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91-2329 ��l��l�►�• q I - Z�2q � �'j/�,,� Council File #` �J '---� Green Sheet ,� ` 17672 RESOLUTION CITY OF SAINT PAUL, MINNESOTA Presented By Referred To Committee: Date RESOLVED: That application (ID #77230) for renewal of a Gambling Manager's License by Marlene J. Thilgen DBA Lower East Side Football Association at Shenanigan's, 499 Payne Avenue. , be and the same is hereby approved. Yea� Navs Absent Requested by Department of: imon —� oswz z ✓ on .� License & Permit Division acca ee �- /,,��✓U e tman � �I� une � By: �1� i son � Adopted by Council: Date - ' `� Form Approved by City Attorney Adoption Cert' 'ed }�y Counci Se retary � � � l�_ �s-�( ^ a ��� G�� By• Y� � � Approved by Mayor for Submission to Approved b M yo�r`s Date Council �� ��t.!,�`�i�� sy: aY: * PUBUSNED �!AN 4 '92 , qi-�z9/�/ D PARTMENTlOFFICE/COUNCIL DATE INITIATED �� 17 6 7 2 ' Finance/License GREEN SHEET - CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Christine Rozek-298-5056 ASS�QN �CITYATTORNEY �CITYCLERK MUST BE ON COUNCIL AGENDA BY(DATE) NUMBER FOR gUDCiET DIRECTOR FIN.&MQT.SERVICES DIR. City Clerk ROUTING ❑ � ORDER MAYOR(OR ASSISTAN� Hearing/ 12-19-91 By/ 12-12-91 ❑ ���g TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Approval of an application for renewal of a Gambling Manager�s License. Notification/ 12-6-91 Hearin / 12-19-91 RECOMMENDA710NS:Approve(A)or Re�ect(R) PERSONAL SERVICE CONTRACTS MUST ANSWER TNE FOLLOWINO GUESTIONS: _ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever wofked under a contrBCt for this department? _CIB COMMITTEE _ YES NO 2. Has this person/firm ever been a city employee? _STAFF _ YES NO _ DISTRIC7 COURT — 3. Does this person/firm possess a skfll not normally possessed by any current city employee7 SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO Explain all yes answers on seperate shest and attach to grosn sh�st INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): Marlene J. Thilgen DBA Lower East Side Football Association requests Council approval of her application for renewal of a Gambling Manager's License at Shenanigans, 499 Payne Avenue. ADVANTAGES IF APPROVED: If Council approval is given, Marlene J. Thilgen will continue to manage the pulltab sales for Lower East Side Football Association at Shenanigans, 499 Payne Avenue. DISADVANTAOES IF APPROVED: DISADVANTAOES IF NOT APPROVED: iRECEIVED �EC 0 91991 Counc�I ��r������ ��►��ar ��TY CLERK DEC O g 1991 TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUD6ETEp(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) a�.f �J�1 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. Qrants) 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 Servfces 7. Finance Accounting ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others, and Ordinances) 1. Activity Manager 1. Department Director �V- 2. Department Accountant 2. Ciry Attorney �,' 3. Department Director 3. Mayor Assistant 4. Budget Director 4. City Council . 5. City Clerk :� 6. Chief Accou�tant, 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 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(sj(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 cfvil 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?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? . . 91-232Q ✓ DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �� �q 9/ / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant /n�,/^��l�I�� �j � IQ�j� Home Address ��6 �-� , �'��`"/Q/ Business Name�.QUJP1" �i[,�7 S/4`L' �"Bd�U�I/ Home Phone �`�l-'�01.6� (s/�enQ ,Ky4�s Business Address o �. � Type of License(s) �n �4'�1 �'— Business Phone _ �'71��� ��p_��/ Public Hearing Date �� � 9 � License I.D. � ��o?�� at 9:00 a.m. in the Council ham ers, 3rd floor City Hall and Courthouse State Tax I.D. �6 o2Uv2��/� Date Notice Sent; Dealer � /V l/� to Applicant i� (a q/ —� Federal Firearms �6 /(/ � Public Hearing C�� //C`%' ✓ DATE INSPECTION REVIEW VERFIED (COMPUTER) COrIlKENTS A roved Not A roved Bldg I & D I � 1� Health Divn. � � � � Fire Dept. � �[,q. I Police Dept. ���I �� / �� /i1 � License Divn. � ��--f��y, , ��� City Attorney . � !I`r�5�I CI� I 0/G� Date Received: Site Plan �� � To Council Research � Lease or Letter 1 G D te from Landlord � I I I�1 I ( �"'�'�. � , �GZ�Z� �J'�� FOR OFFICE USE ONLY i✓ . 7 (Rev.7/29/'91) BASE UC�k SEO� M�tULeSOtQ LCitU,ful Gflmbl;lig FEE CHK Gambling Manager Application DATE INIT ...,>;•:::;:;.:.;... ::.;»•«•:::.;:.::.;;:•.,. .:::•.,•.. ...............:..:::......................... .... ...:...::::::::: . .. ....................:....................,.:::..::..;.::.::.,:..,•:.;;;;:.;•:::::::..:.:::•::.,:.::::::...:::........................ ....:.,..:..... ......... ..;•,.::;�.;��.:<.;:.:.;;:.;:;.:x.::.;:............... ................:::...::......:::<>•;::.::::::::::.:-.::::::::::::::::•i.r::::..:::.�:.;:.:<s:::7 .:....,:.:.::5... ::. . .....r. •.:::::::;:...:::.:.>:::.::::.:c:.:.;•::::::::::....................... e:;0 <;A � ' ::;:::::i:# tfCLt10 "::; � �JP..:;: .�.::PP::: .:::..:;.: .:....::::<>:::�?'::>�>«;:>::>::::�;:::;�°.'::::<�`:;:::�::::::�:<:�::;::;<»:<::�:<:::::<:>:>:::>`:::::::>::>::::`;:�:::�:�<;<:::::<:::>�::':::>:;»'{::::`_:::.>::.<:::><?<.:;���:;z::;<.:;:>:;::::::«'<:>::;:>:<.....�;_:�«>;:»:>..;<::<<::><<'«>:>:>::>::::>::::», �New Give date that the two-day gambGng manager seminar was completed. / / Location of training (pti) �Renewal Give date of training received within three years prior to the date of the application fo{�.�newal.y,�/;�/fQ LJ LJ Location of training ST P/9 u L :>:..._, �:, .:.; _ _ _ _ (a�Y),,.>.......... _ . _ »:<�:«:::>:>::»::: _ <;;;.; Gambltn :Manr�... .. .. ...:� ., . ................::�>:::<:>::::>::::;;:::: eF.In o . .. :;::>::»::>>::>:::> .....::::...:;::::;:... >:...:.. ...... ,_. rm�.�fon:«:>>»::»::>::.:::.::.;»::>:<:;:>>:;::..::,....:::.::::::::::.� :.:::::::.:.:::::;>;>::.;:.;:<.;:.::.;::.�::::.::::::..:.,::..::,:::.�::..,:..:::::;:>:; _...... . . ............. ..........:....:.,_.::._........... . .........._........ ..._.. ........................ ...._.......... . LAST NAME FIRST NAME MIDDLE NAME MAIDEN Date of Birth Soc.Security Number ��rr�c� - To�,� E T �- -Y� �/7y-�-a-���$ ress g�� 'p ayUme hone .� 7�' u L �D ��.�� / SZ�j MEMBERSHIP:Date gambling manager became a member of the organization �/�/�� Sex: Male ema! <::�::::�::<:>::>`<� :::::; ::?>s:<:':<::�:z�;;:'•:::;��:':��::':�:��:'�::;;>`::::�`:':��;�;;:�':';?;>':�<':.:::•`?:;:;'•:<>:>::::`'`>�;:`:��:::>:::::<:::::<< .::..:. ................................... . .. ....... . .... ... . ............. :.:..::... .;:::•::;.;:.;•:::•;:.;;::::.:::::•:;.;:•;:.;:.;:.;;;;:;•;:.:«>::;�:.;:».:::>::>:::>::<z::>::.<�>::•:�::;::;=;:::;->:;>.�:;:;��;::::::.:::::::::.:•,::. 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B d::I a .:�« on orm �o f n:::;:::::;>:<::::::>::::;::::;::,::;:,:::;::::::>:::><::::<:<:.::::>::<;::::::>:>:=:::�:::>:>::>::::>:<:::;>:::>.:::::::�::>::::<::�:�:::::>:::::::::<::»:<:::>:::::�><�::�::>::':<:::::<:»::�>:>:::::::><:�:;:::<::::::<::<:::::���::::>:::::;>:::;:>:><:::>::>::��>:>.:;�;.:>::::::::::<:><; � :..:. . .... .. .;..::.: .. ..........:.....::....... ..:. ......... --A 310,000 fidelity bond in favor of the organization must be obtained tor the gambling manager. Name of insurance company(do not use agency name)('�J a/TDL SdJ D�/f1 R//I`/��Bond Number CC. 'S'f lo�%r3 '� � 6!^.?+i:�}::??S:vv"•:t.}}:':' .}iY.•i:p;.}av.?:.i}:.::•:oS:•:i:}:•::��:::4�::�.v ,r{n},v, .. 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F i:iF;{.;...:...}.v.......vn..................r................................................:...:..::::::::r:::::::.::.�:::�:rii:v:::�i::ifi::i:?•i?ii?:::iiYii.:iii:r.:%�iiih:vi:i:v:i•i:6ii:$ �te�Cribu�fed men :><::::.:..:::.::::....,..::::.�:.:::.�::::::::::::::.:�::.�::::::::::.:.::::::::::::::.:�::::.::::::::::.�::.:::.�:::,:::.::�:.:::.:�:::.�:::::.:.�::::::::::.:::.:..:..;.:::.�:.::.�:.�::::::::. L� ...... ..... � . ...... �r.::::.:..:.:...�.::...;.;..::.:���-v�::�::...:r::::::�::::::::::v::::..�:::...:.:....,.....:.....,-;L......r..............................................,-......,-._:n::.:......:.....;.........rr 'YOf lY�V�8` • I have read this application and all intormation submitted to the board; • all infuma6on ia true,accurate and complete; • all other required information has been iully disdosed; • 1 am the only gambling manager of the organization; • I will famil'iarize myself with the laws of Mnnesota goveming lawful gambGng and rules of the board and agree,'rf ficensed,to abide by those laws and rules,induding amendments to them; • any changes in appfication infom�ation will be submitted to the board and bcal unit of govemment within 10 days of the change; • M affidavit for gambfing manager has been oompleted and attached,and • I understand that failure to provide required information or providing false information may resuh in the denial or revocation of the Goense. Signature of Gambling Manager � ( Date ,�� . �//,�—�' Send the completed application,gambling manager's aff' avit,and 5100 check made payable to State of Minnesota to: Gambling Control Board Rosewood Plaza South,3�d Floo� . 1711 W.County Road B � Rosevlllo,MN 55113