96-169Council File #` ' ( �v
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Presented By
Referred To
Green Sheet # 24926
RESOLUTION
CITYf��T PAUL, MINNESOTA
Committee: Date
RESOLVED: That application, ID #23066, for a new Gambling
Manager's License by Joanne Grundhauser DBA Church of
St. Bernard's at Easy Street West, 616 Como Avenue, be
and the same is hereby approved.
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r--� ,____ _`___ Requested by Department of:
Adopted by Council:
By:
Appz
By:
Office of License, Ins�ections and
Environmental Protection
By: \�.r-��n-cY'i` �-��
Form Approved by City Attorney
By: //c.4_4��,c.c�_ ��� ,�
Approved by Mayor for Submission to
Council
By:
Adoption Certified by Council Secretary
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DEPARTMENT/OFFICHCOUNCII DATE INITIATED GREEN SHEE N_ 3 4 9 2 6
CONTACT PERSON & PHONE INITIAVDATE INRIAVDATE
O DEPFHTb1ENT DIRECTOR � CRV COUNqL
. . ASSIGN � CT' ATTORNEY O CRY CIERK
MUST BE ON CAUNCIL AGE BY AT� HUYBER i0R � BUDGEf DIREGTO � FlN. & MGT. SERVICES DIR.
ROUfING
Hearing: � a�`g OHDEfl OMqypp(ORASSISTANT) �
TOTAL # OF SIGNA RE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACfION flEQUESTED:
Joanne Grundhauser DBA Church of St. Bernard's requests Council approval of her
application for a new Gambling Manager's License at Easy Street West, 616 Como Avenue.
(ID II23066)
RECOMMENDAnONS: npprove (A� or Reject (a) pEflSONAL SERVICE CONTRACTS MUSi ANSWER TXE FOILOWING �UES170N5:
_ PLANNING CAMMISSION _ qVIL SERVICE COMMISSION 1. Has this persoNfirm ever worketl under a coMract for this deparlment? -
_C{BCOMMITIEE _ YES NO
_ s7nFF 2. Has this personfirm ever been a ciry employee?
— YES NO
_ DISTIi1C7COUR7 — 3. Does Ihis person/firm possess a skill not normall
y possessed by any curtent ciry employee?
SUPPORTSWHICHCOUNCILO&IECTIVE7 YES NO
Ezplain all yes answers on separate sheet and attach to green sheet
INITIATING PROBLEM, ISSUE, OPP�RTUNIT' (Who, Whay When. Where. Why):
ADVANTAGESIFAPPROVEO:
DISADVANTAGES IFAPPROVED:
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_'�.; �'� s',�"�.�,'�S
DISADVANTACaES IF NOT APPROVED:
TOTAL AMOUNT OF THANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDING SOURCE AC7IVITY NUMBER
FINANCfAI INFORMATION: (EXPLAIN)
Greensheet # 24926 L.I.E.P. REVIEIN CHECKLIST Date: / `` �' �
In TrackeR npp�n aecetved / app�n arocessed
License ID # 23066 NEW Gambling_ Manager's License
Comp3ny Name: Joanne Grundhauser DBA: St. Bernard`s Church
Business Addresss: 616 Como Ave. (Easy Street Westl Business Phone: 488-0062
Contact Name/Address: 197 W. Geran�um Ave. 55117 Home Phone: 4RS-0062
Date to Council Research:
Public Hearing Date: � �1 Ci �a
Notice Sent to Applicant: T
Notice Sent to
Labels Ordered:
District Council #: °
Ward #: 5
Department/ Date Inspections Comments
City Attomey
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Environmental
Healih
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Fire
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License sice a�an aeceived:
Lease Received:
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Police
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Zoning
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STATE OF MINNESOTA FOR BOARD USB ONLY
' QAXBLINO COHTROL 90ARD AMT. PAID
OAHBLIXO 1fANRQER LZCEHSB RENEWAL RPPLZCATZON CHECK f
'•212GHR PAINTEDs 12/08J93 ' � . DATE
LICENSE NUHBER: 6-00963 002 EFFECTIVE DATES 06/O3/93 EXPIRATION DATEt 05/31/94
NAHE OF oRGANZZATIONi Church of St Sernard St Paul
Joannt Chriatiae 6rundhausar
16 xiatsr St
St Paul �7 55103
DAYTIME PHONS NUMBERt 612-i88-6733
GAMHLINO NATiAGER INFORMATION
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DATE OF BIRTH: 06/20/45
SEXi F
SOCIAL SECURITY NUMBERs 47Q-48-9688
HEMBER SINCES O3/02/70 ' � /I//S/��
LAS1' DATE YOU ATTENDED A GAMBLIN6 MANAGEAS SEMINAR/CONTINUING EDUCATION CLASSS �Yt�2Bf4�--
•,p •,
BOND COMPANY NAMEi Catholic Mutual BOND NUMBER: 8589
I DECLARE TBATi
• I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE CAMBLING CONTROL BOARD)
• ALL INFORMATION IS TRUE� ACCURATE AND COMPLETEj
• ALL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSEDj
• I AM THE ONLY GAMBLING MANAGER OF THE ORGANIZATION)
• 2 HAVE BEEN AN ACTIVE MEMBER OF THE ORGAN2ZATION FOR AT LEAST TWO YEARSt
• I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF
THE GAMBLING CONTROL BOARD AND ACREE� iF LSCENSED� TO ABIDE THOSE LAWS AND RULES�
INCLUDING AN.ENDMENTS TO THEMj
• AlJY CHANGES IN APPLICATION INFORMATION WILL HE SVBMITTED TO THE GAMBLING CONTROL SOARD AND
LOCAL UNIT OF GOVERNMENT WITHZN 10 DAYS OF THE CHANGE7
• AN AFFIDAVIT FOR GAMSLING MANAGER HAS BEEN COMPLETED AND ATTACHEDj AND
• I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDZNG FALSE OR MISLEADING
INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE LICENSE.
SIONATURE OF OAMBLIN6 lW7AOER
DATE
�
REFER TO T8E CHECIQ,IST FOR REQUIRED ATTAC�NTS
W1IL TOi QAMSLINO CONTROL SOARD
1711 WEST COUNTY ROAD 8, SUITS 3005
ROSEVILLE� HIMNESOTA 55113
THIS FOFiM WILL BE MADE AVAILA9LE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT� BRAILLEj UPON REQUEST.
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LICENSED GAMBLING ORGANIZATIONS
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° NAME: ST BII2NARD CHURCH NUMBER OF SITES: 4°
° ADDRESS: 197 W GERANIUt+I AVE ST. PAUL MN 55117 °
° STATE LICENSE �:00963 PHONE #:488-6733 LIC CLASS: X STATUS: AC °
0 0
° CEO LAST NAME: ANDERSON FIRST : MICHAEL °
° ADDRESS: 197 W GERANIUM AVE ST. PAUL MN 55117 °
° HOME PHONE: 488-6733 BUSINESS PHONE: 488-6733 DOB: �5/26/57 °
0 0
° TREASURER LAST NAME: KASSERERT FIRST: ROSEMARY °
° ADDRESS: 952 W IDAHO AVE ST PAUL MN °
° HOME PHONE: BUSINESS PHONE: DOB: 07/21/33 °
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° MANAGER LAST NAME: GRUNDHAUSER FIRST: JOANNE °
° ADDRESS: 197 W GERANIUM AVE ST. PAUL MN 55117 °
° HOME PHONE: 222-1429 BUSINESS PHONE: 488-6733 DOB: 04/20/45 °
0 0
° LAST RECORD CHECK: 02/22/94 * * * Notes Exist * * * °
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