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97-355Council File # q� _3 5 S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 " " f �- � h Presented Referted To Cott�ittee: Date RESOL�/ED: That application, (ID pending at State), for a new State Clasa & Garnbling Premise Permit by Midway Transportation, Inc. at Cab's Pub & Tsatery, 992 Arcade Street, be and the same is hereby apprwed. Requested by Department of: • - - -- _e •�- -�_ � •e_i -� - •� Adopted by Council: Date �„ � �� —�--� By= �.Ill�„ �5�� Adoption certified by Council Secretary Form Approved by City Attorney BY: �.l.-� a- . � � / By: � � Approved by Mayor: Date ��tiGf�' �� f" '"7—' Approved by Mayor for Submission to By: �� 1 Council RESOLUTION CITY OF SAINT PAUI., MINNESOTA Ordinance # Green Sheet # 35445 .� By: 9� -35S DEPARTMENf/DFFICE/COUNqL DATEINITIATED GREEN SHEE � � 3�5448 LIEP iNmnvoare iNmnwnrE CONTACT PEfl50N 8 PHONE O DEPARTMENT DIRECTOfi O CRV COUNCIL William F. Gunther/266-9132 A��p �C�TYATfORNEV �CRYCLERK MUSf BE ON CAUNCIL AGENDA BY (DqTE) NUMBEq FOR � BUDGET DIF1ECfOA � FfN. & MGL SEHVICES DIR NOUIING � OROER O MqyOR (OR AS$ISTANn � Hearin : TOSAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS FOR SiGNATUR� ACf10N REQUESTED: Barbara A. Ka.le on hehalf of Midway Transportation, Inc. requests Council approval of their application for a new State Class B Gambling Premise Permit at Cab's Pub & Eatery, 992 Arcade Street. (New State Class B I.icense Number) RECOMMENOATIONS: Approve (A) a Rajec[ (fi) pERSONAL SERYICE CONTRACTS MUST ANSWER TNE fOLLOWING qUEST10NS: _ PLANNING COMMISSION _ C7VIL SERYICE C6MMISSION �� HdS tt115 pBfS011/firm QYBr worl(ed undBr a COnVflGt fof N1LS depeflrtlent? - _ CIB COMMIT7EE ` YES NO _�� _ 2. Has this personttirm ever been a ciry employee? YES NO — ��T �R — 3. Does ihis personHirm possess a skill not normaily possessed by eny current city employee? SUPPORiSWHIGNCOUNCiLOBJEC(NE4 YES NO EcRlain a�l yes answers on separate sheet and ettaeh to green sheet INRIATiNG PROBLEM, ISSUE, OPPORTUNITY (11TO, What, Whan, Wfrere, VJhy). �� AAR 1 �L1997 c'r� A�� ADVANTACaES IFAPPROVEO: DISADVANTAGES IF pPPRWED: DISADVANTAGES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGE7ED (CIHCLE ONE) YES NO ' FUNDIfiG SOURCE ACTIVI7Y NUMBER FINANCIAL INFORMATION' (EXPLAIN) Greensheet# 35448 L.1.E.P. REVIEW CHECKLiST Date: ./� In Tracket? 3 0"�-! Rpp•n a.ec:aived / ayp•n Processea Licens¢ ID # Pendin� at State License Type: State Class B Gamb7 �ng Premise Perm� t Comp3nyName: M;d*d�y ran �o a�o n DBA: M,•Awa�� Tranagortation 7nc. Business Addresss: 992 Arcade St. (Cab's) Business Pfione: 641—�976 Contact NamejAddress: Barbara lzale/CEO Home Phone: 641-0709 Date to Council Research:�60 Vandalia St. �6200 55114 Public Hearing Date: ��1�� Labeis Ordered: N/A Notice Sent to Applicant:��R',Z District Council #: OS Notice Sent to Pubiic: N/A Ward #: Oh Department/ Date inspeciions Comments City Attorney �,� .� f,� 1�� Environmental Heaith �/ � l Fire /"//� ! License Sim �an aeoe�ved: LeasB ReCeived: �� 6 Poiice �.�C.�-j^(Y �(f_C.� �� Q �� -�/1��9`7 Zoning ' V � � �- „ ; , xrz�A�,K ��tt �w� x � n ry.' , r v � t ¢5 s '�� A �t� �� . � � �+�' `�^ s N , �� f _ N;� F"��`r. �"( y�.sufi�cti k3 a r �'�'� ` '�"$ 7;z '�}'�'�� f� f a . '�� - �' �.,- �.—;� ,;: st�,:�� .�� *��"�'��t�,s"7, .: PORBOARDUSEONLY LG214 - BAS£M vns�s�� PP � : . ` FEE . �.,, x; ;�i ��a Lcuuful GambZ�g r�� t CHECK . , �^ 1N1TiALS �°' - - Premises Permit Apphcation - Part 1 of,2� - _ ._ ._,�°�� `�_ " � - �o�'''� �..� ;DATE .. . _ _-,, . ,, ... , . , � <, . .. , - . .,; : . , :.,;>.`.:::w.»...;,..�.,..,-: .<._..�,:.;.,�.:<�...,:.::_�< r ,:,..,;,,::,,,,;<..,�,`,.,.,,.;,;.:•.� .. _.. ...n ... ,✓,...... r��...... .. ...�.W,..,.,.....r�i��,.��es:�.�.,..,,....: ,,..,,. . .,.z�.s!;;;.'="'�t•�'SrE.';a�:.;'r::;:;v»;.,�,..,n�.�. .,r: � i �cF��7y... r ...F.::;°:�:�"Si:..r...�L%...:.A( S;NC'^i.'[iN:� .5 � .,F acu°e:.E::.: o n . s^,.,� y,��;yS. •;;y . .,,,..,. {�. �f�;.`:;;:fa. -<:Z. �.. :Sk _.;;r,;•� > 'acx : ??vYP'�;�'T , e , .�.KS�'..Y . .;::;" : .,? , ..r':, . r... „ ;:/,F:; r,.v.':�::a:i':'r:.�>:° ..3,G_�..":'C^i`' � riro.': „��, z'i ;.n, ./as tt - „ 6..0 ,A � .i ;s.��>, �..r.-�. �.. �i:.;i�<�Ni s;'bj o-, z � >5 ,� :s .✓.� , � '�- � .-. ; � ,1 � ' k Class ot premises pennit u } ��+- , . � � �;� ? �- � � Ss n Ar ., i� _ . . .. Renewal ."' -. �n'..�'�; .€ � m"�"' , r --} (check one)...'-'`n . �, s.. . - �_ Organ�zaUon base i'icense number L ��'�,_ -, � � A($400} PulFtabs ispboards paddlewheels raHies bu�go . � r - � .. : .., K Y � . �s✓, ._.+�, �.T.e�`�,c^ ? ':. Z# '�P .is�n r -. ;� 'a .3+�1�� . Q - ': � . � � Premises partnR number � ' �� 8{$250) Pu0labs Spboards, paddlewheels, raffles . . � - �3 �`- ,. . . ... �__,.: . , : .. � . New � � ., �-. .. ' �' . ., �Q� . , . , . (� fl t5150) Ratlies oniy < � s � ..: _. ., .. " n b . �..-.M:= � t. .� .z.. Y - �- a. . .�.., � m°SY�u.vJ 3,' r�x?» h'.��7%,�' :»3 .U'o".. s; 91'j�SCY.;.9rr%r".t w 'i."•' ^ �:�','7s;��iur �a. "'n�t''� (� '� ''��. � ) '"'k'�..'�i� ` ^':��:x:�. , �✓; i ;.,a��%''i„�n y c.:� S'in.'d,"��>5�,5'„r� f x t t ,,�T ',� Ql'tLZd�IOTC` Oi„TXI.,IL�IQli:�'.. z .x-' y �,. �i u " ;• ??,w<;''��` . ,:7i. ` . N�:�'la�+�� , „� �� 5�.d � '. � � i�Y> i , r��r,,T"r�N `^CCU. : H R � , N8Ri8 Of QtgStli2d�0f1 ' ,r _. ty C. ' , l "Y •.� 0,7 ° �y, .Ft .v. h3 �5 a mn'Y'i0.1.aT fi: . "1 a � � - a � �+-' � � tit � h1�j��t�+,�y' � ; luc� .��, �:;t�� E , ,�r,n , � ... '� �z _ Business Address ot Qrganizauon Street or P. O Bnx ( nct use tha address ct yoar gzmbting manager) � ?601�' NIJl3L)Kl S-t �E7 , Cify � � � State � � Zip Code - Caunry „ Rayhme pnorte number ,- S f. __ i�rg v t: .,�:: � t-�� r �� yvl ny �`��'�' ,:� ssir � �1 rn S c : � 6,��,'G"v / 1 '>o:�9x��f �": �: Name of chief, exewtrve oifker (rannot, be your,g�hns� ��,ar��a r�`�� T�tle �� , �� w r �, ..� DaYbme Pho[�e n��ber, r �.� -��,, _ '�`'�Y#Yt[Rt2�1 r� ;�K7At�tt-" xwa'�,,;�',��,��.. e..�.�,.+rC�ic"Q °� •(Lt�) b4f_:ti7O9�z v s _: ��Ag'9'C}GC8S�f1II8" :, ..,� � 4 "�S�ra ,/. �` �:.:, C* , � : .a.... _ ; ,w . ,,�. � „t? , f ,'%*,v >' . x3,-+�,t�ef �lP,��s � If aPpYying for a c7ass A,tr; C pemsit.�iill in days arid begtnning & endir�g hours of bkngo oceastons °� �, _No.more than.seven bingo occasions.may.be conducted hy yflur�rgazvzati�n perweek. ��` " _ :: ; Day . -. . BegrnningJEnding Hours " " : Day . 9egcvunglEnding Hours • DaY ; 8egiru�ing /Ending Hours . . '< - �� .i�,�, � c' " _ . ,ti. - � - , r: CO � �r . ' tq ' .5�� ` LD� : . v ' . .vat.. .,H'e}, n.t ' , *.rt % � ? M � L 'r • ';;� .• , ' . � - �.�° �. d , � t �YY�.' ��'t� �"r�'�rr"�� , . " . ...� .. ._�e.. .:..�...-, . .� . , . ,. �,._.., .. _.,_.. .. . . ... ' , , ..6.,.,. _, . v ' .,,.. .., ..- _ -. /. �� , zo��, ::. .'-"•. If btnga will not be conducted, check hexe � Ga.`xiitiliszgYreznisea J,iifa,rriiatian' ;:;� � t , '° � ame o estabhshment where gambhng w�Vl Oe can ucted � � Sireet Address (do not use a post a� ice box numbeq :�� -� C�Bs �vB zsw� �r�T��'y q9a ,r1�2ct�D� _�STR&�T �. S mn> S_sio� is the premises tocated widiia city limits? ��, .!$l Yes �.C".� No If no, is township' �� organixed, � unorganized [� unincorpwated , City and Coanry where gambting pramises is �otated 4R Township and Co�nry where gambGng premxses is Caca�ted it oaT:ide oi city limits s�- ��;t_. ... � n��,sEy Name and ac3dress of tegal owner of premises -'- City State Zip Code „ kE�+N �"o�v �:l�r�DErtsorv° TOLvEK �t�. HvDSvn�, �T �'S`o/b �.�� 17oes yaur orgaruzatlon ew� the builQng where tlie 9ambling wiif be corxtucted? p YES [5� NO � - �� , . ...,. . , .,,. .., �..,._, r _ ,�... . .... . �, .. � ;�:°� � , II'ia,�attachthe,fottowmg ,.. °; ,.. :. -, .- . ... � - . __ ,.. -- ., a .,, - . .' ." ,.. a cepy ot the lease {torm l,G202J �witfi teFms for at �aat one year. '`'� . . .., , . ' . � _ ` ' � � . • a mpy oi a sketch aF tha Noor pian with dimansions, showing whai portio� is b�ing Yeased. - ' _." ' � . � .. . -�' � A teass arui skatet+ are not raquieed ior Ciass D applicauans. � -. � • . � ... ..;.>....�.�_. : `:;.:: '°" � .:.< .�.. .. : . ,.: . . .. .. ...:..::: • :..r...,.., ....... .., ,.,.; ..,� ,:.r:..a,,...... r7't:'i, ... .. _.,.,: .,>�:. . ....;.-, � ...:.i'.. .,..HC � .:::' , ' ✓:� . ; :<.;.r ..: ::+:.;rz Address: of sta e s aee of ambiin e ui menf �`p9,r�at.us�,.�Po ka � m �:>:;:::. _<;: `° ,;,. �- , �< . Address , s ' � Gty � . ; � State , .T.�p sode � , � � 5, ' z a FY�1�S t9 l�. .,✓ "' r S' �� s1 '.: l '} i^S�rt .x.(� �2 �'t-.. � y �? 2 0 `v �1 N o�- i � w s-� � P �a � c. ,M rv ss�� ` � � � ,� _u, ,,� � :, y < �.: �_ < � ,a•_ _� � i ,� � � �� w. �.� �+ r Y �, s� . i �� " a k :F G t,r Ua.; � s P d d.��L' , . � . � -h i�u +d y� b. ,i � ' � ° ' � , � - k � 1" , 0. i �� , . . , ' . , . ' , ., 5 .��.'A$, .� . ' , � ' . . .. .... , Mznnesota I.azvJ'uI GnmbI€ng Fremisa Pernut Application - Part 2 4f 2 i r, i y ��-��5� - .. � .. .. :::....:....._::-..<,:..>.� �,..:,... � -.. _ ... ....�........""__'. __ . _ __ .. _ __.._ ame ., 55 . . , -. 8 . SSIt�j- ,'�'rr�m/3ci,,.6 �}�� wav�Sov.` �g�� .Svrnvn$Y ��v� G'�'�-f�UC.." i�Q�1 _ R__ _t C+oP,. a z7o8 W. '� z�'�� S+_ �OP .}i'),pts cs�f/b " ivJEnc�3&�2 S-��ve 5�,,,,at�z1<e �BrS W,lsa� G r�$tt��' $e�.Sov.( t-YlU RKirt,flotP!{ ....._,, ..:..:.:.....:.:�,_.:,,::. "..,::..._.. .... .. ,.:_..,,...,:.::: , . ..z�>nr ,. ,n..,� .. J...>r.y;^�s;r.:,,�: �;,: x t hareby consent ihai bcai taw enforcemem o�cers, the board ar agertts oi the board, or the qmmissioner ot revenue or public satety, or agents oi the commissioners, may anter 2he premises to enforce the law. Saak Records inforznatloa The bcard is authefize0 to inspea the bank recards of the c,ambting accouc�t whenever necessa�y tQ fuBill requirements ot current r�embling rules and taw. Oat2x t declare that: •F have read this appticafio� and ail informatron submitted to the baa�d is true, �urate and wmpleie; �aA other requbed informat has been fuiy disctosed; S�onature af ch�ef ezecuYrra oNKer Locai Gouernmerti Acknowiedgement: l. 7he cky •must sign this applicaiion it the gambting prem• ises is ixated within aty timits. 2. The county "AND townsh;p' must sign Ihis appt;cation if the gamblirtg premises is located wdhin a towaship. 3. The bcal Unif gOVecnment {cBy or caunry) must pass a reso�ut+on spac�fically approving or denying this appf'�caliqn. `" . �y . , �,:.::<;;. { Ql' �iQU}1T�e+.- ,. . . . . .. . .. � GirywCoon Nam�. �.��-- _ �, �� .� �, �j,`.SiynaNr z �'��;T: ✓� t.. '.,k r-: �,, s . S T �� _ ^ ' '; r (}ele( l0 � �,`� Mait to: �)rv. � _ " �-- � i � . f /.'�/f'_,.. . � Ae insrrvciiont ta requ red aaxhmanrs. •.' . . , � .�' ,. �,> , . ' -. �ambltnq ConRol Boa�d ' ' � ` ' Rosewood Pbia South. 3rd Floor., �,.., t711 W. CoveTy Fioad H HoievUt+, htN� 551t3 �' '' � r c Y X, VE � � 55�l4' �I am the chief sxecutive o�cer at the organkation; •! assumatuli responsibiiiry for tha fair and lawful opera• tion of ail act+vrtfes to be conducted; .( wi(i famiiiarize myss{! with the laws of Minnesota governirtg lawful gambfing and ru(es of the board and agres, 'rf licensed, to abide by thosa laws and rules, indudin9 amandments to them; •any changes in appticaciort int�rmatron wi!! be subm�Ned to ihe board and bcai U�it ot gavernmeM within 10 days ot the chartge; and •{ u�derstand that failure to provi8e required information or providing falsa or mis(eading information may resuit in the denial or revocatlon of the I'�cense. � Date � -.� S'- 9 � , .: , 4. A cooy ot the Ioqal unR of governmerrt's resolution ao- RrovinqjAi aooli�tion muct be attached to ihes a�oGcatron 5. If this appficatiart is deniad by the kscat unrt of govemment, it should not be submiited to tRe Gambling Control Board. 7ownship: 8y signature betow, the township acknowtedges, that Ihe organization is apaiying for a premises petmii wiihin ` r township timifs. • � ��;.` � ': -,. - - , ��'' .ee '. ,... - .,; ' . i .. ..:.�`�-� ^ .;i . . . .. ) „ : : ., � ' TOWfi$ll} �� _, . . ..� - '^ . 7ow�ship Naine " �, �,. . ` ° S�gnaNre of person rece�»ng applxat�qt , q r,^ i - �,� � Y . ,... R'. Y1n�?_ �.e_ � _ . _ _ f. f . . n..re Ba..e,.a�x� m,.,:..�rsa, � . . �}:ti�., �. ^ , ,-"�» , � ,d�l'.. J.. , . r - x.• . . � r.1 . '��?. ',� I ' � �. � L621t(Psrt 2d. . fn.ia!ta9t> . +-.. � ..� k' r - r �' �L , � F .�� ?_ ' 4 . . `: ..:g^.. f0,3o f,'rc� s"fRc�i S-t. �a�1 vMru ss�� ! . ..•...�::s.:< .,.1,� .... .:r�j'a:: Council File # q� _3 5 S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 " " f �- � h Presented Referted To Cott�ittee: Date RESOL�/ED: That application, (ID pending at State), for a new State Clasa & Garnbling Premise Permit by Midway Transportation, Inc. at Cab's Pub & Tsatery, 992 Arcade Street, be and the same is hereby apprwed. Requested by Department of: • - - -- _e •�- -�_ � •e_i -� - •� Adopted by Council: Date �„ � �� —�--� By= �.Ill�„ �5�� Adoption certified by Council Secretary Form Approved by City Attorney BY: �.l.-� a- . � � / By: � � Approved by Mayor: Date ��tiGf�' �� f" '"7—' Approved by Mayor for Submission to By: �� 1 Council RESOLUTION CITY OF SAINT PAUI., MINNESOTA Ordinance # Green Sheet # 35445 .� By: 9� -35S DEPARTMENf/DFFICE/COUNqL DATEINITIATED GREEN SHEE � � 3�5448 LIEP iNmnvoare iNmnwnrE CONTACT PEfl50N 8 PHONE O DEPARTMENT DIRECTOfi O CRV COUNCIL William F. Gunther/266-9132 A��p �C�TYATfORNEV �CRYCLERK MUSf BE ON CAUNCIL AGENDA BY (DqTE) NUMBEq FOR � BUDGET DIF1ECfOA � FfN. & MGL SEHVICES DIR NOUIING � OROER O MqyOR (OR AS$ISTANn � Hearin : TOSAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS FOR SiGNATUR� ACf10N REQUESTED: Barbara A. Ka.le on hehalf of Midway Transportation, Inc. requests Council approval of their application for a new State Class B Gambling Premise Permit at Cab's Pub & Eatery, 992 Arcade Street. (New State Class B I.icense Number) RECOMMENOATIONS: Approve (A) a Rajec[ (fi) pERSONAL SERYICE CONTRACTS MUST ANSWER TNE fOLLOWING qUEST10NS: _ PLANNING COMMISSION _ C7VIL SERYICE C6MMISSION �� HdS tt115 pBfS011/firm QYBr worl(ed undBr a COnVflGt fof N1LS depeflrtlent? - _ CIB COMMIT7EE ` YES NO _�� _ 2. Has this personttirm ever been a ciry employee? YES NO — ��T �R — 3. Does ihis personHirm possess a skill not normaily possessed by eny current city employee? SUPPORiSWHIGNCOUNCiLOBJEC(NE4 YES NO EcRlain a�l yes answers on separate sheet and ettaeh to green sheet INRIATiNG PROBLEM, ISSUE, OPPORTUNITY (11TO, What, Whan, Wfrere, VJhy). �� AAR 1 �L1997 c'r� A�� ADVANTACaES IFAPPROVEO: DISADVANTAGES IF pPPRWED: DISADVANTAGES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGE7ED (CIHCLE ONE) YES NO ' FUNDIfiG SOURCE ACTIVI7Y NUMBER FINANCIAL INFORMATION' (EXPLAIN) Greensheet# 35448 L.1.E.P. REVIEW CHECKLiST Date: ./� In Tracket? 3 0"�-! Rpp•n a.ec:aived / ayp•n Processea Licens¢ ID # Pendin� at State License Type: State Class B Gamb7 �ng Premise Perm� t Comp3nyName: M;d*d�y ran �o a�o n DBA: M,•Awa�� Tranagortation 7nc. Business Addresss: 992 Arcade St. (Cab's) Business Pfione: 641—�976 Contact NamejAddress: Barbara lzale/CEO Home Phone: 641-0709 Date to Council Research:�60 Vandalia St. �6200 55114 Public Hearing Date: ��1�� Labeis Ordered: N/A Notice Sent to Applicant:��R',Z District Council #: OS Notice Sent to Pubiic: N/A Ward #: Oh Department/ Date inspeciions Comments City Attorney �,� .� f,� 1�� Environmental Heaith �/ � l Fire /"//� ! License Sim �an aeoe�ved: LeasB ReCeived: �� 6 Poiice �.�C.�-j^(Y �(f_C.� �� Q �� -�/1��9`7 Zoning ' V � � �- „ ; , xrz�A�,K ��tt �w� x � n ry.' , r v � t ¢5 s '�� A �t� �� . � � �+�' `�^ s N , �� f _ N;� F"��`r. �"( y�.sufi�cti k3 a r �'�'� ` '�"$ 7;z '�}'�'�� f� f a . '�� - �' �.,- �.—;� ,;: st�,:�� .�� *��"�'��t�,s"7, .: PORBOARDUSEONLY LG214 - BAS£M vns�s�� PP � : . ` FEE . �.,, x; ;�i ��a Lcuuful GambZ�g r�� t CHECK . , �^ 1N1TiALS �°' - - Premises Permit Apphcation - Part 1 of,2� - _ ._ ._,�°�� `�_ " � - �o�'''� �..� ;DATE .. . _ _-,, . ,, ... , . , � <, . .. , - . .,; : . , :.,;>.`.:::w.»...;,..�.,..,-: .<._..�,:.;.,�.:<�...,:.::_�< r ,:,..,;,,::,,,,;<..,�,`,.,.,,.;,;.:•.� .. _.. ...n ... ,✓,...... r��...... .. ...�.W,..,.,.....r�i��,.��es:�.�.,..,,....: ,,..,,. . .,.z�.s!;;;.'="'�t•�'SrE.';a�:.;'r::;:;v»;.,�,..,n�.�. .,r: � i �cF��7y... r ...F.::;°:�:�"Si:..r...�L%...:.A( S;NC'^i.'[iN:� .5 � .,F acu°e:.E::.: o n . s^,.,� y,��;yS. •;;y . .,,,..,. {�. �f�;.`:;;:fa. -<:Z. �.. :Sk _.;;r,;•� > 'acx : ??vYP'�;�'T , e , .�.KS�'..Y . .;::;" : .,? , ..r':, . r... „ ;:/,F:; r,.v.':�::a:i':'r:.�>:° ..3,G_�..":'C^i`' � riro.': „��, z'i ;.n, ./as tt - „ 6..0 ,A � .i ;s.��>, �..r.-�. �.. �i:.;i�<�Ni s;'bj o-, z � >5 ,� :s .✓.� , � '�- � .-. ; � ,1 � ' k Class ot premises pennit u } ��+- , . � � �;� ? �- � � Ss n Ar ., i� _ . . .. Renewal ."' -. �n'..�'�; .€ � m"�"' , r --} (check one)...'-'`n . �, s.. . - �_ Organ�zaUon base i'icense number L ��'�,_ -, � � A($400} PulFtabs ispboards paddlewheels raHies bu�go . � r - � .. : .., K Y � . �s✓, ._.+�, �.T.e�`�,c^ ? ':. Z# '�P .is�n r -. ;� 'a .3+�1�� . Q - ': � . � � Premises partnR number � ' �� 8{$250) Pu0labs Spboards, paddlewheels, raffles . . � - �3 �`- ,. . . ... �__,.: . , : .. � . New � � ., �-. .. ' �' . ., �Q� . , . , . (� fl t5150) Ratlies oniy < � s � ..: _. ., .. " n b . �..-.M:= � t. .� .z.. Y - �- a. . .�.., � m°SY�u.vJ 3,' r�x?» h'.��7%,�' :»3 .U'o".. s; 91'j�SCY.;.9rr%r".t w 'i."•' ^ �:�','7s;��iur �a. "'n�t''� (� '� ''��. � ) '"'k'�..'�i� ` ^':��:x:�. , �✓; i ;.,a��%''i„�n y c.:� S'in.'d,"��>5�,5'„r� f x t t ,,�T ',� Ql'tLZd�IOTC` Oi„TXI.,IL�IQli:�'.. z .x-' y �,. �i u " ;• ??,w<;''��` . ,:7i. ` . N�:�'la�+�� , „� �� 5�.d � '. � � i�Y> i , r��r,,T"r�N `^CCU. : H R � , N8Ri8 Of QtgStli2d�0f1 ' ,r _. ty C. ' , l "Y •.� 0,7 ° �y, .Ft .v. h3 �5 a mn'Y'i0.1.aT fi: . "1 a � � - a � �+-' � � tit � h1�j��t�+,�y' � ; luc� .��, �:;t�� E , ,�r,n , � ... '� �z _ Business Address ot Qrganizauon Street or P. O Bnx ( nct use tha address ct yoar gzmbting manager) � ?601�' NIJl3L)Kl S-t �E7 , Cify � � � State � � Zip Code - Caunry „ Rayhme pnorte number ,- S f. __ i�rg v t: .,�:: � t-�� r �� yvl ny �`��'�' ,:� ssir � �1 rn S c : � 6,��,'G"v / 1 '>o:�9x��f �": �: Name of chief, exewtrve oifker (rannot, be your,g�hns� ��,ar��a r�`�� T�tle �� , �� w r �, ..� DaYbme Pho[�e n��ber, r �.� -��,, _ '�`'�Y#Yt[Rt2�1 r� ;�K7At�tt-" xwa'�,,;�',��,��.. e..�.�,.+rC�ic"Q °� •(Lt�) b4f_:ti7O9�z v s _: ��Ag'9'C}GC8S�f1II8" :, ..,� � 4 "�S�ra ,/. �` �:.:, C* , � : .a.... _ ; ,w . ,,�. � „t? , f ,'%*,v >' . x3,-+�,t�ef �lP,��s � If aPpYying for a c7ass A,tr; C pemsit.�iill in days arid begtnning & endir�g hours of bkngo oceastons °� �, _No.more than.seven bingo occasions.may.be conducted hy yflur�rgazvzati�n perweek. ��` " _ :: ; Day . -. . BegrnningJEnding Hours " " : Day . 9egcvunglEnding Hours • DaY ; 8egiru�ing /Ending Hours . . '< - �� .i�,�, � c' " _ . ,ti. - � - , r: CO � �r . ' tq ' .5�� ` LD� : . v ' . .vat.. .,H'e}, n.t ' , *.rt % � ? M � L 'r • ';;� .• , ' . � - �.�° �. d , � t �YY�.' ��'t� �"r�'�rr"�� , . " . ...� .. ._�e.. .:..�...-, . .� . , . ,. �,._.., .. _.,_.. .. . . ... ' , , ..6.,.,. _, . v ' .,,.. .., ..- _ -. /. �� , zo��, ::. .'-"•. If btnga will not be conducted, check hexe � Ga.`xiitiliszgYreznisea J,iifa,rriiatian' ;:;� � t , '° � ame o estabhshment where gambhng w�Vl Oe can ucted � � Sireet Address (do not use a post a� ice box numbeq :�� -� C�Bs �vB zsw� �r�T��'y q9a ,r1�2ct�D� _�STR&�T �. S mn> S_sio� is the premises tocated widiia city limits? ��, .!$l Yes �.C".� No If no, is township' �� organixed, � unorganized [� unincorpwated , City and Coanry where gambting pramises is �otated 4R Township and Co�nry where gambGng premxses is Caca�ted it oaT:ide oi city limits s�- ��;t_. ... � n��,sEy Name and ac3dress of tegal owner of premises -'- City State Zip Code „ kE�+N �"o�v �:l�r�DErtsorv° TOLvEK �t�. HvDSvn�, �T �'S`o/b �.�� 17oes yaur orgaruzatlon ew� the builQng where tlie 9ambling wiif be corxtucted? p YES [5� NO � - �� , . ...,. . , .,,. .., �..,._, r _ ,�... . .... . �, .. � ;�:°� � , II'ia,�attachthe,fottowmg ,.. °; ,.. :. -, .- . ... � - . __ ,.. -- ., a .,, - . .' ." ,.. a cepy ot the lease {torm l,G202J �witfi teFms for at �aat one year. '`'� . . .., , . ' . � _ ` ' � � . • a mpy oi a sketch aF tha Noor pian with dimansions, showing whai portio� is b�ing Yeased. - ' _." ' � . � .. . -�' � A teass arui skatet+ are not raquieed ior Ciass D applicauans. � -. � • . � ... ..;.>....�.�_. : `:;.:: '°" � .:.< .�.. .. : . ,.: . . .. .. ...:..::: • :..r...,.., ....... .., ,.,.; ..,� ,:.r:..a,,...... r7't:'i, ... .. _.,.,: .,>�:. . ....;.-, � ...:.i'.. .,..HC � .:::' , ' ✓:� . ; :<.;.r ..: ::+:.;rz Address: of sta e s aee of ambiin e ui menf �`p9,r�at.us�,.�Po ka � m �:>:;:::. _<;: `° ,;,. �- , �< . Address , s ' � Gty � . ; � State , .T.�p sode � , � � 5, ' z a FY�1�S t9 l�. .,✓ "' r S' �� s1 '.: l '} i^S�rt .x.(� �2 �'t-.. � y �? 2 0 `v �1 N o�- i � w s-� � P �a � c. ,M rv ss�� ` � � � ,� _u, ,,� � :, y < �.: �_ < � ,a•_ _� � i ,� � � �� w. �.� �+ r Y �, s� . i �� " a k :F G t,r Ua.; � s P d d.��L' , . � . � -h i�u +d y� b. ,i � ' � ° ' � , � - k � 1" , 0. i �� , . . , ' . , . ' , ., 5 .��.'A$, .� . ' , � ' . . .. .... , Mznnesota I.azvJ'uI GnmbI€ng Fremisa Pernut Application - Part 2 4f 2 i r, i y ��-��5� - .. � .. .. :::....:....._::-..<,:..>.� �,..:,... � -.. _ ... ....�........""__'. __ . _ __ .. _ __.._ ame ., 55 . . , -. 8 . SSIt�j- ,'�'rr�m/3ci,,.6 �}�� wav�Sov.` �g�� .Svrnvn$Y ��v� G'�'�-f�UC.." i�Q�1 _ R__ _t C+oP,. a z7o8 W. '� z�'�� S+_ �OP .}i'),pts cs�f/b " ivJEnc�3&�2 S-��ve 5�,,,,at�z1<e �BrS W,lsa� G r�$tt��' $e�.Sov.( t-YlU RKirt,flotP!{ ....._,, ..:..:.:.....:.:�,_.:,,::. "..,::..._.. .... .. ,.:_..,,...,:.::: , . ..z�>nr ,. ,n..,� .. J...>r.y;^�s;r.:,,�: �;,: x t hareby consent ihai bcai taw enforcemem o�cers, the board ar agertts oi the board, or the qmmissioner ot revenue or public satety, or agents oi the commissioners, may anter 2he premises to enforce the law. Saak Records inforznatloa The bcard is authefize0 to inspea the bank recards of the c,ambting accouc�t whenever necessa�y tQ fuBill requirements ot current r�embling rules and taw. Oat2x t declare that: •F have read this appticafio� and ail informatron submitted to the baa�d is true, �urate and wmpleie; �aA other requbed informat has been fuiy disctosed; S�onature af ch�ef ezecuYrra oNKer Locai Gouernmerti Acknowiedgement: l. 7he cky •must sign this applicaiion it the gambting prem• ises is ixated within aty timits. 2. The county "AND townsh;p' must sign Ihis appt;cation if the gamblirtg premises is located wdhin a towaship. 3. The bcal Unif gOVecnment {cBy or caunry) must pass a reso�ut+on spac�fically approving or denying this appf'�caliqn. `" . �y . , �,:.::<;;. { Ql' �iQU}1T�e+.- ,. . . . . .. . .. � GirywCoon Nam�. �.��-- _ �, �� .� �, �j,`.SiynaNr z �'��;T: ✓� t.. '.,k r-: �,, s . S T �� _ ^ ' '; r (}ele( l0 � �,`� Mait to: �)rv. � _ " �-- � i � . f /.'�/f'_,.. . � Ae insrrvciiont ta requ red aaxhmanrs. •.' . . , � .�' ,. �,> , . ' -. �ambltnq ConRol Boa�d ' ' � ` ' Rosewood Pbia South. 3rd Floor., �,.., t711 W. CoveTy Fioad H HoievUt+, htN� 551t3 �' '' � r c Y X, VE � � 55�l4' �I am the chief sxecutive o�cer at the organkation; •! assumatuli responsibiiiry for tha fair and lawful opera• tion of ail act+vrtfes to be conducted; .( wi(i famiiiarize myss{! with the laws of Minnesota governirtg lawful gambfing and ru(es of the board and agres, 'rf licensed, to abide by thosa laws and rules, indudin9 amandments to them; •any changes in appticaciort int�rmatron wi!! be subm�Ned to ihe board and bcai U�it ot gavernmeM within 10 days ot the chartge; and •{ u�derstand that failure to provi8e required information or providing falsa or mis(eading information may resuit in the denial or revocatlon of the I'�cense. � Date � -.� S'- 9 � , .: , 4. A cooy ot the Ioqal unR of governmerrt's resolution ao- RrovinqjAi aooli�tion muct be attached to ihes a�oGcatron 5. If this appficatiart is deniad by the kscat unrt of govemment, it should not be submiited to tRe Gambling Control Board. 7ownship: 8y signature betow, the township acknowtedges, that Ihe organization is apaiying for a premises petmii wiihin ` r township timifs. • � ��;.` � ': -,. - - , ��'' .ee '. ,... - .,; ' . i .. ..:.�`�-� ^ .;i . . . .. ) „ : : ., � ' TOWfi$ll} �� _, . . ..� - '^ . 7ow�ship Naine " �, �,. . ` ° S�gnaNre of person rece�»ng applxat�qt , q r,^ i - �,� � Y . ,... R'. Y1n�?_ �.e_ � _ . _ _ f. f . . n..re Ba..e,.a�x� m,.,:..�rsa, � . . �}:ti�., �. ^ , ,-"�» , � ,d�l'.. J.. , . r - x.• . . � r.1 . '��?. ',� I ' � �. � L621t(Psrt 2d. . fn.ia!ta9t> . +-.. � ..� k' r - r �' �L , � F .�� ?_ ' 4 . . `: ..:g^.. f0,3o f,'rc� s"fRc�i S-t. �a�1 vMru ss�� ! . ..•...�::s.:< .,.1,� .... .:r�j'a:: Council File # q� _3 5 S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 " " f �- � h Presented Referted To Cott�ittee: Date RESOL�/ED: That application, (ID pending at State), for a new State Clasa & Garnbling Premise Permit by Midway Transportation, Inc. at Cab's Pub & Tsatery, 992 Arcade Street, be and the same is hereby apprwed. Requested by Department of: • - - -- _e •�- -�_ � •e_i -� - •� Adopted by Council: Date �„ � �� —�--� By= �.Ill�„ �5�� Adoption certified by Council Secretary Form Approved by City Attorney BY: �.l.-� a- . � � / By: � � Approved by Mayor: Date ��tiGf�' �� f" '"7—' Approved by Mayor for Submission to By: �� 1 Council RESOLUTION CITY OF SAINT PAUI., MINNESOTA Ordinance # Green Sheet # 35445 .� By: 9� -35S DEPARTMENf/DFFICE/COUNqL DATEINITIATED GREEN SHEE � � 3�5448 LIEP iNmnvoare iNmnwnrE CONTACT PEfl50N 8 PHONE O DEPARTMENT DIRECTOfi O CRV COUNCIL William F. Gunther/266-9132 A��p �C�TYATfORNEV �CRYCLERK MUSf BE ON CAUNCIL AGENDA BY (DqTE) NUMBEq FOR � BUDGET DIF1ECfOA � FfN. & MGL SEHVICES DIR NOUIING � OROER O MqyOR (OR AS$ISTANn � Hearin : TOSAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS FOR SiGNATUR� ACf10N REQUESTED: Barbara A. Ka.le on hehalf of Midway Transportation, Inc. requests Council approval of their application for a new State Class B Gambling Premise Permit at Cab's Pub & Eatery, 992 Arcade Street. (New State Class B I.icense Number) RECOMMENOATIONS: Approve (A) a Rajec[ (fi) pERSONAL SERYICE CONTRACTS MUST ANSWER TNE fOLLOWING qUEST10NS: _ PLANNING COMMISSION _ C7VIL SERYICE C6MMISSION �� HdS tt115 pBfS011/firm QYBr worl(ed undBr a COnVflGt fof N1LS depeflrtlent? - _ CIB COMMIT7EE ` YES NO _�� _ 2. Has this personttirm ever been a ciry employee? YES NO — ��T �R — 3. Does ihis personHirm possess a skill not normaily possessed by eny current city employee? SUPPORiSWHIGNCOUNCiLOBJEC(NE4 YES NO EcRlain a�l yes answers on separate sheet and ettaeh to green sheet INRIATiNG PROBLEM, ISSUE, OPPORTUNITY (11TO, What, Whan, Wfrere, VJhy). �� AAR 1 �L1997 c'r� A�� ADVANTACaES IFAPPROVEO: DISADVANTAGES IF pPPRWED: DISADVANTAGES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGE7ED (CIHCLE ONE) YES NO ' FUNDIfiG SOURCE ACTIVI7Y NUMBER FINANCIAL INFORMATION' (EXPLAIN) Greensheet# 35448 L.1.E.P. REVIEW CHECKLiST Date: ./� In Tracket? 3 0"�-! Rpp•n a.ec:aived / ayp•n Processea Licens¢ ID # Pendin� at State License Type: State Class B Gamb7 �ng Premise Perm� t Comp3nyName: M;d*d�y ran �o a�o n DBA: M,•Awa�� Tranagortation 7nc. Business Addresss: 992 Arcade St. (Cab's) Business Pfione: 641—�976 Contact NamejAddress: Barbara lzale/CEO Home Phone: 641-0709 Date to Council Research:�60 Vandalia St. �6200 55114 Public Hearing Date: ��1�� Labeis Ordered: N/A Notice Sent to Applicant:��R',Z District Council #: OS Notice Sent to Pubiic: N/A Ward #: Oh Department/ Date inspeciions Comments City Attorney �,� .� f,� 1�� Environmental Heaith �/ � l Fire /"//� ! License Sim �an aeoe�ved: LeasB ReCeived: �� 6 Poiice �.�C.�-j^(Y �(f_C.� �� Q �� -�/1��9`7 Zoning ' V � � �- „ ; , xrz�A�,K ��tt �w� x � n ry.' , r v � t ¢5 s '�� A �t� �� . � � �+�' `�^ s N , �� f _ N;� F"��`r. �"( y�.sufi�cti k3 a r �'�'� ` '�"$ 7;z '�}'�'�� f� f a . '�� - �' �.,- �.—;� ,;: st�,:�� .�� *��"�'��t�,s"7, .: PORBOARDUSEONLY LG214 - BAS£M vns�s�� PP � : . ` FEE . �.,, x; ;�i ��a Lcuuful GambZ�g r�� t CHECK . , �^ 1N1TiALS �°' - - Premises Permit Apphcation - Part 1 of,2� - _ ._ ._,�°�� `�_ " � - �o�'''� �..� ;DATE .. . _ _-,, . ,, ... , . , � <, . .. , - . .,; : . , :.,;>.`.:::w.»...;,..�.,..,-: .<._..�,:.;.,�.:<�...,:.::_�< r ,:,..,;,,::,,,,;<..,�,`,.,.,,.;,;.:•.� .. _.. ...n ... ,✓,...... r��...... .. ...�.W,..,.,.....r�i��,.��es:�.�.,..,,....: ,,..,,. . .,.z�.s!;;;.'="'�t•�'SrE.';a�:.;'r::;:;v»;.,�,..,n�.�. .,r: � i �cF��7y... r ...F.::;°:�:�"Si:..r...�L%...:.A( S;NC'^i.'[iN:� .5 � .,F acu°e:.E::.: o n . s^,.,� y,��;yS. •;;y . .,,,..,. {�. �f�;.`:;;:fa. -<:Z. �.. :Sk _.;;r,;•� > 'acx : ??vYP'�;�'T , e , .�.KS�'..Y . .;::;" : .,? , ..r':, . r... „ ;:/,F:; r,.v.':�::a:i':'r:.�>:° ..3,G_�..":'C^i`' � riro.': „��, z'i ;.n, ./as tt - „ 6..0 ,A � .i ;s.��>, �..r.-�. �.. �i:.;i�<�Ni s;'bj o-, z � >5 ,� :s .✓.� , � '�- � .-. ; � ,1 � ' k Class ot premises pennit u } ��+- , . � � �;� ? �- � � Ss n Ar ., i� _ . . .. Renewal ."' -. �n'..�'�; .€ � m"�"' , r --} (check one)...'-'`n . �, s.. . - �_ Organ�zaUon base i'icense number L ��'�,_ -, � � A($400} PulFtabs ispboards paddlewheels raHies bu�go . � r - � .. : .., K Y � . �s✓, ._.+�, �.T.e�`�,c^ ? ':. Z# '�P .is�n r -. ;� 'a .3+�1�� . Q - ': � . � � Premises partnR number � ' �� 8{$250) Pu0labs Spboards, paddlewheels, raffles . . � - �3 �`- ,. . . ... �__,.: . , : .. � . New � � ., �-. .. ' �' . ., �Q� . , . , . (� fl t5150) Ratlies oniy < � s � ..: _. ., .. " n b . �..-.M:= � t. .� .z.. Y - �- a. . .�.., � m°SY�u.vJ 3,' r�x?» h'.��7%,�' :»3 .U'o".. s; 91'j�SCY.;.9rr%r".t w 'i."•' ^ �:�','7s;��iur �a. "'n�t''� (� '� ''��. � ) '"'k'�..'�i� ` ^':��:x:�. , �✓; i ;.,a��%''i„�n y c.:� S'in.'d,"��>5�,5'„r� f x t t ,,�T ',� Ql'tLZd�IOTC` Oi„TXI.,IL�IQli:�'.. z .x-' y �,. �i u " ;• ??,w<;''��` . ,:7i. ` . N�:�'la�+�� , „� �� 5�.d � '. � � i�Y> i , r��r,,T"r�N `^CCU. : H R � , N8Ri8 Of QtgStli2d�0f1 ' ,r _. ty C. ' , l "Y •.� 0,7 ° �y, .Ft .v. h3 �5 a mn'Y'i0.1.aT fi: . "1 a � � - a � �+-' � � tit � h1�j��t�+,�y' � ; luc� .��, �:;t�� E , ,�r,n , � ... '� �z _ Business Address ot Qrganizauon Street or P. O Bnx ( nct use tha address ct yoar gzmbting manager) � ?601�' NIJl3L)Kl S-t �E7 , Cify � � � State � � Zip Code - Caunry „ Rayhme pnorte number ,- S f. __ i�rg v t: .,�:: � t-�� r �� yvl ny �`��'�' ,:� ssir � �1 rn S c : � 6,��,'G"v / 1 '>o:�9x��f �": �: Name of chief, exewtrve oifker (rannot, be your,g�hns� ��,ar��a r�`�� T�tle �� , �� w r �, ..� DaYbme Pho[�e n��ber, r �.� -��,, _ '�`'�Y#Yt[Rt2�1 r� ;�K7At�tt-" xwa'�,,;�',��,��.. e..�.�,.+rC�ic"Q °� •(Lt�) b4f_:ti7O9�z v s _: ��Ag'9'C}GC8S�f1II8" :, ..,� � 4 "�S�ra ,/. �` �:.:, C* , � : .a.... _ ; ,w . ,,�. � „t? , f ,'%*,v >' . x3,-+�,t�ef �lP,��s � If aPpYying for a c7ass A,tr; C pemsit.�iill in days arid begtnning & endir�g hours of bkngo oceastons °� �, _No.more than.seven bingo occasions.may.be conducted hy yflur�rgazvzati�n perweek. ��` " _ :: ; Day . -. . BegrnningJEnding Hours " " : Day . 9egcvunglEnding Hours • DaY ; 8egiru�ing /Ending Hours . . '< - �� .i�,�, � c' " _ . ,ti. - � - , r: CO � �r . ' tq ' .5�� ` LD� : . v ' . .vat.. .,H'e}, n.t ' , *.rt % � ? M � L 'r • ';;� .• , ' . � - �.�° �. d , � t �YY�.' ��'t� �"r�'�rr"�� , . " . ...� .. ._�e.. .:..�...-, . .� . , . ,. �,._.., .. _.,_.. .. . . ... ' , , ..6.,.,. _, . v ' .,,.. .., ..- _ -. /. �� , zo��, ::. .'-"•. If btnga will not be conducted, check hexe � Ga.`xiitiliszgYreznisea J,iifa,rriiatian' ;:;� � t , '° � ame o estabhshment where gambhng w�Vl Oe can ucted � � Sireet Address (do not use a post a� ice box numbeq :�� -� C�Bs �vB zsw� �r�T��'y q9a ,r1�2ct�D� _�STR&�T �. S mn> S_sio� is the premises tocated widiia city limits? ��, .!$l Yes �.C".� No If no, is township' �� organixed, � unorganized [� unincorpwated , City and Coanry where gambting pramises is �otated 4R Township and Co�nry where gambGng premxses is Caca�ted it oaT:ide oi city limits s�- ��;t_. ... � n��,sEy Name and ac3dress of tegal owner of premises -'- City State Zip Code „ kE�+N �"o�v �:l�r�DErtsorv° TOLvEK �t�. HvDSvn�, �T �'S`o/b �.�� 17oes yaur orgaruzatlon ew� the builQng where tlie 9ambling wiif be corxtucted? p YES [5� NO � - �� , . ...,. . , .,,. .., �..,._, r _ ,�... . .... . �, .. � ;�:°� � , II'ia,�attachthe,fottowmg ,.. °; ,.. :. -, .- . ... � - . __ ,.. -- ., a .,, - . .' ." ,.. a cepy ot the lease {torm l,G202J �witfi teFms for at �aat one year. '`'� . . .., , . ' . � _ ` ' � � . • a mpy oi a sketch aF tha Noor pian with dimansions, showing whai portio� is b�ing Yeased. - ' _." ' � . � .. . -�' � A teass arui skatet+ are not raquieed ior Ciass D applicauans. � -. � • . � ... ..;.>....�.�_. : `:;.:: '°" � .:.< .�.. .. : . ,.: . . .. .. ...:..::: • :..r...,.., ....... .., ,.,.; ..,� ,:.r:..a,,...... r7't:'i, ... .. _.,.,: .,>�:. . ....;.-, � ...:.i'.. .,..HC � .:::' , ' ✓:� . ; :<.;.r ..: ::+:.;rz Address: of sta e s aee of ambiin e ui menf �`p9,r�at.us�,.�Po ka � m �:>:;:::. _<;: `° ,;,. �- , �< . Address , s ' � Gty � . ; � State , .T.�p sode � , � � 5, ' z a FY�1�S t9 l�. .,✓ "' r S' �� s1 '.: l '} i^S�rt .x.(� �2 �'t-.. � y �? 2 0 `v �1 N o�- i � w s-� � P �a � c. ,M rv ss�� ` � � � ,� _u, ,,� � :, y < �.: �_ < � ,a•_ _� � i ,� � � �� w. �.� �+ r Y �, s� . i �� " a k :F G t,r Ua.; � s P d d.��L' , . � . � -h i�u +d y� b. ,i � ' � ° ' � , � - k � 1" , 0. i �� , . . , ' . , . ' , ., 5 .��.'A$, .� . ' , � ' . . .. .... , Mznnesota I.azvJ'uI GnmbI€ng Fremisa Pernut Application - Part 2 4f 2 i r, i y ��-��5� - .. � .. .. :::....:....._::-..<,:..>.� �,..:,... � -.. _ ... ....�........""__'. __ . _ __ .. _ __.._ ame ., 55 . . , -. 8 . SSIt�j- ,'�'rr�m/3ci,,.6 �}�� wav�Sov.` �g�� .Svrnvn$Y ��v� G'�'�-f�UC.." i�Q�1 _ R__ _t C+oP,. a z7o8 W. '� z�'�� S+_ �OP .}i'),pts cs�f/b " ivJEnc�3&�2 S-��ve 5�,,,,at�z1<e �BrS W,lsa� G r�$tt��' $e�.Sov.( t-YlU RKirt,flotP!{ ....._,, ..:..:.:.....:.:�,_.:,,::. "..,::..._.. .... .. ,.:_..,,...,:.::: , . ..z�>nr ,. ,n..,� .. J...>r.y;^�s;r.:,,�: �;,: x t hareby consent ihai bcai taw enforcemem o�cers, the board ar agertts oi the board, or the qmmissioner ot revenue or public satety, or agents oi the commissioners, may anter 2he premises to enforce the law. Saak Records inforznatloa The bcard is authefize0 to inspea the bank recards of the c,ambting accouc�t whenever necessa�y tQ fuBill requirements ot current r�embling rules and taw. Oat2x t declare that: •F have read this appticafio� and ail informatron submitted to the baa�d is true, �urate and wmpleie; �aA other requbed informat has been fuiy disctosed; S�onature af ch�ef ezecuYrra oNKer Locai Gouernmerti Acknowiedgement: l. 7he cky •must sign this applicaiion it the gambting prem• ises is ixated within aty timits. 2. The county "AND townsh;p' must sign Ihis appt;cation if the gamblirtg premises is located wdhin a towaship. 3. The bcal Unif gOVecnment {cBy or caunry) must pass a reso�ut+on spac�fically approving or denying this appf'�caliqn. `" . �y . , �,:.::<;;. { Ql' �iQU}1T�e+.- ,. . . . . .. . .. � GirywCoon Nam�. �.��-- _ �, �� .� �, �j,`.SiynaNr z �'��;T: ✓� t.. '.,k r-: �,, s . S T �� _ ^ ' '; r (}ele( l0 � �,`� Mait to: �)rv. � _ " �-- � i � . f /.'�/f'_,.. . � Ae insrrvciiont ta requ red aaxhmanrs. •.' . . , � .�' ,. �,> , . ' -. �ambltnq ConRol Boa�d ' ' � ` ' Rosewood Pbia South. 3rd Floor., �,.., t711 W. CoveTy Fioad H HoievUt+, htN� 551t3 �' '' � r c Y X, VE � � 55�l4' �I am the chief sxecutive o�cer at the organkation; •! assumatuli responsibiiiry for tha fair and lawful opera• tion of ail act+vrtfes to be conducted; .( wi(i famiiiarize myss{! with the laws of Minnesota governirtg lawful gambfing and ru(es of the board and agres, 'rf licensed, to abide by thosa laws and rules, indudin9 amandments to them; •any changes in appticaciort int�rmatron wi!! be subm�Ned to ihe board and bcai U�it ot gavernmeM within 10 days ot the chartge; and •{ u�derstand that failure to provi8e required information or providing falsa or mis(eading information may resuit in the denial or revocatlon of the I'�cense. � Date � -.� S'- 9 � , .: , 4. A cooy ot the Ioqal unR of governmerrt's resolution ao- RrovinqjAi aooli�tion muct be attached to ihes a�oGcatron 5. If this appficatiart is deniad by the kscat unrt of govemment, it should not be submiited to tRe Gambling Control Board. 7ownship: 8y signature betow, the township acknowtedges, that Ihe organization is apaiying for a premises petmii wiihin ` r township timifs. • � ��;.` � ': -,. - - , ��'' .ee '. ,... - .,; ' . i .. ..:.�`�-� ^ .;i . . . .. ) „ : : ., � ' TOWfi$ll} �� _, . . ..� - '^ . 7ow�ship Naine " �, �,. . ` ° S�gnaNre of person rece�»ng applxat�qt , q r,^ i - �,� � Y . ,... R'. Y1n�?_ �.e_ � _ . _ _ f. f . . n..re Ba..e,.a�x� m,.,:..�rsa, � . . �}:ti�., �. ^ , ,-"�» , � ,d�l'.. J.. , . r - x.• . . � r.1 . '��?. ',� I ' � �. � L621t(Psrt 2d. . fn.ia!ta9t> . +-.. � ..� k' r - r �' �L , � F .�� ?_ ' 4 . . `: ..:g^.. f0,3o f,'rc� s"fRc�i S-t. �a�1 vMru ss�� ! . ..•...�::s.:< .,.1,� .... .:r�j'a::