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91-1602 �RIC�►��� � , Council File ,1E ` Green Sheet ,� 16307 RESOLUTION F SAINT PAUL, NNESOTA � Presented By , 'L���' Referred To Committee: Date RESOLVED: 1'hat application (ID #B-03033-002) for a State Class B Gambling Premise Permit by Frost Lake Booster Club at Chuck's Bar, 901 Payne Avenue, be and the same is hereby approved. Yeas Navs Absent Requested by Department of: zmon oswx z �- on � License & Permit Division acca ee -- e man `- une � .z son � BY� � J Adopted by Council: Date Form Approved by City Attorney " Adoptio ertified by Council Secretary � By: �. �- �g -y� By: A roved b Ma or: Date AUG 2 9 1991 Approved by Mayor for Submission to pp Y y Council By� P�tiS��6 SEP m 7 °91 By� � T /� AL� . � V• ■l`� �ol� DEPARTMENT/OFFICE/COUNCIL DATE INITIATED *'(� ♦ e�O� Finance/License GREEN SHEET !r 1V CONTACT PERSON 8 PHONE IN�TIAVDATE INITIALIDATE DEPARTMENT DIRECTOR CITY COUNCIL Christine Rozek-298-5056 ASSIGN CITYATTORNEY CITYCLERK NUMBER FOR gUDGET DIRECTOR FIN.&MQT.SERVICES D�R. MUST BE ON COUNCIL AGENDA BY(DATE) lty er ROUTING � Q Hearing/ 8-2]-91 $3t� ORDER �MAYOR(OR ASSISTANn � Council R TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Approval of an application for renewal of a State Class B Gambling Premise Permit. Notification/ Hearing/ 8-27-91 RECOMMENDA710NS:Approve(A)or Reject(R) pERSONAL SERVICE CONTRACTS MUST AN8WHR THE FOLLOWING�UESTIONS: _ PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contracti for this depertment? _CIB COMMITfEE _ YES NO 2. Has this person/firm ever been a city employee? _STAFF — YES NO _DISTRICT COURT _ 3. Does this person/firm possess a skill not normall y possessed by any current city empioyeeT SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Expisin all yes answers on separats aheet and altach to gresn sheet INITIATINCa PROBLEM,ISSUE,OPPORTUNITY(Who,What.When,Where,Why): Jill Pettis on behalf of Frost Lake Booster Club requests Council approval of its application for renewal of a State Class B Gambling Premise Permit at Chuck�s Bar, 901 Payne Avenue. Proceeds from the pulltab �ales are used to promote youth athletics and activities. ADVANTACiES IF APPROVED: If Council approval is given, Frost Lake Booster Club will continue to operate a pulltab booth at Chuck's Bar, 901 Payne Avenue. DISADVANTAf3ES IFAPPROVED: DISADVANTAOES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) i�o da� . dw �q�-�6o2 DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE $ / INTERDEPARTMENTAL REVIEW CHECKLIST App Processed/Received by Lic Enf Aud Applicant }'yMS� L1L� S�J�i`��1�1j Home Address ��� ���,.v'�Ve ,�/D(� Business Name SQhZ� Home Phone o2�f 8-�7fc2 e! � Qr • Business Address O � 1/E..' . �/d/Type of License(s) $�� �QSS' y� �Q/��Xq �1 �/ Business Phone �q8-,S�'f/� �j�j»�.S'pJ �.f'IyIi�T - I�/7E'il��l.� Public Hearing Date o� 7 � � License I.D. � � -030 33-=0 4 � at 9:00 a.m. in the Counc 1 Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� �/��} Date Notice Sent; Dealer � �J�} to Applicant b�i (J��� � Federal Firearms �6 � �} Public Hearing ��'"`r' ✓ � DATE INSPECTION REVIEW VERFIED (COMPUTER) CO�NTS A roved Not A roved Bldg I & D I Il1��' Health Divn. � ilJ �q- � Fire Dept. � ►��,q � Police Dept. �� I//`�l�i / License Divn. �Ia,�l�l I O!� City Attorney � gIIhI�' � �� Date Received: Site Plan �l7 CJ To Council Research Lease or Letter c/ C Date from Landlord o -/� �� � � � , • � r....._ -_ ��.�ti,; � _�n -Z ; �.�._.. ------- ' FOR BOARD US�ONLY � � l.G2y 4 ; . . . _ (ttrt��ol ��,� r. ... . . F�� - u:.:.. — r.. � r,�''" , .. ,_.. CHECX " . . ; '��Iu;,i�� '�..:.:..:.: INITIALS � Minttesata Lau�ful GambIi�tg DATE ' � Prenus� Peraut A�plication - Part 1 /��-��_/(�p� :. � � V► i • , ,���'�.�•��. . . ... ... � i a.�r.r.s�ex*�'�. . : p ......: .:.. .:�.� . .� �...=.r,.�.. . : •,.::, . :;2tit'{J�.....-0:4HY};ii::{ir.}}}}�.>j}::iii�e:i6}:�....r' {M:+F.4:4C:[HOC•:^}:�.Ni�� {�•::.:�tiv::..�.... :..f., . . .. , , ,e' :t'•.. . .x'{(/,. •'• - .:.•r.?.:.:�..•....�..i m . . ...$... � '.v::.�......','v,:v.�K'•t}'.i�..V �•;.+,vi ! Legat Name o: rgan n .� . �n.. .. .......... . ...,:... ......... ; �.���- �.��. ��-- tu b ; Business Address of Organizaton-Street or P.O 8ox(Oo not usa address of gambling rt�anageh - 1 S� �d � S�a�O I C+5�.�0.0 �, M K. P Code 3usiness phone nucnber i raz � t aZ�B-�rz N of ief afficer(c:annot be gambGng manager) Tidg � 8usiness phone number � �,� ����S ��eSl�y`L�" c�l Z�ZZ�'—2�12_._ Addtessaf ctner exeatttve afficer-SU�eec.or P.O.Box �� o �tY ate p ode ry . �', av v� . �S10(o i�,t S .� ._.,:.._:h:>��..::��.w�� �:;:..;�.�.�,,:.. .� .. .r�; ..:::�:. �. . . ,..�'Q'' �ll'..'' ',.'�:'(.�.:��C:iJ: : ._:.. , A.�•'' ��s.�,i:`?;$�`';s:`�'s ��..., �'vGYY1.:-,t;•�rC� �����pt.�;.;4`•� ;� � �'. ,.>.. . . ..+rz�•,':b;.. ..�s;; . ,•:h �: .; }r. }� di•;}.:;:., �..LY"�pSS�i'v^� .'i:� .�:.���Y!'.e :,::: l"i:,'.`•_.•�T��.::��.:::>:::�::•._::.,. .,,;:..�`.. x.ar:.,;;:;i•�},..vt,,>;.,$.,:;;..t?_.; •.... .•�. : ::::C•v�:?����a`•Sx .:...........::..:�:.x.;;.;:;.r.;..:::._ -.;:.n,-.,-.;...,v,;.t.y��Jivi::i..; �iiyf%:$:i�:K!:•ti•il::+iv:::>ryhh:w:::.' �v' x •...} . ...}� .w3:...;7..:�•i}.`,•'.:•'{�-��r{{.,.•. .:. .. ... :.... .......... .: ... ...:.5..�:?::�....'Y.�n,;\�....;.,, . .....+tt .hYii#�ii:::::i:{k1:•xi:�,�$�'•~�•,'•,t�„}:\J4^A.iV ...••p y?.��i+::v}::::•. Class of Premisa�Permit F� C1ass A— Bingo, Rarfles,Paddlewneels, Tipboards. Puil-iabs �200 :,,..,....,.............,., .....,.::.,.......,,....: .:....... �_..� . � C1ass B— Raffles. Paddtewhsefs. Tioboards, Puil-tabs �125 The class at premise permit � Q Class C— Bingo oniy ��� must be refleCted by class of � C�ass 0— Raffles only � �75 the organizatlon llc2nse. Bingo Occasions If c�ass A or C. Sll in days and begin,aing and endiag ho�s of biago occasfons: No more thaa sevea biago occasions may be coaducttd by aa or�anization pez week. Day Hegiat�iug/Eadiag Hou=s Day Begiaaiaq/Eadinq Haus Day Be�ning/Ending Hours i to - to to � EO t0 CO I �"` ' ;�y, � � �.•.... }p p�y� .��?.�.' �Q(! �ppy� ����� ���4:�.v• .+::r,.'�y..:... • y (u.4\;%i!•. L.,, O ,R!�+ j0pM, ... fl0;}.}.;Y.�:��+ v . vi� ' ��p}�}}'{[� .L�� . '•�, �v�Ti:;' r ...i. i�''-'?i�i'9J ' . ' 24a¢C•..�� • Jk,•••_: � • 'i.F i :�inti•%}�hL.. ...;,�•;v.. ..v:nv.r . , .::::,.,.�},�,,.F._�,.}�.:.....{O...t.; .y, •.i ��vi4 —'. ') .'i'}d,t�•{<i$. .:<`:?i�v.s:}.St��i!�::i�%ivi'`N�%.\:r:'��'.�..,+'�'.^_�: , ::.. .. . ,.,. ,�.n. . fi...<.... ,. .., ...�.39k� �,;�a>\ �f;>CXt%.. <' �: ... . •...::: i ..{,,. . �x;k. .,'C' < •: ...o. � •• fi4... .,,.h.�,.,k,.,.� y& 9. ,,k'.. . � � '+9A� �..r.;::.,3,:::,v2w. �r..�:;:i:;;•`.`�4�..o:•,.R:c:y:2�'k�`;•':;•;s:;: , ,����. �'�.�'.��� �i+;C��G��''�' �'' �� z� )'^'W"'":'�:'z"q'�i��..:d�' .,,.�• ',;:•�..•�;•..�.:`a:•w•'r r� . .. . ;. f c� �� ..'ch,�{.�„'• �{��r r� � . 'v.y' �h; .'�,.v:�. }�� '� ,;� ,�'T%t}'}� \:.� '��•�~��:•n:h'•• •r{,.,v,.,ry,�..}.n::}:y{' , ..• . . • ;..: ' . . . • s. ..�y w�.: •. . ., . v .n ♦ t • v%:`•?%.:v, .:..y,. . .y , ' , ..w.:•,:u:� '' •o atus�nw�xw t�,c„w�: : •:.:•::•��� � t ; Status of Premisa Permit - chec�C one: i � ❑ New remisa—Fil in � p §�ocganization premise permit number • � Renewal of existing premise permit—Fil in com°lete premise permit number �–�� �3� ❑ Previousiy expired premise pertnit—Fi(in c°m°Iete premise pem�it numt�r " ` � �Ql.-/(p D� ; - � � ; / � Miru=esota Lau�fal GambIirig I ;� Premise Permit Ap�lication - Part 2 � � f � , � �• � � � .:::.:.:.....::::...: <.:..: .. . ,: .� >.. ,�. _. . � : ,. .... ...: . : ;.. � ..:� ...� . :: .z:.:�.s�. . ��� r.::.::. } _ ::. . . . I Name af establishment where qambNng wdl be c�ed Steec�°as(do not uss a post of�oe rnunb� -• • i �v �c� ��t'r D lr v j Is ihe premises located within ary limits? yes ❑no City and Counry where gambling premiaea is bea�sd OR Township and Counry wi�are qamb6ng premises is located�artsida of aq Grnits �0. ' �. Name and Address of Owner of Prem es City g�� Zp��e v c�+C � �a� � S .�av' r�. Does the organizaaon own the building where tl1e bting wiU� ? QYES O NOTE:Organizations may not pay themseives rent'rf they own the buiiding or have a holding campany. A letter m�st be sub- mitted sf�awing rent payments as�zero from gambling funds if the organization's hoiding company owns the premisas. The letter must be signed by the chief executive aificer.) If NO, attach the following: ` a copy of the lease with terms for one year. ' a copy of a skeich of the ftoor plan with dimensions. showing what poction is being leased. A iease and sketch are not required for C1ass 0 applicantions. Rent: For gambiing with bingo � � a Totai square footage leased � Fvr gambling without bingo $ Total square footage leased ! Address of storage space of gambling equipment Address City l Sta#e Z'ip code cL N���:� t ° 8t �r r bU• ... ;.;... ._,::: �,::.;.;::.::;: ••;c..;.;;o:::;::�,:f:i+:;:.:::��........+�.....,:i:ir:::�:h:.. . . , ..:.:. vi'�� �1,� .,...y; _ ���S�=�r'� ...�y}*:•k1{}..'�%;d:.-.}ti;• yr�:�ii `'�:?'ryY'{ {i�{}:'i6••:•• � , .. ..T�'� :I�14�.�. ... �;S y}:+j?' ...r �.inf�'1 LYr�. � �+.� y,: �:i :. `.E,.Yfce� W "': •�, ;• ;. . ..:.�:}.:...:..�..:.:�.�ii:. .....:...........�.................v}i:}.::'v:':_••, >i�C:1?] TIX>v.n�....n?'v.:.v. .�:.. •Pi{•• •4Y`. t,r,� •.iC':E ................ .................................. .�.s\ :n.^.:Y:. ........ .. . .4 ..... ......:.•.. ...: .........�;:i}.... '. .... . .. rA. .. (each psrm/ttsd gambi ng promises must havs a separats checki�g accau� Bank Nama Bardc Account Number ��c"5� �v�*l�� � (�'7�P q Z�g�g 7 Hank Addrsss Gry tate ude �t �t c���..� s-�, 1�-a�� IN��.. ��'/o� .—. --- � Name,address,and ade of persons auarorized b sgrt checKs ar�0 make deposiis a�wiihdrawaRt V e Add�ess I itle � � ..; � \ � � 1�j Vl ��-- 7��� �; \ � � � � ` �. � � � l � (� ;� (�'?� i�G t� �\.`_ � v ! ; � 1 � � i � �