96-532o � � � � �s i � Council File # 9 � � �J 3 �
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Ordinance #
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To
Green Sheet #
Date
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RESOL'VED: That application, ID #B-04575, for a ne State Class B Gambling Premise
Permit by Minnesota Recreation and Par Association at Schally's
(formerly Lentsch's), 1091 Rice 3tree , be and the same is hereby
approved.
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Requested by Department of:
office of License, Inspections and
EnviYOnmental Protection
By: �,LWC. µ��
Adoption
By
Apptoved by Mayor:
by council Secrstary
Date
Form Approved by City Attorney
, � �
By: ,� a,cL� \
Approved by Mayor for Submission to
Council
By:
By:
Adopted by Cqfincil: Date _____
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GREEN SHEET
GITY ATfORNEY
BUOGEf DIflECTOR
MAVOR (OR ASSISTANf)
g�-S3��
N_ 3494U
- ' " " MRIAL/DATE
Q CRY COUNCI� �
� CEN CLERK
� FM. 8 MGi. SEFIVICES DIR.
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TOSAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
acnoN aE�s�o:
.Ton Gurban on behalf of Minnesota Recreation and Park Association requests
Council approval of their application for a new State Class B Gambling Premise Permit
at Schally's (£ormerly Lentsch's), 1091 Rice Street. ID IIB-04575
_ PIANNING COMMISSfON __ CIVIL SERYICE COMMISSION
_ CIB COMMfITEE _
_ STAFF _
_ DISTRICf COURT _
SUPPOATS WHICH COUNCIL O&IECTYVEI
PERSONAL SERVICE CONTRACTS MUST ANSWEH iHE FOLLOWING QUESTIONS:
t Has this per5on/Firm ever worked under a contract for this department? -
YES NO
2. Has ihis personflirm ever been a ciry employee?
YES NO
3. Does this personttirm possess a skdl not normally possessed by a�y current c�ty empbyee?
YES NO
Explatn all yes anawers on separate sheat and attaeh to green sheet
AN .�m'4 "'�_ (1
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��La � 1 �J��
i s�' _ ' ^�� , 2.
TOTAL AMOUNT OF TRANSACTION S
COST/REVENUE BUDGETED (CIRCLE ONE)
VES NO
FUNDIHG SOURCE ACTIVITY NUMBER
�INANCIAL INPoRMAiION: (EXPIAiN)
Greensheet # L.I.E.P. REVIEW CHECKLIST oate: /�L � S 3s�.
In Trackef? ApR'n Received J App'n Processed
License{D # B-04575 License Type: State C1ass B Gamblin� Premise Permit
COmpBny Name: Minnesota Recreation and Park AssociationDBA: Minnesota Recreation and Park Assoc.
Business Addresss: 1091 Rice St. (Schallv'sl Business Phone: 920-6906
Gontact Name/Address: 5005 West 36eh St. Home Phone: 920-6906
Date to Council Research: St. Louis Park, MN 55416
Public Hearing Date:�� /� 9� Labels Ordereci:
Notics Sent to
Notice Sent to Public:
Districi Council
Ward
Department/ Date inspections CommeMs
City Attomey
Environmentai
Heaith
Fire
Licens2 Site Plan Received:_
Lease Received:
Police
�,��27/°6 �eco� ��c,�
'.oning
1G214 ,,
n�s+�
FOR BOARD USE ONLI
BASE #
PP �
.FEE
CFiFCK
lNRIALS
DA7E
M£nnesota Lamful Gambting
Premises Permit Application - Part 1 of 2
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� Renewai -- �
O�ganization base lieense man6ar
Premises permit number
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Nama
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; (Z.? G ftCC'{=i o �
6on - Street a P. O 9ox �
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your
Gass ot premises permit
(eh�ck ansj . _ _ .. _- -
_ [] A{5400) PulFtabs, tip6oards, paddlewheets, raffles, bingo
, � B(3250) Pu9-tahs. tiPboards. Paddlewheeis, ratfles
- Q C (5200) &nflc onlY - . - . .
❑ �(Sf50) Raifiesmty
i!o 1-�Pnne'a��%.'
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.�vn (� CEp I t6rz)9ao-�RO6
s#ago Ocsasions . . • . ... c:...
If appiying foz a class A or C permtt, flIl in days and begttuung & ending hours of b!ngo occasions: °,
No more than seven bingo occasions may be coxiduded by your o�a +�a on per week. :
� Day iiegkuung/Endtng Houn " Day Hegtnntcsg(Endfssg Houra 1JaY �F��S JEnding Hours
tn _ to _ W
. . � � �, . . � ...
ro _- If biaQo evlll aot be coadncted, check here � �
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�en-F3Cl��S i�car l091 (Z �f�ee.�- ._ . .
Is ihe qremises located within aty Gmils? ' j�Yes' O No N ero. is bwnship � or9anized � unorpanized p uninoorporated
Ciry end Counry wAare gambTinp premises is located OR Township and County where gambGrg premises is beated it outside of dry Gmits .
_Sr. P��i J2� ,..SQ:. - � ____
Name and address ot kgal owner of pre es . •. Ciry Srate . Lp Code ._ ._ '
�iRR cn �Zre . s>+c. _S�: Ac�.,i r�tnJ tsi»:'� .'�
wr acgaruunon own �e cwany wnere me pamwmg wu� oe mroupea� p rts � ND
H m. aCacfi the bibwiny: - -. � _ _. . _ --
• a eopy of Ihe lease (tuim LG202j with ierms br at least one year. .. . ,
• a copy of a aketch of the Aoor plan wdh dmensions, sAowing what pprSOn is beinp ieased.
A lease and eketeh are swt requirad tor Class D appfieations.
lD �! 1 2."c e �'f'�Pa -(- S: �G �.. ( /�'loJ .$ S / � �
Minnesota Lam, fu2 GambTirt�
Premise Permit Application - Part 2 of 2
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1 hereby mrtsaM that bcat law eMorcemeM offioars. the
board or agents of ffie board, or #�e commissioner of
tevanue or pubfic safely, o� ageMs ot the commissioners,
may anter the premisas to eniorce the {aw.
Baak Records Iaformatlon
The board is authorized to inspect the bank records ot the
gambling accourd whenever necessary to fu�iA
requirements ot curtent gamWing rutes and law.
Oath
! dedaze th�: . �
•i have read this appiication and alt iniormation submitted
to the baaid is truo, accurate and wmplete;
•ali other required information haz been tully d+sdased; :��
1. Tha city •must sign this apptication if the gamb('mg pem-
ises is bcated wdhin dty limfts.
2. The county "ANO township" must sign thfs appl'ratia� iF
the gambiing pramises is bcaied wlthin a townshlp. ''
3. ThB bcal unil governmeM (city a county) must Qass a
resotution specificaqy approving or derrying ihis appi'icalion:
City or County Name
C % � !,r ? `S /� /�.�(i,., _
•i am the ehief axecutive otPicer oi the organizatton;
•i assuma iutl responsbfiity tor the fair and IawFui opere= :'
tion oi alI activities to be conducted;
•I will fam0iarize myseH witfi the taws of Minnosota
govaming tawEul gambling and rules of the board and
agree, i[ Goensed, W abide by ttase taws and rules,
including amendments to them;
•any changes in appiicatbn information wiil be submitted
to the board and bcal unit of govamment within 10 days '.-.;
oi the change: and
•I understand that tailure to provids required ic�formation ._ :_
or providing ta(se or misieading irttormatioa may result in�•'�`
the denial or revocaficn of the licertse. �'�' �
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TownsMp: By signature bebw, the township adcnowledges ,
that the organization is appiying for a premises permit within
township limits. - -
Township Name
person re�ivinp appBration � -� � SignaWre of person receivin8 aPP��
r�uaC ��,� b i.�-�
�iii�Gi+G.Fi�u".L�.i �
� Dat�Received Title Date Reeeived
a�-aa-�� (
Reter te the ir�swciions for required anachmeMs.
Mail b: GamWinp Cootrol Bwrd
Rosewood Plsu South, 3rd Floor
1711 W. County Aoad S
Ao�evllle, MN 55113
LG210(Psrt 2j
lnwirscvt)
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