97-1488Council File # �7 �� �
Ordinance #
Green Sheet # 50265
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RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Re£erred To
Committee: Date
4�
RESOLVED: That application, ID #45081, £or a Gambling Manager's License by Michael
Plasch DBA Como Area youth Hockey at Jeraldine•s Bar, 605 Front Street, be
and the same is hereby approved.
Requested by Department of:
� _ �f�_ I_�_ �R� -.}�
•: �} ' •}
BY� �J�- ��1
Form Approved by City Attorn�
BY% `� FJ ( CCJ��n �
Adoption Certified by Council Secretary Approved by Ma r for Submission to
Council
$Y� ��—� �
By:
Approved by Mayor: Date /j„�1,�s`�
gy t � �
Adopted by Council: Date (�s_,�p \�q�'1
�
N° 50265
dn
DEPARiMENT,OFFlCE/COUNCIL i D/TE INITIATED � � � • " �
LIEP GREEN SHEE
INITIAVDATE INRIAVDATE
CONTACT PERSON 8 PHONE � DEPARTMENT piRECTOR � qTY COUNCIL
William F. GuntheY — 266-9132 assicx �anaTroaNer OCITVCLERK
MUS7 8E ON COUNCfL AGENDA 8Y (DATE) NUMBER FON O BUDGES DIA£CTOB a FlN. 8 MGT. SEAV{CES DIR.
NOUfING
Hearin : / `� �pOER � MAYOR (OR AS$�STANT) �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCAFIONS F6R SIGNATURE}
ACTION REQUESTEO:
Michael Plasch DBA Como Area Youth Hockey requests Council approval of his
application for a Gambling Manager's License, ZD �k45081, at Jeraldine's Bar, 605 Front St.
RECAMMENDATIONS' Approve (A) a Reject (R) pER50NAL SERVICE CON7RACTS MUST ANSWEF THE FOLLOWING QUES710NS:
_ PLANNING CAMMISSION _ CIViI SEFVICE COMMISSION �� Has this DerSOn/Firm ever worketl under a conttaM fof this tlepariment?
_ CB COMMITfEE _ \'ES NO
_ STnFC 2. Has this persontfirm ever been a ciry employee?
— YES NO
_ DIS'fRIC7 COURr _ 3. Does this persoNfirm possess s skill not normally possessed by any current ciry employee�
SUFPORTS WHICH GOUNdL OBJECTIVE� YES NO
Ezplaln ali yea answers on seperate sheet and enaeh to gree� sheet
INITIATING PROBLEM, ISSUE. OPPORTUNITV (Who, What, When. Where. Why):
ADVANTAGES IF APPROVED:
�ISADVANTAGES If APPpOVEO
DISADVANTAGESIFNOTAPPpOVED� ,
CA31fiC� �d! t�i �'i8?i"t`�'i
C�i; fi 3 i;;;;7
TOTAL AMOUNT OF TRANSACTION 5 COST/REVENUE BUDGETED (CIRCLE ONE) VES NO
FUNDING SOURCE ACTIVITY NUMBEH
FINANCIAL INFOflASATION: (EXPLAIN)
, Q ����'�'
East STATE OF MINNESOTA FOR BOARD USE ONLY
GAMBLING CONTROL BOARD AMT. PAID
GAMBLING MANAGER LICENSE RENEWAL APPLICATION CHECK �
LG212GMR PRINTED: 10/11/95 DATE
LICENSE NUMBER: 6-00116 001 EFFECTIVE DATE: 04/O1/94 EXPIRATION DATE: 03/31/96
NAME OF ORGANIZATION: Hockey St Paul Como Area Youth Assoc
GAMBLIN6 MANAGER INFORMATION
Nichael Sames Plasch ,, /� DATE OF BIRTH: 02J08/52
4�3't J`-�`�-. U� ��SS:�x.'t_ S�� =t�Pf=-3/�'{ SEX: M
,����= �j;;;;�°°��/Ij=� SOCIAL SECURITY NUM3ER: 473-64-9679
_, �- � �^; .
DAYTIME PHONE 2:UM&ER: 612-835-7880 T ��J �� "--/� � �^/� � � f � �� `� ` _ /
n I -_ l!
y:'�l`�l�����r�:^, }f r�-:.� � i ;'], ��_ ,�
i
MEMBER SINCE: O1(Ol/80 S�� "- ���'-' �� - "��C.�.� %�lC
LAST DATE YOU ATTENDED A GAMBLZNG MANAGERS SEMINAR/CONTIL:UIP;;; EDUCA'1=0V CT_,ASS: 12/03/92
BOND INFORMATION
BOND COMPANY NAN,E: Western Suraty Co BOND NUMBER: 585�9450
ACKNOWLEDGMENT
I DEC.LARE THATs -
• I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMIILING CONTROL BOARDp
• ALL INFORMATION IS TRUE� ACCURATE AND COMPLETE7
• ALL OTHER REQUIRED INFORMATION HAS-BEEN FULLY DISCLOSEDa
• I AM THE ONLY GAMBLIIiG MANAGER OF THE ORGANIZATION;
• I HAVE BEEN AN ACTZVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARSy
• Z WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLZNG AND RULES OF
THE GAMBLING CONTROL BOARD AND AGREE� IP LICENSED, TO ABIDE THOSE LAWS AND RULES,
ZNCLUDING AMENDMENTS TO THEM�
° ANY CAANGES IN APPLICATION ZNFORYiATION WILL BE S[SBMITTED TO THE GAf`_°_T_T_I3G CDNTROL BOARD AND
LOCAL UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE)
• AN AFFIDAVIT FOR GAMBLING MRNAGER HAS BEEN COMPLETED AND ATTACHED; AND
• Z UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING
INFORMATION MAX �SULT IN THE DENZAL OR REVOCATION OF THE LICENSE.
SZGNATURE OF Ci IN(i MANAGER
����
DATE
a3 � F�
REFER TO TSE CHECKLIST FOR REQUIRED ATTACHMENTS
MAIL TO: CiAMBLIN(3 CONTROL BOARD
1711 WEST COUNTY ROAD B, SUITE 3905
ROSEVIIS.E� MTNNE50TA 55113
THIS FORM WILL BE MADE AVAZLABLE IN ALTERNATIVE FORMAT�(I.E. LARGE PRINT� BRAILLE) UPON REQUEST.
Council File # �7 �� �
Ordinance #
Green Sheet # 50265
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RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Re£erred To
Committee: Date
4�
RESOLVED: That application, ID #45081, £or a Gambling Manager's License by Michael
Plasch DBA Como Area youth Hockey at Jeraldine•s Bar, 605 Front Street, be
and the same is hereby approved.
Requested by Department of:
� _ �f�_ I_�_ �R� -.}�
•: �} ' •}
BY� �J�- ��1
Form Approved by City Attorn�
BY% `� FJ ( CCJ��n �
Adoption Certified by Council Secretary Approved by Ma r for Submission to
Council
$Y� ��—� �
By:
Approved by Mayor: Date /j„�1,�s`�
gy t � �
Adopted by Council: Date (�s_,�p \�q�'1
�
N° 50265
dn
DEPARiMENT,OFFlCE/COUNCIL i D/TE INITIATED � � � • " �
LIEP GREEN SHEE
INITIAVDATE INRIAVDATE
CONTACT PERSON 8 PHONE � DEPARTMENT piRECTOR � qTY COUNCIL
William F. GuntheY — 266-9132 assicx �anaTroaNer OCITVCLERK
MUS7 8E ON COUNCfL AGENDA 8Y (DATE) NUMBER FON O BUDGES DIA£CTOB a FlN. 8 MGT. SEAV{CES DIR.
NOUfING
Hearin : / `� �pOER � MAYOR (OR AS$�STANT) �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCAFIONS F6R SIGNATURE}
ACTION REQUESTEO:
Michael Plasch DBA Como Area Youth Hockey requests Council approval of his
application for a Gambling Manager's License, ZD �k45081, at Jeraldine's Bar, 605 Front St.
RECAMMENDATIONS' Approve (A) a Reject (R) pER50NAL SERVICE CON7RACTS MUST ANSWEF THE FOLLOWING QUES710NS:
_ PLANNING CAMMISSION _ CIViI SEFVICE COMMISSION �� Has this DerSOn/Firm ever worketl under a conttaM fof this tlepariment?
_ CB COMMITfEE _ \'ES NO
_ STnFC 2. Has this persontfirm ever been a ciry employee?
— YES NO
_ DIS'fRIC7 COURr _ 3. Does this persoNfirm possess s skill not normally possessed by any current ciry employee�
SUFPORTS WHICH GOUNdL OBJECTIVE� YES NO
Ezplaln ali yea answers on seperate sheet and enaeh to gree� sheet
INITIATING PROBLEM, ISSUE. OPPORTUNITV (Who, What, When. Where. Why):
ADVANTAGES IF APPROVED:
�ISADVANTAGES If APPpOVEO
DISADVANTAGESIFNOTAPPpOVED� ,
CA31fiC� �d! t�i �'i8?i"t`�'i
C�i; fi 3 i;;;;7
TOTAL AMOUNT OF TRANSACTION 5 COST/REVENUE BUDGETED (CIRCLE ONE) VES NO
FUNDING SOURCE ACTIVITY NUMBEH
FINANCIAL INFOflASATION: (EXPLAIN)
, Q ����'�'
East STATE OF MINNESOTA FOR BOARD USE ONLY
GAMBLING CONTROL BOARD AMT. PAID
GAMBLING MANAGER LICENSE RENEWAL APPLICATION CHECK �
LG212GMR PRINTED: 10/11/95 DATE
LICENSE NUMBER: 6-00116 001 EFFECTIVE DATE: 04/O1/94 EXPIRATION DATE: 03/31/96
NAME OF ORGANIZATION: Hockey St Paul Como Area Youth Assoc
GAMBLIN6 MANAGER INFORMATION
Nichael Sames Plasch ,, /� DATE OF BIRTH: 02J08/52
4�3't J`-�`�-. U� ��SS:�x.'t_ S�� =t�Pf=-3/�'{ SEX: M
,����= �j;;;;�°°��/Ij=� SOCIAL SECURITY NUM3ER: 473-64-9679
_, �- � �^; .
DAYTIME PHONE 2:UM&ER: 612-835-7880 T ��J �� "--/� � �^/� � � f � �� `� ` _ /
n I -_ l!
y:'�l`�l�����r�:^, }f r�-:.� � i ;'], ��_ ,�
i
MEMBER SINCE: O1(Ol/80 S�� "- ���'-' �� - "��C.�.� %�lC
LAST DATE YOU ATTENDED A GAMBLZNG MANAGERS SEMINAR/CONTIL:UIP;;; EDUCA'1=0V CT_,ASS: 12/03/92
BOND INFORMATION
BOND COMPANY NAN,E: Western Suraty Co BOND NUMBER: 585�9450
ACKNOWLEDGMENT
I DEC.LARE THATs -
• I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMIILING CONTROL BOARDp
• ALL INFORMATION IS TRUE� ACCURATE AND COMPLETE7
• ALL OTHER REQUIRED INFORMATION HAS-BEEN FULLY DISCLOSEDa
• I AM THE ONLY GAMBLIIiG MANAGER OF THE ORGANIZATION;
• I HAVE BEEN AN ACTZVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARSy
• Z WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLZNG AND RULES OF
THE GAMBLING CONTROL BOARD AND AGREE� IP LICENSED, TO ABIDE THOSE LAWS AND RULES,
ZNCLUDING AMENDMENTS TO THEM�
° ANY CAANGES IN APPLICATION ZNFORYiATION WILL BE S[SBMITTED TO THE GAf`_°_T_T_I3G CDNTROL BOARD AND
LOCAL UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE)
• AN AFFIDAVIT FOR GAMBLING MRNAGER HAS BEEN COMPLETED AND ATTACHED; AND
• Z UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING
INFORMATION MAX �SULT IN THE DENZAL OR REVOCATION OF THE LICENSE.
SZGNATURE OF Ci IN(i MANAGER
����
DATE
a3 � F�
REFER TO TSE CHECKLIST FOR REQUIRED ATTACHMENTS
MAIL TO: CiAMBLIN(3 CONTROL BOARD
1711 WEST COUNTY ROAD B, SUITE 3905
ROSEVIIS.E� MTNNE50TA 55113
THIS FORM WILL BE MADE AVAZLABLE IN ALTERNATIVE FORMAT�(I.E. LARGE PRINT� BRAILLE) UPON REQUEST.
Council File # �7 �� �
Ordinance #
Green Sheet # 50265
1
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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
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Re£erred To
Committee: Date
4�
RESOLVED: That application, ID #45081, £or a Gambling Manager's License by Michael
Plasch DBA Como Area youth Hockey at Jeraldine•s Bar, 605 Front Street, be
and the same is hereby approved.
Requested by Department of:
� _ �f�_ I_�_ �R� -.}�
•: �} ' •}
BY� �J�- ��1
Form Approved by City Attorn�
BY% `� FJ ( CCJ��n �
Adoption Certified by Council Secretary Approved by Ma r for Submission to
Council
$Y� ��—� �
By:
Approved by Mayor: Date /j„�1,�s`�
gy t � �
Adopted by Council: Date (�s_,�p \�q�'1
�
N° 50265
dn
DEPARiMENT,OFFlCE/COUNCIL i D/TE INITIATED � � � • " �
LIEP GREEN SHEE
INITIAVDATE INRIAVDATE
CONTACT PERSON 8 PHONE � DEPARTMENT piRECTOR � qTY COUNCIL
William F. GuntheY — 266-9132 assicx �anaTroaNer OCITVCLERK
MUS7 8E ON COUNCfL AGENDA 8Y (DATE) NUMBER FON O BUDGES DIA£CTOB a FlN. 8 MGT. SEAV{CES DIR.
NOUfING
Hearin : / `� �pOER � MAYOR (OR AS$�STANT) �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCAFIONS F6R SIGNATURE}
ACTION REQUESTEO:
Michael Plasch DBA Como Area Youth Hockey requests Council approval of his
application for a Gambling Manager's License, ZD �k45081, at Jeraldine's Bar, 605 Front St.
RECAMMENDATIONS' Approve (A) a Reject (R) pER50NAL SERVICE CON7RACTS MUST ANSWEF THE FOLLOWING QUES710NS:
_ PLANNING CAMMISSION _ CIViI SEFVICE COMMISSION �� Has this DerSOn/Firm ever worketl under a conttaM fof this tlepariment?
_ CB COMMITfEE _ \'ES NO
_ STnFC 2. Has this persontfirm ever been a ciry employee?
— YES NO
_ DIS'fRIC7 COURr _ 3. Does this persoNfirm possess s skill not normally possessed by any current ciry employee�
SUFPORTS WHICH GOUNdL OBJECTIVE� YES NO
Ezplaln ali yea answers on seperate sheet and enaeh to gree� sheet
INITIATING PROBLEM, ISSUE. OPPORTUNITV (Who, What, When. Where. Why):
ADVANTAGES IF APPROVED:
�ISADVANTAGES If APPpOVEO
DISADVANTAGESIFNOTAPPpOVED� ,
CA31fiC� �d! t�i �'i8?i"t`�'i
C�i; fi 3 i;;;;7
TOTAL AMOUNT OF TRANSACTION 5 COST/REVENUE BUDGETED (CIRCLE ONE) VES NO
FUNDING SOURCE ACTIVITY NUMBEH
FINANCIAL INFOflASATION: (EXPLAIN)
, Q ����'�'
East STATE OF MINNESOTA FOR BOARD USE ONLY
GAMBLING CONTROL BOARD AMT. PAID
GAMBLING MANAGER LICENSE RENEWAL APPLICATION CHECK �
LG212GMR PRINTED: 10/11/95 DATE
LICENSE NUMBER: 6-00116 001 EFFECTIVE DATE: 04/O1/94 EXPIRATION DATE: 03/31/96
NAME OF ORGANIZATION: Hockey St Paul Como Area Youth Assoc
GAMBLIN6 MANAGER INFORMATION
Nichael Sames Plasch ,, /� DATE OF BIRTH: 02J08/52
4�3't J`-�`�-. U� ��SS:�x.'t_ S�� =t�Pf=-3/�'{ SEX: M
,����= �j;;;;�°°��/Ij=� SOCIAL SECURITY NUM3ER: 473-64-9679
_, �- � �^; .
DAYTIME PHONE 2:UM&ER: 612-835-7880 T ��J �� "--/� � �^/� � � f � �� `� ` _ /
n I -_ l!
y:'�l`�l�����r�:^, }f r�-:.� � i ;'], ��_ ,�
i
MEMBER SINCE: O1(Ol/80 S�� "- ���'-' �� - "��C.�.� %�lC
LAST DATE YOU ATTENDED A GAMBLZNG MANAGERS SEMINAR/CONTIL:UIP;;; EDUCA'1=0V CT_,ASS: 12/03/92
BOND INFORMATION
BOND COMPANY NAN,E: Western Suraty Co BOND NUMBER: 585�9450
ACKNOWLEDGMENT
I DEC.LARE THATs -
• I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMIILING CONTROL BOARDp
• ALL INFORMATION IS TRUE� ACCURATE AND COMPLETE7
• ALL OTHER REQUIRED INFORMATION HAS-BEEN FULLY DISCLOSEDa
• I AM THE ONLY GAMBLIIiG MANAGER OF THE ORGANIZATION;
• I HAVE BEEN AN ACTZVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARSy
• Z WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLZNG AND RULES OF
THE GAMBLING CONTROL BOARD AND AGREE� IP LICENSED, TO ABIDE THOSE LAWS AND RULES,
ZNCLUDING AMENDMENTS TO THEM�
° ANY CAANGES IN APPLICATION ZNFORYiATION WILL BE S[SBMITTED TO THE GAf`_°_T_T_I3G CDNTROL BOARD AND
LOCAL UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE)
• AN AFFIDAVIT FOR GAMBLING MRNAGER HAS BEEN COMPLETED AND ATTACHED; AND
• Z UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING
INFORMATION MAX �SULT IN THE DENZAL OR REVOCATION OF THE LICENSE.
SZGNATURE OF Ci IN(i MANAGER
����
DATE
a3 � F�
REFER TO TSE CHECKLIST FOR REQUIRED ATTACHMENTS
MAIL TO: CiAMBLIN(3 CONTROL BOARD
1711 WEST COUNTY ROAD B, SUITE 3905
ROSEVIIS.E� MTNNE50TA 55113
THIS FORM WILL BE MADE AVAZLABLE IN ALTERNATIVE FORMAT�(I.E. LARGE PRINT� BRAILLE) UPON REQUEST.