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96-170Council File # - 1 � � � � � �RI=��,�,�,� Presented By Referred To RESOLVED: That application, ID #B-00963, for a new State Class B Gambling Premise Permit by Church of St. Bernard's at Easy Street West, 616 Como Avenue, be and the same is hereby approved. r-_—�r—��� Requested by Department of: Adopted by Council: By: s� By: Office of License, Insoections and Environmental Protection B �.R.�; �1-�,�.e Form Approved by City Attorney Bs� ��..,� J� �-�D.,.,� r Approved by Mayor for Submission to Council Bye Green Sheet # 29375 Adoption Certified by Council Secretary a c� -� �t o ** NEED COPY IMMEDIATELY ** N° 2 9 3 7 5 DEPARiMENT/OFFICE/COUNCiI OATE INRIATED LIEP GREEN SHEE fT1RIAUDATE IN111AVDA7E COMACf PERSON 8 PHONE � OEPARTMENT DIflEClOR � qN CDUNpL Christine Rozek — 266-9108 �ui�x �cmnrroaNEV �cmc�eRK MUST BE ON COUNCIIAGENDA BY ATE) pOUTINGFOR O BUDGET DIFiECTO a FIN. & MGT. SERVICES OIR. Hearing: ( � �� � �pDEp O�VOR(ORASSISTANn O TOTAL # OP SIGN tJRE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: . Michael Anderson on behalf of Church of St. Bernard`s requests Council approval of their application for a new State Class B Gambling Premise Permit at Easy Street West, 616 Como Avenue. (ID I�B-00963) , FECAMMENOATIONS: Approve (A) o� Reject (F) PERSONAL SERVICE CONTfiACTS MUST ANSWER THE FOLLOWING QUESTIONS: _ PIANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this person/firm ever worKetl under a contract for this department? _ CIB COMMITTEE YES NO _ STAFF 2. Has this person/firm ever been a city employee? — YES NO _ D�STRIC7COUR7 _ 3. Does Ihis Oerson/firm possess a skill not normall y possessed by any current city employee? SUPPORTS WNICH COUNCIL OBJECTIVE� VES NO Explain all yes answers on separate sheet antl attach to green sheet INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who. What, When, Where. Why)� ADVANTAGES IF APPROVED: DISADVANTAGES IFAPPROVED: �.tl�a�.i�l.'�od "�'��q . � � : �;'� i�9�i DISAOVANTAGES IF NOTAPPflOVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (C�HCLE ONE) YES NO FUNDIfdG SOURCE .e.C71VITY NUMBER FINANCIAL INFORMATION (EXPLAIN) Greensneet # 29375 L.I.E.P. REVIEIN CHECKLIST �ate: /��� d In Tracker? ApP'n Received / ApP'n Processed LiCenSeID # B-00963 NEW State Glass B Gambling Premise Permit Company Name: Church of St. Bernard's DBA: Church of St. Bernard's Business Addresss: 616 Como Ave. (Easy Street west) Business Phone: 488-0062 Contact NameJAddress: Michael Anderson/CEO Home Phone: 488-0062 197 W. Geranium Ave. 55117 Date to Councii Research: Public Hearing Date: .�,�Z� C� 7' Notice Sent to Applicant: Labels Ordered: District Council Notice Sent to Wa�d #: 5 Department/ Date Inspections Comments City Attomey � ��-., Environmental Health t`-� � /�- Fire �l� License SRe Plan Received: / Lease Fteceived: �� �1�� �(O Police � `� �j�� () � ��f�O /CX 11/l � C � � Zoning � �i LG2i4 � ; .,_ .. _..._ - ����__: ..`� ..__._�_. . . _." _-, �,��� : - , _ _ � - ':�, ;- _ - _ "' Mirr:itesota I.aiufut GambIing _ '- _ - - __-.: ._ : -, _. _ -' �""� �`- Premises PermifApplication = Part= T of 2"==` -- - _�. ` ; _ _ ._ . .`_ . ___� _,_. _ �t 6- ��i o FOR BOARD USE ONLY BASE # PP � FEE - '°�_�- _ CHECK -- -_._. �' ^- -3 INITiALS_ ' �ATE _- � - . -- - • - - - - - - � Cla'ss of preinises permit � - - - - _- � ❑X _ _ Renewal , —. _ -. .� .: - =-- -'-- -- ".�—:-=- (ehxk one) � � _`:. = � . . -_�_. . - ` . :, "- _ - Organ¢afwn base P�cense number go�ar�- � __< �- A(5400) PulFtabs, tipboards, paddlewheeis, raffles, birgo �:s''u�=�.-';:<"-.� =:;=� - - r::. _ --- "� � � - Premises pertnit number ~ - n�nR - _ - , � �B (5250) Pull-tabs, tipboards; paddlewheets; raffles -- " . .- __. -- . -- � _ . . - - . . � - �- .. New____...-- -- -, _ . _ __ ...-------°--;-------- Q C (5200) &ngo oniy�..�_..-,_ �_ _ _.. .�..� - -- -- _ =- p a�5�y .. : _ .. : 190 W a�. ratu Name of ehief executive office or r. v esox ��o noc use i .. siace- -,.— Minne o a�'' your gambfing manager) �f your gambling manager� - - � Counry � � Daytime phone numbe� ' _. '' --' ' ---� - Michaet Anderson ' -'"' C.E.O. I�612) 488-8535 Bingo Occasions ,.__ . : _ - - _..- • . . If applyixig for a class A or C permit; flll in and begixuiing & enc3ing hours of bingo occasions: ,. .; No more than seven bingo occasions may be conducted by your orc_anization per week.. -. ._ ' Day"""� Begt�uiing/EndingHoius""' "'"' Day"'-" Beg[cudnglEndingHours`�� Day- Beg[nning/EndingHours - . " �. , _ . _-_ � _ - � _�',: ' _ �?a..,`'�- . . _ �. to - . .. � .. a _ .�. to � ' to _ . , . . � � - - .? -, �. 'a � , .: , . - . .- � , � .. _ . . . In If biago ac�l not be conducted check fiere �_ t _ >�, - � � , __, x .�<__ .-_.• ,,:c -�� ` « � � . _»�� -- ..._- _, _ � � ,4 .... . : ..- . . - � � � a 4.�. . _ - .. _ ' . ' `. ' .'.' .. . .......:.: . .• �a�r-, - - - � � Is tlSe preini . .,._ cm �,e co ,.:.. St:= ] Nameande " Davic ng�preinrses is �o ; JUBE[ HOOI _ .,�:. • %'= 616'C o, is town'ship r .ut ' I� � and Counry whe,re iriorganized' p, u,ni s is located if outside _ -__ �'-`::.. . `� SSn � r�Yi . �ated=' � . sm��s:-=_�_ ' 'x; . _ - y :.:iS <S ••'• - _ -- - - = _ - - '' Minnesota Lmc+ful Gambling q �e — \ t � �^-- ='`� `� : P=emise, Permit Applicatioa.- Part 2 of 2 _- _ � ., -- _�.. �� _3 "s- ,i� . 4 '_ . - ``l �- ' R aj�,. - ' -- l : s�i : rT, ur.� y i. . �r� o�ia,�w w .,.�.y .c ',,,.Y _ _- F j �� J5'rs �` k/� c � '�.., �i , "y;<4 ' GamT>Iinct Barik #]ccount Yr�. f "urn�afzorr � . .� . ; . _ Bank Name-_ � Capital Bank ° - - - - - - 8a����t Number , - - " x � � � � �� � ; Western Bank; �" "' � t ����' � �"� 6006d46 - _ . �„> rAde r �_ BankA ress- �, �' �' ..���-.�"� - ' �C�T�< .iF ' - ?:- - - - ,__1020�RiceaSte ��°,�,_� _ �.__�_ ,. Sfi,�Paul,��_: _ M3nn , 55117 _ _ - = = 1740: ' -- _ ._ . _-- ;>:�;.� - - >s„.;ti�;; �;. _ � M1Ch�` � Joarir - :' Staiili Richa -. . F ; t �t. �—c�- � AOQ2¢S`.-�„ - - .- � �w . _ .._.. 'e"� Anderson 197. Geramum-Ave " Pastor �C:S O.'. s. Grundhauser'- : °-� 14 Winter 5t:= Gambiing _ Manager.:-, '__ _ �y- Sledz � � ��_ - _' 197: Geranium= Ave =' _ AssoctaCe Pastor� � _ . �. _.,__ ,. : - - . - -_ - ,7- n �_,. .L - _ _ . . "' -- �m r�+tagP n r., �eE�e�3�r . _— :Y:r{,j.cka�t'=""__ . _ - - - - - .°:�1= - - - . - - - = - - - -. ' _ " -,. ., . ' _ _ - ' ' _ �_ -,'-; ' _.. _ ' _ "' . -. _ --_ Gambling Site Authorizatioa -, :,,;,,,,, ;; ,,,, ,,, ,, ,, •I am the chief executive officer of the organization;-=_ _._ -- .-... I hereby consent tfiat local law enforcernent officers, the...-�__`:� �sume full responsibility for the fair and Iawful -_, board or ageMs of the board, or the commissioner of tion of all adivities to be conduded; '"=° "' revenue or pubi'�c safety, or agents of the commissaners, .� �,,��� tamiliarize myself with the laws of Minnesota._ ___ may enter the premises to enforce the law3�- "`-_: `" -.- �: 9oveming IawFul gambling and rules of the board and ` Baak Records Infoimatioa agree, 'rf licensed, to abide by those laws and rules, The board is authorized to inspecf the bank records ofi the ;'_ - �nciuding amendments to them; - gambling accourit whenever necessary to fulfiil - •any changes in appl'�cafron information wili be submitted requiremenfs of current gambGng rutes and (aw: _- _ '-' to tfie board and bcal unR oi governmeM within 10 days- _. r�.. Oath � `� _ of the change; and -.. _ . .- I deciare tfiat: `_=;5-_; __�__�_--_.� ---=- `'_ �----- •t understand that failure to provide required information-: . •1 have read this appiicaCron_and all intormatwn submitted , or providing false or misleading information may_ resuft in ;`_" �s � _w_ _ .;,._ -. _,._ , , -. _ to the boaid'�s true; accurate and complete; __ ; ;'.z,";,�"--.�: : -_ _. the denial or revocafwn oi the 1'�cense:" �," '�'" •all other required information has been fully dsdosed;:>`: c=e:-`=: _�c ',x:== :::; �: . ;: -= :_: =`= >::. "`"- : _:" _ _ `" -">�== . Sig�ature � ief � e ff�ice " " `" ' - Date '"' "� � - `•'` �./i/ ��,/ %� � ��9/� - — ,� - � � _ - .,,. _<. .. - -. ,:`r:' 1: The cAy'must sign thi, ises is Ixated w'dhin"cify 2 The county,"AND,tow the gamb!ing piemises is - 3..- The bcal unR govem� _ .....�,-, �...�� ,�.-..�- : _' resolutiori 5pecrfically �em � 4'_ _ ��,Y R�2 a,�U.°-�� it sF not is dsnied by nitted to the g-- - _ of government,