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97-788Council File # � — �a � Ordinance # Green Sheet # 35339 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 26 27 28 29 30 - -- ,--. • . Presented By Referred To RESOLUTION CITY OF SAINT PAUL, MINNESOTA � Committee: Date RESOL�7SD: That application, ID #95003, for a new Gambling Manager's License by Michael J. Michlitsch DBA by Midway Training Seroices, Inc. at Midway Lodge, 1964 IIniversity Ave. W., be and the same is hereby approved. Requested by Department of: Office of License. InsBections and Environmental Protection BY= ���_ �--n !� �2�. J Form Approved by City Att rne�. � � , '�'7 By: �c,!' Adoption Certified by Council Secretary Approved by Mayor for Submiasion to By. � �� � Council By: Approved by Mayor: Date �/� �5 } By: L� � �l� -'18� DEIA � E/COUNpI DATE INITIATED GREEN SHEE � O ����� CONTACf PERSON 8 PHONE INITIAVDATE INRIALNATE a DEPAHTMEM DIRECTOR O Gm' COUNqL William E. Gunther - 266-9132 A���N OCITYATfORNEY OCR1'CLERK NUYBERFOR MUST BE ON COUNGIL AGEN�A BY (DATE) pOUTING O BUDGET DIREC�OF O FlN. & MGT. SERVICES DIR. Hearin �cC OpO �MAYOR(ORASSISTANT) O g� TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REWlE5fED: Michael J. Michlitsch DBA Midway Training Services, Inc. requests Council approval of his application for a new Gambling Manager's License, ID �E95003, at Midway Lodge, 1964 University Avenue W. RECOMMENDAnONS: Appove (A) a aejea (R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UESTIONS: _ PLANNING COMMISSION _ CYVR SERVICE COMM7SSION 1. HaS thi5 p¢S5o51Rfm ¢Yei WOCketl Undec a WnhaCt fOf th'IS d0pattmeM? - _CIBCOMMfTTEE YES �NO _ siAFF 2. Has ihis perso�rm ever been a ciry employee? — YES NO _ otSTRICi CAUfiT _ 3. Does this personHirm possess a skiH not nrnmaHy possessed by arcy curteni city empioyee? SUPPORTSWHICHGOUNCILO&IECTIVE7 VES NO Explafn all yes answers on separote shaet and attech to green shcet INITIATING PROBLEM, ISSUE. OPPORTUNitt (Who, KTat, When, Where, Why): AWANTAGES IF APPRWED: DISADVANTAGES IFAPPROVED: �� i k ��:N.`.: .«__'_ s'3 `v��:� � �;��'� 1 � 1�97 DISADVANTAGESIFNOTAPPROVED: ---�-��--�----w�---^`�� ""�'�"'"'' TOTAL AMOUNT OF TRANSACTION $ COS7/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDIHG SOURCE AC71VI7Y NUMBER PINANCIAL INFORMATION: (EXPLAIN) Greensheet# 35339 L.I.E.P. REVIEW CHECKLIST Date: /�� ��� r In Tracker? ' 9 ApP'n Fleceived / App'n Processed LicenselD # 95003 License Type: Gambling Manager Company Name: Michael J. Michlitsch DBA:Midway TraininQ Services, Inc. Business Addresss: 1964 University Ave. W. (Midway Lodge) Business Phone: 641-0709 Contact 720 Vandalia St Home Phone: 641-0709 Date to Council Public Hearing Date: � � a��J Notice Sent to Applicant:_��� tf �J Labels Ordered: N/A District Council Notice Sent to Pubtic: Ward #: OG Department/ Date Inspections Comments City Attorney � �� � ��� ��crrnez, Sf a/g� Environmental Health A/ J /V/� ! Fire �fd� License Site Wan ��e�ved;_ Lease Received: ��g Police /��� j ��Cpy�� CJ/1� /7��JuU ! �� Zoning �f � ��-�� East STATE OF MSNNESOTA FOR BOARD USP Oi7Z,y GAMBLING CONTROL BOARD �(T. PPZD GRMBLING MANAGER LZCENSE RENEWAL RppLICATSON CHECK # LG212GHR pRINTED: 10/30/95 DATE LZCENSE NUMBER: G-02422 002 EFFSCTIVE DATE: 07/O1/95 EXPIRATZON DATE: 04J30/96 NAME OF ORGANIZATION: Midway Training St Paul Services GAMBLZNG MAD7AGER INFORMATION Michael Sohn Michlitach DATE OF BIRTH: 12/18/56 3870 fiffress Rd SEX: M St Paul MN 55110 SOCIAL SECURITY NUMBER: 471-70-8722 DAYTIME PHONE NUMBER: 612-4Z9-8376 MEMBER SINCE: 06/O1/88 I I - 9� LAST DATE YOU ATTENDED A GAMHLING MANAGERS SEMINARfCONTINUZNG EDUCATION CLASS: --8�'f2'3y'!"S BOND INFORMATZON BOND COMPANY NAME: Continental Insuranc BOND NUMBER: cBP6160442 ACIINOWLEDGMENT Z DECLARE THAT: ' I AAVE READ THIS APPLICATZON AND ALL INFORMATION SUBMZTTED TO THE GAMBLING CONTROL BOARD; • ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE; � ALL OTAER REQ[ISRED II3FORN3ATION F3AS BEEN FULLY DISCLOSEDy , � I AM THE ONLY GAMBLING MANAGER OF THE ORGANIZATION� ' • I HAVE BEEN AN ACTIVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARS� • I WSLL FAMILZARI2E MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE GAMBLING CONTROL BOARD AND AGREE� IF LICENSED� TO ABIDE THOSE LAWS AND RULES� INCLUDING AMENDMENTS TO THEM� . � • ANY CHANGES IN APPLICATION INFORMATION WZLL BE SUBMITTED TO THE GAMBLSNG CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHZN 10 DAYS OF THE CHANGE� • AN AFFIDAVIT FOR GAMBLING MANAGER HAS SEEN WMPLETED AND ATTACHED; AND • 2 UNDERSTAND THAT FAZLURE TO PROVIDE REQUZRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT IN THE DENZAL OR REVOCATION OF THE LICENSE. SZGNATURE OF GAMHLIN6 DATE /-a9-gG REFER TO THE CHECRLZST FOR REC�UIRED ATTAC MAIL TO: GAMHLING C0�7TROL BOARD 1711 WEST CAUtiTY ROAD B, SUIT'k: 3005 ROSEVZIS,E� HZNNESOTA 55113 THIS �ORM WILL BE TfADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE�) UPON REQUEST. � ��� Council File # � — �a � Ordinance # Green Sheet # 35339 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 26 27 28 29 30 - -- ,--. • . Presented By Referred To RESOLUTION CITY OF SAINT PAUL, MINNESOTA � Committee: Date RESOL�7SD: That application, ID #95003, for a new Gambling Manager's License by Michael J. Michlitsch DBA by Midway Training Seroices, Inc. at Midway Lodge, 1964 IIniversity Ave. W., be and the same is hereby approved. Requested by Department of: Office of License. InsBections and Environmental Protection BY= ���_ �--n !� �2�. J Form Approved by City Att rne�. � � , '�'7 By: �c,!' Adoption Certified by Council Secretary Approved by Mayor for Submiasion to By. � �� � Council By: Approved by Mayor: Date �/� �5 } By: L� � �l� -'18� DEIA � E/COUNpI DATE INITIATED GREEN SHEE � O ����� CONTACf PERSON 8 PHONE INITIAVDATE INRIALNATE a DEPAHTMEM DIRECTOR O Gm' COUNqL William E. Gunther - 266-9132 A���N OCITYATfORNEY OCR1'CLERK NUYBERFOR MUST BE ON COUNGIL AGEN�A BY (DATE) pOUTING O BUDGET DIREC�OF O FlN. & MGT. SERVICES DIR. Hearin �cC OpO �MAYOR(ORASSISTANT) O g� TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REWlE5fED: Michael J. Michlitsch DBA Midway Training Services, Inc. requests Council approval of his application for a new Gambling Manager's License, ID �E95003, at Midway Lodge, 1964 University Avenue W. RECOMMENDAnONS: Appove (A) a aejea (R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UESTIONS: _ PLANNING COMMISSION _ CYVR SERVICE COMM7SSION 1. HaS thi5 p¢S5o51Rfm ¢Yei WOCketl Undec a WnhaCt fOf th'IS d0pattmeM? - _CIBCOMMfTTEE YES �NO _ siAFF 2. Has ihis perso�rm ever been a ciry employee? — YES NO _ otSTRICi CAUfiT _ 3. Does this personHirm possess a skiH not nrnmaHy possessed by arcy curteni city empioyee? SUPPORTSWHICHGOUNCILO&IECTIVE7 VES NO Explafn all yes answers on separote shaet and attech to green shcet INITIATING PROBLEM, ISSUE. OPPORTUNitt (Who, KTat, When, Where, Why): AWANTAGES IF APPRWED: DISADVANTAGES IFAPPROVED: �� i k ��:N.`.: .«__'_ s'3 `v��:� � �;��'� 1 � 1�97 DISADVANTAGESIFNOTAPPROVED: ---�-��--�----w�---^`�� ""�'�"'"'' TOTAL AMOUNT OF TRANSACTION $ COS7/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDIHG SOURCE AC71VI7Y NUMBER PINANCIAL INFORMATION: (EXPLAIN) Greensheet# 35339 L.I.E.P. REVIEW CHECKLIST Date: /�� ��� r In Tracker? ' 9 ApP'n Fleceived / App'n Processed LicenselD # 95003 License Type: Gambling Manager Company Name: Michael J. Michlitsch DBA:Midway TraininQ Services, Inc. Business Addresss: 1964 University Ave. W. (Midway Lodge) Business Phone: 641-0709 Contact 720 Vandalia St Home Phone: 641-0709 Date to Council Public Hearing Date: � � a��J Notice Sent to Applicant:_��� tf �J Labels Ordered: N/A District Council Notice Sent to Pubtic: Ward #: OG Department/ Date Inspections Comments City Attorney � �� � ��� ��crrnez, Sf a/g� Environmental Health A/ J /V/� ! Fire �fd� License Site Wan ��e�ved;_ Lease Received: ��g Police /��� j ��Cpy�� CJ/1� /7��JuU ! �� Zoning �f � ��-�� East STATE OF MSNNESOTA FOR BOARD USP Oi7Z,y GAMBLING CONTROL BOARD �(T. PPZD GRMBLING MANAGER LZCENSE RENEWAL RppLICATSON CHECK # LG212GHR pRINTED: 10/30/95 DATE LZCENSE NUMBER: G-02422 002 EFFSCTIVE DATE: 07/O1/95 EXPIRATZON DATE: 04J30/96 NAME OF ORGANIZATION: Midway Training St Paul Services GAMBLZNG MAD7AGER INFORMATION Michael Sohn Michlitach DATE OF BIRTH: 12/18/56 3870 fiffress Rd SEX: M St Paul MN 55110 SOCIAL SECURITY NUMBER: 471-70-8722 DAYTIME PHONE NUMBER: 612-4Z9-8376 MEMBER SINCE: 06/O1/88 I I - 9� LAST DATE YOU ATTENDED A GAMHLING MANAGERS SEMINARfCONTINUZNG EDUCATION CLASS: --8�'f2'3y'!"S BOND INFORMATZON BOND COMPANY NAME: Continental Insuranc BOND NUMBER: cBP6160442 ACIINOWLEDGMENT Z DECLARE THAT: ' I AAVE READ THIS APPLICATZON AND ALL INFORMATION SUBMZTTED TO THE GAMBLING CONTROL BOARD; • ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE; � ALL OTAER REQ[ISRED II3FORN3ATION F3AS BEEN FULLY DISCLOSEDy , � I AM THE ONLY GAMBLING MANAGER OF THE ORGANIZATION� ' • I HAVE BEEN AN ACTIVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARS� • I WSLL FAMILZARI2E MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE GAMBLING CONTROL BOARD AND AGREE� IF LICENSED� TO ABIDE THOSE LAWS AND RULES� INCLUDING AMENDMENTS TO THEM� . � • ANY CHANGES IN APPLICATION INFORMATION WZLL BE SUBMITTED TO THE GAMBLSNG CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHZN 10 DAYS OF THE CHANGE� • AN AFFIDAVIT FOR GAMBLING MANAGER HAS SEEN WMPLETED AND ATTACHED; AND • 2 UNDERSTAND THAT FAZLURE TO PROVIDE REQUZRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT IN THE DENZAL OR REVOCATION OF THE LICENSE. SZGNATURE OF GAMHLIN6 DATE /-a9-gG REFER TO THE CHECRLZST FOR REC�UIRED ATTAC MAIL TO: GAMHLING C0�7TROL BOARD 1711 WEST CAUtiTY ROAD B, SUIT'k: 3005 ROSEVZIS,E� HZNNESOTA 55113 THIS �ORM WILL BE TfADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE�) UPON REQUEST. � ��� Council File # � — �a � Ordinance # Green Sheet # 35339 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 26 27 28 29 30 - -- ,--. • . Presented By Referred To RESOLUTION CITY OF SAINT PAUL, MINNESOTA � Committee: Date RESOL�7SD: That application, ID #95003, for a new Gambling Manager's License by Michael J. Michlitsch DBA by Midway Training Seroices, Inc. at Midway Lodge, 1964 IIniversity Ave. W., be and the same is hereby approved. Requested by Department of: Office of License. InsBections and Environmental Protection BY= ���_ �--n !� �2�. J Form Approved by City Att rne�. � � , '�'7 By: �c,!' Adoption Certified by Council Secretary Approved by Mayor for Submiasion to By. � �� � Council By: Approved by Mayor: Date �/� �5 } By: L� � �l� -'18� DEIA � E/COUNpI DATE INITIATED GREEN SHEE � O ����� CONTACf PERSON 8 PHONE INITIAVDATE INRIALNATE a DEPAHTMEM DIRECTOR O Gm' COUNqL William E. Gunther - 266-9132 A���N OCITYATfORNEY OCR1'CLERK NUYBERFOR MUST BE ON COUNGIL AGEN�A BY (DATE) pOUTING O BUDGET DIREC�OF O FlN. & MGT. SERVICES DIR. Hearin �cC OpO �MAYOR(ORASSISTANT) O g� TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REWlE5fED: Michael J. Michlitsch DBA Midway Training Services, Inc. requests Council approval of his application for a new Gambling Manager's License, ID �E95003, at Midway Lodge, 1964 University Avenue W. RECOMMENDAnONS: Appove (A) a aejea (R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UESTIONS: _ PLANNING COMMISSION _ CYVR SERVICE COMM7SSION 1. HaS thi5 p¢S5o51Rfm ¢Yei WOCketl Undec a WnhaCt fOf th'IS d0pattmeM? - _CIBCOMMfTTEE YES �NO _ siAFF 2. Has ihis perso�rm ever been a ciry employee? — YES NO _ otSTRICi CAUfiT _ 3. Does this personHirm possess a skiH not nrnmaHy possessed by arcy curteni city empioyee? SUPPORTSWHICHGOUNCILO&IECTIVE7 VES NO Explafn all yes answers on separote shaet and attech to green shcet INITIATING PROBLEM, ISSUE. OPPORTUNitt (Who, KTat, When, Where, Why): AWANTAGES IF APPRWED: DISADVANTAGES IFAPPROVED: �� i k ��:N.`.: .«__'_ s'3 `v��:� � �;��'� 1 � 1�97 DISADVANTAGESIFNOTAPPROVED: ---�-��--�----w�---^`�� ""�'�"'"'' TOTAL AMOUNT OF TRANSACTION $ COS7/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDIHG SOURCE AC71VI7Y NUMBER PINANCIAL INFORMATION: (EXPLAIN) Greensheet# 35339 L.I.E.P. REVIEW CHECKLIST Date: /�� ��� r In Tracker? ' 9 ApP'n Fleceived / App'n Processed LicenselD # 95003 License Type: Gambling Manager Company Name: Michael J. Michlitsch DBA:Midway TraininQ Services, Inc. Business Addresss: 1964 University Ave. W. (Midway Lodge) Business Phone: 641-0709 Contact 720 Vandalia St Home Phone: 641-0709 Date to Council Public Hearing Date: � � a��J Notice Sent to Applicant:_��� tf �J Labels Ordered: N/A District Council Notice Sent to Pubtic: Ward #: OG Department/ Date Inspections Comments City Attorney � �� � ��� ��crrnez, Sf a/g� Environmental Health A/ J /V/� ! Fire �fd� License Site Wan ��e�ved;_ Lease Received: ��g Police /��� j ��Cpy�� CJ/1� /7��JuU ! �� Zoning �f � ��-�� East STATE OF MSNNESOTA FOR BOARD USP Oi7Z,y GAMBLING CONTROL BOARD �(T. PPZD GRMBLING MANAGER LZCENSE RENEWAL RppLICATSON CHECK # LG212GHR pRINTED: 10/30/95 DATE LZCENSE NUMBER: G-02422 002 EFFSCTIVE DATE: 07/O1/95 EXPIRATZON DATE: 04J30/96 NAME OF ORGANIZATION: Midway Training St Paul Services GAMBLZNG MAD7AGER INFORMATION Michael Sohn Michlitach DATE OF BIRTH: 12/18/56 3870 fiffress Rd SEX: M St Paul MN 55110 SOCIAL SECURITY NUMBER: 471-70-8722 DAYTIME PHONE NUMBER: 612-4Z9-8376 MEMBER SINCE: 06/O1/88 I I - 9� LAST DATE YOU ATTENDED A GAMHLING MANAGERS SEMINARfCONTINUZNG EDUCATION CLASS: --8�'f2'3y'!"S BOND INFORMATZON BOND COMPANY NAME: Continental Insuranc BOND NUMBER: cBP6160442 ACIINOWLEDGMENT Z DECLARE THAT: ' I AAVE READ THIS APPLICATZON AND ALL INFORMATION SUBMZTTED TO THE GAMBLING CONTROL BOARD; • ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE; � ALL OTAER REQ[ISRED II3FORN3ATION F3AS BEEN FULLY DISCLOSEDy , � I AM THE ONLY GAMBLING MANAGER OF THE ORGANIZATION� ' • I HAVE BEEN AN ACTIVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARS� • I WSLL FAMILZARI2E MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE GAMBLING CONTROL BOARD AND AGREE� IF LICENSED� TO ABIDE THOSE LAWS AND RULES� INCLUDING AMENDMENTS TO THEM� . � • ANY CHANGES IN APPLICATION INFORMATION WZLL BE SUBMITTED TO THE GAMBLSNG CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHZN 10 DAYS OF THE CHANGE� • AN AFFIDAVIT FOR GAMBLING MANAGER HAS SEEN WMPLETED AND ATTACHED; AND • 2 UNDERSTAND THAT FAZLURE TO PROVIDE REQUZRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT IN THE DENZAL OR REVOCATION OF THE LICENSE. SZGNATURE OF GAMHLIN6 DATE /-a9-gG REFER TO THE CHECRLZST FOR REC�UIRED ATTAC MAIL TO: GAMHLING C0�7TROL BOARD 1711 WEST CAUtiTY ROAD B, SUIT'k: 3005 ROSEVZIS,E� HZNNESOTA 55113 THIS �ORM WILL BE TfADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE�) UPON REQUEST. � ���