96-902ORIGIN��
Council File � t � b�
Ordinance #
Green Sheet # 35 9
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To
S�
Committee: Date
1
2
3
4
RESOLVED: That applications for new Gambling Manager's Licenses by Mary VanCura,
ID #11805 at Tin Cups, 1220 Rice Street, ID #17448 at Schally's, 1091
Rice Street, and ID #45774 at Easy Street West, 616 Como Avenue, be and
the same are hereby approved.
5
6 Requested by Department of:
7 Yea Nays Absent
8 a a e,y �
9 Guerin =`_��� Office of License Insgections and
10 Ha ris
11 � ar � Env�ronmental Protection
13 T
/ �
r -�
BY= �c`_ a.. I \ �Na-vv�---�
Approved by Mayor: Date U '�
BY: �C(� S��.e�
Form Approved by City Attorney
By: �
�
Approved by Mayor for Submission to
Council
sy:
Adopted by Council: Date �.,..�>._� ,1�{,.�
Adoption Certified by Council Secretary
a�- 9�1-
DEPARTMENT/OFFICFJC UNCIL DATE INITIATED N� 3 5 2 2 9
LIEP ���� q GREEN SHEE _
{NRIAUDATE �mnwa�
CANTACT PERSON & PHONE � DEPARTMEM DIRECTOR Q pN COUNCIL
ASSIGN pTYATfORNEY CIT'CLEFiK
William Gunther — 266-9132 NUYBERFOA �
MUSTBE ON CAUNCIL AGENOA 6Y (OA'!� pOUi1NG � BUDGET DIqECfOR � FIN. & MGT. SEHVICES DIR.
AE T1R � � MAYOR (OR ASSISTANT) �
TOTAL # OF SIGNA E PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACfION REQUESTED:
Mary VanCura DBA St Bernard Church requests Council approval of her applications for new
Gambling Manager's Licenses, ID �f11805 at Tin Cups, 1220 Rice St., ID �/17448 at Schally's,
1091 Rice Street, and ID 9k45774 at Easy Street West, 616 Como Avenue.
RECOMMENDA710NS: Apprwe (q) w Rajea (R) pER50NAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PIANNING COMMISSION _ qVIL SERVICE COMMISSION �� Has Mis per5on/firm ever worked under a cnnt2ct for this tlepartment? �
_ dB COrnMfTTEE _ YES NO
_�� 2. Has this person/firm ever been a cily employee?
— YES NO
— �i'TR�Ct' COl1RT — 3- Does this pe�son/firm possess a skiil not no�mally possessed by any current city employee?
SUPPORTS WHICH COUNCIL O&IECTIVE7 YES NO
Facplain all yes answers on separate sheet end attaeh to green sheet
INRIATING PROBLEM, ISSUE, OPPOFTUNITY (Wlw, Whaq Wheq Wher& Why):
ADVANTAGESIFAPPROVED:
OISADVANTAGES IFAPPqOVED '
��U��� , �rctr C�t�r
JUL � � 1�96
DISADVANTAGES IF NOTAPPflOVED: -
70TAL AMOUNT OF TRANSACTION $ COS7/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfdG SOUHCE ACTIVITY NUMBER
FINANCIAL INFORMATION: (EXPLAIN)
Greensneet #,� L.I.E.P. REVIEW CHECKLIST oate: /��•- q�
In Tracker? �.b 9 App'n Received / App'n ProcesSed
//80�! f'7�f �P P
License ID # -f�5'77� License Type:
Compan
Business
Corrtact
Date to (
Public Hearing Date: �s*x �1, ��
Notice Sent to Applicant:
Notice Sent to
Business Phone: ��d�� 006 �
Home Phone: ���' � � 6 �
labels Ordered:
District Council #: a�
Ward
0
Department/ Date Inspections Comments
City Attomey
Environmental
Heaith
/ ���
Fire
N f �I
License s�ce �ran aecerved:
Lease Received:
N�A
Police Q � s�rr� ���-/96 �Ce�� �ie��
��a�/9b ���c�
�
Zoning
N�A
J
LG272
(Rev. 7/?l92)
►�{ '
Minnesota Law,ful Gambting
Gambling Ma.nager Application
fOR OFFICE USE ONLY
BASE L1C #t
SEQ E
FEE
CHK
D?.TE
INIT
Give c'ate ihat the two-day gambfing manager seminar was compfeted. O�/ ��/ 5�0
Loeauon of training C Cc A G n ,
' (ciry}
� Renewal Give date of training reeeived within three years prior to Lhe date ot the applicaGon for renewal. _/ /�
LowOOn ot training
FIRST NAME MIDDLE NAME
�
Dat of Bi h Sx. Security Number
I� 18 (�Co �7�(Xi-�2�-
Co Daytime Phone
� 117 _ c(olz�. `�'8 t�0 2-
V
MEMBERSH(P: Date gam6ling manager became a mem6er ot the organizaGOn o�r�3 i P9
Name of Organizauon
Address
cr�•
c�ryis�te zP code
Sex _ Q Mate � Female
...,, ........:...::: _....,._... ...
License Mumber
Go 63
Phone
c��� > y�J'— oQ��.
.,:._ ::....,:::.,.>,..:.,<_,:....:<:,:._ ::..::. ......:....::.:..�,:.:..< ;.,:......,:..::.,...;.::.::.:.. ,
•..
�. , ri
�ond Infor7tiation .. �
-- A$70,000 fideliry bond in tavor af the organization must be obtained for ihe gambling manager.
Name of insurance company (do not use ageney name) C��i�-ho1 �c l�icc�uat -Zn s Bond Number 8Sa'
Ackrtofriteddmerct
I dedare thaC
• I have read this applicaaon and all infortnation submitted to the board;
a?i informaGOr. is Lnie, acai2te and complate;
• all other required infortnation has been fuity disdosed;
• 4 am she onty gamb{ing managx of the organizaGOn; �
� I wiil farniliarize myself with the laws of A�Lnnesota goveming law(uf gambling and rules of the board and agree, if licensed, to
ab+de by fiose laws a�d rules, induding amendmenis to them;
• any changes in applica6on information wilt be submitted to the board and Iocal unit of govemment within 70 days of the change;
• An a�davit for gambling manaqer has been compie[ed and attached, and
• I understand that faiture to provide required informafion or providing false informalion may result in the denial or revocafion of Ihe
license.
oi
Send the completed application and all tequired attachments to:
Gamb#!ng Control Board
SuRe 300 5.
1711 W.Caunty Road B
Rosevilie, MN 55713
C J /
i/ 80j
- 7;h (�^s
• F
.Y
Li:213
04/18/95
STATE OF
COUN'IY OF
M�nnesota Gambling Control Board
Gamb/ing Manager Atfidavif � �. ' � � �-
Attach to the Gambiing Manager Apptication, Fortn LG212
MINNESOTA �
AFFIDAViT OF QUALtFICATION
) s.s. FOR GAMBLiNG MANAGER LICENSE
RAMSEY � AND COTJSENT STATEMENT
(Pursuant to Minnesata Statutes and Rules)
i, �^(�,�'�� �,��,(�j �(�,� ,Underoathstatethat:
(t pe/print name)
1. i have never been convicted of a fetony or a crime invoiving gambling.
2. I have not, wiihin five years before the date of the ficense appiication, committed a viofation ot faw or
Board rule that resulted in the revocation of a license issued by the Board,
3. I have never been convicted of a criminal violation involving fraud, theft, tax evasion, misrepresentation,
or gambling.
4. I have never been convided of (i) assault, (i) a criminal vioiation invoiving the use of a firearm, or (iii)
making terroristic threats.
5. i am not, nor ever have been connected with or engaged in an iilegal business.
S. i do not owe $500 or more in delinquent taxes a defined in section 270.72.
7. 1 have not had a sales and use tax permit revoked by the commissioner of revenue within the past two
years. . �
8. i nave never, after demand, failed to file tax retums required by the commissioner of revenue.
In addition, I understand, agree and hereby irrevocably consent that suits and actions relating to the subject
matter of the attached gambiing manager license application, or acts or omissions arising from such applica-
tion, may be commenced against my organization and t wit! accept the service ot process Sor my organiza-
tion in any court of competent jurisdiction in Minnesota by service on the Minnesota Secretary of State of any
summons, process or pleading authorized by the taws of Minnesota.
By signature of this document, the undersigned authorizes the Departme�t of Pubiic Safety to conduct a
ctiminat background check os review and to share the results with the Gambting Controi Board.
Faiiure to prow.�e requ �fCU IOiJfRiBiiOfi Uf Pit7Vi0111G,) ia15c Oi iTiiSi85uiiiy i�fiOTc::G:�'ie� cj�ii i^ iii:, ii8��:c� Cf
revocation of the license.
FURTHER AFFIANT SAYETH NOT, except that this A�davit and Consent Statement are submitted in
support of the application for a gambling manager license from the Gambling Control Board.
NOTARY PUBLIC INFORMATlON
Notary Public Seai must be current_and correct.
Seal may not be ariered.
Subscribed and swom to before me this
C� day of `-f� 19 9�
� �,-, . � ,�la��
� � .HANSON
t30TAfiY PU8L4GMVMNESOTA
DAKOTA COUMY
My Cort�nt. E>y: Sanuary 31, 2006
nature of appiicant)
ORGANtZAT10N INFORMATION
ie of Organization
CHURCH OF ST. BERNARD
Base �icense Number
pO9�3