96-261Council File # � � �� �,
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Ordinance �
Green Sheet # 34938
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA 3�
Presented By
Referred To
Committee: Date
1 RESOLVED: That application, ID #8-02928, for a new State Class B Gambling Premise
2 Permit by Epilepsy Foundation of Minnesota at Christensen's, 1567
3 University Avenue, be and the same is hereby approved.
�� Requested by Department of:
Office of License, Inspections and
Environmental Protection
BY: ��'{�.a���v A Y"cn,�,�
Form Approved by City Attorney
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BY= � ho<nc.�.r°. ,�, ; �Nr�e.�
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Approved by Mayor for Submission to
Council
Approvedjb M�yor: Date �/ ( [� / }�
By:
i G'�'�iZl� BY
Adopted by Council: Date /�' ,/� / �
Adoption ert' ied by Secretary
BY� — _ � .
** NEED COPY IMMEEDZATELY ** -` � 'a"'� `, �
DEPAR7MENT/OFFICE/COUNCIL DATEINITIATED GREEN SHEE �O 34938
LIEP iNinawn� - - � - - iNmnvon�
CAMACT PERSON & PHONE � pFpqp'@��{ p�q�7pR O CIiY CQUNCfI
Christine Rozek - 266-9108 �'�" O C�AITORNEV O CITYCLERK
MUST BE ON CpUNCIL AGENDA BY (DATE) pp�� F � p O BUDGET DIRECTO O FIN. & MGT. SERVICES Dlq.
Hearin :
3 ,� ORDER O MAYOR IOR ASSISTANT) a
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACT70N RE-0UESTED:
Joanne Susens on behalf of Epilepsy Foundation of Minnesota requests Council
approval of their application for a new State CIass B Gambling Premise Permit at
Christensen's, 1567 University Avenue. (ZD 11B-02928)
RECOMMENDA710N5: Apprwa (A) m aejea (a) pERSONAL SEFiVICE CONTRACTS MUST ANSW ER TXE FOLLOWING �UESTIONS:
_ PLANNING CAMMISSION _ CIVIL SEflViCE COMMISSION 1. Has this persoNfirm ever worketl untler a wntrac[ for this dapartmentl -
_ CIB COMMITfEE YES NO
— S7APF 2. Has this person/firm ever been a ciry employee?
— YES NO
_ DISrnICT COUAi _ 3. Does this personttirm possess a sKill not normally possessed by any curteM ciry employee?
SUPPOflTS WHICH COUNCIL O&IECfIVE? YES NO
Explain all yes answero on separate sheet and ettaeh to graen sheet
INITIATING PROBLEM, ISSUE. OPPOFTUNITY (Who, Whet, When, Whare, Why):
ADVANTAGESiFAPPROVED:
���������
FEB 27 195�
C�YY �T EY
DISADVANTAGES IFAPPROVED:
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DISADVANTAGESIFNOTAPPROVEO:
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t:�.;. y 3 .�
:k:;�;� ;3g b�WV
TOiAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGE7ED (CIRCLE ONE) VES NO
FUNDING SOURCE ACTIVI7Y NUMBER
FINANCIAL INFOqMATION: (EXPIAIN)
Greensneet# 34938 L.I.E.P. REVIEW CHECKLIST �ate: /��.•a��,
In 7racker? App'n Received / App'n Processed
License ID # R-(1292f3 (�-arP) License Type: State Class B Gambling P em� P rm�
Company NBme: Epilepsy Foundation of Minnesota DBA: Epilepsv Foundation of Minnesota
Business Addresss: 1567 Universitp Ave. w.(Christensen's)_ Business Phone: 646-8675
Contact Name/Address: Joanne Susens - CEO Home Phone: 646-8675
Date to Council Research: 7�7 Raymond Ave. 55114
Public Hearing Date: ���-�, �� I..abefs Ordered:
Notice Sent to Applicant: DistriCt Council
Notice Sent to
Ward
Department/ Date Inspections Comments
City Attomey
L /�
Ernironmental
Heaith
I� I �
Fire
; �J I �-
License Site Plan Rece'rved:_
� �� Lease Received:
Police
a��/�� � �� �4.�.�� ��:�-�'—
Zoning )
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_ . 3ziruaesota Lamfut cambling
Premise Permit Application - Part 2 of 2
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I hareby consent that bcal law enforcement officers, the
board or agents of the board, or the commissioner of
revenue or public safery, or agents of the commissioners,
may enter the premises to enforce the law.
Bank Records Information
The board is authorized to insped the bank records of the
gambling axount whanever necessary to fuHill
requirements ot cunent gambling ruies and Vaw.
Oath
I declare tnat:
•I have read this application and ail information submitted
to the board is Vue, accurate and complete;
•aH other raquired information fias been tully disdosed;
1. The city •must sign this appl'icatan'rf the gambling prem•
Ises is bcated w8hin dty fimits.
2. The couMy "AND township•• must sign this applicaUon N
the gambfing premises is bcated within a township.
3. The bcal un8 government (c'dy or county) musi pass a
resolution specitically approving or denying this appiication.
Ciy or Co�nry Name
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Pf �erson receiving applicaCOn
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Tine �; .E�i� 6 /.
' jId �� ;
Re(er to the Inatruaions fw required aaaehments.
Mail ic: GambtlnB �nUOI Board
Rosewood Pkze South, 3rd floor
1771 W. Counry Roed B
RosevWe, MN 55113
•I am the chiaf executive otticer of the organization;
•1 assume full responsibility for the fair and lawful opera-
tion ot all activities to be mnduded;
•I will famifiarize myself with ihe laws o1 Minnesota
governing lawfui gambiing and rules of the board and
agree, if licensed, to abide by those laws and rules,
Inciuding amendments to them;
•any changes in application information will be submitted
to tha board and bcai unh of govemme�t within 10 days
of the change; and
•1 understand that failure to provide required information
or providing false or misleading information may result in
the denial or revocation of the license.
4. A copy of the bcai unit of oovernmenYs resolution ao-
provina this aoolication must be attached to this aooGption.
5. N this appl'�cation is denied by the bcai un8 of govemmant
it should not be submitted to the Gambiing Control Board.
Township: By signature bebw, the township acknowiedges
that the organizaCan is applying for a premises permit within
township limits.
Township Name
Signawre o( person reeeivin9 applieatlon
rne
1 Date Recei�+ed
1G214(Part 2)
�n«�ms�)
s i. � �• . 1 � , _ i � i v t�. �
LG214
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... � . .... . . . . . .. .. .. ^;. _.'.':''° i G;3�'� :3"'?,�..�
MinTtesota. Lau�, fitl Gamblirc9
Premises Persait Application - Part 1 of 2
� Renewal
Organization base license number
Premises pertnh number
L' � "�
FOR BOARD USEONLl
BASE #
PP #
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CHECK
IT1iTfALS
OATE
c{ass ot premises permit
(eheck o�e)
❑ p($q00) PulFtabs. tipboards. paddlewheels. 2ffles. bingo
Q–BY5250) Puil-tabs, Opboarids, paddlewheals, raffles
❑ C (5200) Hingo on�y
❑ � ($150) Raffles only
n
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If appiying for a class A or C permit, flll in days and beginning & ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your���zation pez week.
Day He�nNng/Ending Houis Day Be�nning/Ending Houn Day Begtnning /Ending Hours
tu � W _ to
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. . .t0 IIL�O W� IIOL bC COIIdIICtCd. C�IGCY h!.'2'E �'� •,.
Is the premises laceted within dry Gmits?
owner
O No It rro, is rownship 0 organized p
IR Tawnship and Counry whete gambGng premis
i o3'O� �'�' !'.s sY, Plac�,�/d ,
�� . .
0ar+ix d O unincorywated
bcated if ou4side of ciry Gmis
uoes your ugarnzaoon own me bwmng wnere me gamamg vnll ee oorWUCtea"t O rts �--
If ra. attach ihe folbwing:
' a wpy ot ihe lease (iortn LG20� with ierms lor at least ane year.
• a copy of a skerch of the 800r plan vrith dimensims, showing what por6on k being leased.
A lease and ake�h are mt required for Class 0 appficaGons.