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95-640Council File # �� � 0 R I G i N A L Green Sheet # 29334 RESOLUTION ��^ CITY OF SAI�PAUL, MINNESOTA 3� Presented By Referred To Committee: Date RESOLVED: That application, ID #55061, for a new Gambling Manager's License by Paulette Klinger DBA Catholic Parents Club at Maurer's Parkside Lounge, 1181 Clarence Ave., be and the same is hereby approved. ������ Requested by Department of: Office of License. Insvections and Environmental Protection B l.�-�-�= �- �2,�-� Form Approved by City Attorney BY: � s,.: AD -��%�Q Jr'i"9`7� / � s t i i Approved by �tayox�- Date f/`� r=� '°� Approved by Mayor for Submission to �� � �' Council � , ./ BY� � CLG�Cl t-,/C ��L'` `/[ c t%c ��`,% By: Adopted by Council: Date a , Adoption Certified by Council Secretary �1�- � �b DEPAR7MENT/OFFICE/COUNCIL DATE INRIATEO 1�j� 2 9 3 3 4 P GREEN SHEE INIiIAUDATE INITIAUDATE CANTAC7 PERSON 8 PHONE O DEPARTMENT OIRECTOR O qTY COUNCiL . ASSIGN O CITYATTORNEY O qTV CLERK NUMBERiOfl MUST eE ON CAUNCIL AG NDA BY�DATE) pO1fi1NG O BUDGET DIpECTOR � FIN. 8 MGT. SERVICES Dlfl. 1y �` OFDFA O MAYOR lOR ASSISTANT) � LJ TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACIION REQUESTED: _ Paulette Rlinger DBA Catholic Parents Club requests Council approval of her application for a new Gambling Manager's License'at Maurer's Parkside Lounge, 1181 Clarence Street. (ID 4I55061) RECOMMENDATIONS: Apprwe (A) or Feject (R) pERSONAL SEHVICE CONTRACTS MUST ANSWER 7HE FOL�OWING DUESTIONS: _ PLANNING COMMISSION _ CIVIL SEflVICE COMMISSION �� Has thi5 pefSOnRirm eVer Wofketl Untlef a COntt'3Ct fOf IhiS tlepartm2nt? _ CIB COMMfTTEE _ VES NO 2. Has t�is personttirm ever been a ciry employee? — �� — YES NO _ DISTraCT COUrtr _ 3. Does this person/firm pos5ess a skill not normally possessed by any current city employee? SUPPOpT$ WHICH COUNCII O&IECTIVE7 YES NO Explain all yea answera o� separate sheet and attach to green aheet INITIATING PROBLEM, ISSUE, OPPOIiTUNIiY (Who, What, When. Where. Why): ADVANTAGESIFAPPFOVED � �3i �� � t��l�, � :i ���� DISADVANTAGES IF APPROVED. DISADVANTAGES IF NOT APPROVED� T�TAL AMOUNT OF TRANSACTION $ COSTlREVENUE BUUGETEO (CIRCLE ONE) YES NO FUNDIIdG SOURCE AC7IVITY NUMBER FINANCIAL INFORMATIOM (EXPLAIN) Greensneet # 29334 L.I.E.P. REVIEIN CHECKLIST In Trecker? G�� G y� APP'n Received / APP'n Processed LicenselD # 55061 NEW Gambling Manager's License Company Name: Paulette Rlinger DBA: Catholic Parents Club BUSiness Addresss: 1181 Clarence St. (Maurer's Parkside) BUSin2SS Phone: 738-0425 Contact Name/Address: 1181 Clarence St. 55106 Home Phone: 738-0425 Date to Council Research: Pubiic Hearing Date: �r � !�f'yS Notice Sent to Appiicant: Labeis Ordered: District Council #: 02 Notice Sent to Public: Ward �. Department/ Date Inspections Comments City Attorney s�E f P�� d� Environmental Health ►� /A' Fire AJ ).Q- License Site Plan Received: Lease Received: e� t���jS Q�L Police a� Zoning � (� �� � � LG212 {Rev. 7/?A2) � FOR OFFICE USE ONLY BASE UC Y SE� +C FEE CHK �A'E INIT �} New Give date ifiat the twoday gambtirg manager seminar was compteted. � ,a M, RS Locaoon ot uaining � � `�L �+� � ,+ ' f " (��b) C3 Ranewal Giv9 date of training received within three years prior W ihe date of the appiiqeon tor tenewai. _/ / LoeaCOn ot training LAS7 NAME FIRST NAME M4DDLE NAME MAIDEN !`7 i 1 �� Ci C i �i:� ��.12. �� t? }•r. � ��� C ., �. Address . State �b�� f��,c.ur,j L<<;.� t��,��.�.�d t���; {lata of 8'rnh Sx. Security Number C' �c-i- ����t ��c-�y-t;�-. 1 55���I � t���> l3�•ya�� MEMBfiRSHIP: Date gambfing manager bacame a mem6er ol the organizacon n! �! 5� Sex :� Ma�e � Fema�e : .:..... . .. ... . . . , ,, ,,,.:.. , . , ., , ; , .. . . :, ;." , fi?rrranrxntirin 7nfnt^rttatian ' „ Name vf Ckgsniza5on - C ci� 4 'tf:��f_ �C�Cr`,�� ��L-�tj Address � �� � `� Ciry/State Zip Code �'u.'�'G.. � L �n£c.'. �"�' �. t'C:��� 1���! '7��L� license Number (�: C) '�i I � Phone tb�3�? �]�i-9, 1��7 ,,, ..: , ,. < =F• � Bnrtt�3T�, tss7Xtcz�{O.i� •- A$1II,D00!'idetiiy b�nd itt favor 4} ths otgahizaCnn must &+ obtained for the gambling manager. Name of insuranee wmpa�y (do rrot �se agency name7 �1 d�a D: x�. ��(_ Bond Nvmber � P.S -<G S/St� declare+hat: • t have t�ad 1Eus apptkcation and att irt{t nnation submittad W ihe baatd; • alt irrfama6on is true, acarete and wmpiete; • ait nthet requirad iniortnation haz bcen fully disdosed; • i am ti�e oniy gambling t�ianager of tha wganizatlon; • 1 will ismifiariza myseli widr the laws ot Minnesota goveming lawful gambling and rules of the board and agtee, if licensed, to abide Dy Cwsa laws arxi tules, induding amendmenu ro them; � any olranges in appfica8on intormetion wii4 be submined to the board and lacat unit ot 9ovemment wiNin 10 days af the change; • An aff�davii iat gamhtirig msnager has bee�n completed and attach�d. and - t vnderslartd ihat faiFuB ta peovide required intorma6on m prev'rding fatsa infoTmation may rasUli in iha deniai os tevoca�on o{ gza IicenSS. a of �ambling Manager / /� CLL�.C. Li"L.�� `�5����c � : Send the Minnesota Lawful Gambiing Gambling Manager Applicatiou Date �' ��- apptication arod a�i �equired attachmants to: Gamhting Canirot Board Sufte 300 S. 1711 W. County Road B Roseviile, MN 55113 ���� � ��1������