95-427QRIGI�AL
Council File # `� � �°�
Green Sheet f' 29329
RESOLUTION
41NT PAUL, MINNESOTA
Presented By
Referred To
Committee: Date
RESOLVED: That application, ZD #B-03180, for a new State Class B
Gambling Premise License by Friends of Animal
Adoptions, Inc. at Amelia's Nite Club & Eatery, 175
Sth St. E., be and the same is hereby approved.
3�
..___ ..____ .�___� Requested by Department of:
Adopted by Council: Date
Adoption Certified by Council Secretary
Bye
Appr
By:
Office of License. Insnections and
Environmental Protection
By: ���..ri� /�^-''�✓
Form Approved by City Attorney
t�U.CU/J ib •��e �L- 3- 9h
�oved by Mayor for Submission to
icil
. . 9s�� �
** NEED COPY IMMEDIATELY ** Np 2 9 3 2 9
OEPARTMENT/OFFICElCOUNCIL DATE INITIATED
LIEP GREEN SHEE
CONTACT PERSON 8 PHONE INITIAUDATE INRIAIJDATE
� DEPARTMENT DIRECTOR � dTY COUNG�
Christine Rozek - 266-9114 "���" �CITVATfORNEV �CITYCLERK
MUST BE ON CqUNCIL AGENDA 8(DATE) NUYBER FOR � BUDGEf DIRECTO O FIN. & MGT. SERVICES OIR.
qOVTING
Hearin : Z(p c(S OflDER � MpypR (Ofl ASSISTANn �
TOTAI # OF SIGNATURE PAG£S (C�IP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED: .
Marlene Foote on behalf o£ Friends of Animal Adoptions, Inc, requests Council approval
of their application for a new State C1ass B Gambling Premise Permit at Amelia's
Nite
RECOMMENDATIONS: ApProve (A) or RejeCt (H) PERSONAL SERYICE CONTRACTS MUST ANSWER THE FOILOWING QUESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked under a coMract for this department?
_ qB COMMITTEE _ YES NO
_ STAFF 2. Has this personffrm ever been a ciry employee?
— YES NO
_ DISTRICT COURT _ 3. DOes thi5 pe�SOn(fi(in
possess a skill not frormalty possessetl by any current ciry empbyee?
SUPPORTS WHICM COUNCIL OB.IECTIVE? YES NO
Explaln all yes answers on separate sheet and attach to gresn sheet
INITIATING PR08LEM.ISSUE, OPPOFTUNIN (Who, What, When, Where, Whyj:
�d�d�<:m,%� �..��:... �6c. a ��3�'d�i�
�,k�� � � iJ3Cd
ADVANTAGES IF APPROVED
DISADVANTAGES IF APPROVED:
DISADVANTAGES IF NOTAPPROVED:
TOTAL AMOUNT OF TRANSAC710N $ COST/REVENUE BUDGE7ED (CIRCLE ONE) YES NO
FUNDIfdG SOURCE ACTIVITV NUMBER
FINANCIAL INFOFMATION: (E%PLAIN)
Greensheet # 29327 L.I.E.P. REVIEW CH�CKLIST Date: 3/29/95 �� 7°� 7
In Trackef? App'n Received / App'n Processed
LicenSelD # B-03180 NEW S tate Class B Gambling Premise Permit
COmpany Name: Friends of Animal Adontions, Inc. DBA: Friends of Ani.mal Adoptions, Inc.
BUSinesS Addresss: 175 5th St. E. (Amelia's Club 5 Eatery) BuSiness Phone: 739-8512
Contact Name/Address: Marlene Foote/CEO Home Phone: �39-8512
o inwoo ay
Woodbury 55125
Date to Councii Research: �
Pubiic Hearing Date: `1 Z(a � �1.�
Labels Ordered:
Notice Sent to
Notice Sent to Public:
District Council #: 17
Ward #: 02
DepartmeM/ Date Inspections Comments
City Attorney
�r�I��
Environmental
Health
fJ' � ,�'
Fire
ti' 1 �
1`
License Site Plan Received:
Lease Received:
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Police
Zoning `
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f� CI �/�G�
LG214
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Miruzesota Lawfu( Gambling
Premises Permit Application - Part 1 of 2
CHECK
INITIALS
DATE
❑
�
�T'S�
Name
Renewal
Organization base license number
Premises pertnit number
New
� 0�,�`�IUirhi
Address of Organization -
��� I
��i '� —� �
�ief executi e officer tcan
qS y� �
FOR BOARD USE ONLY
BASE �
PP �
Class of premises pertnit
(check one)
❑ A($400) Pull-tabs, lipboards, paddlewheeis, rafBes, bi.�go
� B($250) Pul�-tabs, Upboards, paddtewheels, raffles
❑ C ($200) Bingo only
❑ D ($750) Paffles only
- r+Ut)�i � u�v7.1_.�i.c._ - `?.5 I
ret or P. O Box (Do not use the address'of your
- ,M�� .� ��10�
State Zip Code
, '�t1 '�
be your gamb{ing manager) Tit1e
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: /.✓
.,� :. <��
i`T (U12.) ��'%- �.��/.�
Day6me phonenumber
�l(jl ci��) i; ,- .S :
If applying for a class A or C permit, fill in days and beginni �& ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your organization per week.
Day Beginning/Ending Houn Day Beglnning/Ending Hours Day Begfnning /Endmg Hours
to
If bingo will not be conducted, check fiere �
/�IFI���(i�� ' ' .__._� _..__.,.....�...,.,�..... >�a�.vx ii�ewnnuuwe�t
� I 7 �, � -r�., � i «f i i � � 1 �
is the premises located within city limits? m Yes O No If no, is township � organized � unorganized � unincorporated
City ar�p Counry where garnbling p�emises is Iocated OR Township and Counry where gambling premises is loc2ted if outside of ciry !imns
)
your organizauon own ffie building`where ffie gambling wi I be conducted? 0 YES � NO
If no, attach the following:
• a copy of ihe lease (form LG202) with terms (or at least one year.
• a copy of a sketch of the floor plan with dimensions, showing what portion is being leased.
A Iease and sketch are rrot required for Class D applications.
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Minnesota I.au�ful Gnmbting
Premise Pemut Application - Part 2 of 2
�s�'a 7
I hereby conseni that local law enforcement oKicers, the
board or agenis of the board, or the commissioner of
revenue or public safety, or agents of the commissioners,
may enter the premises to enforce the law.
Bank Records Information
The board is auihorized 10 insped the bank records of the
gambling account whenever necessary to fuflill
requirements of current gambling rules and law.
Oath
f declare that:
•I have read this appiication and all information submitted
to the board is true, accurate and complete;
•all other required information has been fully disc�osed;
Sign�ture of chief executive officer
i _—
i� �.
!ii�izl_�.::,i,% --�-
t. The city'must sign this appiication if the gambling prem-
ises is located within city limits.
2. The county ••AND township'• must sign this appiication 'rf
the gambling premises is localed within a township.
3. The local unit government (ciry or county) must pass a
resolution specifically approving or denying this application.
Ciry or County Name
•I am the chief executive officer of the organization;
•I assume full responsibility fo� lhe tair and lawtul opera-
tion of all activities to be conducted;
•I will familiarize myself with the laws of Minnesota
governing lawfui gambling and rules of the board and
agree, 'rf licensed, to abide by those 12ws and rules,
including amendments to them;
•any changes in application information wili be submitted
to the board and local unit of government within 70 days
of the change; and
•I understand that failure to provide required information
or providing false or misleading information mzy result in
the denial or revocation of the license.
- � i Date
; �,, , ; : -� ; _; c� �-
..!4'�: c. . . �
4. A coov of the local unft ot aovernment's resolution ao-
�roving this aoplicztion must be attached to this aooiicatior
5. If this application is denied by the local unrt of government,
it should not be submitted to the Gambiing Control Board.
Township: By signature below, the township acknowledges
that the organization is appiying for a premises permit withln
township limits.
Signature of person receiving appiicafion
Title
� Date Feceived
Refer to the insVUCtions for required attachments.
Mail to: Gambling Control Board
Rosewood Plaza Somh, 3rd Floor
1711 W. County Road 8
_ flosevllie, MN 55113
Township Name
SignaMe of person receiving appiication
rue
I Date fteceived
LG214(Part 2)
(Pev729'91)
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