91-2219 ' V
RIGINAL Council File # `�"
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Green Sheet # 17652
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To Committee: Date
RESOLVED: That application (ID B-01698-003) for renewal of a State Class B
Gambling Premise Permit by Highland Area Hockey Association at
Tiffany's Bar & Grill, 2051 Ford Parkway, be and the same is
hereby approved.
Yeas Navs Absent Requested by Department of:
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on � License & Permit Division
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By: �•�
Adopted by Council: Date ��� 5 1991 Form Approved by City Attorney
Adoption Cer 'fied by Coun�il ecretary � '
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By: r % c.
Approved by Mayor for Submission to
Approved by M r: Dat Council
By: �?�-%�c�r�L - .
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PU��iSliEO DEC 14°91
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DEPARTMENT/O ICE/COUNCIL DATE INITIATED G R E E N S H E ET NO 17 6 5 2
Financ e/Lic ens e �NITIAUDATE INITIAL/DATE
CONTACT PERSON&PHONE �DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek-298-5056 NUM'B R FOR �CITYATTORNEY �CITYCLERK
MUST BE ON COUNCIL AOENDA BY(DATE)Clty C12Y'It pOUTING �BUDGET DIRECTOR �FIN.8�MaT.SERVICE3 DIR.
ORDER MAYOR(OR ASSISTANn „^ ����
Hearin / !a � B �/ 9 � �-o�r R
TOTAL#OF SIGNA RE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of an application for renewal of a State Class B Gambling Premise Permit.
Notification/ Hearin � 5� I
RECOMMENDA71oNS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWIN(i QUESTIONS:
_PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION �• 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 normall
y possessed by any current cky empioyee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answers on separote sheet and attach to yresn sheet
INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Mary Michels on behalf of Highland Area Hockey Association requests Council
approval of their application for renewal of a State Class B Gambling Premise
Permit at Tiffany's Bar & Grill, 2051 Ford Parkway. Proceeds from the pulltab
sales are used for youth hockey.
ADVANTAOES IFAPPROVED:
If Council approval is given, Highland Area Hockey Association will continue
to operate a pulltab booth at Tiffany's Bar & Grill, 2051 Ford Parkway.
DISAOVANTAGES IF APPROVED:
DI3ADVANTAGES IF NOT APPROVED:
RECEIVED
GOIdl��il ������i'ri1 C�?"i�'�'C
Nov 2 21991
CITY CLERK N�� 21 1991
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) �J'� r
(1 v�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. 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
each of these pages.
ACTION REQUESTED
Describe what the projecVrequest 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, RECREATtON, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the citys 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 detays, noise,
tax increases or assessments)?To Whom?When? For how long?
DISADVANTAGES IF NOT APPROVED
What wi�l 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?
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DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE D �9 /
INTERDEPARTMENTAL REVIEW CHECKLIST App Pro essed/Received by
Lic Enf ud
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Business Address � ��/� �'S/,�Type of License(s) S'�Z2.7�Pi �QSS ,8
Business Phone _ ���-�'J� �Qfryj��//P9���/S�i'�p�'/9?fT'/''P...f?P-�t'1
Public Hearing Date I� S License I.D. � �— (Jf,(���-003
at 9:00 a.m. in the Council Ch mbers,
3rd floor City Hall and Courthouse State Tax I.D. 4� � 9��,�3
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Date Notice Sent; Dealer � /v��}
to Applicant
Federal Firearms �� /���
Public Hearing �A
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DATE INSPECTION
REVIEW VERFIED (COMPUTER) COMlKENTS
A roved Not A roved
Bldg I & D I
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Health Divn. I
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Fire Dept. �
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City Attorney �
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Date Received:
Site Plan ���z°j J j�
To Council Research l2v-��
Lease or Letter Date
from Landlord �� �I � �
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LG214 BASE#
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FEE
M{ruiesota Lau�,fui Gamblircg CHECK
Premises Permit Application - Part 1 of 2 DA�LS
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� _ class or prenrises permit
Renewal (check one)
Organization base license number � 01 tDQ� � A(E400) Puil-tabs,tipboards,paddlewheels,raffles,bingo
Premises permit number —d03 � B($250) Puil-tabs,tipboards,paddlewheels,raffles
� New ❑ C(3200) &ripo only
❑ �cat5o) Raffies ony
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Name o(Organization I ,
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Business Address of Organization-Street or .O Box(Oo not use the address of you� gambling manager) �
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City State T.ip Code County Daytime phone number
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Name of chief executive officer(car►not be your gambling manager) Tide Daydme phone number
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Bingo Oc1—casions . . �� _ . -
If applying for a class A or C permit. flll in days and beginning & ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your o�,-ganization per week.
Day-., •. 'Begianing/Ending Hours . . :Day: ; Beglru�ing/Ending.Hourp .. . DaY Beglnnin8/Ending Hours•
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Is the premisea located within aty Ii�nits? C�1 Yes 0 No If no.is township �oryanized � unoryanized O unincorporated
Ciry and County where gambling premises is located OR Township and Counry where gambling premises is located if outside of ary Gmits
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�ame and address of le�al owner of premises . City State T.ip Code
Does your organization own the buildng whe►e the�aambli�g will be conducted? p YES NO
If no,attach the folbwin�:
' a copy of the lease(form LG202)with terms tor at least one year.
' a copy of a aketch of the floor plan with dimensions.showing wh�portion is being leased.
A lease and sketch are not required for Class D appGcations.
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_ - Minnesota Lau;ful Gambiing ✓
Premise Permit Application - Part 2 of 2
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Gsmbling Site Au o oa •I am the chief executive officer of the organization;
I hereby consent that local law enforcement officers,the •I assume full responsibility for the fair and lawful opera-
board or ageMs of the board,or the commissioner of . ������Nities to ba conduded; : . �
' �: .revenue or public safety,or agents of tfia commissioners;: • .���fartiifiarize mysalf with the laws of Minnesota �� �� � • '
may enter the premises to enforce the law. . : , .
- " Bank Recozds Informatioa� ' . . .- 9p��ing lawful.gambli�g,and:rules.of.the board.and� .
,agree,if licensed.to abide by lhose lawsand rules. �
,� >.Theboardisauthorized�to�nspectthabank�rec�rdsof.the,;,'.,. :��ding�amendmenisto;:thePn;�':::�.�•.: :. ::.''• . . . .
� gambiing axount whenever necessary to iulfill. �: � � .� .a�!changes in appiication information wili be submitted �
� requirements oi current gambiirig rules and Iaw. to the board and bcal unit of govemmeM within 10 days
Oath � � oi the change;and
1 declare that: •I understand that failure to provide required information �
.� �I have read this application and all information submi�ted�.::� , oi providi�g fatse ot misleading information may result.in. . .
� to the board is true, axurate and•t�omplete;� '� . " : ..' the�denial or•revocation•vi the�l'�cense. '. - � ' : �
•all other required iniormation has been fully disdosed; �� • � � � �
Signature oi chiei executive officer � . Date
/ ` ' _ / ,.
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1. The city'must sign this application if the gambling prem- 4• A co�v of the local unit of aovernmenYs resolution a�-
ises is bc�ed within aty limits. brovina this aoolication must be attached to this a�olication.
2. The county"AND township'•must sign this application if '• H this application is denied by the bcal unit ot government,
the gambling premises is located wfthin a township. �should not be submitted to the Gambling Control Board.
3. The bcal unit government(city or county)must pass a Townshlp: By signature below,the township acknowledges
resolution specifically approving or denying this appl'�cation. that the organization is applying for a premises permit within
township limits.
Ctt ' or Count '• Townshi •'
City or Counry Name Township Name
Signature of person receiving appGcation Sipnature of person reoeivinp application
Title I Date Reoeived Title I Date Reoeived
io � 9
Refer t�the instruc6ons for required attachments.
Mail to: Gambllnp Conbol Board
Rosswood Plaa South,3►d Floor
1711 W.County Road B
' Rosevllle,IiAN 55118 LG214(Part 2j
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