96-7601
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
(�RI��l�'��
OF SAINT PAUL,
Presented
Referred
Council File ��' t b U
ordinance #
Green Sheet # 34984 _
A S�
Committee: Date
RESOLVED: That application, ID #75770, for a new Gambling Manager's License by Sheri J.
Zigan DBA Neighborhood House Association at Born's Bar, 899 Rice Street, be
and the same is hereby approved.
Requested by Department of:
• - • -�-- :-�- •.- -.�e
_ } _If' R - • }
� ' � � ��r.
Fprm Approved by City Attorney
By � ���� �Y = `Z r f,'Oi/i�tGr:�- ) l � r:�
Approved by Mayor: Date � � �� `^
��_/�� // Approved by Mayor for Submiesion to
�� A� Council
By: Lt,/,+�fJS
By:
Adopted by Council: Date 3��,9.
Adoption Certified by Council Se etary
qL-�Gv
�EPARTMENT/OFFICE/COUNCIL OATEW�TIATEO GREEN SHEE - N_ '
LIEP i�rtiavan --- - � � iNmnvoa�
CONTACT PERSpN & PHONE O DEPAflTMENT DIRECTOR O CITY CAUNdL
William Gunther 266-9132 �'�N �cmanoaNer OCITYCLERK
MUSTBE ON COUNCILAGENDA BY(DATE) R � BUOGEf DIRECTOR � FIN. & MGT. SEflVICES DI
OPUER Q MAVOR (OP ASSI5L4Nn O
e r"
TOTAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS FOR SIGNATURE)
na�oN ac-QUesreo:
Sheri J. Zigan DBA Neighborhood House Association requests Council approval
of her application for a new Gambling Manager's License at Born's Bar, 899 Rice Street,
ID ��75770.
RECOMMENDAnoNS:Approve(A)wReject(R) PERSONALSERYICECONTRACTSMUSTANSWERTXEFOLLOWlNGQUESTtONS:
_ PIANNING COMMISSION _ CIVIL SERVICE GOMMISSION �� Has Mis person/Firtn ever worked under a coMract for this tlepartment? �
� CIB COMMRTEE _ YES NO
_ S7AFF 2. Has this person/firm ever been a criy employee?
— YES NO
_ DISTRIGT COUAi _ 3. Does this persoNfirm possess a skill noi twrmall
y possessed by any curceM city employee?
SUPPORTSWHICHCOUNdLOBJECTIVE7 YES NO
Explain all yes answers on separate sheet and attach to green sheet
INITIATING PROBLEM, ISSUE, OPPE»RTUNITY (WM, What, When. Where, Why�: ���� �� p;� �
@�
MAY 15 i996
���� ���� ��
ADVANTAGES IFAPPROVED:
DISADVANTAGES IFAPPqOVED' ,
DISADVANTAGES IF NOT APPROVED�
Ys'� �v%�wi'�� �y�.rC�'^'E��
{YiY47 (d �� ^_„^.•••
TOTAL AMOUN7 OF TRANSACTION S COSi/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITV NUMBEH
FINANC�AL INfpqMAT10N: (EXPLAIN)
Greensheet # 34984
1nTrackef? 5�l
License ID # 757
L.I.E.P. REVIEW CHECKLIST Date: /' � ���
APP'n Received / APP'n Processed
License Type: GamblinQ ManaQer
Company Name: Shar; r_ �igan DBA: NeiQhborhood House Assoc.
Business Addresss: 899 Rice Street (Born's Bar) Business Phone: ZZ�-9291
ContactName/Address: ll9 E. R bie St. 5Siu7
Date to Council Researc � ��
Public Hearing Date:��t9`bt
Notice Sent to Applicant:
/%
Home Phone: zz7-9291
Labels Ordered:
District Councit #: 06
Notice Sent to PuWic: J � 7 a Ward #: OS
Department/ Date Inspections Comments
City Attorney
Environmental
Heafth
Fire
License Site P�en aeceived:
lsase Received:
Police D,�+ �����
��_
� /�- ���s�`l',� ��� e�� �� l'
Zoning
a�-���
3ast STATE OF XINNESOTA FOR BOARD U5E oNLY
GAXBLZHG CONTXOL BOARD AMT. PAID
GAMBLZNG MANAGER LZCEXSE RENEF'AL APPLZCATZON CAECIC #
?.G212GHI2 PRIHTSD: O1/02)96 � DATE -
�ZCENSE NIIHBfiR: fi-02537 003 EFFECTIVE DATE: OS/O1/95 E7CYIRATION DATE: 06/30/96
?=P.tf% OF ORGANIZATZON: Neighhorhoad St Paul Hpuse Assoc
GAMBLZNG MANAGER YNFORMATION
sheri Jean Sigaa
1638 Evans
3outh St Paul 74H 55075
DATE OF BZRTFi: 10/14/59
SEX: F
SqCIAL SECQZ2ITY ATIIMBER: 476-84-4511
�AYTIME PHON% 2NMBER: 512-��'��22]
`^�'MSER SINCE: 10/21/85
:AST DATE YOU A2TENDED A GAMBLZNG MANAGERS SEMZNAR/CONTINUZNG EDUCATION CLASS: 03/14/95
30ND COMPANY NAME: Allied Group Insuran BOND NUMBER: BD7900552001
Z DECLARE THAT:
• I HAVE READ THZS APPLICATION AND ALL 2NFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD;
• ALL INFORMATION IS TRUE� ACCURATE AND COMPLETE;
• ALL OTAER REQUZRED ZISFORMATION HAS BEEN FULLY DISCLOSED�
� I AM T:iE ONLY GAMBLING MANAGER OF THE ORGANTZATION; .
• 2 HAVE BEEN AN ACTZVE MEMBER OF THE ORGANIZATZON FOR AT LEAST TWO YEARS�
• Z WILL FAMILIARIZE MYSELF WITH THS LAWS OF MINNESOTA GOVERNING LAWFUL GAMHLING AND RULES OF
THE GAMBLING CONTROL SOARD AND AGREE, IF LICENSED, TO ABIDE TAOSE LAWS AND RUI,ES,
ZNCLUDIISG AME23DHENTS TO TEiE3Sy
• ANY CHAHGES IN APPLICATION INFORMATION WILL SE SUBMITTED TO TEiE GAMBLING CONTROL BOARD AND
LOCAL UNIT OF GOVERNMENT WITFtIN 10 DAYS OF TAE CHANGE� �
• AN AFFIDAVST FOR GAMBLING MANAGER HAS BEEN COMPLETED AND ATTACHEDp AND
• I UNDERSTAND THAT FAILURF TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING
IIiFORMATION Y,AY RESULT IN TAE DENSAL OR REVOCATION OF TAS LICENSE. . -
AATE
-�9-9
REFER TO THE CHECRLZST FOR REQUlRE➢ ATTACHbgNTS
MAZL TO: GIiMBLING CONTROL BOARD
1711 WEST COUNTY ROAD B� SVITE 3005
ROSEVZLLE, MINNESOTA 551�3
iHIS FORH WZLL BE MADE AVAZLABLE IN ALTERNATIVE FORM}1T (I.E. LARGE PRINT� BRAILLE) UPON REQUEST.
7S�7D