95-214Council File $ 15 —� l I
Green Sheet # 29319
RESOLUTIOIV
��AUL, MINNESOTA
Presented By
Referred To
Committee: Date
RESOLVED: That application, ID # pending, for a new State Class A Gambling
Premise Permit by Midway Lions Club at West 7th Street Bingo, 1026 W.
7th Street, be and the same is hereby approved.
�� ,—,�-� Requested by Department of:
Office of License Insnections and
Environmental Protection
By: �� � "`""1,Q�-�
Adopted by Council:
By:
Appr
By:
Form Approved by City Attorney
By: � Z � � ��
Approved by Mayor for Submission to
Council
By:
Adoption Certified by Council Secretary
�1s-at�{
DEPARTMENT/OFFICE/COUN O Y DIAT LY ** DATE INITIATED N� 2 9 319
LIEP GREEN SHEE
INITIAL/DATE INRIAVDATE
CONTACT PERSON 8 PHONE � DEPAflTMENT DIflECTOR O CRY COUNCII
I15SIGN CfTYATTOfiNEY pTYCLERK
Christine Rozek - 266-9114 NUYBEflFOfl �
MUST BE ON CAUNCIL AGENDA BV (DA7E) qp�ry� O BUIX'aEf DIAEGTOR O FIN. & MGL SERYIGES DIfl.
ORDER O MqypR (OR ASSISTANn �
Hearin :
TOTAL # OF SIGNATVRE PAGES (CLIP ALL 40CATlONS FOR SIGNATURE)
ACTION RE�UESTED:
Richard A. Hodges on behalf of Midway Lions Club requests Council approval
of their application for a new State Class A Gambling Premise Permit at West 7th Street
Bingo, 1026 W. 7th Street. (ID 9� pending)
RECOMMENOATIONS� ApOrove (A) or Rejec[ (R) pEHSONAL SERVICE CONTRACTS MUST ANSWEH THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this person/Firm ever worked untler a contrect for this tlepartment?
_ CIB COMMITfEE YES NO
� — 2. Has this person/firm ever been a ciry employee?
_ STnFF — YES NO
_ DlSraICT COURi _ 3. Does this person/firm possess a skill not normally possessetl by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain a�� yes answers on separate sheet anE attach to green sheet
INITIATING PROBLEM, ISSUE, OPPOFTUNITY (Who, Whet, When, Where. Why)
ADVANTAGES IF APPROVED:
DISADVANTAGES IF APPROVED�
DISADVANTAGES IFNOTAPPROVED
TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIflCLE ONE) YES NO
FUNDIidG SOURCE ACTIVITY NUMBER
FINANCIAL INFOPMATION. (EXPLAIN) �
- - ' �is-���t
Greensneet # 29319 L.I.E.P. REVIEIN CHECKLiST
In Tracke�?
App'n Received / App'n Processed
LiCense(D # PendinQ New — State Class A Gambling Premise Permit
Company Name: Midwav Lions Club DBA: Midway Lions C1ub
Business Addresss: 1026 W. 7th St. Business Phone: 776-7303
Contact Name/Address: R� chard A. uodgeG/r.EO Home Phone: �76-73n�
1173 Edgcumbe Rd. 55105
i
Date to Council Research: a' a� �
Public Hearing Date: � F�t � Labels Ordered:
Notice Sent to
Notice SeM to Public:
District Council
Wazd #: 02
Department/ Date Inspections Comments
City Attorney
a���� �� ��
Environmental
Health N ' �
Fire � �-
License � q � � �
IV k.�-�O �-�'�' � Site Plan Received;_
Z� � � � �n � �� Lease Recsived:
�-� Ct��i«x. a-��+d-a��
4) 6 �.�--
� �a - rh.� i,c� �tM 6 M �T2�A s G�!� ee : o k�m
Police s� (� � Y�u. � s,�C .
�.�-- z��-I��
Zoning � ] �
(
�C�' e �/
4
!
Minnesota LcuvJul Gambiing
Premises Permit Application - Part 1 of 2
Re�ewal
Orgar�ization base license number
Premises pertnit number
New
G1S-a-�y
FOR BOARD USE ONLY
BASE ii
PP #
FEE
CHECK
INITIALS
Class of premises permit
' (cheek one)
� A($400� Pulkabs, tipboards, paddlewheels, raffles, bingo
� B($250) Pull-tabs, opboards, paddlewheels, raffles
❑ C ($200) Bingo oniy
� D ($150) Raffles only
St. Paul MN -� 55l05 'Ramsey
�e o( chief executive oHicer (cannot be your gambling manager) Title I Dayfime phone number
Richard A. Hodges President (612���6
.go Occasions
pplying for a class A or C permit, fill in days and beginning & ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your organLation per week.
y Beginning/Endtng Hours Day BegUuilngJEnding Hours Day Begtnning /£ndtng Eiours
iee Schedule A
_ to _ to _ to
lpm 9 pm
If bingo will not be conductod, check here �
�3
"S�t
;"MN 55102
�e premises located within city limits? � Yes O No if no, is township � wganized d unorganized � u�incarporated
and County where garnbling premises is Iocated OR Township and Counry where gambling premises is located if outside o( ciry limits
t. Paul, Ra ,
ne and address of legal owner of premises ' Ciry State � Zip Code
dward and Dianne H��ghes, 2144 Upper St. Dennis, St. Paul, MN 55116
:s your orga�iza6on own the building where the gambling wiil be co�ducted? p YES � NO
If no, attach the foltowing:
• a copy of the Iease (form LG202) with terms for at teast one year.
' a copy ot a sketch of Ihe floor plan with dimensions, showing what porcon is being �eased.
A lease and sketch are noi required tor Class D applicatio�s,
,..: .... ... . .. ....: . ..:.:....... ..:.....::.><..::....,..,.....:.:.....,,....,..-,:.,...:;.....:,,...:>..,...:..:-..�,;.�:..:..,., ,.
. , .: � - .,. ., .. �...... .
'3�0 SpflCB� Of ,�3II1b�I1,� CQL1�pII1Crit . no not u�e a�PO box number .. . ,_
026 West 7th Streei St.�Paul MN �55102
ness Address ot Organization - Sveet w P. O Box (Do not use the address of your gambling manager)
1173 Edgcumbe Road
q�=a�H
Minnesota Lau�ful Gambling
Pzemise Permit Application - Part 2 of 2
..._ ..:..... .. . :....... .... ..
..:............ , . : .:;
'_ i'f._�T� � A i...e.<e� i Tn �nriTt RftltTi' .
Bank Account
iberty
ddress 'ry �� P
Thomas FarrelL
—o --
3reby consent that bcallaw enforcement ofticers, the
ard or agents of the board, or the commissioner of
•enue or public safety, or agents oi the commissioners,
ry enter the premises to entorce the Iaw.
mk Recozds Information
e board is authorized to insped the bank records of the
mbling account whenever necessary to fuHil�
�uirements ot current gambling rules and law,
ath .,
eclare that:
have read this application and ali iniormation submitted
ihe board is true, accurate and complete;
11 other required intou�ation has been fully disclosed;
inature of c
�-�
"'Government
Illl Elway Street �I403 St. Paul, MN 55116 Gambling Manager
�
. Tha city'must sign this appiicafion H the gambling prem-
�es is located within city limits.
. The county •'AND township•• must sign this application'rf
ie gamb4ing premises is bcated within a township.
�. The bcal unit government (city or county) must pass a
esoiution specitically approving or denying this appl'�cation.
:try w c:ounry rva e <'e.���
> of �son receiving pplica�
i.` . G -
iitle ��,(�f/ ' I Date
� � f �.
Fie r to the insWCtions for requ ed attachmen��
Mail W: Gambling Control Board
Rosewood Piars South, 3rd Floor
1711 W. Counry Aoad B
Rosevllle, MN 55113
•I am the chiet executive officer of the organization;
•1 assume fuN responsi6ility for the tair and lawtul opera-
tion of all adivities to be conduded;
•I will familiarize myselt with the laws of Minnesota
governing lawful gambling and rules ot the board and
agree, rf licensed, to abide by those laws and rules,
including amendments to them;
•any changes in appiication information will be submitted
to the board and bcal unit of government within 10 days
ot the change; and
•I understand thaf failure to provide required information
or providing talse or misleading information may result in
tha denial ot revocation ot the license.
Date
1-�3-45
q, e....,,.. „r etie b,�,i r,a n1 r,nvammenYs resolution ao-
Qrgvina this aoolication must be attached to this aoolication.
5. H this application is denied by the local unft oi government,
it should not be submitted to the Gambling Control Board.
Township: By si9nature below, the township acknowledges
that the organization is appiying for a premises permit within
township limits.
Township Name
SignaNre of person receiving appliwtion
rne
Date Received
LG214(Part 2)
(Rev�.'29'91)
Richard Hodges t939 Upper Aiton Road, MN 55114 Presiaen�