91-1450 �
ORIGIN�4.L .�. �
1 J„ �cil Fil'�#` D
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Green Sheet ,�
RESOLUTION ' ' �"
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CITY OF SAINT PAUL, MINNESO A ��'`
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Presented By "'
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Referred To Co ittee: Dat��� _
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RESOLVED: That application (ID #B-00934) for renewal of a Stal e Class B�am ` g��.�, �"�; :,� p<
Premise Permit by Attucks Brooks American Legion Po t #606 at„, " ������ � -t ;���'���
976 Concordia Avenue, be and the same is hereby app oved. ' ' �~ �
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Yeas Navs Absent >'�;.
imon ,. Requested by Dep rtment of:
oswitz ---_.
on License & Permit Division
acca ee
e man
une
i son BY�
Adopted by Council: Date Q�� Form Approved by ity Attorney
Adopti Certified by Council Secretary � ' �r
By: °�" �
By:
Approved by Mayor: Date AUG 1 2 1991 Approved by Mayor for Submission to
Council
I
By: �i�a�'�<:.�cf" By: II
�' p1lBlis4��� �i 1�'91
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DEPARTMENT/OFF�CE/COUNCIL DATE INITIATED �"" �
Finance/License GREEN Shfi �' N° _14505
CONTACT PERSON&PHONE INITIA ATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL +
Christine Rozek-298-5056 ASSIGN �CITYATfORNEY �CITYCLERK `
NUMBER FOR
MUST BE ON COUNCIL AGENDA BY(DATE) City Clerk ROUTING �BUDGET DIRECTOR �FIN.8 MCiTS � � R.
Hearin 8'8'91 B � 8-1-91 ORDER �MAYOR(OR ASSISTANT) �
TOTAL#OF SIGNATURE PAC3E3 (CLIP ALL LOCATIONS FOR SIGNATURE) '`
ACTION REQUESTED: -
..:�; ,,x .��,
Approval of an application for renewal of a State Class B Gambling P�"�, �e�°'1�e�,��:
,,, -� � ��-�:,:.
Notification 7-24-91 Hearin 8-8 91 � �f �,�_
RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MUST AN WER THE FOLLbWINQ�,�
� y's'�..•.
_PIANNING COMMI3SION _ CIVIL SERVICE COMMISSION 1• Has this person/firm ever worked under a co tract for this departmB�Y'r -
_CIB COMMITTEE _ YES NO •
2. Has this person/firm ever been a city employ e? ,�
_STAFF _ , `
YES NO "' �.4 � ',: 3-
_ DISTRICT COURT _ 3. Does this erson/firm ` ��
p possess a skill not nor ally possessed b�rr�e�{irrdn�"� ''? 3�`
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO � � - ~.'''� '
- 4 ; .
Explain all yes answers on separate sheet a d aitach to grssn sheqt ,
INITIATINa PROBLEM,ISSUE,OPPORTUNIN(Who,What,When,Where,Why):
Leon Dodd on behalf of Attucks Brooks American Legion Post 4�606 at
976 Concordia Avenue requests Council approval of their pplication for
renewal of a State Class B Gambling Premise Permit. Pro eeds from the
pulltab sales are used for youth activities.
ADVANTAGES IF APPROVED:
If Council approval is given, Attucks Brooks American Le ion Post �6606
at 976 Concordia Avenue will continue to operate a pullt b booth at same
address.
DISADVANTAOES IFAPPROVED: RECEIVED
,tUL 3 0 1991 ",
CITY CLERK
DISADVANTA(iE3 IF NOT APPROVED:
Coun�i� �����r�h Center
JI�L 2 61991
TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDGETE (CIRCLE ONE) YES NO
FUNDINd SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN)
° � �; �: . . .
�� �;�,, ��, �
NOTE: COMPLETE DIRECTIONS Ap��{JtJED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PI�t�HASING OFFICE(PHONE NO.298-4225).
ROUTING�RDER:
Below are� �' ro4tings for thi five most frequent types of documents:
CONT �Pipri2ed budget exists) COUNCIL RESOLUTION(Amend Budgets/Accept. Grants)
, � -
1. ��, =� 1. Department Director
2. '^ �� , , 2. City Attomey
3. Cilry� •_, , 3. Budget Director
4 Me�ror EOo�oo�nt��" �er'�t5,00py 4. Mayor/Assistant
S Hl�e�f Aigt�(�c�lntr�efa over$50,Q00) 5. City Council
' d . MansgameM ServiCes Director 6. Chief Accountant, Finance and Management Services
7 V� ' nU�g- -
` ADMIN � � 'f�DEAS{9udget Revision) COUNCIL RESOLUTION (all others,and Ordinances)
�' . 1.`A�iW y. f5 � � 1. Department Director
�' �. pe unl�t 2. City Attorney
�«,.�y`.T$.` �F : 3. Mayor Assistant
� � :"�••��` �or t: ,•' 4. City Council
6. �{i.� Accountant,Fieance and Management Services
aDMIN1STRATiVE ORp�RS(all others)
1. pepartment Direc;or '
2. Giry Attorney
3. Flnance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and papsrclip or flag
each of thesa pages.
ACTION REQUESTED
Describe what the project/request seeks to acxomplish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
issue.Do not write complete sentences. Begin each item in your list with
a verb.
AECOMMENDATIONS
Complete if the issue in question has been presented before any body, public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s)(HOUSING, RECREATION, NEICiHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
TMs iMormation will be used to determine the city's liabiliry for workers compensation claims,taxes and proper civil service hiring rules.
INITIATJRVG PROBLEM, ISSUE, OPPORTUNITY
Explain the;situation or conditions that created a need for your project
or reques�:"'
ADVANTA(9ES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the City of Saint Paul
and its citizens will benefit from this projecUaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this project/request produce if it is passed (e.g.,traffic delays, noise,
tax incxeases or assessments)?To Whom?When?For how long?
DISADVANTAGES IF NOT APPROVED
What will be�e�fve i�equences if the promised action is not
approved?Inabiliy to deliver Bervice?Continued high traffic, noise,
accic�ent rate7 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?
. . , �y/-i�5 a
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ���J,�"9� /
INTERDEPARTMENTAL REVIEW CHECKLIST App Processed/Receiv�d by
^ �� Lic � �d�� �
-�ue�s n�o,�s �vnert�cn ,t-ea, �dd�C�,► r��t���
Applicant � Home Address � �',,,,
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Business Name �Cj/�y�� Home Phone �'--�` <:.��
Business Address R'7� �(jn��{���� Type of License(s) 'Q.�' `{ �� �/ '
b�' ' , ��. : ,�;�"� _ �
Business Phone ��C5= g� �I'►/�f$'� e�^/Y?J� /^�.r�v�
Public Hearing Date � � q� License I.D. 4{ �Q� ���=�
at 9:00 a.m. in the Counci hambers, ' -Y.'�;..-.
3rd floor City Hall and Courthouse State Tax I.D. �� � `' '"�
Date Notice Sent; Dealer � '
to Applicant 7 0� �_ �
Federal Firearms
Public Hearing /
(t�,�. ✓
DATE INSPECTION �
REVIEW VERFIED (COMPUTER) CONIMENTS
A roved Not A roved
Bldg I & D I
IV��-
Health Divn. I
�vlq- �
Fire Dept. I
1✓�/�- I
Police Dept. �r� I�'S'S �
7�aS �l 4�
License Divn. � f
(ayI�� � o��.
City Attorney �
�I � �� � OK
Date Received:
Site Plan ���►�" Q� -� ��
To Council Res arch �—��'—�
Lease or Letter Date
from Landlord N�/�
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.. . . FOR BO�RD USE(�NLY
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r.G2oon M�nnesota Laiv I �
Aey. ��a�2iso> .fu Gambling � ,A ° . �., .
Organization License Application - art ��',`�.' 4 ��
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Legal Name of Organizauon Other names used `'
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Business Address of Oryani2adon-Streat or P. Box(po not uae addresc ot gambling manager) iness ID Num � �� ,;k<:
%7G L,- ,: �� y� u�7���s' -�' . -�
Ciry Staoe �"v ' t��
Z�P Code Counry
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Name of cn�ef execuqve o� Title D ot binh Bu� nymber
Last First Middle AAaidan � •,.
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� '1 '� ' /i r" ��; � CuminnN� '/i '� G �.j � (G*is� G�s='u .�
Address of chief execuGVe otficer-Street or P.O. 8ox n
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Ciry State Ztp Code Counry . ,
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Name of treasurer or person responsi le or organ¢anon's other revenues itle [e o biM us�nesa p e number
Last Name Frst Name Middie Name Maiden
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Type of Nonprofit Organizadon: '� Fratemal �9 Veterans ❑ Religious ❑ Oth nonprofit
Number of years organizadon has been in existence as a nonprofit organizatlon �l
Attach a copy of a ceroficate of good standng as a nonptofit organizaoon(rom the Minnesota Seaetary of State's office�dlor a letter from
the IRS dedaring income tax exemption.(Oo not send a sales tax permit or Federal empbyer identificao n infom�aaon)
Number of Acuve Members � .3 3 y {must be age 18 and dder I
1"r�v,:S d n y
When does the organizaoon hoid reguiar meenngs?Day{s) - � �l"r_�r"j�,.rin � Hours '7:o�� . 4', c�r� /�i�(
Has the Compensation Schedule for the current year bee�submi�md on the fam provided by the boardl f�yes p If no,attach a copy
Have Intemal Co�uNs for the cument year been submiaed on the form provided by the board? Q yes ❑ If no,attach a oopr.
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Type::nf EippIicatcort '
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Class of Orgaaization License Check the boz that most I
❑ Class A— Bingo, Raffles, Paddlewheels,Tipboards.Pull-tabs aceurately sunimasius the i
� Class B— Rafftes, Paddlewheels.TipboaMs.Putl-tabs $ambling t all of yonr prtmise�. �
The org tion license must '
❑ Class C— Bingo only retiect all rms of gi�mDliag j
❑ C1ass D— Rafftes only ;
coadncted by yonr orgaaizatioa.
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❑ Organization has never baen licensed. ,
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� Renewal of existing license—Fiil in��g license number � -n��i.3� �
❑ Chanae in class of existing license—Fll in gq,��I'icense number
❑ Previously expired license—FII in comolete licensa numbe� �
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'r Mirtr:esota I.atuful Gambling
Organization License Applicatioa, LG200 - Part;2� ` ;f
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Piease list the lawful purpose expenditures for which your organization wiii exp�d gamWing fu ds. (Rofar tc
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349.12 Subd.12.) Give specific examples. � �
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ame o organizauon's gambling manager A dress e p
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4r ,aru2ational;�income::anc��:ActFutties�fActach:aardr�iina�stre��t', : ,,,, �,. ,..:. ,} �,���5„�
Ust other activities through which your orga�ization raises funds.
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What percentage of your organization's funds are raised or w�ll be raised through lawful gambli g? ..;�i,.
What other adivities does your organization engage in(not fundraising acxivities)?
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I dedare that:
• I have read this application and ail information submitted to the board;
•All iniormation is true,accu�ate and camplete;
•All other required information has been fully discbsed; �
• 1 am the chief executive oBicer of the organization; .
• I assume full responsibility for the fair and lawful operation�all activities to be aonduded;
• I will familiarize myself with the laws of Minnesota governing lawful gambling and►ules d the ard and agree.
if licensed,to abide by those laws and rules,including amendments to them;
•A membership list of the organization will be available within seven days after�is requested the boeM;
•Arry changes in applic�tion intormation will be submitted to the board and lacai c,�ovemment in 10 days of
the change; and
•A termination plan will be submitted to the board within 15 days of termination d aA premisa mit(s}.
• I certify that the gambling manager is bonded and licensed as required par Minnesota StaWte
•Failure to provide required information or providing false o�misleading info�mation may result in tho don'ra{or revucation of
the license.
Signature of Chief Executive Officer a
�� lo—/ —
Refe�to tha insVuctloaa fo�tha requlred attachmants.REMINDER:Tho organi7atbn's c iof ax�iv�offtca�and
Veasurer must oomplata tha Organl7atlon Offlcar Affldavlt,form LG200B.
�,
Mail to: Departmant of Gaming-Gambling Co�trol Division
Rosewood Plaza South,3rd Floor
1711 W. County Road B ,
Roseville, MN 55113