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91-2302��t��i�����•; �I �Z30a2 � � �/� Council File # lJ Green Sheet #` 16375 RESOLUTION CITY OF SA�NT PAUL, MINNESOTA � , Presented By Referred To Committee: Date RESOLVED: That application (ID #20601) for a Gambling Manager's License by Phillip Ravitzky DBA Neighborhood House Association at Herges, 981 University Avenue, be and the same is hereby approved. Yeas Navs Absent Requested by Department of: imon �— oswi z � License & Permit Division acca ee � e man � i�son � BY� � Adopted by Council: Date - - orm Approved by City Attorney 1 '7 199� . . Adoption Cer ' ied y Council Se etary _ ' � /�-,��-9� � By: By: -� i�. A roved b M � r: Date Approved by Mayor for Submission to PP Y � � � � 1991 Council By: gy; PU�IISlIEQ G>�J ?;'9� - � 9l-a�o2 / DBPARTMENT/OFFICE/COUNCIL DATE INITIATED Finance/License GREEN SHEET N° 16375 CONTACT PERSON&PHONE INITIAL/DATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Christine Rozek-298-5056 ASSIGN m CITYATTORNEY �CITYCLERK NUMBERFOR MUST BE ON COUNCIL AGENDA BY(DATE) City Clerk ROUTING �BUDGET DIRECTOR �FIN.&MGT.SERV�CES DIR. Hearin � �� �7 9 $ / �a ORDER �MAYOR(OR ASSISTANT) ��r R n,.....,..s i TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REOUESTED: Approval of an application for a Gambling Manager's License. Notification Hear n /Z �� 9 RECOMMENDATIONS:Approve(A)or ReJect(H) PERSONAL SERVICE CONTRACTS MUST ANSWER TNE FOLLOWING�UESTIONB: _ PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contrect for this depertment? _CIB COMMITTEE _ YES NO 2. Has this person/firm ever been a city employeeT _STAFF - YES NO _DISTRICT COURT — 3. Does this erson/firm p possess a skill not normally possessed by any current city employee? SUPPORT3 WHICH COUNCIL OBJECTIVE7 YES NO Explain all yes answers on aeparate aheet and attach to green shset INITIATINGi PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where.Why): Phillip Ravitzky DBA Neighborhood House Association requests Council approval of his application for a Gambling Manager's License at Herges, 981 Universitq Avenue. ADVANTACiES IFAPPROVED: If Council approval is given, Phillip Ravitzky will manage the pulltab sales for Neighborhood House Association at Herges, 981 University Avenue. DISADVANTAGES IF APPROVED: DISADVANTApES IF NOT APPROVED: RECEIVED CQ(�nC�� R�c��r�b� Ce��:�f Nov 2 51g91 Nov � a. ���� �ITY GL�RK TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �� F � 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. 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 and Management Services Director 6. Chief Accountant, Finance and Management Services 7. Finance Accounting ADMINISTAATIVE 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. Ciry Council 5. City Clerk 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDEAS(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 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 INSTRUCTIONAt 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 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 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? . , 9�-a3oa ✓ DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE/� 0'1% 9' / INTERDEPARTMENTAL REVIEW CHECKLIST Ap n Pr cessed/Received by Lic Enf Aud Applicant���`//,�J qQQ�/%'�Z�Cy Home Address %� t�. ��j/�, c�'� �j%Q� � Business Name • /�+ � /!fSSCk', Home Phone __�9r�~�0� , �p� / , yy� Business Address � �_L� • Type of License(s)�/Y1 !/ �/L4n4 .�"'� Business Phone aa7 9a.�i n°� Public Hearing Date l� 17 q� License I.D. 4� �-�Q`�,�3, ao�o� ) at 9:00 a.m. in the Counci Chambers, 3rd floor City Hall and Courthouse State Tax I.D. 4� ��3qf�3� Date Notice Sent; Dealer � to Applicant Federal Firearms 4� Public Hearing /p� n� ��. DATE INSPECTION REVIEW VERFIED (COMPUTER) COrII�IENTS A roved Not A roved Bldg I & D + �l�� Health Divn. � ti�� I Fire Dept. I �'�� I Police Dept. �� ��� � � �/�- �, o� License Divn. f ''1���//� �,� City Attorney � �a13�l�� � d /� �� � ���� ���� Date Received: Site Plan '� '/9' To Council Research ll Lease or Letter �I� a e from Landlord ' �� ^��" FOR OFFiCS USE ONLY � � , LG212 Minnesota Lau�fui Gambling �E (11/1/90) Gambling Manager Application oA� ' INIT .,.�, ...,...,...:....{.o-�,,.,•...-.+�v!�:+.vr.r.:.�..�ta+n,,.......•a,:t,+.c..wt>-M.».k.r!.!^`�S!':�pp�•:.r;�r,.:+�;�;r;..a., • ,��^,�:,v.;. .:.?'s:g???:., » s..,•. y :"'v;':3 .. ^^'y.."PA.?00001T. . .�...,-....�. .......:..... •...:. . .'i•ii:n•.vi:., �..�.�y{fi�,:•:IX•:. . � 4�i �'.5:4'2J.¢��h'4.µ�wiii:{. r.v-:.s•:.4•S':v. , tiS�,...• ,...a::;;':��<� • ..9''i;• .,�Y,', r;#� s{}`��x:%.:<:;n Gam�iYzn :<;lVlaura .er�In�:armai�o: �>:::�:>.<:�A ..:� ::,�;>::,.::�:;��,�;����;:�€.�...���.��<�::,. : . .:-�:��;::<:k:;>::;::�:.::.::. ;..::.�:::::::::::.::.::::.::g>:.:::.:_::,,..:.:.9.::::.:....: ,.........:..::...::::?�:...:.,:.,.:._:::.... . , �� .....� ... : .. .. ,.... . . : . . . Name: LAST FiRST MIDDLE MAIDEN Date of Birth Soc.Secunry Number Ravitzky Phillip 9-� 5-32 470-3�-2�25 Address tate p ode stness one 193 East�:Robie Street St. Paul rtN 55107 (6l2) 292-805$ Membership: Date gamb6ng manager became a member of the organization �/ � /72 Sex: �Maie ❑Female :�•�o»e,b^5�"•K!s3.>:a:rn?em:•�r^,....::• ..:.:::•.�.;.e.e�j.""<�c.9.??';^.,�n3:�p�,�y;...�y�ei'q"'"9""`�'r,{ "�C%��f�'�^y��>5:;:� �•: . � :� ; . .� . . •.�� .i :..... i: '{J.L'( :.�:«>' t��i;:.;$M:,.`•w �.ti...._: '"^'•:•Y.�,��.`����,�.,`.;`.ji;fY.•n:?;;:j::i:. O� c�7tr�c�fi�n�3n.....:.r:.m:... on,�.;,::>�<::<;� ...�:.,::..:}: ::n . � ����� �v .::.�..:..:::.,,.:,:.:.>::... ...,.,::�:N •�:: .... . .:......... . ................. . . . ... Legal Name Neighborhood House Association � Address City Phone 179 East Robie Street St. Paul MP! 551�7 t612) 227-9291 ...,..,.. .M.,.,.,,. �.,:.,,,.,,...::x�,:.:,.... .: :.�.,....� w..,:,,.:.:.:.; ,,.... .,.;.: -- gN �.. ,:..�;;:;>:>�::;.<_ . .. x�na:...... ..,;:c;.,.;<.::•�S?:d'....X............... , � .:.�.fc'::.•�:::>.::�.a..''•"y^':::.r>:::.:?.K'.:s�3"'c-�.-+•:::'•:'•;:c?`.;.:�'�`��+.••°•'.,.:s.':';�P.z°•M'a'�."�'�K•:3. ' o'_,.,iq.,;;. ,.°;AcYfdy.:S v.�4�ix...y,:.... .., . .. . . . .. . �+P;$C?��vi.:.i?.....:...:....v(+�4r.:vnv.�:::.:. . .�..r.rr.k;. �4.F:•.. y •$,vr.,4�,•',�•.♦ :� Y; }.v. ."'•y. ' . �i:4•:fii.i. {..:5.�..:. ,..,} JiT..;x/...}:.. ti�'•'�.?. v!i}:C�l �.:JG�'.•:S :i$. ' . . : . : i*:.. ' ;:•.�T.... S.v::i:�:iSi'i'r'. . .�.�.+Rrv �r'3h vi..J.'...�:3.�.lii�::::.s�ain.�.�Of�...f...�Y< v:,vey�,:'�'s .•<;:��v}:�:•:ii;'.•''iii:>:;.,:>:;f ;: : ,;� - n: . . CQ�:LO •::.::::.;„o'�¢�::�•:..,.:.....<.>r ...r.;p,.:.�,�',;.•.. ,..,r.f•�z..:�;;??:::�.;sm: :.•`s-,, ;�e : .: ,e:.o .:<A � �<:..::.... ... ..... ,..........;:. . .:. :;Y..:,..;�<:::.,.>:;�..,::::. .. ........ ...... .. .........:...:................•v.•.:•:.�:�.3.r�.::•:x�:::sx..v,sv,;r,x.rr>::•:.,x,c-:r.c'r,i;;».;rAn..yrt;,..;..,.:<:�?{t•:.:.»>}'n:•,•;�;:,:.,..;>rR;?::,•.�:::•::::::::n ,�:?.•,5�... �'P.... .�...�?P........................... .......�... . ..... .................�.r.. . ...... ........::::..... ..,.... ❑ New Give date that gambiing manager seminar was compieted._/� Locaoon of training (city) � Renewal Give date of training received within three years prior to the date of the applipoon for renewal?d!��/�,0 Locaoon of training 5 t, Pa u 1 . MN (�b) - ;.. ;�.:ti;:;'�, ..�;wrr.. . ,ti. :.... z0"'4�f�%`��:'.'�.: ��.. , .:.}�..�'�'•• :fi�,�' . . ., , . . . i ,.'��.,�,',,�a;•. 'St' `s�s;� BQtt�'��'�.�Z::�.Z.�l.�Q.,�,,.�.,.,"�'-.wv�':.. ';c:.��',�,?''~ x..��`�.o� •, .:.�,o . �.�.:.{. ' ...:.........: •:::. ..:t. �rb. �::.:.. :.. x;�::•:7�o-� .: ...:.:v.. ;.:a.r... . , . .: . ; . .. • . . . . .............. ,...;,... .... . , ...?S,:.: .:.... .�. . .......... . :. ... .... ....:. -•A$10,000 tidelity bond in(avor of the organization must be obtained by the gambiing manager. Name of insurance company(do not use agency name�flCL/F���lIAL. �Ns Bond Number�p�9�s371�� --A$15,000 tax bond in favor o(the state ot Minnesata must be obiained by the organization. The or(ginai copy must be submitted with this appllcatlon. Name of insurance company(do not use agency name)��L�f.� �7l��UA l./!Y S. Bond Number�7S�S�7/8 6 .:.., ....•:.,.:•,.•:..v.:•...:..-.�,,....:•.,y.� .�a>;.v.....w.,.,w.n.»»,,..;,...,:a.. ».:.r.:a�nr..!n.:xexna:�r�:o-s»» »»r r.. >u:r:,. :.,�:a.i?)Y;??g:;M1V},r,.q»;;..:k:y,Ys':x • A:N!£....7Y`..............}.;,-....?........7PY;... : ^Y�..... . 7tIX+'.YW7QY}i> v . . .... ..... .. .................... .:::..:.......:.::.::.:......n.....�w:•... 7 Y Y}`2�}OQ{K..�''i `�.... .:x....:.:.:.: � .�. ......v. .......................�.:::............................. ....,........k.::::::....::i+•i:'r'k::•'ri};::.::v..:n.-.::.:........ .. s... rn............. ...... J....... ...i....................................:.... .........n:.;^::•.r;�.:�v.:::....::......Q.. x..nv::.�:w.v:v.i:n:F ':�:iv;n;v:::•.` '•ri4:'. . .. ... ....... .. ..... .. ....... .. .........................:..............:4.-.�.�:.:::.:.+...� . ++K.. ...S •::.�..e:. tw::}:.:v.�:..•.. • :i•:Ni�ii:•::j;iiiiii:C:.:'{':iii:�'ii:i'�'�i :.r\v�:..�:::::.�.�::::.... �,i,•m::::f�.°�.t'.t.. .v...: �{ 7.. ...]G';. ; . . �.:.:.::•:::........x: M�x`%•::rvr..•{v�w:}::r:}}•.. T;}+::::-nv.�.>.v�•}:�:.ri•:�:+}.M;:?^`;.• .. � ..........::.::::::.r......r.....:.............�::..v:.. v: ... ...... ti .. ... .. ..:}.:vn• •..t�.............:. .t..:.h.v:.. j� :�::.�y;� . . . . ................ .......:.:....:......... . r....v::�r:•`::::::.:: ::::...n:?•:::• .................fr.!-:nr........ ":�iii':n...:•::i:::.;i::.. (�y ...!I,.{........:.:..n. :i?•�?`:::n'4Y:J:Tn;...y:;..::;:i}�:n:;:i�:::j�::y ur.uled m�n ,....... ,.:.. . ...�:::::::.:.:::n.:.::::::. .::... 1�C�[A :�.»:�;;:.>:�;.::::::�:�;:::::•.�:::::....:...,..::: „�............ .,.::::,:.�::::::::•: ..>............:.::::..a..:::::.:::�:;..�::::.:: ,,. _9.:.::::::..:.�..... ...,::.:.::....... . ..... >:>�:{::.:�..:::,:::::.:.:::.:••• ..........«..«:«:;;::>. .,�:. ,;.: •::.. ............:. ......... ............:....:...:.,.... are aG • I have read this appiication and ail infortnation submitted to the board; • All infortnation is we,accurate and complete; • All other required infortnaoon has been fulty dsclosed; • I am the oniy gambling manager of the organizadon; • I wiil tamiliarize myself with the laws of MGnnesota goveming lawtul gambGng and rules of the boatd and agree,if licensed,to abide by those laws and rofes,induding amendments to them; • Any changes in appiication in(ormation will be submitted to tfie board and local govemment within 10 days ot the change; • An affidavit to�gamoGng manager has been completed and attached. • Failure to provide required intortnadon or providing faise i�formation may result in the denia!or rewcation of 1he license. Sig ature ng nager Date mA��� � Refer o the inst ions fo�the r red a achments and fee. Department of Gaming Gambling Cantrol Divislon Rosewood Plaza South,3rd Fioor 1711 W.County Road B Rosevitle,MN 55i13