95-283� � � � � � � � � Council File # �����
Green Sheet # 29315
RESOLUTION
CITY OF SAtNT PAUL, MINNESOTA y/�
Presented By
Referred To
Committee: Date
RESOLVED: That application for a new Gambling Manager's License by Robert McNamara DBA
Baseline Club, Inc. (ID #77152) at Campus Sports Grill, 2554 Como Avenue, be
and the same is hereby approved.
r- _-�r--� _, itequested by Department o£:
Office of License Inspections and
Environmental Protection
By:
C�..� �- �-,�,�
Form Approved by City Attorney
By: l�i.��/����i}'(iL(JC � ��7" /�J
t�
Approved by Mayor for Submission to
Council
By:
9s �P3
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED I V� 2 9 315
z g GREEN SHEE
CONTACT PERSON 8 PHONE INITIAVDATE INITIAI/DATE
a DEPAATMENT DIRECTOR � GTY COUNCIL
NUY FOR O CffYATfORNEY O GTV CLERK
MUST BE ON COUNCIL AGENDA BY (OATE) RD�p� � BUOGEi �IRECTO O FIN. & MGi SERVICES OIR.
� [� (} L`` �D� O MAYOR (OR ASSISTANn O
J 7 J
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION qEQUESTED:
Robert McNamara DBA Baseline Club, Inc. requests Council approval of his
application for a new Gambling Manager's License (ID �f77152) at Campus Sports Grill,
2554 Como Avenue. .
RECAMMENDATIONS: Approve (A) or Reject (R) pERSONAL SERVICE CONTRACTS MUST ANSWEfl THE POLLOWING �UES710NS:
_ PLANNING COMMISSION _ CNIL SEAVICE CAMM15510N 1. Has this personttirm ever worketl under a contract for tMS department?
__ qB COMMITfEE _ YES NO
_ S7nFF 2. Has this personlfirm ever been a cify empfoyee?
— VES NO
_ D7S7RICr COURT _ 3. DoeS this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answers on separete sheet and attach to green sheet
INITIATING PROBLEM, ISSUE, OPPORTUNIN (Who, What, When, NTere, Why�:
ADVANTAGES IF APPROVED:
DISADVANTAGES IF APPAOVED
DISADVANTACaES IF NOT APPROVED�
.. � t`?� s35 � '` r.`5, yy,,.e-
, :^`.Ya'et �e &.�.%:}"§,`�%xn �� �.li4Yd
�...�.1 ; 4�.d SJ�J
TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETEU (CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL MFORMATION (EXPLAIN)
Greensneet # a'29a3/.5' L.I.E.P. REVIEW CHECKLIST Date: � �
In Trecke�? npp'n aeceryea j npp'n �rocessed
License ID #
Company
Business ,
Contact �
z N� - ��6/� y /I�l�-�rdy��
� �IG �lL �YIGLizL DBA: �QS� /!/7+P/ G�/CC D �rIG� _
�f (� yntl �i / ✓-C� n � � ,�.5%08` Business Phone: G a3 - g/-S�
s � ve�� '7"U �?U2 . S� Home Phone: �a?.3 - 9/� �
m������
Date to Council Research:
Public Hearing Date: � l; �LS
Notice Sent to
Labeis Ordered:
District Council #: /�/
Notice Sent to Public: Ward #: O�f
DepartmeM/ Date Inspections Commenis
City Attorney
��,� �9� o�
Environmental
Health
�l1 � �-
Fire
� /�
License Site Plan Recaived:
1 � � � � �ea� r�ce��ed: —
2 s ��
Po�,�e s� �l�sl9s
Zoning ,v i�
1
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LG212
" (Re4.7/292)
Minnesota Lau�fui Gambling
Gambling Manager Application
FOR OFFICE USE ONLY
BASE L1C x
SEQ s
FEE
CHK
DATE
INIT
.. ... .. . . ..:.:-.. - , . ... ,: . .. . :;, -
_.
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'TLDe of'Application ` `
� New Give date that the two-day garnbling manager seminar was eompleted. /2� //�I,��
Lowfion of training 1� �S �V i U! ./y n�
(�`�ry)
� Renewal
�
tAST NAME
^� C i.; A t-^�
Give date of Vaining received within three years prior to t�e date ot tlie appliqoon for renewal. _/ /
LocaSon of training
S��h1 ...
, , ... _ .:. . . ,
.na erin ormation "'
FIRST NAM,E MIDDLE NAME MAIDEN Date of Birth Soc. Securiry Number
ri.2 k 31 yLb-3 0 -17i3
39Q�cy�2
MEMBERSHIP: Date gambling manager became a member ot the organiuCOn O �/ f� I!� Sez :�Male ❑ Female
..... .....:......... :.:>...:,.... ,.. ... , ...:..,...
..... ..... . .... ::�
. ,. .. .�..,. .....
,. . . . .. . ..,�.: .�. . � :.� .
flraanizafion Information
Name oi Organization
License Number
v
Address CirylState Zip Code Phone
c�S (>/vi✓ A✓c 5 LC MLFS 1-;i.. �SY3c � 6/1 - �(cG3-`1/a' (
...:. . . . :. ....c .x . . . .. .. � . .. ..; . �:, .. � ,..
' . .
�pnd ZnforntatiQn ' � " .:':' , .:: . ;
-- A St0,000 f�delity bond in tavor ot the ot9anizanon must be obtained for ihe gambling manager.
4( Nama of insuranee company (do not use agerwy name) s; -Y7 �.Cvl� r r>�:� Bond Number �� � 5 `i �1 `� �( v
. . _ ,_ . . .,,.. :�.. .... ..: .,..:
'rlcknowledc�ment
I dedare that:
• 1 have read this appiica5on and all infortnation submi;ted to fhe board;
• ait iniortnaflon is true, accurate and compiete;
• all other required information has been NIFy disdosed;
• 1 am the only garnbGng manager ot ti�e organizaDOn;
• I will familiarize mysetl wiih the laws ot A�UnnesoEa goveming lawful gambiing and rules ot the board and agree, if licensed, to
abide by those laws and rules, induding amendments to them;
• any changes in applicaoon infortnation will be submined to the board and locat unit o( govemment within 10 days of the change;
• An affidavit for gambling manager has been completed and attached, and
• 1 undersiand that failure to provide required informa6on or providing faise information may resutt in the denial or rewca6on of the
lieense.
SignaNra of Gambling Nanager I Date
` S��� �'l1 ��1'1 Cfrn-,C�z� � 1- �N-9y
• • Send the completed application and all required attachments to:
�
Gambiing Confrot 8oard
Sufte 300 S.
1711 W. County Road B
Rosevllle, MN 55113 .