96-592Council File $ q�o � S 1�
Green Sheet $ 34976
� ._ . � .' , �
Ordinance $
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Presented By
Referred To
RESOLVED: That application, ID #$-00639, for a new State Class B Gambling Premise
Permit by Church of the Incarnation at Ace Box Bar, 2162 University Avenue,
be and the same is hereby approved.
Requested by Department of:
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Committee: Date
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•�1��� •R
s �,r�� � �s�
Adoption Certified by Council Secretary
sy = l \ e� ?� . � �,
Approved by Mayor: Date Z. (O
BY: � 1C �
Form Approved by City Attorney
/ !� B Y : `?�/u�(�'r``� ��O.u��
Approved by Mayor for Submisaion to
Council
By:
Adopted by Council: Date ,�...�V S T� q (�
*
�
GREEN SHEET
FOR
TOTAL # OF
ACT10N fiE�UE5
PAGES
CITY ATTOflNEY
�'� � MAYOR (OP ASSISTAM)
AlL lOCATIONS FOR SIGNATURE)
9�-s9a�
N°_ 34976
� INRIAVDATE
CitY CLERK
FIN. 8 MG7'.
Fr. Robert T. Monaghan on behalf of Church of the Incarnation requests
Council approval of their application for a aew State Class B Gambling Premise Permit,
ID l�B-00639, ai Ace Box Bar, 2162 University Avenue.
RECQMMENOATIONS: Approve Sp10r R0)ecl {R)
_ PIANNINGCOMMISSION _ CIVILSEFlVICE
_ CIBCOMMIREE _
_ STAFF __
_ DISTRIC7COURT _
SUPPORLS WH1CH CWNGIL OBJECTNE7
PERSONAL SERVICE CONTR0.CTS MUST ANSWER TNE FOLLOWiNG QUESTIONS;
t. Has this persanitircn eve� worked under a contrad for this department? �
YES NO
2. Has ihis person/ifrm ever been a city empioyee? -
YES NO
3. Does this personttirm possess a skill not rrortnally possessed ty any curten city employee?
YES NO
Explafn all yes answera on separate ahaet antl ettaeh to green ahnet
� ��� � _
�t�Y 06 }956
C��� � ����,����
�69'LC�V99 l"f4*°1:�'.+S�i§sld ldd+'14�5
F�.4Y 1 `� 1 ��'�
DISADVAMAGES IF NOTAPPROVED:
TOTAL AMOUNT OF TRANSACTION S
COSTlREVENUE BUDGETEp (CIRCIE ONEj YES NO
FUNDItdli SOURCE AC7IVITY NUMBER
FINANCIAL INFOflM0.T10N: (E%PV11N)
Greensheet # 34976 L.I.E.P. REVIEW CHECKLIST Date: / 9G - 59.'C
In Track2Y?__��� �4�,� MP'n Received / W�P'n Processed
(Y
License ID # B'40639 (State) V�y�se Type: State Class B Gambling Premise Permit
Company Name: Church of the Incarnation pgA: Church of the Incarnation
8us+ness Addresss: 2162 University Ave. W. (Ace Box) Business Phone: 822-2101
Contact Name/Address: Fr. Robert T. Monaghan/CEO Home Phone: 822-2101
3817 Pleasant Ave. S. Mpls 55409
Date to Council Research:
Pubiic Hearing Date: �� ,1�� Labels Ordered:
Natice Sent to Applicant: District Council #: 12
Notice Sent to Pubiic:
Department/
Date
Attomey
Environmental
Health
Fire
License
Police � �
�1��9,�
�
�'Q�h� �'���
Ward #:
Comments
Site Plan Received:
Lease Reeeived:
LG2i4
orzsv,�
MfrtttL�ata Zau�fict Gaml�Iitxg
Premises Permit Appiication - Part 1 of Z
CHECK
IN[TIALS
DATE
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Class of premises pecmit
� Renewaf (chack one) -
Organization base �ieense number � A($400) PWI-tabs, tp6oards, paddtewheeis, raffss, birgo
� New
Premises permit wmber
to
owneroi
� unorgan'sed
�
yaur orgaruzanan own ihe bult�ng where the gamh7ing wiil be wnducced? C] YES � NO
if no. aroch the fo6owing:
• a copy of the lease ((orm 1G202) with Oerms tar at ieazt me year.
' a wpy of a sketcli of tie ftoor plan with dimensions, sMwing wha2 porcon is be±n9 leased. �
A lease ard sketeh are not reGuired Wr Ctass D appfimtions. �- ,
FOR BOAAD USE ON�1
BASE �
PP a
_�_ 20
�
if bingo �rill aot be eandncted, check heze �
� B($250) Pult-Eabs, tipboartis. Paddev+iieefs. 2fBes
❑ C (Sz00) Bingo onty
❑ �iSt50) Ratt(esony
.��. � P� �-,��,�; �u�-s. n���s. .�� . ss��s
If appIying for a eIass A or C permit, flI2 in days and beg#nning & ending hours of bfngo oceasions:
No more than seven b3ngo occasions may be conducted by your organization per week.
Day $egtnrting/Endtng Houn Day Be�nning/Ending Hours Day Beginning /Ending Hours
City and Courtry where garnbGng premises u iocatEd OR 7ownship and County where gambGng premises is bfaied if ou[s�de of cty Gmi�
Minnesata Lawfut Gamblirtg
Premise Pern�it Application - Part 2 of 2 9 L � S q Z
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Ba�k Acaount Number
3'l/o3oa-6b'a
�iio2
1 hEreby ccnsent that foca! law en;orcement officers, ihe
bezrd or agents cf ihe board, ar the cxmm+ssioner of
revenue or pubiic safery, or agents of tha pmmissioners,
msy enter ,he premises to en;orce the law,
Baak Records information
The board is authorized ta insped the bark reqrds ef the
gzmbiing acmunt whenever necessary to fulliA
requirements of curtent gam6ling rules and law.
Oath
t dectare tfiai:
•! h<ve read 2his aeplication >nd �!t informai'an submitied
;o fhe board is true, accurate and mmplete;
•att oihet required information hes been fully disdased;
7. The city •must sign this appiicaiion 'rf ;he gambiing prem-
ises is bcziad within ciry timi2s.
2. i he muniy "AND Sownship" must sic,n this appiic�tion if
.he gambling premises is locafed wBhin a township.
3. The locai unit governmens (rty or cauniy) must pass a
resotuiion spec'r,"ica;ly appraving or denying this appticstion.
CIiY` Of
G'+ty ar Caunty
Title
Aeter � the instruaiqfy� for reqd+hed auachme�is.
Mail to: Gambtlng Controi Baard
Aosewcod Ptaza Soutt�, &d Fioor
17tt W. Counry Road 8
Rosevllle, MM 55113
•1 assume fult responsibility for ibe fair and i�vrtut opera-
iion of s!t activflies Yo be nnduded;
•1 wiil familiarize myself wiih fhe (aws of Minnesota
goveming lawfu! gambling and ruies oi the board and
agree, rf licensed, fo a6ide Dy ihcse Izws and ruies,
inciuding amendments to them;
•any ch�nges in application fntorm�fion wiif be submitted
to ths board and bcat unit oi govemment within to deys
of the change; and
•! unders:and that faiiure ;o ptovide requirsd information
or providin9 izlsa ar misleading informaiion may resuft in
the denizt ot revacation of Sbe license,
4, A co�v of the Iccai un8 of oovernnenTs resolution zo-
oroving,i,hi�2ooiication must be attacFed to ihis aooliczYion
5. Y ihis appiication is denied by the bcal unit of government
it snould noi be submitied to the Gambling Convol Board,
Towns�ip: By s�'�,n�;ure beicw, the towrship ackncwiedges
that .he crganization is applying for a pcemises parmit wiihin
township limits.
7ownship Name
Sic,rw^iure ot persan 2ceiv�ng appiication
r�n�
I Date Received
LG2T4(Part 2)
(Rev]r24911
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