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91-2111 Council File # " /�l ' Green Sheet # 16364 RESOLUTION ITY SAINT PAUL, MINNESOTA Presented y Referred To Committee: Date RESOLVED: That application (ID #22312) for renewal of a Gambling Manager's License by Gary C. Parker DBA Cystic Fibrosis Foundation at Top Hat Lounge, 134 E. Sth Street, be and the same is hereby approved. Yeas Nays Absent Requested by Department of: imon � oswz z ✓ on v License & Permit Division acca ee T e tman ��_1 un e v i son v BY� Adopted by Council: Date �. Form Approved by City Attorney Adoption Certified by Council Secretary � � d gy; . �0'/�'7� By: , .P.� �> (�G� Ap roved by Mayor: Date NO 2 � 1991 Councild by Mayor for Submission to B y,�"�'�� Y� By: P��US�l�� NOU 34'91 � . ���a:�>� DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /4 P� � / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant ��/^� (..:�`1'Q.r'Ki�f" Home Address ,13o'Z�'1 !/U��/^ /yUP. � � � .�- .5�3��' Business Name $'f"1@i ��h3S/s , Home Phone �'��– D�bo2 s�Qa,��jp ��/d �l r1 / / �/J �� • Business Address � � � � �/0/ Type of License(s) �I�'1011� ��!Q-�'ICI��^— � Business Phone $�/- o�,6�. reneu�Q / Public Hearing Date !l I Q� License I.D. � a,r�„3��, at 9:00 a.m. in the Counc 1 C ambers, ,/ 3rd floor City Hall and Courthouse State Tax I.D. �� q��,;L�2 8/T Date Notice Sent; Dealer � ��1� to Applicant � / Federal Firearms � N�/� Public Hearing / � �fd�✓ ,�� DATE INSPECTION REVIEW VERFIED (COMPUTER) COI�Il�IENTS A roved Not A roved Bldg I & D � u.1 f.� Health Divn. ,(��A. I ( Fire Dept. l��f�' � � Police Dept. �� ` td��`�/�/ � � O/�� f�� �/� 1 License Divn. � lo%,ly� � ��� City Attorney � ������%I I D /C-- Date Received: Site Plan �r►g" / To Council Research � �/ � Lease or Letter ��� D te from Landlord �r :� LG272 FOii OFFlCE U�`�ONLY .. .,- . � , _ �c q/�7�/l . (Rev. 7;29/91). B.ASE UC� - - SEQ� .. - 3tinnesora Lau�ful GambTinq �. cHK - .�.� G�ambling Manager Application oATE - _ INIT -.. - . . _ t;.';�,. , :.,•:•..n.. .,:......:.,.., ,�.v ,, ,.^� s.• ,..�.... .. :... . .. ..n�:�:' '• :� r. . . �C :• �,�A�- . ;:•.; ;:.:;_ .. .{::'• ;y. . � :: • ' .�f� :;:� .��'i:Ll/����� ,.;�:�y�. :.;�• ;�?.`•' vi :i� '��.�i'n' ,'�,�s�,a:.,. n'r. �.'ak., ..Y . � �p :.: .� �I� . ...�... �,�a� v.<>: ' � � '� — • �-� ;:.::..::<..�s � �. r �. � .: _ ['j New Give data that�he two-day gambUng manager seminar was oompleted.�_I ' ' : . _ - . . Location of training . - (ah) �Renewal Give date of training received within three years prior tc the date of the application fot,tenewaL�l.�l� LJ Loca6on of traMin9 M�f�LL:.a rS ��� �.}1 I�s . :w,..�.o;c;;:y.c::,y.:•�;,x•�<:rt:«< < . yv,y .. ,.,.'ssstcc�a«wr.;w�;,,�:t�,yi.�. *.x• c :••^•.:;,s;�s: .;s� '�,`."�,,�w�s;�< ""`8 :: .r...;i�.... . , :X!�.�°{�.C:..CW"'..y.... ....::.:.� . : ..;Y �� .{}' �Tj,s}�. •$i�i:� a�� -�.��•. /!t �ry�>:::�>..:; ;.;}�f;.�:.:v.r���- : ,� ;r � .�y;i t5.::. 'r•tii;,w�':fiyi•,y,.x,r.,`y tv :.`'��,�5'.',+.�',��. 'cN•:a...�•:;:•?s>t• :<::;9'.,?S�.'•%.. k;.,;:;c��!:<�!-, r�<'+'3:.: � ':�.7:��t� .� _ �����' � '4;::'r<%ti-..:r:.:>=:::..:�•:;:•:::,.::k�..'�,�`'.�d.�,,�.'..•-�•.'v.,.n.,.�,.�.��`. �..,.�.s�,...::�:::u.;;..,,.'f :.;r,.:a.a,;.::. , ..:.ar.....�� �l;�l'�T1Is'L'��fl�l. {��� s�s3'• . . <,_ .�:::.... ... g.................. ......::..:.:�':;::...,.....:.�;....:.:..:... :.:. �� . . ...:::... . .AV..�.: LAST NAME FIRST NAME M40DLE NAME MAIDEN Date af Suth Soc.Securiry Number C. 05 5b $$ .58b� ress , ,� tate p, a e e �� U� S�r d 2 , a 5 7 8 �l� � 7 '04(�a MEM�iERSHIP:Date garnbling managar became a member of L�e organizatiun $/�/�' Sex: Male Fema�e . .:w�»•.:•.�:.:.av:x:•:•:::rx.:•:o:xm.. ._ y.Y.w,r . , . •w»•x:x�•, ....::.ox.::::.r. +t:•rr,;�T�:2��x:'..'{�^•.avJ{:�'A�:�?}�ni^,�•.:�;1:,� .i:4:; m.y;^�h5j !r�:.. ^µrxi.y ....... .......:.....::....:::.$::•:•::.'�x?,a•:••-�:..�.......�o�ri�'...�.�.,'•'�::.,,..:... ,...:�:::::�:::::�. :,1.:.... .:,.:•:.'•°:?�::t:.:.. .`i.,>.;m rx.�:f'•:;:<<:a•.f ?: r.....',�'�= ..,:.;.:..... ,.,5,-+;:.. :.�'i, ...,.:�Y.; x.;, ""... ...n: a:..:... :!•�•:::.:!v...v i•:'•i::y}:.;i. :..;�r':ivy:i f•::.};{$'��\i+:i•Yi:!?)i�:"'�'�� ••,•},` ::........ .. .... ���::•:.�:.:.��_T . ..... .; .. . . . . ..t:v.:>,. .,M.,..:::: •':: +" .r:r�•.;::t.•.�3s:.',f�,'r,'.::;: /�;.:.....�:::.:�.w�::::::�:,�` ,�,,• ..... ,r .:.:::.:.,+Y.-r.�::��:•. 9 >r,,.�-,S,XF' •; :,.:;.`h7 ;::$ ,.:� .cb<:•: '.� ..�...��'�.�-��.�rxo :..'�'C,,::t•.,..t:;:;�k;a•::x.;y,:::y:;.a..:.u�••:•`•':.a..�•.t>.:t;:::F•>:;,+.:rl.':???:.`.•'••'r • 'i� a:Caa�:;;,:5?�:;:.�:��;.: S�:: .L����.4:L.Di:�L�.:Q.n�Q���s:: 3,:_:;.xr.:':;::';?:;:;:::3::::>:::.�:r:r:.<>:�.:;,..::::w:�:::::::•;,.�t.;t.:::::,.•::::�:•,f:•.:::::::::::r.•..��.��:'.,.tr..x°'�r.... ...��..,-,.,.:::;�: ,�.:....._. ...._...... .. � . ... . :.....,..,,-:...: Name ot Grganiza6on License Number C� ;� ��b � ��, oc� Address Ciry/State Zp Code Phone y30 �a�K � Y �� '�c� t n2a �s 5 03 ��ia ' a7l-Oy(o� � vne�fv:�ii:�:n sib,<+;,',.<. .:' ..'3':t.'fyF."�.v.,.:;;:a�. ... . ' .r.?tR.+q�C!il,!•u9.i'.,�.<'•i+":•'::vy <X!..y'<.:.�. ..{ncy..{,.v.�y a ,i:CxN9��5!SN'�'�lt: •:!l'�',f•,.'.�,6,�..::::......::.fi.; N K, F.k k�`• , f�... y. ;.....•:..::: ;,....c:::. .::.�t{::>.;,>,�.�.,�., .+°',�.^;::.n�• .'�•s.F>..•.'• -. •r#,;,•�;'•' �'" . y�. a�.t f�Y r.?f:;: f•x.�Z ,.� r�' ;., ...; ..:. . T�au� ,a?�����i�' :�:i:�.••2-^�.�'•f, .., S>f,Gg�2;: ��f� A.' ••� •''+}��' , .....,:.. ...:.,..•:f.�.:>:.:•. '3•: �.J,. :i..X.•. i , . ;:.. � . ;.i_+�k,�.,;:: ,.,GS:o:N.+.N,e:tk:`:•:£>,::i::%:?'a. }���:f.i�.'::• t�%'+:2 .ru�•r+.•�•:a::.,.oY'r �:r:'S.t'St. . 4n.:eh' :'.i:�.�� 4.A. ,...A.H.+k �0�1t�:�s . � :��<.:. . . .��>�..�s�'..:.. .�.'•�';�. .�:'� �i{�'. ��tOt�:: --A S90,000 fidaliry uond in favor ot the organization must be obtained for tha gambling manager. Name of insurance company(do not use agenry name) F P,d,B,ra,� �hsu rU.Ct.Caw�oc.�tii Bond Number� � �. ::'�raA.Mi.o-.:r9,Y.+.:a;:%^>.`..a?f.^,.."S;^.%a:`??.r,�o P.+ ,pp{.c� . ?,;es:K•3'N. , ..::».;'.r :i,g!?�'ry;.c:,�7c�.»y' !lx•r�q'.g;�ia ;.+,r,...3»'•:, :�`��'�;c:!''S, ::r....r..::•.::•::�i•:::.:.-r:... �.i. '�' .+rv:.i:},?.. .:T:l•Q.;;�•.. . �'!.?4:��:•/.::. ...v,,.}.; •, ..�.:}�}... �.��?;. ti ri�:r i�}i' ':�i�y:tv }f{�� . ,y v,s. ;��,..:.......... ..:,. v.t?;�•�'.�� .u.. .A l..�.. .,�;..., . C rv�.at::;...., S'6�n .�,�,., ' •...;�.:•`:;••:•.f.;.k;i%G:;% i,. �,o�( •��.�'� >fc: f� :r-�3's::%�::' ...<:''t.ry"`{:• :';�' 'Y::.'t: ,;�°•'?:f�:?�w.:a;::'.6::9.,ticY•r,,n:. . `s� •+� •:wyl�;�,j.{q;.:'.��'.;i: ?".�' .,:,y.. ; ,. . .. . � � "� ..:. :;.::��?�: �`�.�'.`�.' :::5�����..�.�..,: <:.:� ���.L�W.tPi..�.�.��. ,.`t'�Fv.'.�.{.�...4.... .;:?:�s.f+c<Cr.^;;:; "`L. t' s.;•.�..aii�',�.�'i«. .7h'. r.......v..,.,....::T; .,-;. ._. '!_�„�.. : .:::.�:f•:c ,.a::..... r ,Ra..x �r. .:.:.�s:.�s.�::�::::�.•:..•r::::.: ,c•.,-:. .�,�,,..'�...:........... _...�.... .... ... ... �.:..w.G++�� :..... . . rL+.i � is� is� ---......... ....._:... ..... 1 dedara tt�ar • I have read this application and all infortnation submitted to the board; • ail infcxmation is true,axurate and complete; • all other required inforrnation has bean tully d'isdosed; • 1 am the o�ly gambling manager of the organiza6on; • I v►ill famiiiarize myself with the laws of Minnesota goveming lawful gambling and rules of t�e board and agree,if�censed,ro abide by thosa laws and rules,induding amendments to them; • any changes in appi'�caGan informat'an wiN be submitted to the board and bcal unit of govemment within 10 days of the change; • An affidavit for gambfing manager has been completed�d attached,and � • I understand that failiue to provide required u�formation or providing false informadon may rF sult in the denial or rsvocaoon of the � Goense. Signatu Gambf+ a r I Da � Send the pJeted application,gambling.managers affidavit,and$100 check made payable to S te of'Minnesota to: Gambling Conttol Board Aosgwood Plaza South,3rd�toor 1711 W.County Road B " - _- Rosevllla,MN 55113 - (,�9�af�r � D ARTMEN FFICE/COUNCIL DATE INITIATED NO 16 3 6 4 Finance/License GREEN SHEET CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �OEPARTMENT DIRECTOR �CITY COUNCII ASSIGN CITY ATTORNEY CITY CLERK Christine Rozek-298-5056 � � MUST BE ON COUNCI AGENDA BY DATE) Cit C1 r NUMBER FOR ❑BUDOET DIRECTOR �FIN.&MGT.SERVICES DIR. y ROUTING / B / ` ORDER �MAYOR(OR A3SISTANn ��� Hearin � TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACT�ON REQUESTED: Approval of an application for renewal of a Gambling Manager�s License. Notification Hearin �� / � RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MU T ANSWER THE FOLLOWIN6 QUESTIONB: _ PLANNINO COMMISSION _CIVIL SERVICE COMMIS310N �• Has this person/firm ever worked under a contract for this department? _CI8 COMMITTEE _ YES NO _STAFF _ 2. Has this personHirm ever been a city employee? YES NO _ DISTRiCr COURT _ 3. Does this personlfirm possess a skill not nortnall y possessed by any current city employee? SUPPORTS WHICH COUNCII OBJECTIVE? YES NO Explain all yes snswen on separete sheet and attach to green aheet INITIATIN(i PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where.Why): Gary C. Parker DBA Cystic Fibrosis Foundation requests Council approval of his application for renewal of a Gambling Maaager's License at Top Hat Lounge, 134 E. 5th Street. ADVANTAGES IF APPROVED: If Council approval is given, Gary C. Parker will continue to manage the pulltab sales for Cystic Fibrosis Foundation at Top Hat Lounge, 134 E. 5th Street. DISADVANTACiES IF APPROVED: DISADVANTAGES IF NOT APPROVED: �2ECEIVED �ov 121991 C�f.l��t° „��.��R��'��`�;�! ��'�� CITY CLERK (�!�?'," 01 1991 TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �� � r 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 suthorized 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. Ciry Council 6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services 7. Finance Accounting ADMINISTRATIVE ORDERS(Budget Revision) COUIdCIL 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, Ffnance and Management Services ADMINISTRATIVE ORDERS(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 sech of these pagas. 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 projecVrequest supports by listing the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDQET, 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 projecVrequest 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? Inabiliry 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?