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95-408ORIGI�AL Council File # 9j 77/O Green Sheet # 29323 RESOLUTION 3 � CITY OF SAINT PAUL, MINNESOTA Presented By Referred To Coromittee: Date RESOLVED That application (ID #99963) for a new Gambling Manager's License by Joni Smith DBA Cystic Fibrosis Foundation at Erick's Bar, 949 E. 7th Street, he and the same is hereby approved. _.___ ___ _ _,__ , Requeated hy Department of: Office of License, Insvectiona and Environmental Proteation Adopted by Council: Sy' Appr By: $Y: �'�� -�� Form Approved by City Attorney By� _W��(�',� �. fn� 3 -�-y5 � Approved by Mayor for Submission to Council By: Adoption Certified by Council Secretary �s �o g' OEPqRTMENT/OFFICFJCOUNCIL �ATE INITIATED I V� 2 9 3 2 3 LIE� GREEN SHEE INITIAL/DATE �NITIAVOATE COMACT PERSON & PHONE � DEPARTMENT ��RECTOR � CITY CAUNCII, Christine Rozek - 266-9114 "�'�" �cmanoaNEV �CT'CLERK MUST BE ON COUNCIL AGENDA BY (�A7E) MUNBER FOP O BU�� DIAECTOP � FIN. & MGT. SEFVICES �IR. ROUTIN6 H2fl21R 7 S OqDEH � MAVOR (Ofl ASSISTAN'n � TOTAL # OF SIGNATURE PAG (CLIP ALL LOCATIONS FOR SIGNATURE) AG�ION REQUESTED: Joni Smith DBA Cystic Fibrosis Foundation requesYS Council approval of her application for a new Gambling Manager's License at Erick's Bar, 949 E. 7th Street. (ID �k99963) RECOMMENOATIONS: npprova (A) or Feject (A) pERSONAI SERYICE CONTRACTS MUST ANSWER THE FOILOWIN� OUESTlONS: _ PLANNING CAMMISSION _ CIVI� SERVICE COMMISSION �� Has thiS pef50nflirm evef wofkEd undef 3 cOntraCt fol this depertment? _ CIB COMMITTEE _ YES NO _ SrAFF 2. Has this persoNfirm erer been a city employee? — YES NO _ D�SialCT COURT _ 3. Does this personRirm possess a skill not no�mally possessetl by any current city employe¢? SUPPORTS W WCH CdJNQL OB.lEC71VE? YES NO Explain all yes enswers on separate sheet antl attach to green sheet INITIATING PROBLEM, ISSUE, OPPORTUNIN (Who. What, Whe�. Wnare, Why): ADVANTAGESIFAPPROVED� �..3�:.,.ed>. .._..n7�w�i 5os�.:�GA t;s�� 3 5�� DISADVANTAGES IF APPROVED DISADVANTAGES IF NOTAPPROVED' TOTALAMOUN70FTRANSACTION $ COSi/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDIIdG SOURCE ACTIVIiV NUMBER FINANCIAL INFOFMATION: (EXPLAIN) 9� �� Greensheet # 29323 L.I.E.P. REVIEW CHECKLIST 1n Tracker? LicenselD # 99963 New Gambling Manager License APP'n Received 1 APP'n Processed Company NBme: Joni Smith DBA: Cvstic Fibrosis Foundation BusinessAddresss: 949 E. 7th St. (Erick's1 55106 BusinessPhone: 338-0885 Contact Name/Address: 1111 3rd Ave. so_ 4�37o Home Phone: �3R—nA85 Minneapolis, MN 55404 Date to Council Research: Pubiic Hearing Date: �f � �� 5'S� Notice Sent to Ao�licaM: _ _ _ _ _ Labets Ordered: District Councii #: Notice Sent to Public: Ward #: 07 Departmerrtf Date I�spections Comments City Attorney �-, �I 9s Environmental Health �(� Fire � � +'i License ��e p�an aeceived: Lease Received: �)3�f �s �,� Poroe � f� � � C �. � �-)�f�� a� ; c-, Zoning �1� pn, h r ._r,Z . (Rev. 7/?J82) 9S- IISiurr.esotaLamf'utGambIing .- G�mblin� Manager Application ,. ..... . _ .: ... . .. ... O{r�T.7J11CQti0�2 -�:"-.� -` - _.:-, �� . � - -� �FOR CrFlCc i:SE ONLY dASE LIG f SEQ i FEE CHK DA7E INIT QY hew Give da:e :"zt ie cxo-Gay garnblf� ranager seminar was completed- 9 ! � � / 92 Lcca=enetvzimng RCS"cvi (��Y) � Fanewal Give �,;a of :a:^ing received wi� L� ;hree years prior to Cie das ot tfie application for renevral. _I 1_ Loca^on cf : aining . . .. . .. ... . . . . . .. . ., . (t�h _, . . .., -•---�-- ' , "*�i771i1{?7i%.J ar1�.i1?(i:lr� a!� Vl:tt��iiDit � . UST 4n�'e FIFST tiP.�ic UiDDIE Nh:'c !.AAIDEN Date cl 6inh Soe. Securi.y Nunber S�,itn .icr: Guptill Guptill 12/37/62 477-68-9254 AGcress S:a:e Zip Co6o DaySme Phona �2227 Harder Avenue, Hzrris h1N 55632 1612� 871-0462 1^E`iBERSHiP: Cate ganblirg mar:5>r tecz,.e a mem:�r of �e crganizaoon �� /13 � a9 Ssx : � Male Q Femda flYi liliQT-"iCc�IOR ' ' . . . . _ _.. .. " • .. .. Name of (kezniadon Cystic Fibrosis �oundation Address Ciry/State Zip Code ":^ �alc .,,.�:�. ,..-, �_�n �;i�, :apoli>. :;� 55�,03 :. .. . - - ptil��.rf y�^v_LcTi4Z f i?1'.__ .- , .. � 5;0.�0 P.�.oi;t bCf.:.� ;Q �3'.Cf OI ;.'.d crya:,,za�on must .`.e c�;zinN :or ;ha 5anbling ma�a;a�. Nsr,.e of insurxnca compar,y {do ne:use agenq rame) CNU38 Insurance C0. go�d Number 80351275-K . .. .... ........ . ... : ., _ .., ,-:..;.: . .: ,:::.: :,: • , .:..:.. . �. . . . , ; : .; �. . . . ;.. . .,. :;..;�,,;;:« Acknou�ledqment . ......... .:. ..> >; �,� 1 �dare �aC : y ]'.] �^:;� i`':5'.�Cii^.<...C:1 Y.j '.I i J,�ft+�;'B� �0 � 9�C3fd; • . . . .. i 1' .J �.�. J .. . i. .��..�. • , ' •1 �� '' ��`� - - . . . __.-_ .- --. � - -' _..5�� _._, , . .-•.�•, . . ,.i �_r: t ,r4 a!f rqq z:tachm,3r.+:'o: „�. c:or,?roi 3oard 3u�ta 3C0 S. 7777 `�Y. CoUnty Road 8 Aoeev!11e, MN SSS13 �icensa Number 00397 Phone �012 � 871-u462 5�/�9.� � 9 9C 3 �'�� a��l/95'