95-409Council File � � s� q
� R} G�� A� Green Sheet # 29324
RESOLUTiON
CITY OF SAlNT PAUL, MlNNESOTA �'�
,.� O,f' �
Presented By
Referred To
RESOLVED
Committee: Date
That application (ID #14659) for a new Gambling Manager's License by
Daniel E. Muccio DBA Hayden Heights Booster Club at Kick-Off Bar, 1347
Burns Avenue, be and the same is hereby approved.
.,..__ ,._.__ „ti___� Requested by Departsent of:
Adopted by Council: Date
Adoption Cettified by Council Secretary
By:
ApF
By:
Office of License, insnections and
Environmental Protection
By: �' ��-��
Form Approved by City Attorney
sY: ���,�� ao 3-�'��
Approved by Mayor for Submission to
Council
By:
9S�a9
DEPAR7MENT/OPFICE/COUNCIL ppTE INITIATEO I V� 2 9 3 2 4
LZEP GREEN SHEE
INITIAVOATE INRIAWATE
CANTACT PEFSON & PHONE � DEPAf7TMENT DIflECTOR � pTV COUNCIL
Christine Rozek - 266-9114 NUNIBEfiFOH �GfiYATfORNEY �pT'CLERK
MUST BE ON COUNGR AGENDA BY (DA j. �p�N� � BUDGET DIflECTO � FIN. & MGT. SEflVICES DIR.
HEdTlII : ORDEfl � MAYOR (ORASSISTANn O
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCA710NS FOR SICaNATURE)
ACTION REQUE5TED.
Daniel R. Muccio DBA Hayden Heights Booster Club requests Council approval of
his application for a new Gambling Manager's'License at Kick—Off Bar, 1347 Burns Avenue.
(ID �i14659)
RECOMMENDATIONS: Approve (A) or Reject (Fi) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING OUESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this persoNfirm ever worked under a contrad fOr this tlepartment?
_ CIB COMMITfEE _ YES NO
2. Has this personRirm ever been a ciry employee?
_ STAFF
� YES NO
_ DisTRiCT COURi � 3. Does this person/firm possess a skill not normally possessed by any current City employee?
SUPPORTS WHICH COUNCIL O&IECTIVE? YES NO
Expfain atf yes answers on Sepatate Sheet and attach to green sheet
INITIATING PROBLEM. ISSUE, OPPORTUNITV (Who, W�at. When, Where, Why)�
ADVANTAGESIFAPPROVED'
�ia`�'%�s: :`i;^.`;'��>awa3 �'�3���w�
�1°7S '� � i�v�
DISADVANTAGESIFAPPROVED: _ °^^�-.�-.-..-,--.-..u.....__.e...�,�.,.,,�
OISADVANTAGES IF N�7 APPROVED�
TOTAL AMOUNTOFTpANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfdG SOURCE ACTIVI7V NUMBER
FINANCIALINFORMATION'(EXPLAIN)
. , 9� �a�
Greensheet # 29324 L.I.E.P. REVIEIN CHECKLIST Date: !
ln TrackeR App'n Received f App'n Prxessed
License ID # 1 4659 NPm f:a„�hl ing Manager License
CompanyName: na,,;Pi R_ M„�r;r, DSA: Hayden Heights Rooster Club
Business Addresss: 1347 Burns Ave. (Kick—Offl 55106 Business Phone: 457-5408
Contact Name/Address: t 965 xoyt ave. 557 06 Home Phone: 457-54oR
Date to Councii Research:
Public Hearing Date: � «� ��
Notice Sent to Applicant:
Labels Ordered:
District Council
Notice Sent to Pubiic:
Ward #: 07
Department/ Date inspections Comments
Ciry Attorney
�-J�Iq�
Environmental
Health
p`-�� �.'
Fire
� I�
License Site Pian aeeeived:_
� j� � �� � �� � Lease Received:
1
Police
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Zoning
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D n r•, �/
r � LG312
iRev. 71?J92)
Minnesota Lawful Gambitng
Gambling Manager Applicatian
JINKIWoi'
� New Give date that ihe two-day gambGnp menager seminar watr8mp
r
Location of traminp . �C.�4e L' , � �-�-
(pA')
FOR OFF{CE USE ONLY
BASE LIC 1!
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FEE
GHK
DATE
INIT
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� Renewal Give date of traininp received wiifdn tluee years prior b iha date of the appGmtion for renewal. _/ /
LAST NAME
Location ot traii
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FIRST NAME
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MAIDEN
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of Birth Soc. Securiry Number
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.ode Davtime Phone �
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MEMBERSHIP: Date ga—, �;ng ma^age: !;�: a.,e a member of the organization =/ ✓/�� %
� �ti�za'f�7 �ry;'lI�"
Sex : � Male ❑ Femaie
Name ot
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License Number
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City/Stam Zip Code Phone �
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-- A S10,000 fideGty bond in tavor of the organization must be obtamed tot the gambimg manager.,
Name of insu2nee company (do not use agency nameJ ✓! ��G/ �� ��/cl'r'� ��� BQnd Number ��✓ `���� ��
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Acknowle�g�e� r� , .�. « ,�, y . �w �:: � , , �
I deaare mae
• 1 have read this application and all infortnation submitted to the board;
• afl intortna5on is true, axurate and complete;
• ail other required in(ortnation haz been tuly disdosed; ,
• I am the oniy gambling manager ot the organizauon; �
• 1 will harniliarize myself with tlie laws of hLnnesota goveming Iaw(ul gam6lirg snd rules of the board and agree, 'rf licensed, to
abide by those laws and rules, induding amendments to them;
• any changes in applicaton infortnation witl be submined to the board arid bcal unit of govemment within 70 days of the change;
• M aKdavit for gambling manager has been completed and attached, and
•! understand that tailure ro provida requitad information a provid'uig taise informaUOn may resuit in the denial or revocation ot the
license.
Gambfing Controt Board
Sufte 300 S.
171t W. County qoad 8
Rosaville, MN 55� 13
'i�6Sy C
Send iha compfated applicaYron and all required ariachments to: