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91-1809�RtG11�iA1 � - • - ��, Council File ,� ---� Green Sheet ,� 16301 RESOLUTION ITY OF NT PAUL, MINNESOTA . , Presented By Referred To 'r/ Committee: Date RESOLVED: That application (ID B-02846-005) for renewal of a State Class B Gambling Premise Permit by Minnesota Jazz Association at Willard's, 738 Thomas Avenue, be and the same is hereby approved. Yea� Nays Absent Requested by Department of: lanon � oswi z on � License & Permit Division acca ee e man � une i' � i son �- BY� Adopted by Council: Date �� Form Approved by City Attorney Adoption Certified by Coun 1 ecretary � ; By: �. /�i '�!/ By: �-,. ' Approved by M yor: Date SEP 2 '7 1991 Councild by Mayor for Submission to By: �//n��.�l��u�i�� 8 Y� p��'��.,1i:��9f�t� (lj!i ��9 1 C ='�'= l v ��/ DEPARTMENT/OFFICE/COUNCIL DATE INITIATED Finan�e�Li�ense GREEN SHEET �° 16301 CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Christine Rozek-298-5056 ASSIGN �CITYATfORNEY �CITYCLERK MUST BE ON COUNCI AGEN A BY(DATE) NUNBER FOR gUDGET DIRECTOR FIN.&MOT.SERVICES DIR. �.'�ty C, erk ROUTING � � Hearing/ �! c�� $3t� � �� C�` ORDER �MAYOR(OR ASSISTAN'� ��n�i 1 jj 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/ Hearin / � c� S RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING GUESTIONS: _PLANNING COMMIS310N _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contrect for this department? _CIB COMMITTEE YES NO _S7AFF 2• Has this person/firm ever been a city employee? — YES NO _ DiSTRIC7 COURT — 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVEI YES NO Explain all yes anawen on separete shest and attach to groen sheet INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who,What.When,Where,Why): Richard J. Studer on behalf of Minnesota Jazz Association requests Council approval of its application for renewal of a State Class B Gambling Premise Permit at Willards, 738 Thomas Avenue. Proceeds from the pulltab sales are used for educational purposes (music) . ADVANTACiES IFAPPROVED: If Council approval is given, Minnesota Jazz Association will continue to operate a pulltab booth at Willards, 738 Thomas Avenue. DISADVANTAQES IF APPROVED: C�c� ��ch �er�t�r SEP 10 1991 DISADVANTACiES IF NOT APPROVED: RECEIVED SEP 11 1991 CITY CLERK TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �� I 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 routings for the five most frequent types of documents: CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants) 1. Outside Agency 1. Department Director 2. Department Director 2. City Attorney 3. City Attorney 3. Budget Director 4. Mayor(for contracts over$15,000) 4. Mayor/Assistant 5. Human Rights(for contracts over$50,000) 5. City Council 6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services 7. Finance Accounting ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others, and Ordinances) 1. Activity Manager 1. Department Director 2. Department Accountant 2. City Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. City Council 5. City Clerk 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDERS(all others) 1. Department Director 2. City Attorney 3. Finance and Management Services Director 4. City Clerk TOTAL NUMBER OF SIQNATURE PAGES Indicate the#of pages on which signatures are required and paperclip orflag sach of these pepes. ACTION REQUESTED Describe what the pro)ecUrequest seeks to accomplish 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. RECOMMENDATIONS 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 projecVrequest supports by listing the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.) PERSONAL SERVICE CONTRACTS: This information will be used to determine the ciry's liability for workers compensation claims,taxes and proper civil service hiring rules. INITIATING PROBLEM, ISSUE, OPPORTUNITY Explain the situation or conditions that created a need for your project or request. ADVANTAGES IF APPROVED Indicate whether this is simply an annual budget procedure required by law/ charter or whether there are specific ways in which the Ciry 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 projecUrequest produce if it is passed(e.g.,traffic delays,noise, tax increases or assessments)?To Whom?When?For how long? DISADVANTAGES IF NOT APPROVED What will be the negative consequences if the promised action is not approved? Inability to deliver service?Continued high traffic, noise, accident rate?Loss of revenue? FINANCIAL IMPACT Although you must teilor 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��9 DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE f/ / INTERDEPARTMENTAL REVIEW CHECKLIST App P ocessed/Received by I,ic Enf Aud • ��tard .� S c� Applicant/1/f/ny1�GJ�,�iZZ,?j ��SOQ • Home Address rQf � • SO • ,5.9�0� Business Name SQi7�� Home Phone 9��,��'f ,. / S n Business Address rJ�38 OmQS ftl�t°•��yPe of License(s)��, �Q� ,� Business Phone ,3?� -�'Qpo2 �Q/�1o1//!A �y�'�C�'P��e/y�?��''��Y°1�_Lc� Public Aearing Date o1 �t License I.D. � ,� � (`j o2 ��.6 °"�4�-� at 9:00 a.m. in the Counci Ch bers, 3rd floor City Hall and Courthouse State Tax I.D. �� /�Q�63� Date Notice Sent; Dealer � /�///�" to Applicant T Federal Firearms 4� _� Public Hearing �� "'7 ° � DATE INSPECTION REVIEW VERFIED (COMPUTER) CObIl�IENTS A roved Not A roved Bldg I & D I �l�- Health Divn. f l��./-�- � Fire Dept. � �� l Police Dept. �,�' I 8�/5/�j� License Divn. I �� City Attorney � 8 r�� i o/� Date Received: Site Plan � S y/ To Council Research � /�� Lease or Letter Date from Landlord 5 �� :---•�. . : -.�,.�.. � , � w � -•�,,,�___ � � f. f .:� � �{� "�i � �� - ' t ' ` ; - �y:� = i�t �� i��F } r i `.r, t' S',�'\tY4 � / � FOR BOARD U$E ONLY iG214 �'�� ' -�- - r ' �a.� ' r. R r -0, i , �„n.AO� ' F�� ;:�A.� � • - �,.�..�r` ,z� FEE �� { , ��' * � { �� , , 7 � � � ` ,,; �� ,��,�,,, �s� ';�;- : , ,'� `� , ; � CHECK i ° �,. ��°,-� � , �; ��: � � ,�: ` , � ; �a,, � � ,<<�„ t=� ?, ,: r ``' INITINLS ' � - .�� -� - ��f-�w. �,� . ��tii.� c �: � s {,�a�� DATE � ' � ;��°�,h�� inl�tLawfitl Gambling f `� � ; . : ' .:,K� . .:r ., . 1.yne� .�„ , �. ,� . �' : ';r,,�" Premise Perm�t:Application - Part�1 9j%-/�� , . , , ._ . �4�- , '��'t� �='•�4�t`t�c�"7i� ` s, i . . .4, � f : „�" , ,�� - ;��. � �. . `��•;y: :;:y{. yn,...n �??. M:,.,"K\�.,.t,_y',';MC .:�[;�?:;o • �:pi..�......:?T:4.` i:i'JM `f; •• � • �+p} .. , ... : Legal Name Organ' .� •: Y<=,,::� �, ., -• .;, , . } '. •'.' `�� '� 'r: ......... � . . . 4.:.�`. •.>.i�:. .,�. `.��,�,�,�` y. t: Minnesota Jazz �Associatio��._ ��:;�}?��? -� ' 1�� j� � � � Business Ad�eas of�+ganizatlon�Strset or P O Box(0o not uts�ddiayai1f of 9��9�Oef)`��. � ` � ; , , � ..:K�� ` i� i c'_�� .�� '"'`"'•�J1'.�i':, .. . q�..�.� � ' _ ��. ; ' . CUy 4 i�� } t�� p�-- , r' Counly�;,a ¢ : . 'ness phone number�:, ' °{ :'r":��tL '�':., : � ; {.r . . M; nnoa[t(�Z ; R = MN - � ��55408� Hennepiri ' �612� 377-5002 Name of ch�f execudve oflt�(c�not be gmnWhg.manapK) �,' ��}N -� T(tle : = 8usiness phone number: Richard J. Studer .��=- :' -- �'�` ,Y° '`CEO ; � �61 2� 92,7-5497- Ad�ess of chief executive of�Cer•3treat or P.a.8ox ' �i.,� ._ } . • , ; 2 21 7 Humboldt Ave.`° So.�' �i'�; ,� °�� ' ':�` � �: � .: � �� • t [9ra+.�ti. �z� a�+ p OU(lhl • Minneapolis �.. MN � r�f�;`. - �`� ` �k� ' �55408 � Hennep�n. � s>:n,.n;.•,y,rp:;.;•;py .v?'!>`?aT"n.'�n+,a,:�?7" r,,.�:.;;p».. ya•.y. • •..yy>••>•: •::e:ar•;:.^."`Q,', S�� +•:: . i?`l.} \\;•`C^::.:::.L:... ..q jn,i,;Wy;::}`i•. ::;T:�>'>:Y'•;:::.•`.��:�:�:�::'.{•it+n~yi, t �/� :?'::':,r 4�}+i:iiT'ri::jiL;•'.i' •}r.;::'?�'?�i':iii:�:�':•:<>��i Sl-;}:v:vi:.;;::y.,:;t{ ��:'a �:��!��.�!iF:• ;•;y; $:ji.::::.:r.:>.::r :£yl.vr?��T::�•..y:::.yw:3:.�j:4_•T:i..:y�;v,iF,.;.v.v :��::.�:;:. �.:.:�.•:..•• .5�: .•il�:�� ;�,c,.....::..r:..v>:•.:..::.:::.;•.�::.:o : �' . �. •. .. :. „ . ... , ..:: :.... ..:wv�:.. ......r. .....:•Fa. ...::.:....... .. ...........��.�:.:�:::.. ..... .u::.}'.� :?j;+4;; •. . <%+i::4:i:�:,.i}i:•:}iiY yi::j� y.q..'S'\ pY?ii:}.a.wri{?•::^iiT?:i•:�:i}4Y:::i?:\i:-''n•:•:ii:::�,`Z ...... � •• m�.g� .;� -. . , . -. Class of Premise Permit . . k'� <`�' .r , ,;;�. Fee � � t. . .., P Tipboards�Pull tabs ` $200 � :................�.�....... .:.... �ass A-- Bingo, Raffles. addlewheels� . °�""'- Class 8— Raffles, Paddlewheels,.Tipboards,PuU-tab.s :�`� �. $125 The class of premise permit f� cr�s c— st�90 oMx . � �� . � •� `� ;i��3` `��3�oo musr bs reflecred by c/ass vf . 4 �;�j,L � the organlzaiJon!lcense. ❑ Class D— Raffles onlY '� i K� :��,� ,. _ S75 . � y, 4: '. �y� �= r��, r ts . ' , ! , s a E c i aa_:.. � , singo occasions _ . .. � ';�s;,�;�-�� "�;;, '�`.� d . '' '.. : . µ� • . . YYPt�. .:.. . � If class A or C. flll in days and begiaaiag aad endiug homrs of Mngo�occasions: i No more than sevea bingo occasions ma�be conducted by aa orgaaization pez week.j ".�rr�.��°�,�` ��% �fi �:�;: , , Day Beginning/Endiug Hmua Day�`F��r Heginntag/F.�ding Hours , , Day Beglnning/Ending Honrs . . ` c . �i.. �+. fi� .Y a•; - . . i . � . . M t jl�.� ' � � �.?�i n yy'� � �� . ` �r "S � �k `�,•T'��'IG��i� `— N:. , l0 KJ � � W �w � �� i �p.��,,.y;HF k I'.:'�d��t ��a�f�_ . 1 " . 1 w � �r i �4� 33p'i { ��i�;� �r � j t0 ` .� s.. �� jf �, y � . � , � w t'' � `�' t q'�.+�. . �. rry�.� � � � � � �� - � - ��„ �"'r ( s� � ;��; . ,. , , � # � �f s x s N),�; �,{,I ' r �t. „��' � ' � ��sv'�r 14� s"r'i, ' � . .�_ e ��„� .«,. _ � 4}Y.,:;:;,;J:;i;i:>;::• .;( S�Sq x:Yw;Kr;.-xp::::xpiii!:.:y+:•:�^!:-N'ry};:.}:fi:Y,•j^!t v:r'•}'�i. /.^.$i y:S,: '�i�ti �i::t+>��'r: i::�f°:'_.v{;:•:.i'v'.:i0::�'�: �.� .� v:l.. i�YTi'.'•?:?:dG:�-:)i'C�S}?:::::ji�i:;i}:.::..i' :;n}iY.v. .3'� :,4+"� {?>i::?x�Yip��i:y{i .4.' �a+ta'.�yiii�:vx '2 ?;•k..k .�•xL• :::�R�:�:�:::•:>::.>::•>:;.:.. ..... . . .a; ��; :_ �: ::•.<.. :�• � ::tii%�ii:vv{'::;::i?'�::��:�i�:�:v:n..::::::.�:::�•:.•:•S �.S .}.. • ��SiL�•. � >�i'�<��:�:::.;::.: .:.»::>:;:<:::>:..:.� :�.�: ':�,....>,�:<:.::.::...>.::<.>..: ::f:.>:::: ► � :.��?:<..�'��: !..•<:.�;;:.;;:<.:;:.:, .�< ,, .�t;:,,�;>- ::>�.:=:<�:::>:::<:>:>;». T .S .'C4.iiJ:4>:}:fy v� .v}�q`,�,,.::::':�ij:;:i>��i:� ..}:��.�.:i�.) ::::�:::�i:':ii::�iv:::;.;� f�n�'�,.ii it•.ii�.t^:�:•::::i�i.;:;�)i}?.'•S:�:��;i:;:;:i::•:>.�i:S ...... :... \�A �'n'k J,'\tS.. .. .{� � :;i�;ptQ:Y�'(•.`..h�pi•. ...::i:Y::vL::(:�{ti;{::}: ,3`� �?v::'v:ii'ri::ti''?)j , } ::i • ..., . " • :::. {:• . . , ., v� iA-:Li:!• .i:AY� }\•riti:Y�:Q�N.�S:::< x . ��, ..,.�. �c; i ,�.vA,n� -r + �•F:�.y �: �. ; _ 3tatus of Premise Permit•check one: "� � �'�� ;� � � ��'�� n�y2 � , �� ,�""""# r .. � �' .4:i.. . y . ❑ New premise—Fill in�,organization piemisa pwimn num�er.�3 �'` ' � � , �,/ � 1.�....i� �I�i:1'. Te':. , . L�' Renewal of existing premise penn;��--F�in�premise pennit numbe� ' ❑ Previousiy expired premise permd�.F�I i��premise permft number ' t �,��' +' ,�A¢, tfk : ,��f � ' s '- .. . .. `, }i�+ �:. �� r....� :a�#� k �F � � � � .. t � �� ,. *'�`��r,�k;' Y ;� , • ,•., � �� . < � .,� r,�i .� � . i . � . r� ' ��fz, � .� } ti �' � v �q `ai ' x �c ' �,:F � �': 2 s�eF ' . . � - r �., � � . . 's��_.,. " ' �5 !�,,.t' ,. � _ .. ; ; t t . . "y� _� y �Et�'�' � �� i . , . ( `�p j ~' t � �'� tY t '�1 (--yL �rv7 ��`^ ; ` ' �'��, ' , � ,t�3 �.� `7, t [� �,��r ��l .R''-}- f • � ,��.` ~ �s� � ` � t „r a E ,�.�.�� . ; � - - ' ,. �� +Y .. -� ! ��,!«1`;ray,n.ej'��:Y«a . _ .. . !. � �. . ,� .� � .-.. .. � �. .��...— �..v�.r. .�..�, ..��w�'a.,�R'�.'!�!'^."±'�?'r`.'�"'c"v�"'' -.-•-, - . � -�- . � . . iY �_+ � � j i �J .e5.�. = j : . 77 , � � p .. � , t��d',s�i'f �;_1 Lp � � r .. �/ V � 4 �r r r � 1 S � 'LG214 . - � ,:�ti V ,r,4y'�"`��t �tt1 F 7 �!., ��.. � :: �I� 1 �� ; � . . ' �-,±:. , ��-' L'1�� rr.,� � sr f- e , . � , .� Ji 1 ,f �. y�.{t,,}; 6 i �.�y�: �•�_„ . ... j: ; ! �`� '.M�rcnesotac Lawful Gambting .,;`.f :; �- �' Premise Periait�Application - Part;2. �:- � � , � , �r ;.�� ,�.,:g ,; y �` - ' .,.. � ��,,' }�� t 1...�� . sF' t F naq;nvn,v,rO:m..� r.l ... .. ' Garri#�tz ,:. . � .. :.:.:.. . ��t;� �:�f*�e�:.. ".+�i�rt�t�i`�'` �;<::: �� f ��. A'�:.�.<:>�.::: >. , : : . .: .� < :.:�: ;.::. ..: .�: �,�4 :�<>�:�><:t.;�.�..:;<.::. � , Name of es t gam�ing will aonducned.:� °'!';�.`�'�' �g�set Address( t Uss a post o ce box rnirtfber� �/''�.��'� r � Is the p�emisas located witl�i�aly Gmtta? �_�?;_((�res ;'�r no��'�"y#j��a_; , , y,: F i �� Ciry and County where gambNng premises ia foceted;OR�Townsh�;�d.Cou�.wi�ers 9a�nbin9 P(e!�a located if outside of aty Nmits .�� - -� ':"'�!�x a�� ( � G r ' � .R 3 .� � ��,�. �' s� ��. �,l,r ��J"R': '� r° .S Name and Address of Legal Owner o remieas `° '" ql�i '+�,`�..i � ' Zip Ccd� � ;:� ' �`r'�� _ , / �'�•;��ti� rF,, * . � � ;: � ,; � :� � � ��l/G , �, Does the org�izatton own e buildnq tl�e garnb�q wiM be co�ucted�_Q YES ""' ; I : ��:#y `": I �� . ��'��;yt.t:�:�;i�'is. ; � , NOTE:Organizatlons may not pay themsalves Fent if they own the buiidMg o�have a holdmg campany.' A letter mu:tt be sub- mitted showing rent payments as zaro from gar�bling funds d;the organ�n's hotding aompany awns the premise�. The letter must be signed by the cfiief execut(ve offi�er. ,, � ��t'�x�� `<t:'�•` . , � � , If NO, attach the folbwing f3� '�� `, � ..a�' �� :. # •.,r;.;r . .� av ��i.s;�r , ' a copy of the lease with erms for on�year.:''` �� * a copy of a sketch of th�il�r plati with dlmensions, showaig what poribn is being lea�ed. A lease and sketch are not req��ired for,Ctass O:appiicantbns. , � t {� 'r `r' "�' '"�T �+� '}fiF � 1`'�� ;'.��;i,. Rent: � �.� r•> : 3, u - � t x . ti For gambiing with bingo �'.��$ � �¢ ��,r1 FI �k -,Total square footage leased � , . t . : - . ,6.9 i r-' y �; .. .�� K.. �.,r � -�i . . . ' . � ' r tR� �-:� � i ( For gambling witt�ut bmgo�$,_�� _��-` �/� �Total square footage leased 2 4 �! _ � � � - . . fi.1..:t.s�. �sy7��K i� ;�1'� . ..� � , Address of storage space of gambling eqtnpment r ti� ��. �. ;� � �. Ex��: : Address. � x �,� f C�ty 1,4,��: ��f� �` State 1 Z�a.00de I{: . � .�., . , �+N��; �� R�y:I . . � . . . 7 � .. .....,..: Y;.F: ..... ..:;.;�..;;..;•:::�;w;:.:::::••.�.�C.., ..;... � � , . . ... :��: ...: . . .. , .... . ... ... ....... •'' B N'.�,+.'��.�.,: •.•y;r;;�:i�i5:::�::�?:::�;i>�:::�:A`�i.•�. . � ank:�:�n ot:'rr��tiu� ...� �:�«,� �::>�.A,:::;:>:«::<::: ,:�.. >.�:::.::: .�,.:.> :.;:2:><: ��.;:::;<:>�:,;�,::`` ,� � ::;:<>�: �>::r::,�<::: r,� ,�.>.::,:#<�:::.::.: �.: :,.. ....: , x..., � � .��.�:�� .�� ..�.> r ; ....:....:..:..v .,A... - , - . . . �ee�n perm,rraa gamn��ng promu��must haw a sep�rats d�akTng�ccounry : , 8ank Name „ ,� �r f��`�:-�� M1 Bank Acaow�t Number E � ; Liber�ty State� Bank -F ::��' ` f w� , �, ;,: i '.: �03-666-5 '' � - t3anK Address .M �, , ry . ��. . �x�� }�,� . Sta1a Lp Code r< - • � _ + ` `._ ' : _ 1 76 Snellincr Ave. So. �" ' St:"`Paul"� � � ��. MN` ' S51 64�0075 , - - Name,ad�esa.and o�Ne o!persons autl►orhed to aign checks and make depcsita s�d wirhdrawals. Name : .,_ . �, .4 ,a .: � � ., i itle Richard J. Studer �'�221.7 Humbolt`.Ave� S. Mpls, MN<55408 CEO. �: ,,r:; •q.: Harlow H. Fre�berg, -"Jr. 2132'_`E:r•�Co. "Rd. E WBL; � MN 55110 Gambling Mgr. . . 4c_j 4- t � :_ ,�� - ' - , � -';"� „>t �•� . . - ' . `.r`. ,,, . . , , ' 2 , ''`` ' r �Y'`�� ` ``:�i c ` . . ._rY�n ., jC . . . . f' �.. .. `�'�`�1'�'�;��:`i ; .. i;-.. , x . ��'��!4h�IfY�(V,'i 4'V� - . . � • R � l � � {� � ... f�.�- , i �.��.��'� 'Yn �.. . , . � . � .l� •'�<)� ...E � ' i; ' . . _ . .. �'A �4 �t . . � . y . . � � . � ,..�.. ' ..._:ti -�•i �Lr.:. . .- . . . : . ORiGI��►� • •�`y � ' Council File # " �� Green Sheet # 16302 RESOLUTION TY OF S PAUL, MINNESOTA , , � Presented By Referred To Committee: Date RESOLVED: That application (ID #32140) for renewal of a Gambling Manager's License by Harlow H. Freeberg DBA Minnesota Jazz Association at Willard's Bar, 738 Thomas Avenue, be and the same is hereby approved. Y� Navs Absent Requested by Department of: zmon osw.z z on � License & Permit Division acca ee i' e man i�son � BY� /VL�- Adopted by Council: Date Form Approved by City Attorney Adoption Ce ifi by Counc' Se retary /� G � : gy; . 6� ��'7 j. By: SEP 2 7 1�91 Approved by Mayor for Submission to Approved by M or: Dat Council BYe G� By: ��°��.¢� �CT 5 '91 P .,r .� . . ��i�a/ DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� 16 3 0 2 Finan�e�Li�enSe GREEN SHEET CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Christine Rozek - 298-5056 ��aN �CITYATTORNEY Q CITYCLERK NUMBER FOR gUDCiET DIRECTOR FIN.&MOT.SERVICES DIR. MUST BE ON COUNCIL AGENDA BY(DATE) Clty C er ROUTING � ❑ Hearing/ Q �a C�` By� � �t� ORDER �MAYOR(OR ASSISTANT) �� R TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION RE�UESTED: Approval of an application for renewal of a Gambling Manager's License. Notification/ Hearin / � W w Q RECOMMENDATtONS:Approve(A)or ReJect(R) pERSONAL SERVICE CONTRACTS MUST ANSWER TFIE FOLLOWINO�UESTIONS: _PLANNING COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this person/firm ever worked under a contract for this department? _CIB COMMITTEE _ YES NO 2. Has this person/firm ever been a city employee? _STAFF — YES NO _DISTRICT COURT - 3. Does this personlfirm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVEI YES NO Explain sll yes answers on ssperats shest and attach to greert sheet INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who.What,When,Where,Why): Harlow H. Freeberg DBA Minnesota Jazz Association requests Council approval of his application for renewal of a Gambling Manager's License at Willard's Bar, 738 Thomas Avenue. ADVANTA(3ES IF APPROVED: If Council approval is given, Harlow H. Freeberg will .cpntinue to manage the pulltab sales for Minnesota Jazz Association at Willard's Bar, 738 Thomas Avenue. DISADVANTAOES IF APPROVED: Council Research Center $EP 10 1�1 DISADVANTACiES IF NOT APPROVED: � RECEIVED � SEP 11 1991 CITY CLERK TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) )� Q . � , , 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 routings for the five most frequent rypes of documents: CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Orsnts) 1. Outside Agency 1. Department Director 2. Department Director 2. City Attorney 3. City Attomey 3. Budget Director 4. Mayor(for contracts over$15,000) 4. Mayor/Assistant 5. Human Rights(for contracts over$50,000) 5. City Council 6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services 7. Finance Accounting ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others, and Ordinances) 1. Activity Manager 1. Department Director 2. Department Accountant 2. Ciry Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. City Council 5. City Clerk 6. Chief Acxountant, Finance and Management Services ADMINISTRATIVE ORDEHS(all others) 1. Department Director 2. City Attorney 3. Finance and Management Services Director 4. Ciry Clerk TOTAL NUMBER OF SIGNATURE PAGES Indicate the#of pages on which signatures are required and paperclip or flag �sch of these pages. ACTION REQUESTED Describe what the projecUrequest seeks to accomplish 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. RECOMMENDATIONS 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, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.) PERSONAL SERVICE CONTRACTS: This information will be used to determine the ciry's liability for workers compensation claims,taxes and proper civil service hiring rules. INITIATING PROBLEM, ISSUE,OPPORTUNITY Explain the situation or conditions that created a need for your project or request. ADVANTAGES 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 projecUrequest produce if it is passed(e.g.,traffic delays, noise, tax increases or sssessments)?To Whom?When?For how long? DISADVANTAGES IF NOT APPROVED What will be the negative consequences if the promised action is not approved? Inability to deliver service?Continued high traffic, noise, accident 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 gofng to cost?Who is going to pay? , � � �Fq��o DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE / INTERDEPARTMENTAL REVIEW CHECKLIST Appn r cessed/Received by Lic Enf Aud Applicant��,�G/`/�Ll� T7 . �/^�,�2�) Home Address,�,�o2 E �7'� �d . �- �ft�1'��r ' La��'.�"/ll} Business Name Q� , Home Phone ��7/�Q�� °779'�8� �` a r� � Business Address 2�,y T`jpm� R�iIB,��p1L Type of License(s) � d /,� ��'- Business Phone ��'7 -�QO oZ /-�ef/f�°1� Public Hearing Date � �1 License I.D. � 3o2f 4L0 at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. 4� /�D9�,� Date Notice Sent; Dealer � ��/} to Applicant Federal Firearms 4� N�� Public Hearing ��d�✓ DATE INSPECTION REVIEW VERFIED (COMPUTER) COHIlKENTS A roved Not A roved Bldg I & D � �� Health Divn. I �� I Fire Dept. �,� � � Police Dept. Slt'� I g��S��S� License Divn. f ��q/ti� � C�/�- City Attorney � S/�s �� I Date Received: Site Plan � ��' To Council Research � � � I� Lease or Letter Date from Landlord N �- � � � • -/�/� LG212 FOii OFFiCE USE ONLY Minitescta I.a�uful Gambi�rtg FEE ��) CHK Gambling Manager Application DATE . INIT .. ..... . . , . : ;...:.:.,;. :... ...:.:...... :...;r:;:.:.: .. ..• .. ....:.:::...:.. • . . .:». •,>:�.,. . �,:' ::.�-.- � Manw: Mio a soc. �..., I�mWwr . w H. Jr. 8/13/51 474-60-7704 � �� 2132 E. Co. Rd. E, White Bear Lk MN 55110 779-9840 Membersrrp:a�a 9amblbxi manaoe�becan,.a+�ot ui.o�g�an _5.1�1�s sex: (�alale p r-�e :..:.. �. �..,^^�. .. ...:. _ i7.�r''gEU�t�t��......:.::: �...:.�.:. ;::t. . .. . �... ��` . . . ..<.. . ::: � v �. . .: _._ ....._ � -=- - �,. x. .... . .,: u...,;� Leg� Name �yinnesota Jazz Association Address Gty Phone 2217 :iuinboldt Ave. So. Minneapolis, MN 55408 377-5002 .::.:.;>:.:.;;..<.�.,�......,,.. ,�.,... .. .<.... � ... .�...e.t;�..� n:�^1.:... . .;v:�:.iWO1:S!^..'d.� . , .::..xii.v�i J.., . ^^�^;':.... .,-�lW..:?��+.r,'T,.i!%.'J: :. �� :,�i.,�6;�..� .•:....-��0 . . ..Y''�+'f`:'•:>)'l � �,:: :n:�ii"',,;°. ' �•f...`.. • ' ':i.•- ;l ' ' .: ;. _ "":'• ,;;;t � ,•, :E?P.............. ..... .....,....,.. .... . . � . . .. .. >� �� N»:�;'��:<:;:<r::. . :. .. �.< � . .... ..,.:::o:. _.::.:. n.............�:.::.::::,::.. nfif•.:,r �ix ;, •. . ;>r »wk;:3:;, r•y,oY:::nr:, ❑ New Gtve date that gamding manaqer sem"srer was canplaled./_� I.ocation of traininq (�Y) (� Renewal Give da�of training recenred wi1Mn three ysars prior b the daca of fhs applfcation for renewal.�.91_191�.0 Locaoon or training Du 1 u th, MN (�Y) ' ......nr,...,.:;::+/Y h:f! R •i!f .. . . . :: ...:... .l.?; '.+`/.'.�� 4:. ' :'.�. At- �'�},��L,�•�,�„�•+�,i;r'::.i ' '�" �. i.��.�:�: ..r:v. • ..nf.:?;.. .n . �.:ti . . .. .H012 �1%Y7'LQ Q . ,'•z.�x:=`. ''<,:�s�::<:�N�' �>~::;;.,;h�;�� .,• ••:., >�- •:: `'° .•<:;. . - _ _ _. ._ .. .... .M.,>.�::�::... .,w. .:;:::<•: :: ,�:s,? .. .. . :� :,::::. ..«:;.;::� . ,.:�,: ,... . ....... --A$10,000 fidelity bo�d fn favor of the agaruzadon must b�obtained by tlts yamblinq mensgsr. Name of insuratxs company(do not uae agency name) SVestern Suretv COtI1D�dild Number 582 4981 6 --A 515.000 tax bond in favar of the st�a of Minnetota must be abfained by tl�e arg�n.The original copy must b�submltted with this appllcaUon. Name of insurarxe c�mpan�r(do not us�agency narne) Band Number . R':k?.:•^:,"`.:.'?`^y":`y'.�".'."".fi;:.c¢%`•?:"r?..?:;:.�5.:•..; >,•y:+r�vr�n:.�:•:r�r».{sr�;tr.a� »:•xvr.v,..�,.,..,: :.::';:';�:,,.. .. .. ;��--..�:... : .�� - .. :. :.:.... .. . .. 'G:A . vY �vi:i. . k.�:v.iii.'.;.,-v.;..:.:iin^:�.-��:;.iiiii}.:�y:n,.::• ,,r.•;. . s -g,•,� fi� >.>:�•:':•ob:;;...�..:...... .;:,• .:. . .; ::�. , �y. . .S . .. .. �/� +Yf. �..�.4:.�v.:'�.:i:it.::ii:�;:`i`<:;�:;_::;::rr�:: Ackrtdr�Ie � .:. �. . .�::;;:::. ��: .. . , .. 4. ��`>�:� �:f:.� �... ,.:.::... ,:.:.,..�.. - .. Jv^'•?.... t ' {4:: . S:::n:...;n..:.:...:.....:......v;::.,-..�?:>.�:'��'�'-:i:•.-:'�: �....:v':+ :. . } .v-� Q.,v;n+. .,•::.eo'�ea:' 8�c:%�i:'. c,•... :tYtt�:dS:k:%::%F.:i'acE:;:?�r:�:•:::::::'<':#�acw::;n{�:''r'�:'•':%<�::�:�i•,'.;: ......_:..:.:�::::::::.�::::.. ....,..,..�,•: are a • I have read this appiicadon�d aN infamadan su6mitE0d h�Ihs bo�rd; • All infortnatio�is uue.acwrate and complete: . • All other neqtared infonnadan has bean hilly disdosed: • I am the aMy gambNng manager of Uw arganizalion; , � • I wiN farniiiarize myself witl��he Iawe of I++i�meaota gowminq�gambi�Q and n�s d tfts board and agree,if�ad,tc abide by those lawa and niles.indudi�q ame�drt�eMs ta the�n; • Any changes in applicadon infortnatioa wi1 be submitted to�hs board and beal gavan�a�ettwitl�in t0 days of the char�ge: • An aflidetvit for gambling m�ager has been compieted ard�ed. • Faiiure to pr+cvide taquirod informatb�or providinq falss ir�onn�tion map tssuft in the derid ar rewcadon of the ikxnse. . � . .�� S'ignawre t3em ManaQer Date .r � �� Rete�to the instructions fo�the req ' att s and fee. . . D�artrn�nt ot GamMg GambiMg Camrol Dlvisbn Ros�wood Plau South,3rd Roor ` 1 T11 W.Cotutty Road B Ros�vlNe,NN 5�113