91-2218 oR�r�a� ,- , �.
' � 1Council File #
'ti,`� �
'� Green Sheet #` 17655
RESOLUTION
TY OF SAINT PAUL, MINNESOTA
Presented By
Referred To Committee: Date
RESOLVED: That application (ID #52368) for renewal of a Gambling Manager's
License by Susan M. Purvis DBA Highland Area Hockey Association at
Starting Gate, 2516 W. 7th Street, be and the same is hereby
approved.
Y� Navs Absent Requested by Department of:
.zmon
oswi z
on � License & Permit Division
acca ee
e man / ��
un e i
By:
Adopted by Council: Date �E� �.1991 Form Approved by City Attorney
Adoption Cert'fied by Council,?Se�retary ' '
/� sy: /O-3/•9/
�G �,:
sy: ���,
�' � � f� Approved by Mayor for Submission to
Approved by May r: Date �4•� �= ��'�� Council
, /�'
�-��r/�%�.t�
By: BY:
" Pua�is�Ea
DEG 14'91
�-.����,�
. � �
.
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE D o� 9 /
INTERDEPARTMENTAL REVIEW CHECKLIST App Processed/Received by
Lic Enf Aud
Applicant��Qfj �"( ��L[f`1/�S Home Address �bJr� �/!fQ"�O/� /¢��< �S�/�,
Business Nam � lQ/1 �, Home Phone �'��,2-�r�0'�3 ��y )
� , r�.-
Business Address /,(�. . �Sj/,6 Type of License(s) —
Business Phone �� -�'�� �`7e�Qr `
Public Hearing Date j� J� q/ License I.D. 4� ,�a,31��
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� 2,7q ��,3,3
Date Notice Sent; Dealer � /���"'
to Applicant '
Federal Firearms �1�' _ /� /�
Public Hearing �� . �
����
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CONIMENTS
A roved Not A roved
Bldg I & D �
U�/�-
Health Divn. I
��� �
Fire Dept. �
�I�� �
Police Dept. `�f a � II�� ��
1l�8" q� 4/C,
License Divn. �
�I I 20'�1� � b�
City Attorney f
�°,3i'ti� � 6�L
Date Received:
Site Plan ( '0 ��2�j I Q �
To Council Research ��lZ�`� '
Lease or Letter Date
f rom Landlord ( 0 a � cj �
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t,c�z�. � . : i. ,���, �,� ;� :. . � , £ r�o�cF us�oK�r
.� i 7C���, � `""!E e��+��``S-t�.����'''�� �r .k y� s;�y�.���,�.t � .� ���.r,Wy: �:�E�i� ..�{..+.(-. r 4�. - .
� ��� � ��- �I s T�. ��� � ._
� `�. 1- l . .. �.�a�"� {i �wa�.� ��.—�; ��� ; ��:t'!S t ��f.fr. �.133�e�4 �QL�j\.* '.�,,,•�c �.E�., � , ���3
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_� . . < <.}.v..V tiµ3�-"r,�u'� `,.e`` :"~-'" �-. �).��:'`" ..r� 3'..e y'S.�� . . ','.` e'�".w
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Gambling Manager Applicatioa:;.� or►„E _
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�a� � .
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[�aenewal GMe data a aairrrp reoaived vrilhin a,reo years prior b Ihe data d the appieaion io�newai.Q���
Location d traininp
�T� 1 QS�.\ LJ
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::. . .... . .... :.... • . ......:.......... . .. . . .
NAME FIRST NAAAE MIDDLE NAME MAIDEN Oata of grth Soa Seairity Nurt►ber
Tu.�ZV tS Susu.� �axi� �a��euxt,��a o� � u 9 U(�q -5$-3�� I
I�sS l���o� � ��-. P� 1�tN s� � t� cbla 832-�ka��
MEMBERSHIP:Oate 9amWinq manaper became a mertibar of the organ'aation �!4lJJ,�, Sfx: I�la Q
. + r ��
�.�7i��C[��.�;<> ��It'� ,.
Name of Organization ,� :.��� � (c
� fa1r4�A►J �'e� 01 �l�
Addr�ess City/Stata Zip Coda Phona
A ���v �� -�60�
��nc�r;�`i�f�iriimQ�`�
>
--A St o,000 fideGy bond in favor ot the orpanization must be obtained Ior the 9ambGrq manaper .
Name of insurar�ee company(do not use aqenry nsme) Band Numb� �Q �a�g�
lJt.r.��e� �.�.e°�c aS�,l�-
. r.::.. � .. . . .
. ....ov��e� .':'�ert ...... . . . .
:�.
�a��t
• �naw read thi:app6ca�on ana al�inrormation u,bmiled t�the bo�
• d i�ormation is true,aeaua»and complets;
• a1 o�her required infortnation has been iudy d�adosed;
• I am 1he only 9ambGnp manaqer ot the ayanirs0o�
• I rn7 tamii�arize myseif with fhe la+�of bimesota qovemirq law(ul9amb6np and n�of the boerd and aynw.if fieensed.tc
abidB by tl1o6e lawi arld nJlas.Indudnp artlen�meefs b d1em;
• arry ehanges in appGeation informstion wi1 be subnrMed b the board and local unit of�o�vemment wAhin 10 days d the d�anQr,
• /1n atfidavit for�ambGrp rt�snaper has been compleMd�d eoacf�ed,and
• I understand that failure ro qvvide required inform�on or providr�talae iniormation may rssut in M�e den�al or revocanon of th�
icense.
re of GambGrq Manaper I Dala '
, �-�7-��
Sand tha completed application.9ambGn9 manapers affidavit,and 5100 chadc mado pa�rabla to Stat�oi Mlnrnsot� to:
Gambling CoMrol Baud . .
Aosawood Plaza South,3rd Floo�
1711 W.County Road B .
Ros�vllt�,�155113
�,�'�aa�'�
DEPARTMENT�FFICE/COUNCIL DATE INITIATED N� 17 6 5 5
. Finance/License GREEN SHEET
CONTACT PERSON 8 PHONE INITIAL/DATE INITIAL/DATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek-298-5056 ASSIGN �CITYATfORNEY �CITYCLERK
MUST BE ON COUtdCIL AGENDA BY(DATE) NUMBER FOR gUDGET DIRECTOR FIN.&MGT.SERVICES DIR.
Clty C er ROUTINfi Q �
ORDER MAYOR(ORASSISTANn Cn�meil
Hearin / 13- 5 q� B / �/ a$ � �
TOTA�#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of an application for renewal of a Gambling Manager's License.
Notification/ Hearin / �� .� g/
RECOMMENDATIONS:Approve(A)or Reject(R) pERSONAL SERVICE CONTRACTS MUST ANSWER TNE FOLLOWING�UESTIONS:
_ PLANNINCi COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contract for this depertment?
_CIB COMMITTEE _ YES NO
_S7AFF 2• Has this person/firm ever been a city employee?
— YES NO
_DISTRICT COUR7 _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answers on separate sheet and attach to green sheet
INRIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Susan M. Purvis DBA Highland Area Hockey Association requests Council approval
of her application for renewal of a Gambling Manager's License at Starting Gate,
2516 W. 7th Street.
ADVANTAGES IF APPROVED:
If Council approval is given, Susan M. Purvis will continue to manage the pulltab
sales for Highland Area Hockey Association at Starting Gate, 2516 W. 7th Street.
DISADVANTAGES IF APPROVED:
DISADVANTAOES IF NOT APPROVED:
Ct7�IPlnl� �"m:.,"�✓i�9F t •�N+y
RECEIVED i
�ov 2 21991 NOV 21 1991
CITY CLERK
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDIN(i SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ,j�
l3
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL '
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTINO ORDER:
Below are correct routings for the five most frequent rypes of documents:
CONTRACTS(assumes suthorized budget exists) COUNCI�RESOLUTION (Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Director
2, Department Director 2. Ciry 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 SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
sech of these pages.
ACTION REQUESTED
Describe what the project/request 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 Gouncil obJective(s)your projecUrequest supports by listing
the key word(s){HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET,SEWEH SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS: •
This informatfon will be used to determine the citys liabitiry 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.
ADVANTACiES 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 citfzens will benefit from this projecUaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this project/request 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 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?