozek - 266-9114 A�IGN �CITYATfORNEY �G7YCLERK
MUST BE ON CAUNCIL AGENDA BV DAT ) NUNBEP FOfl O BUDGET DIRECTOR � FIN. & MGT. SEFiVICES DIR.
ROUTING
% � �� ORDER � µpYOR (OR ASSIS7ANn O
Hearin : a
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTEO:
Rodney A. Toft DBA Big Brothers-Big Sisters of Greater St. Paul requests Council approva
of his application for transfer of a Gambling Manager's License at Midway Pro Bowl
(ID 1122278), 1556 University Avenue W. currently held by Mildred Carlson.
RECOMMENDATIONS� Approve (A) or Re�ect (R) PERSONAi. SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLANNiNG CAMMISSION _ CIV1L SERVICE CAMM{SSION �� Has this person/firm ever worked untler a co�tract for this tlepartmeni?
._ CIe COMMITTEE YES NO
2. Has this personffrm ever been a city employee?
_ STAFF
— YES NO
_ Di57RIC7 CoUer _ 3. Does this personqrtm possess a skill not normally possessed by any currenf ciry employee?
SUPPOFTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answers on separete sheet and anaeh ta green sheet
INITIATING PROBLEM, ISSUE. OPPORTUNIN (Who, What, When, Where. Why):
ADVANTAGES IF APPROVED:
'6e.�.9`ii�'��.tu2i 1�r�. E6�'.��
i"�i7 � a/ �JJS
_'_ .,�
DISADVANTAGES IFAPPROVED:
DISADVANTAGES IF NOT APPROVED;
TOTAL AMOUNT OF THANSACTION $ COST/IiEVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIIdG SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION. (EXPLAIN)
� _�5•aoY
Greensheet # 9�0 � L.I.E.P. REVIEW CHECKLIST �ate: /�g/�5 /
In Tracker? tipp'n aeceived / App'n Prxessed
License ID #
/n�.r. % �t�.
DBA:fJi4�%'b�JPJ:�'��c�/S��iiS �
Business P�
Home Phone: � � � � � 6 ��
Company
Business ,
Contact
�
Date to Council Research:
Public Hearing Date: ��! � 9 S
Notice Sent to Anoiicant: _
Notice Sent to Public:
Lahels Ordered:
District Council #: �.�
Ward #: �
Department/ Date Inspections Comments
City Attorney f
�I�'�i� P}�-
Environmental
Health
� J �p�"
Fire
/�-� �g`
License / Site Pian Received:
c�' 1 � � � � � Lease Received:
Police
►����.� �
zoning � j /�-
�
�v Nov 17 �
95-ao�
CITY OF SAINT PAUL
DEPA.RTMENT OF FINP�CE AND MANAGEMENT SERVICES
DIVISION OF LZCENSE AND PERMITS
APPLICATION FOR A CHANGE IN GAMBLING MANAGER
The applicant must return this application form, requested supporting documents
and the required fees in person to Room 300, 350 St. "Peter Street, Lowry
Professional Building, Saint Paul, i�vT. Make an appointment with Christine Rozek,
266-9114, to bring in your application and to Yeview City gambling zules.
Date: � � - 1� -�-
1) Full and complete name of org2�ization: '
� _ n . � . r- _ , ��
3) Name
rst
Middle Last
4) Address .��}.��{ `�C\��'\k. F\�:� �.. �i(1_ ��":'1'c���
Number Street City
5) City of Saint Paul License �- �-t - (,�c�i� -( ��
NEW MANAGER INFORMATION
6) Name
Zip
l��l
7) Date of Birth �1' ' �\ � • �l"�
8) Address \1'���1 ��� �� �,�c1�0 �1t1Y� �11��� Jr�`3`l�.
Number Street City Zip
9) Phone � �l,.l� ) ��-<.� -i9C3 Phone : ��„�J 1 `]��� ���
Home • Work
10) Member of organization since
11) Fidelity Bond: �
Insurance
� e��
Month
a �.
Year
2) Name of licensed location: •
9s•���'
CHANGE IN GAMBLI2vG MANAGER
PAGE 2
State of Minnesota)
) ss
Count of Ramse ) �
� i IN � and /��t 1-fJ•.G ��`--�t.L'�.rw�
being duly orn say tha they are the petitioner(s) in the above
application; that they have read the foregoing petition and know the
contents thereof; that the same is true of their own knowledge.
Subscribed and sworn before me this
3 C � rt 3ay of 7^..o-a�e_,..-.A�.e,. _ 19 `�`f
i`. /'�,"—'l�i� ��1�iCfl2P (" / //l.n—>
�
Notary Pvblic, Ramsey County, Minnesota
My Commission Expires /- 3 � - O C�
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f i ,�• . � __ �A .
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12) Attach a copy of the bond to this application.
13) Attach to this application proof of inembership in the orgsnization
for at least the most recent two (2) years.
14) Gambling Manager applications must be approved by City Council
before managerial duties can begin. A11ow 30-60 days for
processing and investigation. This aDplication is not a license
to overate. You wi11 be notified by letter of your hearing date
before the City Council. We suggest that you attend the public
hearing.
15) Attach a letter from the President or CEO of your organization
requesting the gambling manager transfzr and explaining che
necessity for such a transfer.
16) � c�q /b.�
'Gambling Manager transfer fees is: -- each site
17) Attach a copy of State Gambling Manager Application and Affidavit -
LG 212 and LG 213.
2/94