97-383Council File � q 7- 3P 3
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Presented
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Ordinance #
Green Sheet # 35326
��,
Referred To Coromittee: Date
RESOLVED: That application, ID #B-02002, for a new State Class B Gambling Premise
Permit by CLIMB at Rick-Off, 1347 Burne Avenue, be and the same is hereby
approved.
Requested by Department of:
• - -�-- :-•- •.- ,+e
.e. •a_��-e - •e
$Y� ��� �5�1(iLqN,F�°.ry
Adoption Certified by Council Secretary
Form Approved by City Attorney
BY: -� a.- R���..�.___
, � $ v-. ' .�..
Argroved by Mayor: Date �[(4 � �
� Approved by Mayor for Submission to
BY: Council
By:
Adopted by Council: Bate (�, �j �q�
-�-
TOTAL # OF
PAGES
4�1 • 3d3
DATEINITIATED GREEN SHEE � _N_ _35326
INITIAUDATE INRIAVDATE
� DEPARTMENTDIRECTOR � CITYCAUNCIL
i2 psSK+N O qTY ATfOqNEY O C17Y CLERK
NIIMBER FOP O gUDGET DIRECTOR � FIN. & MGT. SERVICES DiR.
aoumw
OROEH a MAVOp (OR ASSISTANn �
(CLIP ALl LOCASIONS FOR SIGNA7UHE)
Peg Wetli on behalf of.CLIMB requests Council approval of Cheir application
for a new State Class B Gambling Premise Pexmit at Rick-Off, 1347 Burns Avenue (ID 9�B-02002)
_. PLANNMG COMMISSION _ CIVIL SERVICE COMMISSION
_ CIB COMMRTEE _
_ STAFF _
, DISTRIGTCOURT _
SUPPOBTS WHICH COUNCIL O&IECTIVE?
PEHSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UESTIONS:
1. 3ias this personJfirm ever worketl u�tler a coMract for tfii5 department? -
YES NO '
2. Has this person/firm ever been a ciry employee?
YES NO
3. Dces fhis personrtirm possess a skill not normalty possessed by any curtent city empbyee?
VES NO
Explain all yas answero on seperate sheet antl attach to green sheet
�;
�AR 18 1997
,
� ,,
s s � _ , _
4'
19iY�35T � � ���1
AMOUNT OF TRANSACTION
COST/REVENUE BUDGETED (CIRCLE ONE)
YES NO
FUNDIHG SOURCE ACTIVITV NUMBER
FINANCIAL INFORMATION: (EXPLAIN)
Greensheet # 35326 L.I.E.P. REVIE�lV CHECKLIST Date: 1 9'1 ���3
In Tracke�? u a R App'n Received J App'n arocessed
LicenselD # State I{B-02002 License Type: State Class B GamblinQ Premise Permit
Company Name: CLIMB DBA: CLIMB
Business Addresss: 7 347 Burns Ave. 55106 Business Phone: 227-9660
Peg WeCli/CEO
Contact NamelAddress:_ Home Phone: 227-9660
Date to Council
St.
Public Hearing Date: C�vua �� [ Q�l �
Notice Sent to Applicant:���
Labels Ordered:
District Council
Notice Sent to Public: Ward #: m
Qepartment/ Date InspecGons CommeMs
City Attorney
3�� Q'?
0
Environmental
Health
Nl�
Pire •
/� ��
�
License Site Plan Fteceived:_
�ease flecawed:
' "' �
Police Q�C 6 I' � �1�1� � �!t �
�1�1��
��
Zoning
�/�
1
LG214 � - . ; -. -. � . . . -. _.,..
�� _
�� ���
h7irrnesotaT.awjul Gambiinq �
Premises Perniit Application - Part X of 2
ruH r�uaxu usE ortt
#
n
CHECK
INITIALS
DATE
� Renewzl . _ -� - - --
Oroznization base license numt�r
Premises permit number � �
� New
ation - SVeet or P. O Box (C
�� 1 '���z/ytCP.Y I (
'- of chief executive oiicer (�nnot be your oambling menager) _ TiHe '".", ":, ` � D2ybme pFor,z numbe��
1�JeZ>L�a� �Xec�T�ue� T�`� h���io2 �_ - ��i.z�oza� S�G�
Bingo Occasions '
If applying for a cIass A or C permit, fill in days and beglnni a&.ending houis of.bingo occasioiL:
No more tha*i seven-bingo occasions may be conducted by your.-organization.per week -
.�DaY � fftnningf . � . . ._. - ._ ..
� . Be Ending Hours Day - � ",SegfnningfEnding Hovrs �_ �:�.�__ _ �-.=. � Dav �� �, Begnning /Endf�:.� Hous
_ _ -- � . ;..' _ �_
to _._ ., � - ,� to `�.,..- _ :.."..�.:.:._.. .. -� fo _ .
.. _ . , � -� . __. � ._ � to - � _ - � � to'_�
�. r_ :` tfl =! :_._ .,��_ If bingo 4rill not bo oouductod bhock here = �/ `� �
�
_e . ,_.__. _____ Itil ___ r _� .�,
_ . _ , . ,
' � 3-* = - - " .
=_ ' `- � - .. . .. =5 . ^_�.. .�'. ..... � - - . '
�.:� c. s:.� ..._
: . ' fy �•i.yr.5;
�31717711 �i'�7IlL4C?� �2S�QFZIIfl'�]..Oi1. - - `"> ',�°..: �.
�.�:;,...:.�,..:<'^ � "^e
' . , � .; �... ,.. . ... ... ��< . ..........::"? x .,<s
Na e of esL=biishment whete gzrnbling will Se conducted , SVeet Addrass C d , o rot use a��s oP�ce tx�x number) _` �
�'�l� I C1-�'� " � . -. r �J3 y� CSG/21uS -/�U� ' .
� . .. . , _- - - •
,_ Is the premises la;ated within city Gmits? �1'es� O No It no, is township �;� uno�gaiiized O unincorporzted �
°�� City and Gounry whera gambfing premises is lo�ted �OR. Township and County vrhe'rs gafnbling premises is loczted it vutside q( city fimits
Q � � ��� - _--_ -. . .
. - � I �Ld � � �,��LS C �� � ` .. . . . _�_ , ' _ .. . .
Name and ad�ress of legaf owner of p�emises � City -- �- - "�- � State —'-� �� -. Zp Co�--
r /�
-�Qo -�_ ��I,��ati��%3�iiu;G /3yT I3c.rws Si- t"aG� �l7�IJ - SSI�_6"=
Does your orgam Oon own the buildng where ihe gainbling will be mnducted? 0 YES =�� NO , , -- _ �
. . . I( no, attach the tollowin '_._ . _. -' . , � ' - „_ `: � -
. ... q: . _ . .. ..._ ...... . . __. � ._.., _. .- -
� - - • a copy of tha lease (form LG202) with terms {or at least one year: ;t ._;-� �'- ., .�,?
" a copy oP a sketch of the 800r plan witli dmensions, showing wha[ por0on is being leased. _-
. . . A leasa and sScetch are not tequired for Class D appGcations._ _ _ _ . _ _ _ _ _ ,
, V �
Cizss of premises perznit
- ._(check one) _
� A{$4C0) Pull-tabs, tipLrozrSs, pacd4ewheels, raSnes, bingo
� B($250) Pui[-�bs, 6obc�;ds, paddewheels, raties
�� {$200) Bingo only
❑ D ($150) RafFles only - --��-
use the 2ddress oi your galnbling manager) _.
:. Zip cocie
� � _ � �3eSinnesof�L�*�faiI C'�ambiir,g �
Premise Pemzit Appiicatron - Part 2 of 2
.... . ....::..::.::........_ .............. _...,._.:...._:.;,:;:.::.;: -_>:::::
._....,..;....._.,;.:....-::::: :;.:, :::::::::::::.;...,;;�,::�::,;:�::,-:� Y, . .
GamhtLrLq Banle Accourzt 7rif `ormtztzarc . ° <.:
.,_ �..�__,.. - Bank�Acmunt Number
Gaaxbling. S3te Auihoz3zat3on , '__•1 arri fhe chief executive oiticei of the o�ganization;
I hereby consani that bcaJ lativ enforcemeni o[iicers, the .j assume full resconsi6ility for fhe iair and Iawiul oFara-
6card or zgents of the board, or the commissioner of fion or dl activ¢ies fo be �nduded;
revenue or public safe:y; or agents of the commission<^rs, _,, .� }yil( familiarize mysalf with the lativs of Minnesota
nzy enter the premises to enforce the law. governing law(ul gambling and rules of the board and
B2nk RecOrds Tnform.ation - '� agree,'rf licenszd, to abide bythose I�ws znd rufes,
The bozrd is authorized lo insped?he bank rec�:ds o� ihe including amendments to tnem; - _
yamoling accaunt necessary to fuhil( _- .zny,chcnges in aooiic>iion ir„'ormzt[on will he submrted
requiremzn?s ef curren? gambling ru(es and (aw, , s to the bo2rd and Iocal unit bf"government w�hin 10 d2ys
. ..- .. . .:. , _ .
Oath. - <.. ._- ._ . _ ;� , '- : . . ., , oi the change; �nd__. _ °
i dedare that: -1 understand that fiai(ure to provide required iniormafion
•1 have read this applicatiori and a(finforrmafion'submred =° i" or providing fz(se o� mis(eedir,g,information may resuft in
io the 6oard is t�ue, accurafe�and complete;:: :: .__ --; ,h'e denia;-or revo�fion of_the ticense_ '_
•zfi o.fier required ir.iormzfiomha 6ee�ulfy dsdosed; �� --
Signsture-of chie� e° e
. �-'��-.:%�� - - %`/.
r > -......_,.._..-._ ..............._._....._.__ ___'__ _ — _ "_. , _
� � � - 4. A coov ot the loc�l unit of�aovemnertt's resofution ao-
1_ i fie_crly `must sign fhis applacafion it the,gambling.prem =;,� -� q}�is avo[ication must b= attached to this aoolication
�ses is located within ;czry Lmiis ; - --. --'$_ �f this"apphca ion is demed by �he local onit of govemnsn
< 2. Tha caunty 'AND township",must sign this app6catro� rf.. � shoutd nof be submittc-'d fo tt�e GambGng Conirot Board.
- �, fhe g�mbling premises is located wrthimatownship -�.- �- ' � � ' �� - _ �
3, �7he bcal unit govemment (city or counfy) musfpass a j By s;gnafure below foivriship acknowledges
resolution specifically approving or denying 3his appl'�cation. _ organizaiion is, applying for a premises permit within
iox�nship limits.
_; :. _ ...., _
� _ ... --__�: .;:.:-.-:r..:--- �
",_.' ._ Townshl _,. _.
. . _. . _.. _ _. _ . t� -:; � ' �--- ---- -
Cft ` . or Count *" -
Giry or County Name _` _ - Townsfiip Name . - - - - ,. ..- . -
� ,; - '-.� -':- ' : - .'� -' .:-_ . - ' .
Si a e of erson raceivin9 PP��bon' �. ,--: -.�'.- - � -- � . Signatu of pers ,vin9 apFlication � . . .
.., . .
._..: . ,_.. _. . . -. .. re._
on recei
� ��- - � _ . _ .. .
s' "
: s�. . � . . . - -� - - � - ft
' D te ived . 'Tida
� - �.::3: . . .. ..... --- _ -
, ,
_.. .._ __. _. . _. , :.:.� �'__
�`' ;�r� , . . ��7�I'I o
aen..r/i.v . .. . . ... ..... ._.
�efer to tho instructions tot �equired attachmenls.
Mail ro: Gnmbling Controf 8oard
. Rosewoad Plaza South, 3rd Floor
7777 1N. CaunC� Rond B
Roao�ftlq MN 55711
. . _-. . - .. ' � ale ecerve . '
LG274(Pnr[ 2)
{nw�r_isi�
Gamb2ing Site Authorization •1 am the chief executive ofitice� of the organization;
1 hereby consent that bcal iaw enforcament ofiicsrs, the �I assume fuli responsibility tor the fair and lawful opzrz-
bazrd or zgents of the board, or the qmmissioner of tion oi al( activities to be conduded;
revenue or public safety, agents of ihe c�mmission�r, .� will familia�ize myseif with the la+vs of Minnesota
mzy enter the premises fo enforce the law. 9overning lawful gambling and rules of the b�ard and
Bank Reco:ds Informat3on Ggree, h!icensed, to abide by those I�ws end rules,
The bo2rd is auihorized io insped the bznk records oi ine 7nduding amendments to tnen; �
g�„soling'accaant,tvhenever necessary to fuhii! •any.changes in aopfic>tion in;orm�tion will be subn�ned
requiremeqts cf curren! g�mbiino rules end Isw. _ to ihe bozrd and local unit oYoovemment wi[ain 10 days
Oath � _.- . of the change; and___
i declare th�t: •1 undersiznd thzt failure to provide required iniormation
•1 haue read this zpplication and all infiorma!"ron subm�ed .:��or providing fafse or misleading information may result in
io the board is true, accutate•and c�mp(ete; .: . ,_:. , ihe denial or revocation of the licensz. -
•zf! other required information h�sbae�fulfy �sdosed; - - �� . ,
�
..� �/�i7/�/ - . ._. .
4. A coov of the bcal unit of aovernmenYs resolution eo-
i. 7}ie ciiy'must eign this application 'rf the gambling prem-_ .; R�vina this'apolication must b='attached to this aoolication.
ises is locafed within _city limits, ,,;,, ,; ,,,,,. ". ._-.-. "'- g - Jt this aoplica!io'n is denied by the local un'r[ of government,
2. Tha wuniy .'.'AND township",musE'sign this applicaiicn $.. � shou(d not be submitted to the Gambling Control Bozrd.
_., .. �:
the g>mbling preirt+ses ts located `wBh+n a township.- - - - - . • -_. , : -
3. , The hcal un'rt governmerif_(city o� county) must pass a-�, ' �-• `- '
Township: Sy srgnaiure below, ihe township acknowledges
resolution specitically approving or denyingShis applicztion..` ,-; _ that the organization is applying for a premises permii within
� township limits.
_ _. _.. --__ ._. _.....:: - - ---_- --
Crt ` - or Count " ' ` -`- ' -
_ _. Townshi " _- • = �
- - - -_ �- - ._ _ � .
- -- . . , .
Ci orCoun N e �_ �_ �" � � ' "�� . . . -�_ .Townshi Name � " -"" '� ' -' � ` "
n a _._. _�..... ..�. _ .: .: ... _P-..----..:.�-'-- _
Si s e of erson raceiving ppGca6on " • "� `�• ' " ' � ' • .. SignaNre o( person receiving app6cation � � " �
__..... '`- "-. .. . . . .._ .. .
. . ;. .. . � .,
� : , . .._ . . — . .. .
"_'� Tid ' � ' D te ived . � TiBe " " �" , � . � I ' Date Received ..
�, l. °:� �:: � "%YI � 4 ., :. . . . .. . ... _..__ . . .: .. :,-. � .
3//7��I�7� _ . . :.._ _ . .. .
4efer to tho instructions for f6quired attachmen�.
Mail to: Gnm6lfng Control Baard
� Rosawood Plnza South, 3rd Floor
177� W. Counry Rond H
flosov8fq MN 55519
LG21a(Part 2)
<nw�r_1s�)
�
Minnesota Lau�ful Gtunbting
Premise Permit Application - Part 2 of 2 �� _�<3 �
II�
Council File � q 7- 3P 3
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���.���� ���';�
t
�,, � a �.v= ; ,i . �
Presented
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Ordinance #
Green Sheet # 35326
��,
Referred To Coromittee: Date
RESOLVED: That application, ID #B-02002, for a new State Class B Gambling Premise
Permit by CLIMB at Rick-Off, 1347 Burne Avenue, be and the same is hereby
approved.
Requested by Department of:
• - -�-- :-•- •.- ,+e
.e. •a_��-e - •e
$Y� ��� �5�1(iLqN,F�°.ry
Adoption Certified by Council Secretary
Form Approved by City Attorney
BY: -� a.- R���..�.___
, � $ v-. ' .�..
Argroved by Mayor: Date �[(4 � �
� Approved by Mayor for Submission to
BY: Council
By:
Adopted by Council: Bate (�, �j �q�
-�-
TOTAL # OF
PAGES
4�1 • 3d3
DATEINITIATED GREEN SHEE � _N_ _35326
INITIAUDATE INRIAVDATE
� DEPARTMENTDIRECTOR � CITYCAUNCIL
i2 psSK+N O qTY ATfOqNEY O C17Y CLERK
NIIMBER FOP O gUDGET DIRECTOR � FIN. & MGT. SERVICES DiR.
aoumw
OROEH a MAVOp (OR ASSISTANn �
(CLIP ALl LOCASIONS FOR SIGNA7UHE)
Peg Wetli on behalf of.CLIMB requests Council approval of Cheir application
for a new State Class B Gambling Premise Pexmit at Rick-Off, 1347 Burns Avenue (ID 9�B-02002)
_. PLANNMG COMMISSION _ CIVIL SERVICE COMMISSION
_ CIB COMMRTEE _
_ STAFF _
, DISTRIGTCOURT _
SUPPOBTS WHICH COUNCIL O&IECTIVE?
PEHSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UESTIONS:
1. 3ias this personJfirm ever worketl u�tler a coMract for tfii5 department? -
YES NO '
2. Has this person/firm ever been a ciry employee?
YES NO
3. Dces fhis personrtirm possess a skill not normalty possessed by any curtent city empbyee?
VES NO
Explain all yas answero on seperate sheet antl attach to green sheet
�;
�AR 18 1997
,
� ,,
s s � _ , _
4'
19iY�35T � � ���1
AMOUNT OF TRANSACTION
COST/REVENUE BUDGETED (CIRCLE ONE)
YES NO
FUNDIHG SOURCE ACTIVITV NUMBER
FINANCIAL INFORMATION: (EXPLAIN)
Greensheet # 35326 L.I.E.P. REVIE�lV CHECKLIST Date: 1 9'1 ���3
In Tracke�? u a R App'n Received J App'n arocessed
LicenselD # State I{B-02002 License Type: State Class B GamblinQ Premise Permit
Company Name: CLIMB DBA: CLIMB
Business Addresss: 7 347 Burns Ave. 55106 Business Phone: 227-9660
Peg WeCli/CEO
Contact NamelAddress:_ Home Phone: 227-9660
Date to Council
St.
Public Hearing Date: C�vua �� [ Q�l �
Notice Sent to Applicant:���
Labels Ordered:
District Council
Notice Sent to Public: Ward #: m
Qepartment/ Date InspecGons CommeMs
City Attorney
3�� Q'?
0
Environmental
Health
Nl�
Pire •
/� ��
�
License Site Plan Fteceived:_
�ease flecawed:
' "' �
Police Q�C 6 I' � �1�1� � �!t �
�1�1��
��
Zoning
�/�
1
LG214 � - . ; -. -. � . . . -. _.,..
�� _
�� ���
h7irrnesotaT.awjul Gambiinq �
Premises Perniit Application - Part X of 2
ruH r�uaxu usE ortt
#
n
CHECK
INITIALS
DATE
� Renewzl . _ -� - - --
Oroznization base license numt�r
Premises permit number � �
� New
ation - SVeet or P. O Box (C
�� 1 '���z/ytCP.Y I (
'- of chief executive oiicer (�nnot be your oambling menager) _ TiHe '".", ":, ` � D2ybme pFor,z numbe��
1�JeZ>L�a� �Xec�T�ue� T�`� h���io2 �_ - ��i.z�oza� S�G�
Bingo Occasions '
If applying for a cIass A or C permit, fill in days and beglnni a&.ending houis of.bingo occasioiL:
No more tha*i seven-bingo occasions may be conducted by your.-organization.per week -
.�DaY � fftnningf . � . . ._. - ._ ..
� . Be Ending Hours Day - � ",SegfnningfEnding Hovrs �_ �:�.�__ _ �-.=. � Dav �� �, Begnning /Endf�:.� Hous
_ _ -- � . ;..' _ �_
to _._ ., � - ,� to `�.,..- _ :.."..�.:.:._.. .. -� fo _ .
.. _ . , � -� . __. � ._ � to - � _ - � � to'_�
�. r_ :` tfl =! :_._ .,��_ If bingo 4rill not bo oouductod bhock here = �/ `� �
�
_e . ,_.__. _____ Itil ___ r _� .�,
_ . _ , . ,
' � 3-* = - - " .
=_ ' `- � - .. . .. =5 . ^_�.. .�'. ..... � - - . '
�.:� c. s:.� ..._
: . ' fy �•i.yr.5;
�31717711 �i'�7IlL4C?� �2S�QFZIIfl'�]..Oi1. - - `"> ',�°..: �.
�.�:;,...:.�,..:<'^ � "^e
' . , � .; �... ,.. . ... ... ��< . ..........::"? x .,<s
Na e of esL=biishment whete gzrnbling will Se conducted , SVeet Addrass C d , o rot use a��s oP�ce tx�x number) _` �
�'�l� I C1-�'� " � . -. r �J3 y� CSG/21uS -/�U� ' .
� . .. . , _- - - •
,_ Is the premises la;ated within city Gmits? �1'es� O No It no, is township �;� uno�gaiiized O unincorporzted �
°�� City and Gounry whera gambfing premises is lo�ted �OR. Township and County vrhe'rs gafnbling premises is loczted it vutside q( city fimits
Q � � ��� - _--_ -. . .
. - � I �Ld � � �,��LS C �� � ` .. . . . _�_ , ' _ .. . .
Name and ad�ress of legaf owner of p�emises � City -- �- - "�- � State —'-� �� -. Zp Co�--
r /�
-�Qo -�_ ��I,��ati��%3�iiu;G /3yT I3c.rws Si- t"aG� �l7�IJ - SSI�_6"=
Does your orgam Oon own the buildng where ihe gainbling will be mnducted? 0 YES =�� NO , , -- _ �
. . . I( no, attach the tollowin '_._ . _. -' . , � ' - „_ `: � -
. ... q: . _ . .. ..._ ...... . . __. � ._.., _. .- -
� - - • a copy of tha lease (form LG202) with terms {or at least one year: ;t ._;-� �'- ., .�,?
" a copy oP a sketch of the 800r plan witli dmensions, showing wha[ por0on is being leased. _-
. . . A leasa and sScetch are not tequired for Class D appGcations._ _ _ _ . _ _ _ _ _ ,
, V �
Cizss of premises perznit
- ._(check one) _
� A{$4C0) Pull-tabs, tipLrozrSs, pacd4ewheels, raSnes, bingo
� B($250) Pui[-�bs, 6obc�;ds, paddewheels, raties
�� {$200) Bingo only
❑ D ($150) RafFles only - --��-
use the 2ddress oi your galnbling manager) _.
:. Zip cocie
� � _ � �3eSinnesof�L�*�faiI C'�ambiir,g �
Premise Pemzit Appiicatron - Part 2 of 2
.... . ....::..::.::........_ .............. _...,._.:...._:.;,:;:.::.;: -_>:::::
._....,..;....._.,;.:....-::::: :;.:, :::::::::::::.;...,;;�,::�::,;:�::,-:� Y, . .
GamhtLrLq Banle Accourzt 7rif `ormtztzarc . ° <.:
.,_ �..�__,.. - Bank�Acmunt Number
Gaaxbling. S3te Auihoz3zat3on , '__•1 arri fhe chief executive oiticei of the o�ganization;
I hereby consani that bcaJ lativ enforcemeni o[iicers, the .j assume full resconsi6ility for fhe iair and Iawiul oFara-
6card or zgents of the board, or the commissioner of fion or dl activ¢ies fo be �nduded;
revenue or public safe:y; or agents of the commission<^rs, _,, .� wil( familiarize mysalf with the lativs of Minnesota
nzy enter the premises to enforce the law. governing law(ul gambling and rules of the board and
B2nk RecOrds Tnform.ation - '� agree,'rf licenszd, to abide bythose I�ws znd rufes,
The bozrd is authorized lo insped?he bank rec�:ds o� ihe including amendments to tnem; - _
yamoling accaunt necessary to fuhil( _- .zny,chcnges in aooiic>iion ir„'ormzt[on will he submrted
requiremzn?s ef curren? gambling ru(es and (aw, , s to the bo2rd and Iocal unit bf"government w�hin 10 d2ys
. ..- .. . .:. , _ .
Oath. - <.. ._- ._ . _ ;� , '- : . . ., , oi the change; �nd__. _ °
i dedare that: -1 understand that fiai(ure to provide required iniormafion
•1 have read this applicatiori and a(finforrmafion'submred =° i" or providing fz(se o� mis(eedir,g,information may resuft in
io the 6oard is t�ue, accurafe�and complete;:: :: .__ --; ,h'e denia;-or revo�fion of_the ticense_ '_
•zfi o.fier required ir.iormzfiomha 6ee�ulfy dsdosed; �� --
Signsture-of chie� e° e
. �-'��-.:%�� - - %`/.
r > -......_,.._..-._ ..............._._....._.__ ___'__ _ — _ "_. , _
� � � - 4. A coov ot the loc�l unit of�aovemnertt's resofution ao-
1_ i fie_crly `must sign fhis applacafion it the,gambling.prem =;,� -� q}�is avo[ication must b= attached to this aoolication
�ses is located within ;czry Lmiis ; - --. --'$_ �f this"apphca ion is demed by �he local onit of govemnsn
< 2. Tha caunty 'AND township",must sign this app6catro� rf.. � shoutd nof be submittc-'d fo tt�e GambGng Conirot Board.
- �, fhe g�mbling premises is located wrthimatownship -�.- �- ' � � ' �� - _ �
3, �7he bcal unit govemment (city or counfy) musfpass a j By s;gnafure below foivriship acknowledges
resolution specifically approving or denying 3his appl'�cation. _ organizaiion is, applying for a premises permit within
iox�nship limits.
_; :. _ ...., _
� _ ... --__�: .;:.:-.-:r..:--- �
",_.' ._ Townshl _,. _.
. . _. . _.. _ _. _ . t� -:; � ' �--- ---- -
Cft ` . or Count *" -
Giry or County Name _` _ - Townsfiip Name . - - - - ,. ..- . -
� ,; - '-.� -':- ' : - .'� -' .:-_ . - ' .
Si a e of erson raceivin9 PP��bon' �. ,--: -.�'.- - � -- � . Signatu of pers ,vin9 apFlication � . . .
.., . .
._..: . ,_.. _. . . -. .. re._
on recei
� ��- - � _ . _ .. .
s' "
: s�. . � . . . - -� - - � - ft
' D te ived . 'Tida
� - �.::3: . . .. ..... --- _ -
, ,
_.. .._ __. _. . _. , :.:.� �'__
�`' ;�r� , . . ��7�I'I o
aen..r/i.v . .. . . ... ..... ._.
�efer to tho instructions tot �equired attachmenls.
Mail ro: Gnmbling Controf 8oard
. Rosewoad Plaza South, 3rd Floor
7777 1N. CaunC� Rond B
Roao�ftlq MN 55711
. . _-. . - .. ' � ale ecerve . '
LG274(Pnr[ 2)
{nw�r_isi�
Gamb2ing Site Authorization •1 am the chief executive ofitice� of the organization;
1 hereby consent that bcal iaw enforcament ofiicsrs, the �I assume fuli responsibility tor the fair and lawful opzrz-
bazrd or zgents of the board, or the qmmissioner of tion oi al( activities to be conduded;
revenue or public safety, agents of ihe c�mmission�r, .� will familia�ize myseif with the la+vs of Minnesota
mzy enter the premises fo enforce the law. 9overning lawful gambling and rules of the b�ard and
Bank Reco:ds Informat3on Ggree, h!icensed, to abide by those I�ws end rules,
The bo2rd is auihorized io insped the bznk records oi ine 7nduding amendments to tnen; �
g�„soling'accaant,tvhenever necessary to fuhii! •any.changes in aopfic>tion in;orm�tion will be subn�ned
requiremeqts cf curren! g�mbiino rules end Isw. _ to ihe bozrd and local unit oYoovemment wi[ain 10 days
Oath � _.- . of the change; and___
i declare th�t: •1 undersiznd thzt failure to provide required iniormation
•1 haue read this zpplication and all infiorma!"ron subm�ed .:��or providing fafse or misleading information may result in
io the board is true, accutate•and c�mp(ete; .: . ,_:. , ihe denial or revocation of the licensz. -
•zf! other required information h�sbae�fulfy �sdosed; - - �� . ,
�
..� �/�i7/�/ - . ._. .
4. A coov of the bcal unit of aovernmenYs resolution eo-
i. 7}ie ciiy'must eign this application 'rf the gambling prem-_ .; R�vina this'apolication must b='attached to this aoolication.
ises is locafed within _city limits, ,,;,, ,; ,,,,,. ". ._-.-. "'- g - Jt this aoplica!io'n is denied by the local un'r[ of government,
2. Tha wuniy .'.'AND township",musE'sign this applicaiicn $.. � shou(d not be submitted to the Gambling Control Bozrd.
_., .. �:
the g>mbling preirt+ses ts located `wBh+n a township.- - - - - . • -_. , : -
3. , The hcal un'rt governmerif_(city o� county) must pass a-�, ' �-• `- '
Township: Sy srgnaiure below, ihe township acknowledges
resolution specitically approving or denyingShis applicztion..` ,-;._ that the organization is applying for a premises permii within
� township limits.
_ _. _.. --__ ._. _.....:: - - ---_- --
Crt ` - or Count " ' ` -`- ' -
_ _. Townshi " _- • = �
- - - -_ �- - ._ _ � .
- -- . . , .
Ci orCoun N e �_ �_ �" � � ' "�� . . . -�_ .Townshi Name � " -"" '� ' -' � ` "
n a _._. _�..... ..�. _ .: .: ... _P-..----..:.�-'-- _
Si s e of erson raceiving ppGca6on " • "� `�• ' " ' � ' • .. SignaNre o( person receiving app6cation � � " �
__..... '`- "-. .. . . . .._ .. .
. . ;. .. . � .,
� : , . .._ . . — . .. .
"_'� Tid ' � ' D te ived . � TiBe " " �" , � . � I ' Date Received ..
�, l. °:� �:: � "%YI � 4 ., :. . . . .. . ... _..__ . . .: .. :,-. � .
3//7��I�7� _ . . :.._ _ . .. .
4efer to tho instructions for f6quired attachmen�.
Mail to: Gnm6lfng Control Baard
� Rosawood Plnza South, 3rd Floor
177� W. Counry Rond H
flosov8fq MN 55519
LG21a(Part 2)
<nw�r_1s�)
�
Minnesota Lau�ful Gtunbting
Premise Permit Application - Part 2 of 2 �� _�<3 �
II�
Council File � q 7- 3P 3
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���.���� ���';�
t
�,, � a �.v= ; ,i . �
Presented
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Ordinance #
Green Sheet # 35326
��,
Referred To Coromittee: Date
RESOLVED: That application, ID #B-02002, for a new State Class B Gambling Premise
Permit by CLIMB at Rick-Off, 1347 Burne Avenue, be and the same is hereby
approved.
Requested by Department of:
• - -�-- :-•- •.- ,+e
.e. •a_��-e - •e
$Y� ��� �5�1(iLqN,F�°.ry
Adoption Certified by Council Secretary
Form Approved by City Attorney
BY: -� a.- R���..�.___
, � $ v-. ' .�..
Argroved by Mayor: Date �[(4 � �
� Approved by Mayor for Submission to
BY: Council
By:
Adopted by Council: Bate (�, �j �q�
-�-
TOTAL # OF
PAGES
4�1 • 3d3
DATEINITIATED GREEN SHEE � _N_ _35326
INITIAUDATE INRIAVDATE
� DEPARTMENTDIRECTOR � CITYCAUNCIL
i2 psSK+N O qTY ATfOqNEY O C17Y CLERK
NIIMBER FOP O gUDGET DIRECTOR � FIN. & MGT. SERVICES DiR.
aoumw
OROEH a MAVOp (OR ASSISTANn �
(CLIP ALl LOCASIONS FOR SIGNA7UHE)
Peg Wetli on behalf of.CLIMB requests Council approval of Cheir application
for a new State Class B Gambling Premise Pexmit at Rick-Off, 1347 Burns Avenue (ID 9�B-02002)
_. PLANNMG COMMISSION _ CIVIL SERVICE COMMISSION
_ CIB COMMRTEE _
_ STAFF _
, DISTRIGTCOURT _
SUPPOBTS WHICH COUNCIL O&IECTIVE?
PEHSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UESTIONS:
1. 3ias this personJfirm ever worketl u�tler a coMract for tfii5 department? -
YES NO '
2. Has this person/firm ever been a ciry employee?
YES NO
3. Dces fhis personrtirm possess a skill not normalty possessed by any curtent city empbyee?
VES NO
Explain all yas answero on seperate sheet antl attach to green sheet
�;
�AR 18 1997
,
� ,,
s s � _ , _
4'
19iY�35T � � ���1
AMOUNT OF TRANSACTION
COST/REVENUE BUDGETED (CIRCLE ONE)
YES NO
FUNDIHG SOURCE ACTIVITV NUMBER
FINANCIAL INFORMATION: (EXPLAIN)
Greensheet # 35326 L.I.E.P. REVIE�lV CHECKLIST Date: 1 9'1 ���3
In Tracke�? u a R App'n Received J App'n arocessed
LicenselD # State I{B-02002 License Type: State Class B GamblinQ Premise Permit
Company Name: CLIMB DBA: CLIMB
Business Addresss: 7 347 Burns Ave. 55106 Business Phone: 227-9660
Peg WeCli/CEO
Contact NamelAddress:_ Home Phone: 227-9660
Date to Council
St.
Public Hearing Date: C�vua �� [ Q�l �
Notice Sent to Applicant:���
Labels Ordered:
District Council
Notice Sent to Public: Ward #: m
Qepartment/ Date InspecGons CommeMs
City Attorney
3�� Q'?
0
Environmental
Health
Nl�
Pire •
/� ��
�
License Site Plan Fteceived:_
�ease flecawed:
' "' �
Police Q�C 6 I' � �1�1� � �!t �
�1�1��
��
Zoning
�/�
1
LG214 � - . ; -. -. � . . . -. _.,..
�� _
�� ���
h7irrnesotaT.awjul Gambiinq �
Premises Perniit Application - Part X of 2
ruH r�uaxu usE ortt
#
n
CHECK
INITIALS
DATE
� Renewzl . _ -� - - --
Oroznization base license numt�r
Premises permit number � �
� New
ation - SVeet or P. O Box (C
�� 1 '���z/ytCP.Y I (
'- of chief executive oiicer (�nnot be your oambling menager) _ TiHe '".", ":, ` � D2ybme pFor,z numbe��
1�JeZ>L�a� �Xec�T�ue� T�`� h���io2 �_ - ��i.z�oza� S�G�
Bingo Occasions '
If applying for a cIass A or C permit, fill in days and beglnni a&.ending houis of.bingo occasioiL:
No more tha*i seven-bingo occasions may be conducted by your.-organization.per week -
.�DaY � fftnningf . � . . ._. - ._ ..
� . Be Ending Hours Day - � ",SegfnningfEnding Hovrs �_ �:�.�__ _ �-.=. � Dav �� �, Begnning /Endf�:.� Hous
_ _ -- � . ;..' _ �_
to _._ ., � - ,� to `�.,..- _ :.."..�.:.:._.. .. -� fo _ .
.. _ . , � -� . __. � ._ � to - � _ - � � to'_�
�. r_ :` tfl =! :_._ .,��_ If bingo 4rill not bo oouductod bhock here = �/ `� �
�
_e . ,_.__. _____ Itil ___ r _� .�,
_ . _ , . ,
' � 3-* = - - " .
=_ ' `- � - .. . .. =5 . ^_�.. .�'. ..... � - - . '
�.:� c. s:.� ..._
: . ' fy �•i.yr.5;
�31717711 �i'�7IlL4C?� �2S�QFZIIfl'�]..Oi1. - - `"> ',�°..: �.
�.�:;,...:.�,..:<'^ � "^e
' . , � .; �... ,.. . ... ... ��< . ..........::"? x .,<s
Na e of esL=biishment whete gzrnbling will Se conducted , SVeet Addrass C d , o rot use a��s oP�ce tx�x number) _` �
�'�l� I C1-�'� " � . -. r �J3 y� CSG/21uS -/�U� ' .
� . .. . , _- - - •
,_ Is the premises la;ated within city Gmits? �1'es� O No It no, is township �;� uno�gaiiized O unincorporzted �
°�� City and Gounry whera gambfing premises is lo�ted �OR. Township and County vrhe'rs gafnbling premises is loczted it vutside q( city fimits
Q � � ��� - _--_ -. . .
. - � I �Ld � � �,��LS C �� � ` .. . . . _�_ , ' _ .. . .
Name and ad�ress of legaf owner of p�emises � City -- �- - "�- � State —'-� �� -. Zp Co�--
r /�
-�Qo -�_ ��I,��ati��%3�iiu;G /3yT I3c.rws Si- t"aG� �l7�IJ - SSI�_6"=
Does your orgam Oon own the buildng where ihe gainbling will be mnducted? 0 YES =�� NO , , -- _ �
. . . I( no, attach the tollowin '_._ . _. -' . , � ' - „_ `: � -
. ... q: . _ . .. ..._ ...... . . __. � ._.., _. .- -
� - - • a copy of tha lease (form LG202) with terms {or at least one year: ;t ._;-� �'- ., .�,?
" a copy oP a sketch of the 800r plan witli dmensions, showing wha[ por0on is being leased. _-
. . . A leasa and sScetch are not tequired for Class D appGcations._ _ _ _ . _ _ _ _ _ ,
, V �
Cizss of premises perznit
- ._(check one) _
� A{$4C0) Pull-tabs, tipLrozrSs, pacd4ewheels, raSnes, bingo
� B($250) Pui[-�bs, 6obc�;ds, paddewheels, raties
�� {$200) Bingo only
❑ D ($150) RafFles only - --��-
use the 2ddress oi your galnbling manager) _.
:. Zip cocie
� � _ � �3eSinnesof�L�*�faiI C'�ambiir,g �
Premise Pemzit Appiicatron - Part 2 of 2
.... . ....::..::.::........_ .............. _...,._.:...._:.;,:;:.::.;: -_>:::::
._....,..;....._.,;.:....-::::: :;.:, :::::::::::::.;...,;;�,::�::,;:�::,-:� Y, . .
GamhtLrLq Banle Accourzt 7rif `ormtztzarc . ° <.:
.,_ �..�__,.. - Bank�Acmunt Number
Gaaxbling. S3te Auihoz3zat3on , '__•1 arri fhe chief executive oiticei of the o�ganization;
I hereby consani that bcaJ lativ enforcemeni o[iicers, the .j assume full resconsi6ility for fhe iair and Iawiul oFara-
6card or zgents of the board, or the commissioner of fion or dl activ¢ies fo be �nduded;
revenue or public safe:y; or agents of the commission<^rs, _,, .� wil( familiarize mysalf with the lativs of Minnesota
nzy enter the premises to enforce the law. governing law(ul gambling and rules of the board and
B2nk RecOrds Tnform.ation - '� agree,'rf licenszd, to abide bythose I�ws znd rufes,
The bozrd is authorized lo insped?he bank rec�:ds o� ihe including amendments to tnem; - _
yamoling accaunt necessary to fuhil( _- .zny,chcnges in aooiic>iion ir„'ormzt[on will he submrted
requiremzn?s ef curren? gambling ru(es and (aw, , s to the bo2rd and Iocal unit bf"government w�hin 10 d2ys
. ..- .. . .:. , _ .
Oath. - <.. ._- ._ . _ ;� , '- : . . ., , oi the change; �nd__. _ °
i dedare that: -1 understand that fiai(ure to provide required iniormafion
•1 have read this applicatiori and a(finforrmafion'submred =° i" or providing fz(se o� mis(eedir,g,information may resuft in
io the 6oard is t�ue, accurafe�and complete;:: :: .__ --; ,h'e denia;-or revo�fion of_the ticense_ '_
•zfi o.fier required ir.iormzfiomha 6ee�ulfy dsdosed; �� --
Signsture-of chie� e° e
. �-'��-.:%�� - - %`/.
r > -......_,.._..-._ ..............._._....._.__ ___'__ _ — _ "_. , _
� � � - 4. A coov ot the loc�l unit of�aovemnertt's resofution ao-
1_ i fie_crly `must sign fhis applacafion it the,gambling.prem =;,� -� q}�is avo[ication must b= attached to this aoolication
�ses is located within ;czry Lmiis ; - --. --'$_ �f this"apphca ion is demed by �he local onit of govemnsn
< 2. Tha caunty 'AND township",must sign this app6catro� rf.. � shoutd nof be submittc-'d fo tt�e GambGng Conirot Board.
- �, fhe g�mbling premises is located wrthimatownship -�.- �- ' � � ' �� - _ �
3, �7he bcal unit govemment (city or counfy) musfpass a j By s;gnafure below foivriship acknowledges
resolution specifically approving or denying 3his appl'�cation. _ organizaiion is, applying for a premises permit within
iox�nship limits.
_; :. _ ...., _
� _ ... --__�: .;:.:-.-:r..:--- �
",_.' ._ Townshl _,. _.
. . _. . _.. _ _. _ . t� -:; � ' �--- ---- -
Cft ` . or Count *" -
Giry or County Name _` _ - Townsfiip Name . - - - - ,. ..- . -
� ,; - '-.� -':- ' : - .'� -' .:-_ . - ' .
Si a e of erson raceivin9 PP��bon' �. ,--: -.�'.- - � -- � . Signatu of pers ,vin9 apFlication � . . .
.., . .
._..: . ,_.. _. . . -. .. re._
on recei
� ��- - � _ . _ .. .
s' "
: s�. . � . . . - -� - - � - ft
' D te ived . 'Tida
� - �.::3: . . .. ..... --- _ -
, ,
_.. .._ __. _. . _. , :.:.� �'__
�`' ;�r� , . . ��7�I'I o
aen..r/i.v . .. . . ... ..... ._.
�efer to tho instructions tot �equired attachmenls.
Mail ro: Gnmbling Controf 8oard
. Rosewoad Plaza South, 3rd Floor
7777 1N. CaunC� Rond B
Roao�ftlq MN 55711
. . _-. . - .. ' � ale ecerve . '
LG274(Pnr[ 2)
{nw�r_isi�
Gamb2ing Site Authorization •1 am the chief executive ofitice� of the organization;
1 hereby consent that bcal iaw enforcament ofiicsrs, the �I assume fuli responsibility tor the fair and lawful opzrz-
bazrd or zgents of the board, or the qmmissioner of tion oi al( activities to be conduded;
revenue or public safety, agents of ihe c�mmission�r, .� will familia�ize myseif with the la+vs of Minnesota
mzy enter the premises fo enforce the law. 9overning lawful gambling and rules of the b�ard and
Bank Reco:ds Informat3on Ggree, h!icensed, to abide by those I�ws end rules,
The bo2rd is auihorized io insped the bznk records oi ine 7nduding amendments to tnen; �
g�„soling'accaant,tvhenever necessary to fuhii! •any.changes in aopfic>tion in;orm�tion will be subn�ned
requiremeqts cf curren! g�mbiino rules end Isw. _ to ihe bozrd and local unit oYoovemment wi[ain 10 days
Oath � _.- . of the change; and___
i declare th�t: •1 undersiznd thzt failure to provide required iniormation
•1 haue read this zpplication and all infiorma!"ron subm�ed .:��or providing fafse or misleading information may result in
io the board is true, accutate•and c�mp(ete; .: . ,_:. , ihe denial or revocation of the licensz. -
•zf! other required information h�sbae�fulfy �sdosed; - - �� . ,
�
..� �/�i7/�/ - . ._. .
4. A coov of the bcal unit of aovernmenYs resolution eo-
i. 7}ie ciiy'must eign this application 'rf the gambling prem-_ .; R�vina this'apolication must b='attached to this aoolication.
ises is locafed within _city limits, ,,;,, ,; ,,,,,. ". ._-.-. "'- g - Jt this aoplica!io'n is denied by the local un'r[ of government,
2. Tha wuniy .'.'AND township",musE'sign this applicaiicn $.. � shou(d not be submitted to the Gambling Control Bozrd.
_., .. �:
the g>mbling preirt+ses ts located `wBh+n a township.- - - - - . • -_. , : -
3. , The hcal un'rt governmerif_(city o� county) must pass a-�, ' �-• `- '
Township: Sy srgnaiure below, ihe township acknowledges
resolution specitically approving or denyingShis applicztion..` ,-;._ that the organization is applying for a premises permii within
� township limits.
_ _. _.. --__ ._. _.....:: - - ---_- --
Crt ` - or Count " ' ` -`- ' -
_ _. Townshi " _- • = �
- - - -_ �- - ._ _ � .
- -- . . , .
Ci orCoun N e �_ �_ �" � � ' "�� . . . -�_ .Townshi Name � " -"" '� ' -' � ` "
n a _._. _�..... ..�. _ .: .: ... _P-..----..:.�-'-- _
Si s e of erson raceiving ppGca6on " • "� `�• ' " ' � ' • .. SignaNre o( person receiving app6cation � � " �
__..... '`- "-. .. . . . .._ .. .
. . ;. .. . � .,
� : , . .._ . . — . .. .
"_'� Tid ' � ' D te ived . � TiBe " " �" , � . � I ' Date Received ..
�, l. °:� �:: � "%YI � 4 ., :. . . . .. . ... _..__ . . .: .. :,-. � .
3//7��I�7� _ . . :.._ _ . .. .
4efer to tho instructions for f6quired attachmen�.
Mail to: Gnm6lfng Control Baard
� Rosawood Plnza South, 3rd Floor
177� W. Counry Rond H
flosov8fq MN 55519
LG21a(Part 2)
<nw�r_1s�)
�
Minnesota Lau�ful Gtunbting
Premise Permit Application - Part 2 of 2 �� _�<3 �
II�