95-686ORI�P�#��
RESOLUTiON
CITY OF SAWT PAUL, II�
Presented By
Referred To
counci� File � S l►� G
Green Sheet # 29332
�
Committee: Date
RESOLVED: That applications, ID #732b9 and ID #33537, for the transfer of
Gambling Manager's Licenses currently held by Thomas Maurer DBA
Catholic Parents Club at Kelly Inn, 161 St. Anthony Ave, and at
Christensen's, 1567 University Ave. W., be and the same are
hereby approved for transfer to Paulette Klinger at the same
addresses.
�,_ _ �-� � Requested by Department of:
Adopted by Council: Date
Adoption Certified by Counc
iy:
�
Y�
5ecretary
Office of License. Insuectiona and
Environmental Protection
By: � ���
Form Approved by City Attorney
By� ��1.�� 5-/- 9'S
Approved by Mayor tor Submiasion to
Council
By:
LIEP
Christine Rozek - 266-9108
GREEN SHEET
9S�br�
N_ 29332
INITIAVOATE INITIWDATE
O DEPAAiMENT DIRECT�R � CITY COUNCIL
� C!!Y ATTOANEY � C17Y CLERK
FOR
� BU�GET OIREGTOF � FlN, & MGT. SERVICES DIR.
■ Q MAVOR IOR ASSI5lAPlT} O
TOTAL # OF SIGNAT!!RE PAGES (CLIP ALL LOCATIDNS FOR SIGNATURE�
--'-°"'"" Paulette Rlinger DBA Catholic Parents Club requests Council approval of her
applications for transfer of a Gambling Manager`s License at ICelly Inn, 161 St. Anthony Ave.
(9673269) & at Christensen's, 1567 University.Ave. (Ik33537) currently held by
Thomas Maurer at the same locations.
'�ECOMMENDATIOKS: Apprwe (A) m Rejecl (q) p N L � T A M ST ANSWER THE F LL�WING QUESTIONS'
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION
_ CIB COMMITfEE _
_ STAFF _
_ OISTPIGTC�UftT _
SUPPOqTS WNICH COUNdLOBJECTNE?
ERSQ A SERVICE C N R CTS U O .
t Has this person/fvm ever worked untler a crontract for this department�
YES NO
2. Has thi9 personlRrm ever been a ciry employee�
VES NO
3. DoeS this petsonRirm possess 2 sKtll not nOrmally possessetl by any Current c{ty employee?
YES NO
Explain aU yes anawers on sepaca[e Sheet and attach to g�een sheet
���':,�u ';�w^��,�,q�s"�'� ;.,�L'1�R(:'
(�r j .i ���
E"e.b� c
7AL AMOUNT OF TRANSACTION S
COST/REVENUE BUDGETED (qRCLE ONE) VES NO
i�lldG SOURCE ACTIVITY NUMBER
.NCIAIINFORMATION �E%PlA1N)
Greensheet # 29332 L.I.E.P. REVIEW CHECKLIST
In Tracker?
LiCenselD # 73269 & Ik33537 Transfer Gambling Manager`s Licenses
gs-�G
Date: J
APP�n Received 1 APP'n Processed
Company NBme: Paulette Rlinger DBA: Catholic Parents Club
Business Acidresss: 161 St. Anthonv (Kellv Innl Business Phone: 738-0425
CoMaCt NameJAddress�567 University Ave. (Christensen's) Home Phone: 738-0425
1181 Clarence St. 55106
Date ta Council Research:
Public Hearing Date: � � � � q5
Notice Serrt to Applicartt:
Notice Sent to Public:
Department/
City Attorney
Environmental
Health
Date
S�t��iS
PJ ��-
Fire
�� � �
icense
'ice
�(���-f
a (l/
ng
� f ��
Labeis Ordered:
District Council #: 17 11
Ward#:_______ 01 04
Comments
a�
Site Plan Racaivetl:
Lease Received:
o�
�� �
9.����
CHANGE IN GAMBLING MANAGER
PAGE 2
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Signature of Applicant � C.��� `"��- 1 ^ �-` t
State of Minnesota)
) ss
County of Ramsey )
P �i��a-��'p. �S (jq�t and
being duly sworn s`y that they are the petitioner(s) in the above
application; that they have read the foregoing petition and know the
conCents thereof; that the same is true of their own knowledge.
Subscribed and sworn before me this
tiS� ` day of _�n { 19 �i�
�/L ����-C,
Notary Public, Ramsey County, Minnesota
My Commission Expires �-3�-2�0
s
Y �AMES JOSEPH ROEHL �
NOTARYPUBLIC
qAMSEY COUN7Y
'� MyCanm4sato�EzqresJm.A.� 3�2�:
�
12) Attach a copy of the bond to this application.
13) Attach to this application proof of inembership in the organization
for at least the most recent two (2) years.
14) Gambling Manager applications must be approved by City Council
before managerial duties can begin. Allow 30-60 days for
processing and investigation. This application is not a license
to ooerate. You will 6e notified by letter of your hearing date
before the City Council. `we suggest that you attend the public
hearing.
15) Attach a letter from the President or CEO of your organization
requeszing the gambling manager transfer and explaining the
necessity for such a transfer.
16) 1995 Gambling Manager transfer fees is: 51�.00 each site
17) Attach a copy of State Gambling Manager Application and Affidavit -
LG 212 and LG 213.
1/95
�
�
CITY 6F SAINT PAUL
DEPARTMENT QF FINANCE AND MANAGEMENT SERVICES
DIVISZON OF LICENSE AND PERMITS
APPLICATION FOR A CHANGE IN GAMBLING MANAGER
The applicant must return this application form, requested supporting documents
and the required fees in person to Koom 300, 350 St. Peter Stzeet, Lowry
Professional Building, Saint Paul, MN. Make an appointment with Christine Rozek,
266-9114, to bring in your application and to review City gambling rules.
Date: � �- �S � iS
1) Full and complete name of organization:
� � i
c�� t, a l� c � �- .� c .-.k s��w k�
.�73.�k'� .;Z�'G� rl >�9.'�1 3dg37
2) Name of 13',c,e ng� d ocatiop• ,� �,,y yi{l}Qf`5�/L �t%t.lL
'/ I�i t>�1 � Ttn�`ztr. �5�1 ��_�,� l �
f1e`�v �nt'� i ��\r��S-4enSE�-,5 --
CURRENT MANAGER INFORMATZON
3) Name 1 �1 O �r�t
CL �.� i e �
Middle Last
4) Address 1�f�f `��n r�„ c N-5'-�- �1! h i-� f� P� ��
Number Street City
5) City of Saint Paul License # �� �� 3�
NEW i•SANAGER INFORMATION
6) Name �0.�n.le�F
- Sd v
First Middle Last'�
7) Date of Birth ��,� ' �- 2 J t �
s) aaaress .���3 Y��c�Cey t-c�r�� �c<�levae;oci SStl�f
Number Street City Zip
9 ) Phone # � � � ` � � � � Phons # � �J � � � � < <
Home Work
10) Member of organization since: ��"�e- `
Month Year
11) Fidelity Bond: t��,(� l�.enu 6�<<--
Insurance C mpany
� �"l �� t1G�¢ i
Number
�.-
_' ''�=r�' �/�� �5