91-2096��'��?��`j py , r�_ .. �� �
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, Council File #` � d
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� ;� Green Sheet ,� 16367
RESOLUTION ��
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To Committee: Date
RESOLVED: That application (ID #32902) for the transfer of a Gambling
Manager's License currently held by Donn Dexter DBA Trade Lake
Camp at B. V. Peppercorns, 1178 Arcade Street, be and the same is
hereby approved for transfer to Richard H�elseth at the same
address.
Y� Navs Absent Requested by Department of:
imon
oswz z
on � License & Permit Division
acca ee �
e man
iuson � By:
�
Adopted by Council: Date Nn� -�4 �,Q� Form Approved by City Attorney
Adoption Certified by Council Secretary �
.
gY; • Q '�'��
By: � F' —� � I.G�U
Ap roved by Mayor: Date V � � 19 � Councild by Mayor for Submission to
sy: �,���
By:
F�l�Ll���D �OU 3 Q'91
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED
Finance/License GREEN SHEET N° 16367
CONTACT PER30N&PHONE INITIAUDATE' INITIAUDATE
�DEPARTMENT D�RECTOR �CITY COUNCIL
Christine Rozek-298-5056 ASg�GN �CITYATfORNEY �CITYCLERK
NUMBER FOR
MUST BE ON COUNCIL AGENDA BY(DATE) City Clerk ROUTING �BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
ORDER MAVOR(OR ASSISTANT)
Hearin / 1 t I �j B / 1! '1 � ❑ 0�-�.
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of an application for transfer of a Gambling Manager's License.
Notification/ Hearin 1
RECOMMENDATIONS:Approve(A)or Re)ect(R) PERSONAL SERVICE CONTRACTS MUS ANSWER TNE FOLLOWING QUESTIONS:
_PLANNING COMMISSION _ CIVIL SERVICE COMMISSION 1. Has this person/firm ever wo�ked under a contrect!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 person/firm possess a skill not normally possesaed by any curcent city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answers on separate shset and at�ach to yroen shsst
INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,Whet,When,Where,Why):
Richard Hjelseth DBA Trade Lake Camp at B. V. Peppercorns� , 1178 Arcade Street,
requests Council approval of his application for the transfer of a Gambling Manager's
License currently held by Donn Dexter. Al1 fees and apgli�ations have been submitted.
ADVANTAOES IF APPROVED:
If Council approval is given, Richard Hjelseth will manage the pulltab sales for
Trade Lake Camp at B. V. Peppercorn's, 1178 Arcade Street.
DISADVANTAQES IF APPROVED:
DISADVANTACiES IF NOT APPROVED:
RECEIVED G��;��f! ����`����t C�'�t��'
rvov o 51g91 '
��YY c�ERK ���v o 1 1991
TOTAL AMOUNT OF TRANSACTION S COST/HEVENUE BUDGETEO(CIF�CLE ONE) YES NO
FUNDING 80URCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��
NOTE: COMPLETE DlRECTIONS 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. Ciry 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. Activiry Manager 1. Department Director
2. Department Accountant 2. City 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[lirector
2. Ciry 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
each 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 city's liabiliry for workers compensation claims,taxes and proper clvil 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 projecVaction.
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 wlll 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?
� � -�1/�oQ�
. DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /j)—/��//
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
r �1 �
Applicant (,�j� P�S�T" Home Address 'L �, C � 1
Business Name E Home Phone L�' e /?' ,�fJ/'�
� 1 7?'9� 9d6�
Business Address �/�J� �`�?,���J'���/�,�, Type of License(s) �l �Q�'1 �/"
Business Phone ��- g�boZ �`������- ,
Public Hearing Date // / License I.D. 4� ��o29UnZ
at 9:00 a.m. in the Council ham ers,
3rd floor City Hall and Courthouse State Tax I.D. 4� J11(�����
Date Notice Sent; Dealer 41 ��f}
to Applicant ��
Federal Firearms �6 �
Public Hearing � '
�'� ,P�
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COrIl�IENTS
A roved Not A roved
Bldg I & D i
���
Health Divn. I
u l.� I
Fire Dept. �
tir4 I
Police Dept. I O�/y I�� �n�
License Divn. f
�°�� �i � ��.
City Attorney �
��/�5 �ll f ���--
Date Received:
Site Plan /v//�-
To Council Research �� ��f'��
Lease or Letter Date
f rom Landlord l� '�'
. � . . (J,r��--ao�l� ✓
CITY OF SAINT PAUL '
" DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
DIVISION OF LICENSE AND PERMITS
APPLICATION FOR A CHANGE IN GAMBLING MANAGER
The applicant must return this application form� requested supporting documents _
and the required fees in person to Room 203 City Hall. Make an appointment with
Christine Rozek, 298-5056, to bring in your application and to review City
gambling rules.
Date: October 9, 1991
1) Full and comp lete name of organization:
Trade Lake Camp, Inc. _
2) Name of licensed location:
Peppercorn' s
3) Address of licensed location:
1178 Arcade St. St. Paul, �il�T 55106
CURRENT MANAGER INFORMATION
4) Name Donn Dexter
First Middle Last
5) Address 1622 W. Minnehaha #1 St. Paul, MN 55104
Number Street City Zip
6) City of Saint Paul License No. B-02178-013
NEW MANAGER INFORMATION
7) Name �-chard Hjelseth
First Middle Last
8) Date of Birth 0��6 9
9) Address 2347 Tophill Circle Roseville, MN 55113
Number Street City Zip
10) Phone # 779-9062 Phone # ��0-7120
Home Work
11) Member of organization since: �� 87 '
Month Year
12) Fidelity Bond: State Surety 292805
Insurance Company Bond Number
. . �-�,_��9�
CHANGE IN GAMBLING MANAGER
PAGE 2
� Signature of Applicant � � �
State of Minnesota)
)ss
County of Ramsey )
and �
being duly sworn say that they are the petitioner(s) in the above
application; that they have read the foregoing petition and know
the contents thereof; that the same is true of their own knowledge.
Subscribed and sworci before me this
� day o£ �,���-E�_ 19� .
l/l.�rs��-c�Xr� �u/t,�1
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- Myt lo�RY�_MIN !;�� M�ime�a
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My Canx�sgon Expres MAR.2.i99:
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13) Attach a copy of the bond to this application.
14) Attach to this application proof of inembership in the organization
for at least the most recent two (2) years.
15) Gambling Manager applications must be approved by City Council
before managerial duties can begin. Allow 30-60 days for
processing and investigation. This a�vlication is not a license
to overate. You will be notified by letter of your hearing date
before the City Council. ,We suggest that you attend the public
hearing.
16) Attach a letter from the President or CEO of your organization .
requesting the gambling manager transfer and explaining the
necessity for such a transfer.
17) 199T Gambling Manager transfer fees are S33 .00
7/89