95-981� .,_, � � � � � � Council File # � 70
t 1
Green Sheet # 29349
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA tf�
Presented By
Re£erred To
Committee: Date
RESOLVED: That application, ID #B-09067, £or a new State Class B Gambling Premise
Permit by Minnesota Licensed Beverage Assn/Children's Fund at Northern
Lites Steakhouse, 1975 University Avenue W., be and the same is hereby
approved.
r,-���� Requested by Department of:
Adopted by Council: Date
Adoption Certified by Council
By:
Appz
By:
Office of License, Inspectione and
Environmental Protection
� ) j �
g�. ; �; �u-�, �'t-.,," �T �-�� C �
Form�oved by City Attorney
By: �
Approved by Mayor for Submission to
Council
ey:
** NEED COPY IMMEDIATELY ** q� yY�
DEPARTMENTIOFFICE(COUNCIl DATEINITIATED GREEN SHEE �O 2 9 3 4 9
LIEP
CONTACT PEASON & PHONE iNPnAUDA7E INITIAVDA7E
�OEPARTMENTOIREGTOR �CITYCOUNCII
Christine Rozek - 266-9108 ASSiGN �CfTYATfORNEY �q7YCLERK
NUYBEI7 FOR
RAUST BE ON CAUNCILAGENDA BY (DATE) pOUTING � BUDGET DIFECTOR � FIN. & MGT. SERVICES DIR.
Hearing: g` �(p �� ORDER O MAVOfl (OR ASSISTAN� O
TOTAL # OF SIGNATURE PAGES (CIIP ALL IOCATIONS FOR SIGNATURE)
ACTION REQUESTED: .
Reith Poppenhagen on behalf of Minnesota Licensed Beverage Assn./Children's F`und requests
Council approval of their application for a new State Class B Gambling Premise Permit at
Northern Lites Steakhouse, 1975 University Avenue W. (ID 1tB-04067)
RECOMMENDATIONS: Appro�e (A) or Reject (R) PERSONAL SEpVICE CONTRACTS MUST ANSWEH THE FOLLOWING QUESTIONS:
__ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has [nis person/firm ever worked untler a contrac[ tor ihis department?
_ CIB COMMIttEE _ YES NO
2. Has this person/tirm ever been a ciry employee?
_ STAFF — YES NO
_ DISTRIC7 COURr � 3. Does this persoNfirm possess a skilf not normally possessetl by any current city employee?
SUPPOATS W�'1�CM COUNCIL O&IECTIVE� YES NO
Expiain aii yes answers on separate aheet and attach to green sheet
INITIATIN6 PROBLEM, ISSUE, OPPORTUNffY (Who, W�at, lMien. Wlrere, Why).
ADVANTAGES �FAPPflOVED'
� �� y . ��
At�G 3 3995
DISApVANTAGES IF APPROVED
DISAOVANTAGES IF NOT APPPOVE�:
TOTAL AMOUNT OF TRANSAC710N $ COSTIREYENUE BUDGETED (CIHCLE ONE) YES NO
FUNDI{dG SOURCE ACTIVITY NUMBER
FINANpAI INFOFMATIOM (EXPLAM)
Greensheet # 29349 L.I.E.P. REVIEW CHECKLIST Date: j gs yfr
{n Tr2ck0(? APP'n Received 1 +�PP'n Processed
LiCenselD # B-09067 New State Class B Gambling Premise Permit
Company Name: MN Licensed Bevera�e AssnlChildrens Fund DBAMN Licensed Bevera¢e Assn/Ghildrens
BUSiness Addresss: 1975 Universitv Ave. W. 55104 Business Phone: 588-3953 Fund
Contact NameiAddress: ��Orthern Lites Steakhouse) }{ome Phone: 588-3953
Keith Poppenhagen/CEO
800 42nd Ave, N. Mp1s, MN 55412
Date to Councii Research:
Pubiic Hearing Date: g 110 Q�
Notice Sent to Applicant:
Labels Ordered:
District Council #: i2
Notice Serrt to Pubiic:
Ward #: fl4
Department/ Date Inspections Commer�ts
City Attorney
��
Environmental
Health
� ��
Fire
�.11 !-�-
License �� 1 1� S ` f Site Plan Received:_
� � � Lease Received:
Police Q �
" J /��/��
�
Zoning ;
���
,e� �J
LG214
r�+�
3finne...ota Lau�fut Gamblirtg
Preauses Fermit Agplication - Fart 1 af 2
CHECK
iNiTIALS
DA7E
:,
�.P� Df 1i�3p�iCLitIOTE `" . ` z ..: ;,
� - - � �� - Class of psemises permit " . . ,.... , . �
_. Renewal (check onej
. Om�anizztfon bxse license number U�5400) Pu(I-kbs, tip6�ards, �ddlewfieels, rifles, bingo
Premises pertnit number � B($250j Pull-tabs, 6pbcards, pzddiewheels, raf�es
� h�' {�-Og°�P� ❑ C(5200) Bingoonly
❑ � (5150) Patftes «,y
�L�
�siness Acf�ress �
�W 4a
�
(41� n�c,Dc.S
ame ot Ghief
�n � �.
(.rin���rcn 5 �'cnr�r�
�ganiz - Street a P. O Box (Do
vt „c ✓✓
use tne aaaress oi your
Mw S} 4�3
(cannat be your gam6ling manager)
-� 1 c��� s���- 3�
��?- )
If applying for a class A or C pennit, flll in days and beginnin�a & ending hours of bingo occasions:
hTo more than seven bingo occasions may be conducted by your�r�anization per week.
Day Be�nning(Ending Hou:s Day BeginningfEnding Hours Day Beguuung /Ending Hours
tA _ tn _ to
to � to _ to
in If bingo �rill not be coaducYcd, cfieck fiere �--
Is ihe premises located wiihin c'f.y fimi7s? (� Yes CJ ho if no, is township � aganized � unorganized � unincarpwated
Giry and County where gambGng premises is Iocated OR Township and Counry where gambling premises is bpted if outside of ciry limits
owner of premises
FOR BOAR� USE
BASE #
PP �
your orgarnzanon own �e nunarg wnere me gamwing v,an oe conauctee�t p yt� p No
If ra, attach the folbwing:
• a eapy of the Ieaze (tam LG202) with terms for at Iezst one year.
• a apy oi a sketch of U'�e floor pian with �mensions, showing what porcon is being teased.
A iease and skefch are rwt raq�"ved far Ciass D appIIatons.
cz� �E�"�' ll��c �v ,
!� z s c,c�� �.,s � ti� �.� u.,
-c�oi�>_ Vhw S .s'4�1
Sa- (✓�.��. cMr✓ S5��9�
/
T-�ay'
Minnesofa Lau�,{ut Gambling
Premise Permit Application - Part 2 of 2
�
9s �/
J; r� , 'lGr�cz (`L�b lt�� �� i�� (yy7�� ffl N Ss�c 5 — �
^ c-,G� - ff Scr �c< /��f �QC�,r.i� MN �S�?£fP - (�cr����M (Y1cn��.r
�1.� � ti^n. t lncc2 4'" �u_ lJ _ Md5 mIv SS4�a - �Ktt4 .c.t �<c�✓
I heraby consent that focal law enforcement oificers, the
board or zgents of the board, or the com:nissioner of
revenue or public safery, or agents of ihe commissioners,
may en;er the premises to enforce the law.
Bank R¢cords Informat£on
The b�ard is authorized to insped the bank records of ^„5e
gambling 2xount whenever necesszry to tulfiN
reGuirements ot current gambling tules and law.
Oath
! dedare th�t:
•1 have read this zppl'�tion and all iniormafwn submi�ted
ta ihe board is true, accurate and complete;
•all olher required iniormation has been fuily disclased;
Signafure of chief exewtive otfiicer
� . _ �9 n n
1. Tha city'must sign this application if the gambling prem-
ises is bcafed wfthin city limrts.
_ 2. The county "AND township'• must sign this applica"on rf
the gambiing premises is bcated within a townsfiip.
3. The bcal unit government (city or countyJ must pass a
• resoluYion spec'rficaliy approving or denying this z�piication.
C�� O� CAI
city�ry Nam
L
= Si a of person
� "_ T ���i n i `
Daie
�� to ihe insiructions fG required ariachmaMs.
Mait W; Gamblt�y Controi 6oxrd
Rosowood Plars ^xuth, 3td Fioor
�711 W. County Road 8
Roaevllte, MN 55173
•I am the chief executive oflicer ot the organization;
•I assume fuli responsi5ility for the fair and law(ul opera-
iion o! �� ac:litis�s to ba conduded;
•I will familiarize myself with the Izws ot Minnesota
governing IawEul gambling and rules oi the board and
agree, 'rf licensed, to abide by those laws >nd ruies,
incSuding amendments to tham;
•any changes in ap�lica:ion information will ba submittad
io the board and bca( unit ot government within t 0 days
ot the change; and
�1 understand that tailura to provide required inlorma2ion
or providing false or misfesding iniormaSbn may resuft in
the denial or revocation ot ihe Iicense.
�
Date
i
� L •�
4. A coo� ot the local unft of oovernmeM's resotution ao-
h' h i +
5. it this aQplication is denied by the bcal unit of government,
R should not be submittsd 2o the Gambling Control Bcard.
Townshtp: 8y signature below, tha township 2cknowledges
that the organizatwn is applying ior a premises permitwiihin
township limits.
Township Name
SignaWre of person receiving appl'ication
Tide
� Date Received
LG274(Part 2)
��r72ssi)