91-1352 �������� I
` ' � � C�uncil File #�
Green Sheet # 14502
RESOWTION '� ��°� -�
CITY OF SAINT PAUL, MINNESOT�A � �...��
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Presented By -
Referred To � � �
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Comm � � Date
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RESOLVED: That application (ID #78725) for the transfer of a am� . i '���''��kj
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License currently held by Lester R. Hansen DBA Hayd n �
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Club at Kick-Off Bar, 1347 Burns Avenue, be and thelsam�� `�� '';,
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approved for transfer to Thomas K. Law at the same a�ddr��i: ` ; �:�;
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Yeas Nays Absent Re ested b De �rtment of:'i � � N'
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on -- License & IPermit Divisi ?�' �"
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Adopted by Council: Date Form Approved bylCity Attorney
Adoption Certified by Council Secretary � � �
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By: �rv�. I
Approved by Mayor: Date �U L 2 6 �gg� Approved by Mayorlfor Submission to
Council
�0�'���" PIbUSNE� '�� s :
NE AUG � y I �:: .: .�a.�---
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED G R E E N S H ET NO _ 14 5 0 2
Finance/License
CONTACT PERSON 8 PHONE INITIAU ATE �NITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek-298-5056 ASSIGN �CITYATTORNEY m CITYCLERK
MUST BE ON COUNCIL AGE DA BY(DATE) City C eY,k NUMBER FOR ❑ �
ROUTING BUDGET DIRECTOR FIN.8 MGT.SERVICES DIR.
Hearin � a� B � ORDER �MAYOR(OR ASSISTRNn ��� R
TOTAL#OF SIGN TURE PAGES (CLIP ALL LOCATIONS FOR SIGPIATURE) �
ACTION REQUESTED:
: },.
Approval of an application for transfer of a Gambling Ma ager�s T��e�se.
>:�� .,;.:�. . . .
Notification: Hearin : � � ��� '�"'
RECOMMENDATIONS:Approve(A)or Reject(R) pERSONAL SERVICE CONTRACTS MUST AM THE�?� STION3:
_PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under fl i•.oR �fE1r N1i�
_CIB COMMITTEE _ YES NO f �
_STAFF 2• Has this person/firm ever been a city employe ? ,,
— YES NO ' _
_ DiSTRICT COURr _ 3. Does this person/firm possess a skill not norm Ily p�seB�Eed b�t a�y � employee?
SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO �r � c�,
Explaln all yes answers on separate sheet and atta�l��:�tNp�t�et Y;'�;.
,=�,
INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who,Whet,When,Where,Why):
Thomas K. Law DBA Hayden Heights Booster Club at Kick-Off Bax', 1347 Burns ,,Avenue,
requests Council approval of his application for the tran fe� of a.Gambl � ?� Manager's
License currently held by Lester R. Hansen. All fees and app]��,���'` been
submitted. . �' � , ,�'
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ADVANTAGES IF APPROVED: - ,� �r
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If Council approval is given, Thomas K. Law will manage th pulltab.�t�p�a�d�-�
sales for Hayden Heights Booster Club at Kick-Off Bar. ~\ ' ` >.�t���,,:
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DISADVANTAOES IF APPROVED:
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DISADVANTAGES IF NOT APPROVED:
RECEIVED `
Couo��s! ����v���h C�n�er
J U L 17 1991
CITY CLERK JUL 1 2 1991
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CI CLE ONE) YES NO
FUNDIN(i SOURCE ACTIVITY NUMBER
FINANCIAL INFOFiMATION:(EXPLAIN) ��
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'1 1 �
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NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are correct routi�gs for the five most frequent t�s of documents:
CONTRACTS(assumes sutFiorized budget exists) - COUNCIL RESOLUTION (Amend Budgets/Accept.Grants)
. �;�_
1. Outside Agency .� � � , 1. Department Director
2. DeparhrloNt.D�reCtot ^- ' 2. City Attorney
3. City Altorrfe�..:- r�'`� � 3. Budget Director
4. Mayor(for � _ } 4. Mayor/Assistant
5. Human Rig� .paast�) 5. Ciry Council
6. Finance aRd �B:Oi�etor 6. Chief Accountant, Finance and Management Services
7. Finance A '
ADMINISTRATIYE �t.�►tsicrt) COUNCIL RESOLUTION (all others,and Ordinances)
ty °�` ""`'"'"P� 1. Department Director
1. Activi Man � ;,A-
2. DepartmeriR � �.�;:: 2. City Attorney
3. DepartmQnt `" ;,,,,,;Y 3. Mayor Assistant
4. Budget D . '� � 4. City Council
5. City Clerk 3 �A�� � ,� ;�
6. Chief Acc�u ^ �ll�agement Services
,, �°�i � �:.;,
ADMINISTRA�� � D�`:€$16°p�ie�tj
1. Department�fi+s�tbr
2. Ciry Attorney � ; `?,"'�''��
3. Finant�a[�Managemerrt Servicea Director
4. City C.�efit�- ,..
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TO�'AL N � �A¢�S
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Indicate th¢=�� res are required and paperclip or flag
each of �`'
�.+;s.�z,i�,.4 ,.<�.
ACTIO ''`°�
.,��
Describe' ` ''�eqks to accomplish in either chronologi-
cal o ` ,wliict�ever is most appropriate for the
issue. � �MSea.Begin each item in your list with
a vel�. fr�r �,x < :._ �
4 �' 3 � 1
:i •y�'�
REC � :`.
Co � 7' $ `" has been presented before any body,public
or p �� ��,' �.;.� � ,
SUP ,. ,_�t��E�BJECTIVE?
Indi' _�ive(s)your project/request supports by listing
" ' ��E�REATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
- B r ��TIQN). (SEE COMPLETE UST IN INSTRUCTIONAL MANUALJ
�� ,
PER �TAACTS:
Thi h�e used to determine the city"s liability for workers compensation claims,taxes and proper civil service hiring rules.
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IN�O�'V!(Y#�}Bf_EM, ISSUE, OPPORTUNITY
Expiainthe 8far�tio�or conditions that created a need for your project
or c�qfd�st..,._ _
AD�fAN�A(i�S tF�ROVED
I��rNeth�r this is simply an annual budget procedure required by Iaw/
cher[er or whether there are specific ways in which the Ciry of Saint Paul
ar�it�citit�[�will benefit from this projecUaction.
OISADVANTAQE3 IF APPROVED
What neq8tiye effeats or major changes to existing or past processes might
this proje�st/request produce if it is passed(e.g.,traffic detays, noise,
tax increases or assessments)?To Whom?When? For how long?
DISADVANTAGES IF NOT APPROVED
What wNl be the negative consequences if the promised action is not
approved?Inabiliry to deliver service?Continued high traffic, noise,
accideM rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions:How much is it
going to cost?Who is going to pay?
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DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE o�7 � /
INTERDEPARTMENTAL REVIEW CHECKLIST A pn Pro essed/Received by
`�ic Enf Aud
Applican�0/n�' /\• �W Home Address ��,���/�Q�/LFj�i�?J, �jr/�9
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Business Nam /,� DC�' �� Home Phone l�•• ��5 '
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Business Address � � ,��,�„ ''k
�,L/'' I�,��Type of License( } , `�!�tl .r
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, ;:,.;��'��
Business Phone , '�" � ;' '�r;_ " '
-..+� �3� �'i{. .' ' .
Public Hearing Date � vZ S cj � License I D �`N � � �
���>�1 ;�;� •3:��
at 9:00 a.m. in the Counc 1 Ch bers, � x. zf
3rd floor City Hall and Courthouse State Tax I.D. �� `� �s �`� ��
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Date Notice Sent; Dealer � ��;�
to Applicant � ..y�`��.��+,�;
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Federal Firearms �y�k`�� ' '
Public Hearing ��6Yy�� / �
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DATE INSPECTION . �,�_.. °� ''
REVIEW VERFIED (COMPUTER) K� '� ` �
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A roved Not A roved - , �._�
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Bldg I & D I I �. � ,
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Health Divn. I I �= ' �`��
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Fire Dept. I ��''� �.� ,��
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Police Dept. :�� I�D�a�l S� �„ 'n� -��
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License Divn. � ( � ��
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City Attorney � � �,ry;t�� ,�
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Date Received: tt;;
Site Plan ���' l�G
To Council Resear h � -/a 1` 1
Lease or Letter �'� Date
from Landlord
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CITY OF SAINT PAtJL ' �_ , . � �
' DEPAR�ENT OF FINArTCE AND I�TA�GffiIIaT S V'� �,��``�:;�"' ,�':�t'� F
DIVISION OF LICENSE AND PER�iITS :,f ; ��y„� °� .'. .
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The applicant must return this application forn, reques ; supg'
aad the required fees in person to Room 203 City Hall. `, ��„'� ''F'�
Christine Rozek, 298-5056, to bri.ng ia your applica� = "�,, �5 ��
gambling rules. "�yy. ��,';<. � '`
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nate: /f > �, � � ,
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1) Full and co lete name pf or anization: � r�` �':� ,� _�=
��o�c� ,�{���,[ � �GooJ�tr C1u/� .� .�..�I �,., ,-
2) Name of licensed location: i f � `.
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3) Address of icensed lo ation: �� , �'� �
� � 1.r � Ku+'::��t$��° ��x: . . . .
,, G�� . �.� /a ���� �
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CIIRRF.NT MANAGER INFORMATION �,;,�aw� ���'' ��
; ��.� b�, a�,'.�
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4) Name � �'s�'G I�' � /"7►�� /lJ ' �`�_ �
N. �;
First Middle Last ,� �:,� ti�;; '
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/1 ff �,::,� `��� �
5) Address � V � I J� SlJ � h 4
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Number Street City Zip > � �k �
P�
� �� ~J � _ � 5Y't, � .�.5.
6) City of Saint Paul License No. �� � /� — � �`�� �" �
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NEW MANAGER INFORMATION "-`' �`
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� N8m@ � P( L�(��/✓ �%7 fi� ��
) �,�s ��
First Iiiddle Last ,� �_
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i c`; � i �
8) Date of Birth �� �S� ��, n�s`��, s.
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d
) G ON � � v� �` �� � S// ��g �- 1
9 Address � Y ""�^�, �;'�,��,`'
Number S treet City Zip �� �'�
,:
10) Phone # 7�y (?��� Phone # � /O � �7 7 .7 �
Home G7ork
11) Member of or�anization since: �
Month Yea�r
12) Fidelity Bond: � ��C1y� <�' �70 �v U� ��OS`1 U 0 7�L
Insuraace Company Bond Nuab r
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CHANGE IN GAMBLING MArTAGER
PAGE 2 :.�'¢- ,F
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Signature of Applicant `�'� "��� '�#��` � '��� i .
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State of Minnesota) .�. ,`
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Coun of Ramse `� �' :�
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and �, ' r � -�'':� .
being duly sworn say that they are the petitioner(s) in�� 's�1o�e '��+� '"' � , �`
application; that they have read the foragoing petition kt�ov '" �,�, � °
the contents thereof; that the same is true of their o �, ;dge,., .; ;�"��'�`�� w;'
�, � � � d� • �
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Subscribed and sw rn before m this � .� �' �
�day o f �+-✓ 1�1 �^��,.-,,,. �,,,...,�,...,,-.,, ,,..;,:,,�,... �.
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\� k I��..�..(.o��..t.�-c/ !'7"� ) �',�,;� � ,�, F���'��^� s
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Notary Public, Ramesy County, Minnesota � ,�d,,
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My Co�aission Expires I "� �`��; ," -7, �
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13) Attach a copy of rhe bond to �his applicatzoa. ''�����,"��� ��
,,x 5 ry���,y,t; "�
14) Attach to this application proof of inembership in thl4e organiza�C�p����"� '`��."t� :,
for at Ieast the most recent two (2) years. I .;, ""� ' ,��r `
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15) Gambling Manager applications must be approved by Ci Couacil ' ,�,� ,
before managerial duties can begin. Allow 30-60 day for , r�'~� "����r ��
processing aad imrestigation. . . . '''�° " "' �'� k���'..
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to o8erate. You will be notified by letter of your eari.ng dats 5� , ,�f 't�p�
before the City Council. 4Te suggest that you attend� the public � �{�;�';-
hearing. �,_� ��,�i�`�
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16) Attach a letter from the President or CEO of your or anizatiqa �
Y t��µ
re uestin the amblin mana er transfer and e la' n the =� 4dE�
Q g g g g �P g �� "� .
necessity for such a transfer. �' �� �=
w'M�M�'R�'� �`'+ v
17) 199�I Gambling Manager transfer fees are S33 .00 ��k'�' '" "'� �',�
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