94-1285 1
DRIGINAL
1
Council File # ` ` -7 ri
Green Sheet # 27721
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By Nor I
Referred To Committee: Date
RESOLVED: That application, ID #9 295, for a new Gambling Manager's License by Linda M.
Pederson DBA Neighborho d House Association at Schwietz's Bar, 956 Payne
Avenue, be and the same is hereby approved.
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Y eat Nays Ab :ent Requested by Department of:
Blakey __
i
Grimm Office of License, Inspections and
Guerin Environmental Protection
Harris
Me gqard 1
Rettman 1
Mune i /� ��
C. By:
/� ( ��f
Adopted by Council: Date .11, -\ ; ` vq9 ti
Adoption Certified by Council Secret ry
t Form Approved by City Attorney
B By: �lzt & - /0 -get
y: s ",.z •
Approved by M Date � j I
, Approved by Mayor for Submission to
// i Council
By:
G/ v G c fLG`C" �i <--
By:
9 sS
DEPARTMENT/ FICE/COUNCIL CATE INITIATED N° 1
LIEP /License
GREEN SHEET '
• TE
CONTACT PERON & PHONE (NPTIAUDATE INITI
0 DEPARTMENT DIRECTOR El CITY COUNCIL
Christine o k - 266 -9114 FOR r CITY 0 CITY CLERK
MUST BE ON COUNCIL AGEISM (DA b F-'1 BUDGET DIRECTOR
Q , / � FIN. & MGT. SERVICES DIR. r
ring : $7 f f y' ~ R CI MAYOR (OR ASSISTANT) 0
TOTAL # OF SIGNATURE PAGES (CEP ALL LOCATIONS FOR SIGNATURE) : ;
ACTION REQUESTED:
Approval of an application for a Few Gambling Manager's License (ID #91295) i
Notification: Hearin _
RECOMMENDATIONS: Approve (A) or AIWA (R)
PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSIOI _ CIVIL SERVICE COMMISSION 1. Has this person/firm ever worked under, a contract' for this department? '
: --- CM COMMITTEE YES NO
STAFF z. Has this person/firm ever been a city employee'?
DISTRICT COURT YES NO
3. Does this person/firm ss a skill not normally possessed by any current city empbyss?
SUPPORTS WHICH COUNCIL OBJECTIVE?
:xptatn all yes answers on separate sheet and attach to Breen sheet ;1
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INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, W1-):
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Linda M. Pederson DBA Neighborhood House Association requests Council approval of
her application for a Gambling Manager's License at Schwietz's Bar, 956 Payne Avenue. _I
All fees and applications have bee, submitted and reviewed.
ADVANTAGES IF APPROVED:
t
1
1I
1 11
JJ
f !
DISADVANTAGES IF APPROVED: t
0
I
P 3 s
DISADVANTAGES IF NOT APPROVED: i
3
Any applicant not given Council a pp' ,
oval will be unable to operate lawful gambling
in Saint Paul.
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TOTAL AMOUNT OF TRANSACTION $ COST /REVENUE BUDGETED (CIRCLE ONE) YES NO ( ,
k '
Fi
UNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION: (EXPLAIN)
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Greensheet # 07 7702/ L.I.E.P. REVIEW CHECKLIST Date: 19Y / t9/91
In Tracker?
Ap n Received /'n Processed
License ID # a , IJ?6 // , 1 /
n
Com � //L
Company Name: ,L//7•14. Al /l • 4 -dt°/S'e DBA: /I/ei /Lltr7¢ 4re � 7 ;? �ss�
o
Business Addresss: S". 4 y1 /9 Ye e . S Ph
d ;els ?S) Business one: 7 - a033
Contact Name /Address: SQ� Home -
/04,6 /1/1C rrA42 - ome Phone: �?a3�
Date to Council Research: g1 / 1 / 9 I
Public Hearing Date: Labels Ordered:
Notice Sent to Applicant: District Council #: 5
Notice Sent to Public: Ward #: 06
Department/ Date Inspections Comments
App'rf Date Vprifipri
City Attorney
21tolq
olc--
Environmental
Health
Fire
it) I4
License
4 0 15(/ Site Plan Received:
D Lease Received:
Police ceAPli+
Zoning
m I ,4-
ee„,
LLit7!
(Rev. 7/2/92) / /
• 97 — 5_ FOR OFFICE USE ONLY
BASE UC
irtnesota Lawful Gambling SE s
Gam • r • g Manager Application CHI<
DATE
::.?,. .,: >::,...?: ? .:.::.''''',,,:,,,,'"'?'"••• : INIT
• v
123 New Give data that the .. 4
1 gambling manager seminar was completed. /� /_L3
Location of training Ht, LIDAY INN ROSEVILLE
(pry)
❑ Renewal Give data of training recei ed within three years prior to the date of the application for renewal. ____/ /
Location of training
• l f n • I :a. • <. +• ... :^°,:;;y, y <°`.^: t'."�f"•ryvr+! ••: { +. o:.r..<
v/ ! /.0 f4 o f• ! r > ff { y n /ri o! � '{ { r te yt ,i tEk t{'�'KY. .0 �nt
,.,,: > ... : . +, << .: > :.: �..• +;
LAST NAME FIRST NAME
L) MI• *LE NAME MAIDEN / Date of Birth
m.
'' A L) n Cl a Y)t . C( . i z - oS-.5 soc. Security Number
Address '75' 7? - lc?
State
�+ Si. Pau Yh n _ Lp coda Daytime Phone
OQ(p
55 ivy, c1Prza 777_-2-033
MEMBERSHIP: Date gambling manager . ; _
g became , . : 10 • • t t he organ Z/.7/ Sex : ❑ Male
< s „ .ry �1� vnde.2. 9 /o y O male
ant orma
Name of Organization ?
E f n r �C C( /�1J1 License Number j
Address • - LS 3
City /State Zip Coe Phone
/ •e
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• a . II?n. SS /0`7 ( 2Z7-�9
- - A 510,000 fidelity bond in favor of the .<>
o rganizao I n must be obtained for the gambling man Q
Name of Ins urance company (do not use agency
Bond Number
e lALLIED MUTUAL INS. CO.
�(JS
v..;.yy:. {: ? :•y:i y:.v..nY,vvt.•.wx . . n• ?! .....n y}y ^:.: • :t! i'.:i+•:K{<.::{x<:
lob/dare that
�� >.:<•.,<.:
• I have read this application and all information su • milted to the board;
• all information is true, accurate and complete;
• all other required information has been fully disdo ed;
• I am the only gambling manager of the organizati• •
• I will familiarize myself with the laws of Minnesota •oveming lawful gambling and rules of the board and agree, if licensed, to
abide by those laws and rules, including amendm is to them;
• any changes in application information will be sub itted to the board and local unit of govemment within 10 days of the change;
• An affidavit for gambling manager has been campl and attached, and
• 1 understand that failure to provide required inform on or providing false information may result in the denial or revocation of the
license.
Signature of Gamblin ag
1 � � � Date
� / 3 /5)/
Send the complete. application and all required attachments to:
I Gambling Control Board
Sulte 300 S.
1711 W. County Road B
Roseville, MN 55113