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94-1074 y Council File # 91 l o9 9 Green Sheet # 27720 RESOLUTION CITY OF • AINT PAUL, MINNESOTA Presented By Referred To Committee: Date RESOLVED: That application, #B- 03:00, for renewal of a State Class B Gambling Premise Permit by Dead Broke Sa'dle Club at Pebble's, 880 E. 7th Street, be and the same is hereby approved Requested by Department of: Yea= Nays =ent Grimm Office of License, Inspections and Grimm Guerin Environmental Protection Harris Megard Rettman 01 Thune Adopted by Council: Date A 00N4 Form Approved by City Attorney Adoption Certified by Council S ew =ry a dir 7:? ` B . ; / ?'-/9- 9S, Approved b Date • A , Approved by Mayor for Submission to A / Council By: I 'EEp COPY IMMEDIATELY / 10 DEPARTMENT/OFFICE/COUNCIL DA/E INITIATED N o 277' S • 0 LIE /License GREED SHEET CONTACT PERSON & PHONE INITIAVDATE INITIA • TE — D DEPARTMENT DIRECTOR CITY COUNCIL A�tIGN Christine Kazek - 266-9114 N�R E3 CITY ATTORNEY Ej CITY CLERK MUST BE ON COUNCIL AGENDA BY (DATE) Roam ❑ BUDGET DIRECTOR ❑ FIN. & MGT. SERVICES DIR. ' R ❑ MAYOR (OR ASSISTANT) TOTAL # OF SIGNATURE PAGES (CLP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Approval of the renewal of a State Class B Gambling Premise Permit (B- 03800). Hear.n2: RECOMMENDATIONS: Approve (A) a Re)ect (R) IERSONAL SERVICE CONTRACTS MUST THE FOLLOWING QUESTIONS: _ PLANNING COMMISSION CIVIL SERVICE COMMISSION . Has this person/ftrm Beer worked under -e warred for this departmeof? CIS COMMITTEE YES NO — STAFF Has this person/firm ever been a city entree? YES NO _..._ DISTRICT COURT . Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO :xpleln all yes answers on separate sheet and attach to green shit INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What, Whon, Where, WhS: Tom Schaffhausen on behalf of Dead Broke Saddle Club requests Council approval of thei application for renewal of a State - Class B Gambling Premise Permit at Pebble's, 880 E. 7th Street. All - applications have been submitted and reviewed. ADVANTAGES IF APPROVED: DISADVANTAGES IF APPROVED: DISADVANTAGES IF NOT APPROVED: If Council approval is not given, pplicant cannot operate lawful gambling in Saint Paul. TOTAL AMOUNT OF TRANSACTION $ COST /REVENUE BUDGETED (CIRCLE ONE) YES ' " NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION: (EXPLAIN) FOR BOARD USE ONLY LG214 BASE # (7/29/91) PP # FEE Minnesota • ful Gambling CHECK Premises Permit A• plication - Part 1 of 2 INITIALS DATE ', " Class of premises permit Renewal (check one) • Organization base license number I �, ❑ A ($400) Pull -tabs, tipboards, paddlewheels, raffles, bingo Premises permit number B ($250) Pull -tabs, tipboards, paddlewheels, raffles D New ❑ C ($200) Bingo only ❑ D ($150) Raffles only ..:;;:: ;.Y:; >:Y: >.Y: ? >:::�;::;::Y;: >:: �.::.:;<:<: ?:::: ?:...... .,. ? ::.YY;.: :;::>::>.<:.::<;:>;. YY:.;:. YY,:.:: ::Y:Y: ?<:: »:;: >:;;Y:•Y:: >::;<.: ...:. : •.:...... r ..: .. .::.......:.... •........................... .? Oif?7il ....... a �:zat><on...� . Y:.;:;.;:;:. Y:. Y.;:?:: Y::;: YY:.:::?. �:«.:::. Y:.. YY::::.:• �:»>:•:.;:::.Y,::.:::::.:::?.::: �::.:.:,?. YY.:. Y:,: :: ?.;:.::::::.;;.:.::.;..:.Y.:. Name of Org�a on / � �. /: Business Address of Organization - Street or P. 0 Box (1 o not use the address of your gambling manager) P ©. /J o i( $ City State Zip Code County , phone number Air a OZ iV J /0 (c/z) «6 4/- Name of .. ief executive officer ( cannot be your gambli • manager) Tide Daytime phone number (cc 7` ` 1 c s _ C CO, (G /z Bingo Occasions If applying for a class A or C permit, fill days and beginning & ending hours of bingo occasions: No more than seven bingo occasions s' -y be conducted by your organization per week. Day Beginning/Ending Hours Day Beginning/Ending Hours Day Beginning /Ending Hours to to to to to to to If bin • will not be conducted, check here ZL .......: .:.' .. r.... n.......v. ...:...... Y.:::::...:.: F.•: {:i, •Y:.Y::• : �.vY. ?:; rill s::Inf my tic > >: ?.: ?.;;: ?.Y;:;. ?. Y:;:.YY >:. ; Y:.:. > ,.. :.`.., •Y:.` 1� Pre 4......A. n: • .:. r...:. Y•::... ...:.: >..r. Name of establishment where gambling will conducte. Street Address (do not use a post office box number) a /mss c3� 7 sA / � 33 Is the premises located within city limits? Yes -I No If no, is township O organized c=3 unorganized p unincorporated [�y City and County where gambling premises is located OR Township and County where gambling premises is located if outside of city limits Name and address of legal own of premises City State Zip Code Does your organization own the building where the gamb ng will be conducted? Q YES , NO If no, attach the following: * a copy of the lease (for LG202) with terms for at least one year. • a copy of a sketch of th floor plan with dimensions, showing what portion is being leased. A lease and sketch are • required for Class D applications. .A:ddress..o£ to � e.a • ac.e:of; _ am lin'_. e merit.. >: Dc'iat`vse a PO bo ... :::::::.:..:.:.::.:::.�.:...:.. • �,�/Address City State '13 •• / - g, • t ` 1 • qq ID7 Minnesota Lawful Gambling Premise Permit Application - Part 2 of 2 Gambling. Bank Acc r form t i or [ Bank Name Bank Account Number /S, ,- g . .30/ Z .- Bank Address J/ City State Zip Code Q // / // • J _ C5 / � ff /fit ,4 /p /7,,,V .S -�(J Mama, address arrdbtfe:af arrs ititho zed to . he ks and.make s epo 4s arm r t k. ..... .... . :: : : : :;'::':;::':: "':; • <> <: •• Orgarrrzatranx reascs ref tow no handls;yarnbtur9 J`urrds ::< �/ Name Title y • ,/ t 3 .- - /y -� 0 ,4 ' - - .4-t' ,4 . ,' 4- / -L� .��E> / /. 70',. - ......5 / /��� /p'ffC �/ �rJS V ..moo e3 z o l z ,i-, --I"Z fZ v (. ,(.., z .J - Yz- ,4,- a ',e/ 53"7 �� ............... . ...... ... ....... ....... . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gambling Site Authorization .1 am the chief executive officer of the organization; I hereby consent that local law enforcement officers, the .1 assume full responsibility for the fair and lawful opera - board or agents of the board, or the commissioner of tion of all activities to be conducted; revenue or public safety, or agents of the commissimners, .1 will familiarize myself with the laws of Minnesota may enter the premises to enforce the law. governing lawful gambling and rules of the board and Bank Records Information agree, if licensed, to abide by those laws and rules, The board is authorized to inspect the bank records of the including amendments to them; gambling account whenever necessary to fulfill •any changes in application information will be submitted requirements of current gambling rules and law. to the board and local unit of government within 10 days Oath of the change; and 1 declare that: .1 understand that failure to provide required information .1 have read this application and all information submitted or providing false or misleading information may result in to the board is true, accurate and complete; the denial or revocation of the license. •all other required information has been fully disclosed; Si natur hief executive officer ' Date 9 1: _. Local Go vernmen t : . c T. d t<: >:::: >: < :............... :::< .::<.:<. ::.:.:;;: >;:�.:,:.:.:.;:; <:: >� •; 4. A copy of the local unit of government's resolution ao- 1. The city *must sign this application if the gambling prem- provi g this application must be attached to this application ises is located within city limits. 5. If this application is denied by the local unit of government, 2. The county * *AND township ** must sign this application if it should not be submitted to the Gambling Control Board. the gambling premises is located within a township. 3. The local unit government (city or county) must pass a Township: By signature below, the township acknowledges resolution specifically approving or denying this application. that the organization is applying for a premises permit within township limits. City* or County ** Township ** City or County Name Township Name Q) Sign ..•re oi'person reoeiv gap licdtio Signature of person receiving application Q J � % ' C / Title , d ry� l�-Z • I ate Received Title I Date Received ( 6:r etkeell- . 7//9/95 Refer to the instructions for required attachments. Mail to: Gambling Control Board Rosewood Plaza South, 3rd Floor 1711 W. County Road B Roseville, MN 55113 LG214(Part 2) (R•vmsv91)