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91-2095 O�I�'��� "�~ �,Council File � �' � � � ( 3� � ` �_____� Green Sheet # 16363 RESOLUTION CITY OF SAINT PAUL, MINNESOTA Presented By '�v � Referred To Committee: Date / RESOLVED: That application (ID #43120) for renewal of a Gambling Manager's License by Gary C. Parker DBA Cystic Fibrosis Foundation at Vogel's Parkside Lounge, 1181 Clarence Street, be and the same is hereby approved. Ye�.s Navs Absent Requested by Department of: imon � oswi z �— on =_�� License & Permit Division Macca ee e man � une s son � � � BY� o � � Adopted by Council: Date "� � Form Approved by City Attorney . Adoption Certified by Council Secretary sy: • �0 '/�"9� By: — ��,vv'� A oved b or: Date , 19 Approved by Mayor for submission to pp y �O� 2 � Council /l�G� By e �"' gY; P�e�U3EEED NQV 3 0'91 ���"a°�� '`'DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N�i 16 3 6 3 � Finan�e�Ll�ense GREEN SHEET CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Christine Rozek-298-5056 A$$��'N �CITYATTORNEY �CITYCLERK MUST BE ON COUNCIL AGENDA BY(DATE) Clt Cle k NUMBER FOR ❑BUDOET DIRECTOR �FIN.&MOT.SERVICES DIR. y ROUTINO ORDER MAYOR(OR ASSISTAN� n,,. ��;� Hearin / l i / � B / lti � � ❑ Q—�z TOTAL#OF SI ATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Approval of an application for renewal of a Gambling Manager�s License. Notification Hearin ! �� �1 RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MUST ANSW�R THE FOLLOWINQ QUESTIONS: _PLANNING COMMISSION _CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contracY for this department? _CIB COMMITTEE _ YES NO _SrAFF _ 2• Has this person/firm ever been a city employee? YES NO _DiSTRiCT COURT _ 3. Does this person/firm possess a skill not normall y possessed by any current aity employee? SUPPORTS WHICH COUNCIL OB,IECTIVE7 YES NO Explaln all ye�answers on seperots sheet end attach to green sheet INITIATINQ PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): Gary C. Parker DBA Cystic Fibrosis Foundation request� Council approval of his application for renewal of a Gambling Manager's License at Vogel's Parkside Lounge, 1181 Clarence Street. ADVANTAGES IF APPROVED: If Council approval is given, Gary C. Parker will continue to manage the pulltab sales for Cystic Fibrosis Foundation at Vogel�s Parkside Lounge, 1181 Glarence Street. DISADVANTAGES IFAPPROVED: DI3AOVANTA(iES IF NOT APPROVED: RECEIVED C��'�`°�9s ��'���� C�ttt�t' Nov o51991 r���� � "� � ?"�� CI�Y CLERK TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �� 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. Outslde 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. Ciry Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. Ciry Council 5. City Clerk 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDERS(all others) 1. Department Director 2. City Attorney 3. Financ�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 sech of these pages. ACTION REQUESTED Describe what the projecUrequest seeks to accomplish in either chronologi- cat order or order of fmportance,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 fn question has been presented before any body, public or private. SUPPORTS WHICH COUNCIL OBJECTIVE? Indfcate which Council objective(s)your projecUrequest supports by listing the key word(s) (HOUSINCi, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET,SEWER SEPARATION). (SEE COMPLETE UST IN INSTRUCTIONAL MANUAL.) PERSONAL SERVICE CONTRACTS: This information will be used to determine the city's liabiliry 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 Incresaes or assessments)?To Whom?When?For how long? DISADVANTACiES 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 going to cost?Who is going to pay? � (��a�9��/ � DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �� S �� / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant �Cj..y`i/ C� , 7�Q i^K�j^ Home Address J��2�� Vv�J�S�� ���'. �Q� E'- .�, � 5,�3�� Business Name e �1 $ � --�e� Phone __$'y��� �(�02 .� ���y o S ahKs L / y� ��d�� Business Address �QF�?LP.� .�D,(� Type of License(s) �I'1'1rj!/�?9 /�iQ-1�t49ef'— Business Phone �''1l— ��6� �!'1eGl�Q� Public Hearing Date �) 1 ql License I.D. � ��/o2Q at 9:00 a.m. in the Council Ch mbers, 3rd floor City Hall and Courthouse State Tax I.D. �� g��o7.�'/� Date Notice Sent; Dealer � �l/3 to Applicant Federal Firearcns # /1�/j� Public Hearing p /e-e— DATE INSPECTION REVIEW VERFIED (COMPUTER) COMMENTS A roved Not A roved Bldg I & D ! N �4 Health Divn. � 'v��' I Fire Dept. � �7�� I Police Dept. (��f�(115'� ��� 10 I D/� License Divn. ( 1 °�3i �, � o i�. City Attorney � 1��t,�''�,� a � Date Received: Site Plan N�� To Council Research l� �� 7 Lease or Letter ate from Landlord __ ��/�_ —r r,f- ;_,M .�.. . .. �. . . . .. . r r� . - i LG212 BASE LIC#E U��ONLY (Rev. 7/29l�1) : �y���� � , , , SEQ�k �.s; � • . M�nnesota Lawfui Gambling cHK _ � ��� � Gambling Manager APPlication ` oATE .�. w�, INIT ; ��;,. . ;- ................,•:::::.:.:::.:::::::::..............:.....:........,::.:�:::::.�.�:::,.:..:::.�:::::::.�.�:.�:..:.::::::.:�:.�•:::•:.:.....:;•:::::::•:.:::.::::::.:�::::.......:.;..;::�:::::::.:.;:,:.�.:::.;;.:•,.,::,K,,,::.:.,::. . ................. .. ......... .......::: ..... ....:.:.:::....,.....,........�...........................r:::.>;:•::•::................ �...... .............::.: . ......... ...:._:::.. �::.:::................... .................,..... ............ ......................:::::.;:.;>:.::.:::::::::::.�........:...::.�:::::::::.:::::::::::.:�:.�:.:�::::::.:::::::::.......:.::::.�::::•::::;<•s:•;:•,::�•::<:.::::::•....:::;•;;.:....:::.:::::::.;...:::,. .. .,.... t . a. `:::E1 <>�. �..CI,T.f� .1'�:::'::�>.�>"<>>::: :. : � ;;:::.;>;;:�::::::>;::;::.;:: :. . . .. ..............,.... .:........ �.. �p........�....P.T�.:. [�New Give date that the two-day gambling manager seminar was completed. 7_/ l.ocation of training ��ity� �Renewal Give date of training received within three years prior to the date of the application fo�newal.�/�/� 1 LJ Locadon oi training M�f'u:t a Y,� -�d�.n N.t IIS • (�!h!?.....::,,..,..... ::<.:.«:«:«::<:«<::«:....:<;:<.;>:«,.;:<::«<..>;:..> :....:.:::.:.:.:::.::::.:::.::::.::..:,..,.,,..,.,.,.,,.,:.:..,:,.:.:._...::::::::::,::.,::.,:.::...,,..,:,::...... .... ........,,:..,,:<.:,::::::,.,.:.::;.:.:, .....,................................................................ .........::......., ...::.::.......................�::.............. ........... .. .......... . .......... . ......................... ..... ......... ...... ... .....................................:..:..,:.,.:.:....:.........:...;::;:::;<::.:::::;:::;:<::::�:::::,:::::.:::_::::::::::.:::,:::::::....:.:..........::. ,. .:...:...... ...:w....:....:. :.......;...:.........:... ....: .............;...:. :..:....:::::.::::::::.::.::.::::::.:::::::::.:.::..�.:.�..�::.�:::::.�::.:.�.�:::::::..:::.::::::::::.:.�:::::::._::::::::::::::::::.�:::.>::::;:m;:::::;::: #7tt<:>::»:�><::>::::::>:::«:::::;:::«:>::::::<::>:::;::::::;<><:::>::::<:;::>:::::<s»::s>:>:?<:>:g>i>'::::;;::::>:�?:<::<:::>::>::::>: =:�;::::>:<:::>:::<:::>;:<:::;<:»<;>:>:�>:::::>:::;�::.:::::<::<::::;;::':::; ;��a�tjrtgr;�ixan��c�e�:;�'n�'c�rr.m�.:. :.:.�::: ::::::::::::::..:::::.�:::..:......... ... .........�............ ........ ... .. .... �IAST NAME FIRST NAME ?vIIDDLE NAME MAIDEN Date of Birth Soc.Securiry Number �_'� C. 05 � 8� 58(0l0 Ad r�s , ,, State Zi o aytu e P ne 13aa� v��los�r ��e�u�- . Q e. _ 5 7 8 �l� � 7 �oy(�a MEM�iERSHIP: Date gambling managar became a member of the organization $/�/�" Sex: Male Female %iiii:�':��.`-;;'i�`•��`;";:i��%iii;`.'.i`::;`�`: ;»;:. O'. ��I ;(3,�'�'�,CC'L�{����':;::s:?�:>::i:::::;:;::::;�:<:���::>?<::;€<:>:':>::>::'`>`:<>'::'?';:::::::.<;;::'::?::;;'::'<;''?:>:�::�::::;:;:`�`>':`:'>::;�%::::':f`:::>'�''3;;:'::<':<::;:`:<::?':>�:'::::>�::::�>:<:`'?�''::�>:�`�:::?:;>:;::�:;<:'•:�«::::`::<:>�:;<:>�;::::<: :::.,::: . ,,Q�t°t'�u�Y.�tl.�l.. :�'t.. :12. .�I'i..:. ....1!�. ......... ... ................:..:...... ..:.... ..... :......: ... .................• ...... .......... Name ot C1��ganization License Number C--� S�-;c ��bro�►s �nu,xc��on OC�3g7 Ac+�ress Ciry/State Zip Code Phone y3r� c�c�.K r ��_ -�o t r�A l�s 55 03 �(�i� � 871-0�11�� �::::,:::::::::::::::<>::::»:::::::::::::::::::::::::>:::::>::::»:::_:::;::::::::::::;:::::�:::�'<::::::�:;:<:':::>:;>::::::::::>::;:::>:<::::::::::::::�::::_�::::�::.>:::":::`:::`:>:�:::::::>::::::::�:�:»:::::::::>:<::>:::::>::::::::;>::.::°:::.<:::`::::::<::::::::::::>::>::::»::::::`::::�: ` ��to .;:;>:. ; ;..::: �'�,�c�.:� fc� rt.... .;:;;:;;;:;;::::. ::::::::::.:::.::.::::::::::::...�::::::::::::::::::.:::::::..�:::::::::.�:::.::::.:::::::::::. � ............ . . .... .................... ...................................... ....... .... .. .. ..... --A$i�J,�fdality bond in favor of the organization must be obtained for the gambling manager. Name of insurance company(do not use agency name) FecLera.� �MSurGnct.CQw�o�w�/ Bond Number 8o3s� "" � ....,::;::.:::.,:.,:•::•:::•:�•;:•:<.;:;;;:•:•:•;:•;:.;:•:•:.:;.;:.:.:.:•: Y. ::= �. `�c��e�' .n��,..�::::::::::�<'�:;"<f�:<:<:;>`:�<':>::::?:r:;<'»;<;:>;::;<;::<:.«;:<:'::;<�?>:'<:<»<;:<<:;;;»><":;:�::::>;<>;>::<`::':<:s;'`<:;:;<�::�><;'<:;:>::>;`:<�>`.`��::`<::<::�;:`':.;:`::`';::?:{;::<:::..:,.>:<:::;:>;>::�:<�>.:<:::::<;;[:<�;�`::::::??::>::::>:; .;;:.: :.;.::: .;. : � `�.. :�tt� __.. __. _ ..... . . ..... .. ...... .. .......... 1 dedare that: • !have read this applica6o�and all information su5mitted to the board; • all inf�rmalian is true,accurate and complete; • all other required iniormatio�has been fully disdosed; • I am the o�ly gambling manager of the organiza6on; • I w�ill familiarize myself with the laws of Minnesota goveming lawful gambling and rules of the board and agree,if licensed,to abidEr by chose laws and rules,induding amendments to them; • any changes in application information will be submitted tn the board and local unit of govemment within 10 days of the change; • An affidavit for gambling manager has been completed and attached,and • I understand that failura to provide required informa6on or providing false informa6on may rFSUIt in the denial or revoca6on of the lioense. Signab�r Gambl+n a 3r I Dat V Send th� pleted application,gambling manager's affidavit, and$100 check m�de payable to S te of Minnesota to: Gambling Contral Board Aos�►�rood Plaza Soutfi,3rd i�laor 171'1 W.County Road �B � - Rosevtlle,MN 55113 -