91-2269 ��� _ ,, ql -Z2�q ✓
7�„�Council File �
LV
-""� Green Sheet � 17665
RESOLUTION
CITY OF SAINT PAUL,�4INNE
�_ �
Presented By
Referred To Committee: Date
RESOLVED: That application (ID #B-02593-002) for renewal of a State Class B
Gambling Premise Permit by Hayden Heights Booster Club at Kick-Off
Bar, 1347 Burns Avenue, be and the same is hereby approved.
Yeas Navs Absent Requested by Department of:
imon �
License & Permit Division
acca ee �
e man �
une 'i B .
Y
T
Adopted by Council: Date � � Form A proved by City Attorney
Adoption Cer 'ed by Council cr tary � •
; By: • -'1/
gy; � ;' �..
1 ...... /� Approved by Mayor for Submission to
Appro ed by r: Dat 6 Council
� -� ,
Ey: By:
��'.,'1?1'tt� ry 1 9V�
�a�, !���' r_'
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED
Finan�e�Li�ense GREEN SHEET N° _ 17665
CONTACT PERSON&PHONE INITIAL/DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITV COUNCIL
Christine Rozek-298-5056 ASSIGN �CITYATfOHNEY �CITYCLERK
MUST BE ON COUNCIL AOENDA BY(DATE) NUMBER FOR gUDGET DIRECTOR FIN.8 M(3T.SERVICES DIR.
City Clerk ROUTING ❑ �
Hearing/ � Z Q By� � �� ORDER a MAYOR(OR ASSISTAN� Q (;�»nr i 1
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REOUESTED:
Approval of an application for renewal of a State Class B Gambling Premise Permit.
Notification/ Hearing/ /y JL �1 �
RECOMMENDATIONS:Approve(A)w Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_PLANNINCi COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/Firm ever worked under a contract for this department?
_CIB COMMITTEE _ YES NO
_S7AFF _ 2• Has this person/firm ever been a city employee?
YES NO
_DISTRICT COUHT _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explaln all yes answers on separate sheet and attach to green shsst
INITIATINti PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Daniel Leopold on behalf of Hayden Heights Booster Club requests Council approval
of their application for renewal of a State Class B Gambling Premise Permit at
Kick-Off Bar, 1347 Burns Avenue. Proceeds from the pulltab sales are used for
youth activities of the Booster Club.
ADVANTAGES IF APPROVED:
If Council approval is given, Hayden Heights Booster Club will continue to
operate a pulltab booth at Kick-Off Bar, 1347 Burns Avenue.
DISADVANTAGES IF APPROVED:
DISADVANTAGES IF NOT APPROVED:
RECEIVED Co��nc�l RQ���r�;� �er�t�r
Nov 2 51991 NOV 2 � 1991
�ITY 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).
ROUTINCi ORDER:
Below are correct routi�gs 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. 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 snd 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. City Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
-� ADMINISTRATIVg ORDERS(all others)
1. Department Director
2. Ciry 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
ssch of thess pages.
ACTION REQUESTED
Describe what the project/request seeks to accomplish in either chronologi-
cal order or order of importance,whichever'rs 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 SEF}VICE CONTRACTS:
This information will be used to determine the ciry's liability for workers compensation claims,taxes and proper civil service hiring rules.
INITIATINO PROBLEM, ISSUE, OPPORTUNITY
Explain the situation or conditions that created a need for your project
_ or request.
ADVANTAGES IF APPROVED
Indicate whether this fs 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,
tex 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?
' ' - � q I -ZZl�9 ��'
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE %O 30 / /
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
� � (`T�iDmas/.a.�v�C3a�,6. i�'1�r)
Applicant Q �'j Q �P��[�jHome Address ap� �', /1/10►�hQ ��'�• S�"//Cf
Business Name L1QS'Tp/�./rt,�jHome Phone 'J��—lp/��
Business Address � s�//g Type of License(s) �,'� (�QSS �
Business Phone _ �cf�—�''�'/� �'IZMD`//!q �/`�°/Y1lS't°J��/Y7?� �'�n�� �
Public Hearing Date �v2 �e2- Q License I.D. � �,� — do�J�3—DOvZ
at 9:00 a.m. in the Counci Ch bers,
3rd floor City Hall and Courthouse State Tax I.D. �� �.S �7/��
Date Notice Sent; Dealer � ��j�}
to Applicant
Federal Firearms # /I�l/�
Public Hearing �
,e� �?ew"'7°„ ✓
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COIKMEENTS
A roved Not A roved
Bldg I & D !
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Health Divn. �
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Fire Dept. ti �� I
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Police Dept. 5�'� �v�3� l�j �
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License Divn. i�IJ.plr�l � Q �� W �� ��UTJ'F � 7� �v
� �i►,-�p 1�n�.v
City Attorney '� /'`��) � � �
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Date Received:
Site Plan � � I�l� �
To Council Research ���Z U" �1(
Lease or Letter Date
from Landlord (Q 3U I ��
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,, : ' FOR BOARD USE ONLY
LG314 ` '`° . BASE�t �
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PP�
t:��.:� �,�,.�.Y,.. , . FEE
1Ktnnesota Lmv,ful Gambitny CHECK
�° Premises Perm�t Application - Part 1 of 2 �"���s
DATE
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� - - �� Claat of premises permit
p��� (ch�ck ons)
Orpanization baae I'�cenae number �-Oa59 3 ' [`� A(��400) Pull-tabs,tipboards,paddiewheela,ratflea,bir�yo
Premiaea permit number •• � B(5250) PuM-mbs,dpboarda,paddewheela.raffle:
N�{p - [] C(S200) &npo only
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, , ," ;c � ' , ❑ D(5150) Rafflee ony
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Name bf Orp�izatf � . ,, ,. . , ; _ , .
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�}pjtbL=i� _ G�Gt�Ta ooan�2, u�lP� _
�uTnAaa a of Or anization-Street or .O x( not use : yout pamb6np manaper)
I�ldS..z'.� .C. �ovr ��
pny gtate Zip Code Counry DayNme phone number
�r� P��-- I�IN ss�� 9 2►�++,���v� c�%�� .�9�-S�iG
NgMA df cfil�t Axtl�udve officer(cannot be your qAmbFrq maneper) Title _ Daytlme phone number
�l41���� I._�oPO�� . I�2��iD��� (G�-? ) �.?9- ��os�
Bingo Oc�aaions
If app�ying for a class A or C perinit, flll in days and beginning&ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your o�anization per week.
D�r,t„;;: geginning/Ending Hours Day Hegizu�ing/Endiag Hours Day Beglnntng/Endfng Hours
'� to �
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to If bia�o wtll aot be condn�ted.checl�here �
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ame o eata is eM re pem t as not usa a post o ae x num
Kie.K p�'� 1347 3u�w� �r� Sr Pacx� lUN 5s�o6 -
Ia tF�premtaea located within chy Rmits� �Yea O No If no,is township �organized 0 unorpanized C� unincorporabd
;
Ciqr and Co�mty where pambflnp premisea ia locabed OR Tovmship and CouMy where pambFnp premises is locs�ed if outside of ciry 6mita
�r pau.� / I�A M s�1J � . .
Name and addrets ot lepal a�mer of premisea City Stete Zp�e
L�R�.' 7 u+rr✓5 5'TP��.1 � J 0
Doet yout b anizatbn own Ihe bufld�np where IF►e pamWinp wpl be oonducled? p YES �sg�NO
. . N nb.attach thA tolbwinp: ';
• a oopy ot�e teaae(Mrrt�L(320�with tenn�tor at teaat one year.
� ' a oopy oi a ske�ch ot the Aoor plan with dimendona,ahowinp what poAton i:beinp leased.
A I�se and ake�ch are not required ior Class b app8cetbns.
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Minnesota Lau�f ul GambIiny
Premise Permit Application - Part 2 of 2
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�N� Banlc Acoount Numbe�
Mid AI'v�er��i� ��1K .� . � ��p 000915 �I 1 `1822 �
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t� Is N S� �P�v�1 R�. � ri���Plc�ooc�. 1'� �J .�� Io
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��NGY �.' Yl�l`��e�o i 9g 3 i= 1l.(o�ur,aN� A-vG 12�eo,�a�,u� ��e�..���cy
�N��L l. �.�bPocl�.,-� L":.,No�`::T �—,— 'QIz.G-�I b L NT s ,..v.�=��
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am a 6 e Au o oa •I am tha chki axacutiva officer of 1he ar�anizatbn;
I heroby consont that local Iaw aniorcament officers�tha •�assuma fu��bsponsibiliry for tho tai�and lawful opora-
board or aperns oi tho board.or tho commissionar of - :: tion ot all activ�ios to ba candudad;
ravonua or public satoty,or agents oi tho commissbna�s� •I will tamiliarizo mysoH with tha laws oi Minnesot8
may onter tha premises to oniorco the law. �ovornin9 law(ul�ambling and�ules of the board and
Baak Recosds Infosmatiort agrao,�licansod,to abida by thoso laws and�les�
Tha board is authorized to insped tha bank rocords of tho including amandmont�W them;
gambling acoount whonever nvicessary to fuMill .�y changas in application intormation will bv Subm�ted
�aqulrements oi cunent�ambling rules and law. _ ��o�ard and local unit ot govemment within 10 days
OSth , , of tha changa;and
I dedaro that: . •)undarstand that failura to provide required i�iormatbn
•i haya read this application and all information submitted or prpvidinp falso or misleading information may,�@Sl�n in ,
to tha board is true,aocurata and complete; tho deniai or revocation of the license. ,
•ail other roquirad iniormation has bean iuly disdosad; � `"° �� •
Signature of chief oxacutiva officer � � � Data ' � '
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1� Tho clty'muSt si n this liciti0n�tho ambli orn• 4' CODV�1h��ynit of�,Qyernmern•s resolutbn ao-
� � � �� �yjaq�his�I'�cation m��t be attach�d tQ this a�nlicatbn.
ises is bcatad within aty Ilmits. 5. If this application is denied by tho bcal unft of povommont,
2. The county••AND township'•must sipn thit applicaticn M �Should not ba submitted to tha Gambling Control Board.
tha�amblin�promisas is locatod wrthin a township. ,
3. Tho local unit government(city or counry)must pass a Township: By'8pnaturq bebw.the township adcnowledges
rasolution spacffically approvinp or donyin�this application. �at tha organizatbn is applying for a premises permit within
' . .. _ . . township limits. ,
Cit ' or Count •• ` - � . . -� Townshl •�
Ciy ar Counry Name Townchip Name _ .
.,• _ - . .,.
Sipnatura ot penon rooeivk►p appGcation Sipnatura of penon reoaivino aPpl�cation
_
Tide , � Data Reoeived ;• . ., Tida I Date Rec6iv�ed . _ ;
.._. .•j,d,:3 O. .� s t• :1� . I
i
Refw lo the incauction�for roquired attactxnants.
.._. . ___ ,
Mail q: GamWhp Conkol Boud ...... _.__... _.
;
. • RoaNwood Plw South��rd Floor . .,
1711 W.Counry Ro�d B .rti�f'�;.i: .�,ri�.
Roswlll�,YN 5511� LGZ1+1(Parl�)------_---------
- (Rw7r�1)
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