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91-2307 C�RI��N�. � 9I - Z3�7 � 35 ouncil F��e � Green Sheet ,� 17663 RESOLUTION SAINT PAUL, MINNESOTA Presented By Referred To Committee: Date RESOLVED: That application (ID #87140) for renewal of a Gambling Manager's License by Carole L. Donaghue DBA Church of St. James at Novak's, 919 Randolph Avenue, be and the same is hereby approved. Yeas Navs Absent Requested by Department of: imon � 03WS 2 / License & Permit Division acca ee i' e man � une � i son � -8€�-��7- 1991 By• Adopted by Council: Date - � � " Form Approved by City Attorney Adoption Certified by Council S retary � ' � By. ,,��9. By: � `�, Approved by //��ior: Date po��1�� Councild by Mayor for Submission to BY� By: ��P�LI�$��� 'ti.�, :�,j��{ . , q1-�307 /✓ DEPARTMENT/OFFICE/COUNCIL OATE INITIATED N� 17 6 6 3 Finance/License GREEN SHEET - CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Christine Rozek-298-5056 AgSIGN �CITYATfORNEY �CITYCLERK NUMBER FOR BUDGET DIRECTOR FIN.&MOT.SERVICES DIR. MUSTBEONCOUNCILAGENDABY(DATE) City Clerk ROUTING � � ORDER MAYOR(OR ASSISTANT) Hearin / �� B / � o ❑ ��ouaci� R TOTAL#OF SIG ATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Approval of an application for renewal of a Gambling Manager�s License. Notification Hearin �� l� �1� RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING GUESTIONS: _PLANNING COMMISSION _ CIVIL SERVICE COMMIS510N �• Has this person/firm ever worked under a contract for this department? _CIB COMMITTEE _ YES NO 2. Has this personlfirm ever been a city employee? _STAFF — YES NO _DI3TRiCTCOURr _ 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE4 YES NO Explaln ell yes answers on separate sheet and attach to yre�n sheet INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who.What,When,Where,Why): Carole L. Donaghue DBA Church of St. James requests Council approval of her application for renewal of a Gambling Manager's License at Novak's, 919 Randolph Avenue. ADVANTAGES IF APPROVED: If Council approval is given, Carole L. Donaghue will continue to manage the pulltab sales for Church of St. James at Novak's, 919 Randolph Avenue. DISADVANTAGES IF APPROVED: DISADVANTAOES IF NOT APPROVED: F�ECEIVED Cour�ca! �����rch Cer�� DEC 0 9 1g91 DEG 0� 1991 �ITY CLERK TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CtRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �f', U11 . ' 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 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 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. Ciry Council 5. City Clerk - 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDERS(all others) 1. Department,Director 2. Ciry 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 papercllp or flag each 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 C�ouncil 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 SERVICE CONTRACTS: This information will be used to determine the city'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�-Z�� ,� DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �4 .�� 9/ / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant /'t�l�. �� �Q/xZ�iZU� Home Address �/� ��/�p �/,(�. _'''�%Q'� Business Name �L�!'�p' �S' Home Phone �a�-���� o�'a / / • /�� Business Address , �� TYPe of License(s) �d/71fJ!!�1 !!�[Q/1 /``- ,�''�'JO„2. Business Phone ���-7Qd2Gf ��C�,v�/ Public Hearing Date �- 7 y _ License I.D. � � 7'/�O at 9:00 a.m. in the Council Ch mbers, 3rd floor City Hall and Courthouse State Tax I.D. �� �'���3�'S Date Notice Sent; Dealer � /1���} to Applicant �/� Federal Firearms # Public Hearing �� DATE INSPECTION REVIEW VERFIED (COMPUTER) COI�MEENTS A roved Not A roved Bldg I & D I !v IA- Health Divn. � � I`.,� �- Fire Dept. � ti� �- � Police Dept. t0 �31v f�j � 1 ' I l� �i� �/c— License Divn. � �' z� Si � Q�L. City Attorney � t l y� � �/� Date Received: Site Plan � I /-� To Council Research /� L� �l/ Lease or Letter ��� Da e from Landlord LG2.]2 rJ FOR OFFIC� USE ONLY (Aev. 7/29/91) q�s�� � BASc UC x SEa x Minrtesota Iau�ful Gambling FL` C1iK Gambling Manager Application OATe INIT :::..� �.,: .:::. • . - ; �Pe o.f APFI:cation.. .. : >_,: �New Give date that the Nvo-day gambiing manager seminar was compieted. / / Locarion of training (p�Y) �Renewal Give date of training received within three years prior to the date of the application fot.tsnewal.�2 / / Q� U 1C Locauon of training S t. P au 1 . .................................................................................................�°�!�......::::.::..::.:.......:...:.,,.,.,.......,,,..:.,..::.,::.,:.:::::.::.,..:::,,,,:,,.:,::.:.:.._:;:«:::..;.:.,:...,:.::::::::: .::::. .. ..;... _ ,..::::;:::::.:,.:. _ .;.;;:�;;:;�:.:;.;;;.. ....... . ....... ... : .,... .<.:.,. ::<:,::.:..;_...: ......::;>::»:;:;�:r<<:>:::::;<:<:;<°.:;:<':::;':::::>:<:;;>:;:;»::::;:::<:>::`:::;::.': GambI:n ::Mana er.<�n:ormat�on�:: { : _,,;. ...,,., ....... ...., :,_ ...... _,:T_ LAST NAME F1RST NAME MIDDLF NAME MAIDEN Date of Birth Sx.Sea�riry Number Dona hue Carole Lucille Donagnue � 0�?-23-u2 473-'-'6-2£�67 Address State p Cooe aytirr�e Pl�one 810 Juno Avenue St. Paul MN 55102 (61� 1'18--1133 MEMBERSHIP: Date gambling manager became a member of the organization �/_/ 4S Sex: Male Female x ::>:>:::.<.:::c:::::>: � � ::: >s;�::<•<::>:�;:::•;:::::;:<::::>.v::.N:::;:• :>;::::�:��::�::>:::?'::<:::::;;;:::::::<;:`::>::::»:<>.:>:<::::::>:::::' . :: . _ .; :::.::::.:::.:.. :: .,.. .. : :;::.::>::::.:: �"::'v'::;K:.::'r':}. .....-.:..:�i":v:.i:•'`'�: ... .. . .;.: Or:. anLZatio�::In.orm�atiorz_.:�: .... ....:.... : :..:... :.. : . .. .;: .. . .. ...... .: . ,;..::.� Name of Organiza�on License Number Church of St. James oi St. ?aul 02613 __��„ Address Ciry/State Zp Code Phone �►96 View Street St. Paul MN 55102 � 612 � 227-iU29 . :<.>:.:::<.::<:.:.;:.;;>;;;;:�;�>;::.;:�:>;:;.:�>;::<,.,;:.::.;:.:.v, >:.:�r::„x. ;:::K:;<;;»ss>:iz:>'`�'�<:>s:»s::»<:::�:::>;>::>:i=�<:>;?'::»>: :r..•:::::r.:::::...:.::::...::•:.�:...::. •...•:a.:.: ::x:-::::�::::• "..,,.,:,... ...,.�. .. :::�::o:>::: ........................:.........::....:::;.;:::�,.�.::::.�::::::::::::::::::::::::::.::,-:.r.::::::::::......:...',.'-::•:�::t:::::�::_:��:;::>::::::�:;»:.�:�;:;:;':%:::i:�::�:�i::.'•........ .,:.,::::::.:::. ::::.............. �I.y:::...::::v:r: ::.4}y::.ii..'.::.:iii:ii}ir':-::•iiii:_iii}iiii:y:l;iiiiiii:tii'��:ii:�ti•i:::::�::i<�i:4:::<:::ii:::i:�ii!!�+^' ...h................................................ _...:.. ii'':4: : .:::...... .:.....:..� �::.;.::::::.::::.. ................... ... . . � .:. ...n...::::::•:::::v...:...........xn...;..............R.........::...,-. ... . .. ...Q ':::::•::•:::::':•:i:..:y::...::•,i::'::::',::•ii::i::i`:.!:!:�::::i:::::-�.::�:ij:i:::j'C-'::i::"�. ' ::.:-:�:i:::i:ti�::4i:: : . ;.; Bond.;inform tzon : ,:: :> ::�;.;:.::.:.::<;:�:.:..:. --A$10,000 fideliry bond i�favor of the organization musi be obrained for the gambling manager. Name of insurance campany (do notuse agenry name) Cztholic Mutual Relief gond Number $140_ _� Society :�.:.�:�,;,:-;:,:«:::;:Y.,:<a;:.:::.;�;•.�.;::;:.;:.>:.::.;:<,...;>:�>::.>;;:.::.;:.::.,,:;.:.;;;;;:.;:.;:�:;:.;::.;:.;::.>;;:;:�::::>:;>.::�:>:<>.:::»<> .x.: •:.,...�:::::::.::.::::,,,:,,.,.�.:::::;:.;:.::�.:::::.;;�.:::::::.::::.�:...,::;.,:v;::,::.;:<.,:::;.;:.::>;:�:;�...::n.:::.::.,;.>:.,;..:.. >: ....�..�:.,..........:....::...:.::.::.:...,,,...:...,......:..:.:::.:.._::::::::........ ...........:.::::::::.:.. . ..........:.:.:::..::::�..;::.,:::_:::-:;:;;;::. ,:::,:..;,. .............. �. :.. :. .. : ;: . . , : ...:: �: :. :: :::.< Acici�i�owledqment::.. .:. . : � �' � �� � I cedare that: • 1 have read this applica6on and all infortnation submitted to the baard; • all informacon is true, accurate and complete; • all other required infoRnaoon has been fully disdosed; , • 1 am the only gambiing manager o(the organization; • I will familiarize myself with tfie laws of NGnnesota goveming lawful gambfinq and rules of the board and agree, if licensc.�,ta abide by thosa laws and rules,induding amendments to tt�em; - any changes in appiicaoon information wiil be submitted to the board and local unit of govemment widiin 10 days ot the ct�ange; • An affidavit for gambling manager has been completed and auact�ed,and • 1 understand that failure to provide required infortnation or providing false informaoon may result in the denial or rewcation of the Gcense. Signature of Gam�ling Manager j- Date �� //' ( October 23, 1991 '��.:. �� ��� � jl�J��/'�'LL.y Send the compieted application, gambling manager's aff�avit, and 5100 checic made payable to State of Minnesota to: Gambltng Ca�troi Board Rosewood Pfaza South,3rd Floor 1711 W.County Road 8 Hoseville,MN 551�3