96-646�
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Green Sheet # 34950
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O£Eiae oE License Inspections and
EnvirOnmental Protection
BY � ��/LG.� '�561�+'�',
Form Approved by City Attorney
B y � ��° �` � BY % �/LS .1�C� '� /�Q.�r„as„
Approved by Mayor: Date �� ! �
�� ��� "^"""'J Approved by Mayor for 5ubmission to
BY: 1 Council
1
Presented
Refezred To
Council File � 9 G. 4 y L
Ordinance �
Committee: Date
RESOLVED: That application, ID 18149, for a new Class A Gambling Location License by
Krislyn Inc. DBA Awada's On Plato, 199 E. Plato Blvd., be and the same is
hereby approved.
Requested by Department of:
Byc
Adopted by Council: Date � . \ . �qq (�
Adoption Certified by Council Searetary
9G-Gy G '�
DEPARTMENT/OFFICElCOUNCIL DATEINRUAFA GREEN SHEE �O 34950
LIEP iNmnware f iNmavonre
CONTAGT PEA£ON B FHONE � DEPARIMENT DIRECTOR � CITV COUNdL
Willia Gunther 266-9132 "�'�" �cmmropNev �crrrctEaK
MUST BE ON COUNCIL AGEN�A 8Y (UAl� qp�� O BUDGEf DIRECTOA � FlN. & MGL SERVICES DIR.
i i ORUER O MAYdR IOR ASSI5TANn ❑
e r'n : a�
TOTAL # OF SIGNATURE PACaES (CLIP ALI. LOCATIONS POR SIGNATURE)
acnok acvuESrEO:
Rrislyn Inc. DBA Awada's On Plato at 199 E. Plato Blvd. requests Council
approval of its application for a new Class A Gambling Location License (ID /�18149).
RECAMMENDA7WNS: qpprme (A) ar Rei�(R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UE5TION5:
_ PLANNING COMMISSION _ CIVIL SENVICE COMMISSION S� Has this persoNFirtn ever worked untler a corrtraq for Mis department4 -
_ CIB COMMRTEE YES NO
_ SiAFF 2. Has this person/firm evet been a city empbyee?
— YES NO
_ ois7'qiCT COUR7 _ 3. Does this person/Firm possess a skill not normally possessetl by any curreM city employee?
SUPPORT$ WHICH COUNCIL O&IEGTIVEI YES NO
Explain all yes answers on separate sheet antl attach to green sheet
MlT1ATING CROBLEM. ISSUE, OPPORTUNITY (N(tw, Whffi, When, Where, Why):
ADVANTAGES IFAPPROVEO:
DISADVANTAGES IFAPPROVED:
ASid� �:?.�� l�i�
^v r �
�;1��1�'I �L'�'o �C�3,
�ISADVANTAGES IF NOT APPROVED:
TOTAL AMOUNT OF TNANSACTION $ COS7/NEVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfiG SOURC6 ACTIVYfY NUMBER
FINANCIAL INFORMA710N: (E%PLAIN)
Greensheet# �49sn L.1.E.P. REVIEW CHECKLIST aate: /�.l.L�I ��
4n Trackei'? s'"�3—R� App'n Recaived / App'n Processed
LicenselD # 18149 License Type: C1ass A Gamblina Location Licen e
Company Name: Krislyn Inc. DBA: Awada's on Piato
Business Addsesss: 199 E. Plato B1vd. 55107 Business Phone: 29Z-911 t
Coniact NameJAddress: Walter G. Awada Home Phone: 450-�6�7
Date to Council Research:
Public Hearing Date: �..�.1 12 � 194G
Notice Sent to Appiicant:
,-^_
Labels Ordered: -� �~�.�
District Council #: 03
P�n OS.�$�.�3 ldao�
Notice Sent to Public: Ward #: 02
Department/ Date Inspections Comments
City Attorney
Environmental
Health
Fire
License Site Plan Received:
Lease Received:
Police R�Cph� ��22�. CA.�fT/1 �f-��L�f
) O
f� f� � l L��id.S(�
Zoning
�r
_-� ow�=a
CI?Y Or' S: =S3 ?f:LL, ?fI�SESOTA
CF_:RI1P.31 C•L'iSLZ'�'G LOCATIO:�
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'.�ilY2C�i0^�S: li'115 iO7Z'L'St .F)B fll�c= CL'L'wl�+l 2 C�`v��Y10EI OT by pr:n�ia 1111P.�
3y tha =_o1e o�.r.er, b•,.• each �artr.er, =�d by each persoa who has
?7T.BTc�L 2� E\Gc55 Oi �_ 1:1 i�':E COI�OTc�lOII snd/or c550C=fi�1031 lA
L':i1C:1 Li 2:^.H-2 02 ��:2 �=CEP.52 �:ill be issaed.
T?3SS FYfL ZCATSO?I IS 5�:3J*_Gi TO REVIEi7 bY T?i� PUBLZC
1. , 6�?lication fcr (a�=e oi lice-se) K�S'VM11 I{-��•
2. Loceceaat(ecd-GSS> �9� �. �{1��"V Bld�.
3. ":a-e u-�er t�ic?� c�si, is c, _*_'at=d �(W14�►�5 C1'Y1 P�l��U
4. arue \a-•e �/.�'N�E�2 CXWC�xE �u1�ia P}or.e �{SO -,��d7
Firs� :4icd1: "S�ic'en Lzst
S. �z:.e of 3irth T1�• �-�}� � P2�ce of 3irth J�• f�l
(:So.^.�h, D�y, ':ear)
6. ::os:e:.ecsess �(p4 EYC t,p{ak(A� i-�t• liore Phor.e �'f'�' b6.��
7. -z��e �ron e�•er =eea cor.v=eted c= ary gaTblia3 violations? _�
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Sli3'•fIT A SITE PL=1T �'iO�I*:G l:r'.=RE T'r.E GA�'SLI�G �OOZH WILL SE LOC9TfJ _T�'J TAB
�=!iL'�S!O'�S Ci :�� 1=ASz� Si:.C-.
?'�Y F?LSiF?CATIO'.3 OF ?'�ch=RS GIti'E� C� `t�TFRT=L S1;3'�fIiTFD WILL R�Si:iT I.T�' DE?�I�L
OF i:iIS �?PL?CdTIC�.
Z hereby Stc:2 L'P.CcY CcLs7 L�:ct Z 3:c�2 c^S Uered 'cl�. OZ t�0 cfJO�'8 QLESt_ORS� cP.d
th�L tL�2 ir.�or:. CO^L'c1L•cd t�'.c_c1A 15 LYL^A 2P.d COTYECt t0 the best of r,.y
}�P.O'«ZEGb2 e^Cl J2�?Ei. ? i:=TE SL'cic fl:TL ur.drr OcT.�l L�lc� I}1a�2 received i0
IL�O:?e�' OT Ot}icT COS15:CeYcLiC.iS� a1TcCi1�'� OY 1P.L'17ECCZj'� 1R COP.::ECt10R 141L}1 �}11S
1=CEP.58� ITD.I. oriy ycT50:1 1 J�' �cy OL �OcY1� gl{t� GOi7tY:DlltlOTl OY OC herwisz, OL�'lEL
than alre�dy disclosed ?n tl:e app?ic�tion which I ha�•e herekith subr,.itted.
Stace oi :Ein:tesota
County o£ �ar,.sey
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S��scr±'�ed zad =_•.:orn to befoze me �?�is
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(Sign�ture of FpplicGnt)
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