95-796Council File # l J ' �g�
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Presented By l �� ' /��,.
Referred To
Green Sheet # 29339
RESOLUTION /
SAINT PAUL, MINNESOTA �
/
Committee: Date
RESOLVED: That application, ID #B-00397, for a new State Class B
Gambling Premise Permit by Cystic Fibrosis Foundation
at Easy Street West, 616 Como Avenue, be and the same
is hereby approved.
�It ..-1 _�___� Requested by Department of:
Adopted by Council: Date
Adoption Certified by
By:
r,�n:
By:
Office of License, insnections and
Environmental Protection
By: ��i'�i,.t4.�'�/ � ""..v°�°
Form Approved by City Attorney
By: •
�"-��yS
Approved by MayoY for Submission to
Council
By:
** NEED COPY I24iEDIATELY **
�s �y;� �
DEPAR7MEM/OFFICE/COUNCIL DATE INITIATED f V� 2 9 3 3 9
L EP GREEN SHEE
INRIAUDATE WfTIAVDATE
CONTACT PERSON 8 PHONE � �EPAFTiM11ENT DIRECTOR � CRV CAUNqL
� 1 Z2 — �L — }_ 8 �IGN �CT'ATfORNEY OCIiYCLERK
MUST BE ON CAUNCIL AG DA BY ( ATE) NONBER FON ❑ BUDGEf DIRECTOR � FIN. 8 MGT. SERVICES OIR.
ROUTING
�'1 F� /)� ORDER O MAVOR (OF ASSISTANn �
� [ !
TOTAL # OF SIGNATl1RE PAGES (CIIP All IOCATIONS FOR SIGNATURE}
ACTION RE�UESTED:
M. G. Raminski on behalf of Cqstic Fibrosis Foundation requests Council
approval of their application for a new State Class B Gambling Premise Permit at
Easy Street West, 616 Como Avenue. (ID I1B-00397)
RECOMhtENDaTiONS: Approve (A) or Reject (R) PERSONAL SERVICE CONTRACTS MUST ANSWEFi THE FOLLOWING QUESTIONS:
_ PLpNN1NG COMMfSS10N _ CIVIL SERVICE COMMISSION �� Has this personttirm ever wocked under a contract for this depa�tmentY
_ CIB COMMITTEE YES NO
— 2. Has this persoNfirm ever been a ciry employee?
_ STAFF — VES NO
_ DISrniC7 COUar _ 3. Does this persoNfirm possess a skill not normally posse55ed by any current ciry employee?
SUPPORTS WHICN COUNCIL OBJECTIVE� YES NO
Explain all yes answers on separete sheet a�d attach to grean sheet
INITIATING PROBLEM, ISSUE. OPPORTUNITV (Wha, What, When, Where, Why):
ADVANTAGES IFAPPROVED:
DISADVANTAGES IF APPROVED�
��
JUN 2 9 1°95
DISADVANTAGES IF NOTAPPROVED:
TOTA� AMOUNT OF iRANSACTION $ COS7/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDINCa SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION (EXPLAIN)
Greensheet # 29339 L.I.E.P. REVIEIN CHECKLIST
In Tracker?
9s-� �.�
APP'n Received / APP'n Processed
LicenSetO # B-OQ397 NEW State Class B Gambling Premise Permit
Company Nflme: Cvstic Fibrosis Foundation DBA: Cvstic Fibrosis Foundation
BUSinesS AddrBSSS: 616 Como Ave. (Easy Street Westl Business PhOne: 338-0885
Contact Name/Address: M.G_ Kam;nck� /cFO Home Phone: 33A-oASs
1111 3rd Ave. So. 11370
Minneapolis, MN 55404
Date to Councit Research: j
Public Hearing Date: �l I �`''1 �9 S�
Labeis Ordered:
Notice Sent to
NoYice Sent to Pubiic:
District Council
Ward #: 5
Department/ Date Inspections Comments
City Attorney
�1�� � �-
Environmental
Health
� ��
Fire
� / �`
License Site Plan Recsived:
Lease Received:
(Q�Z��Rb- Q /c"
Police
� l�
Zoning
u1�
,� �✓
s�
LG2�4
n,:•-,.v:�
FCR 20ARD USE Ot1LY
EASE �
PP :�
hfinrzesofa Lau� GambZing I CHECK
PreFnises Per�it Agplicatioa - F� 1 0� 2 ih1T1ALS
DATE _
�JPe �-f�FPlicatzorz :
_ ,.._ . . - .. . .
❑ c6ss or prenrises permit
Renewzl (check one)
Organiza.ion base license number � A{SGOC) PuiFtzbs, tipboards, pzd3lewheets, rYes, bingo
� New
Premises perrnit number
� B(5250) Puil-tzbs. Spbcards. Paddlewheels. r��es
❑ C (5200) B�ngo onty
❑ � (51so) Fi�h'4es my
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-;.. " � .t: _ _ _ _ , �
�T'�Q7iiZQZI072';�T�f077RQfTQ72� ..;: � c.�- . - : ..- � :: ,:: -.
-_. . - . . .=;... - .< . _-� ..__ ^ :
Name of Organiza5on �� �
��aS %�' / //?�tJS/$ �dU�v/�f'%/G� _
Busine s Address of Grganizzocn - Street a P. O Box (Do no, use the aCdress of your gambling r�nzcer)
�S.
your
G
bling man<ger) i itle DaySme phone number
Es. -/�0�2� �F ����e.�c� s t�ia � 5'7,S
If applying for a eJass A cr C pe fill in days and beginnin� & ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your,grganiution per week.
Day Beg:nZing/End's.g Houls Day Be�nning/Enc�ng Hou;s Dzy Be�nnir:g /EncL^g Hovs
tp
If bingo kill not be conductcd, check ficre �
rvame ot estaDhshmen�t� w garnbling w(II be dnCUC d SL2et Fddress (cb not use a p�si onice box number)
�.SL/ S/. LUGST G��� G/.>7G �5/. /�f�LlL �In S�/C S
Is the premises Ioca;cYi wiU�in city limits? � Yes LJ No ii no, is township � or�anked � unorcan¢ed � u•^.ir:,�:: r ora:�d
Ciry and Covnty where gambling premises is Iaated OR Township znd Coun,y where gzmbling premises is located if outside of ciry limis
a and a�ress of legat premises Stz;e
,
��ii) l /L,i1i/6EiL' G/6 �nn�i �f: ��4� . /�'•, - % S/G 3
your orcznizzDOn own ihe buildng where �e gamMing will ba qnducted? � YES � NO
If no, a:ach the foibwing:
' a�.opy of ine I�ase {form LG202) wi� :erms for at Iez51 or,e yev.
' a cpy of a sketch ot the 800r pi wi:,h dinzr.sions, showing what yor9on is b?ing leased.
A lease and s7cetc.i are not required for Clkss D an��icarions.
owner of
c�,y
//i/ _�/�'�. ��'c - ��. / �Tp/S. /i?.7 -� S"Y�';J
% �.�.
diinnPSOta Zawfui Gambting
Premise Perm�it Apglication - Fart 2 af 2
ink P.ccount Number
-/oa-3'��~
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r
a aa
! hereby consant th�t bc211aw enforcemenT o�cers, the
bozrd o� agents cf ihe board, or the commissioner of
revenue or public safety, or zgents of the commissionars,
may enier fhe premises fo en`orce the law.
Bank Records Information
The board is authorized to insped the bank rec�rds of ,ha
gambiing account whenever necessary to futfitl
requirements of current gambling ru{es znd Izw.
Oath
1 declare that:
•I h>ve read this appl'�cation and zil information subm'red
to :he board is :rue, accurate and rample;e;
•all other required informztion has bc-zn fuily disdased;
Signature of chief executive oHicer
•1 am the chief executive officer of the organizatwn; `'t
•I assume full rasponsibiliry for Yhe fair and lawtul opera-
tion of all adivities to be conduded;
•1 will familizrize myself with the laws of Minnesota
governing law�ul gsmbling and rules oi the board and
agree, if Iicensed, to �bide by those laws and rules,
including ame�dments to them;
•any changes in applic2tion information wi(1 be submitted
to the board and local uni[ of government within 10 days
of the change; and
•1 understand that (ailure to provide required informstion
or providing false or misleading information may result in
the denial or revoca:'wn of the license.
��� 3lf-i,
,
1. The city `must sign is ap�i'�cation'rf the gambiing prem-
ises is loczied withi ci,y limits.
2. The county "AND township'• must sign this application rf
the gambling premises is bcated wi[hin a township.
3. Tha bcal unit government (city or county) must pass a
resolution specifically approving or denying this appl'ication.
Counry
TiCe
.�'///9`5'
3�er to the insauGions tor required ai'achments.
Ma( to: Gambting Controf Board
Rosewood Plaza South, 3rd Floor
�771 W. County Road B
Rosevllle,Mt�! 557i3
4. A coov of the Iocal unit of oovernmenYs resolution ao-
prgvina this aoolicztion must be attached to this aoolicztion.
5. If this application is denied by the Ixzf uni[ of government,
it should not be submiYed to the,Gambling ConYroi Bozrd.
Township: By signature below„the township acknowledges
that the organization is appiying for a premises permit within
township iimits.
Township Narne
Signature of person receiving zppliwticn
Titte
Date
I Date Received
I.G214(Part 2)
(Fev]l2991)
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