City of Minneapolis
Licenses and Consumer Services
505 Fourth Ave. S., Room 220
Minneapolis, MN 55415
Phone: 612-673-2080
www.minneapolismn.gov/businesslicenses
For Office Use Only
Expiration: Oct 1
AP: BLEnter/PoolTB
MCO: 267
Adm Issuance: Yes
License Application: Pool and Billiard Halls
Definition: A business or room for the playing of pool or billiards. A fee may or may not be charged to play. Pool or
billiard halls or rooms must be 500 feet from any public school, college, or university.
An All Night Special Bowling, Pool and Billiards License is required your business is open 24 hours per day. Coin
operated or mechanical pool tables require an Amusement Mechanical Device license.
If you have questions, send an email to businesslicenses@minneapolismn.gov or call 612-673-2080.
Class A:
Class B-1:
Class B-2:
Class C:
No license
required
Any business, not licensed for on-sale alcohol, with seven or more amusement mechanical
devices
Any restaurant, with an on-sale alcohol license, with six or fewer amusement mechanical devices
Any restaurant, with an on-sale alcohol license, with seven or more amusement mechanical
devices or
Any business which is not a restaurant, with on-sale alcohol license, with one or more amusement
mechanical devices
Any business, not licensed for on-sale alcohol, with three to six amusement mechanical devices
Any business, not licensed for on-sale alcohol, with two or fewer amusement mechanical devices
or
Any business, with an on-sale alcohol license, that does not allow individuals under the age of 18
unless they are with a parent or guardian.
1
1
.
. Application Requirements
1. Complete the application and include all the requirements listed below. Incomplete applications may be
returned.
2. There is a fee, plus a new license processing charge, for this application. You can pay by
Cash: Drop off your application at our office.
Check: Mail or drop off your application at our office.
Credit Card: Mail, drop off or email your application to busin[email protected]. Do not
add your credit card information on this application.
We will call you to securely charge your credit card.
3. Business Plan (Form #1)
4. How many pool tables do you have? ________
5. Sewer Availability Charge (SAC): The Metropolitan Council charges a fee for new or upgraded sewer
connections. You can find out online if a SAC is due for your address. If you have questions, call 612-673-3000
or email development@minneapolismn.gov.
Attach your SAC Determination letter.
2. Additional Licenses
Would you like to apply for another license?
1. Check all that apply and attach the documents listed.
2. You do not need to complete any additional applications.
You will be charged a fee for each additional license. If you have any questions, send an email to
businesslicenses@minneapolismn.gov or call 612-673-2080.
Amusement Place Of:
Page 1 of 6 - October 2022
Amusement Mechanical Device: Mechanical, electronic and video games for customers to play with a coin or
token. Every machine must have a decal. Amusement Mechanical Devices are prohibited in grocery stores.
Examples include: baseball, basketball, hockey and similar games; bowling machines; card games; electric rifle,
target or gun ranges; miniature pool tables; non-commercial recording machines; photo machines; pinball
machines; shuffleboards.
Attach a list of machines. Include the following:
Number of machines
Type of machines
Location of machines
Address of buildings
This list needs to be updated any time machines are added or relocated. Contact your License Inspector.
A Background Check is required for the applicant; each owner and/or partner; and officers and managers of
the corporation.
Attach a Data Privacy Advisory for the applicant, manager, and all owners and partners. Include a copy of
your driver’s license and background report. This report must be dated within 30 days of receipt of this
application and is available from the State of Minnesota Bureau of Criminal Apprehension at 1
430 Maryland Ave
E. St. Paul, MN 55106 or at 651-793-2400. Here is a list of all state telephone numbers. No one can have a
conviction related to the operation of this type of business.
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3. Applicant Information
Legal Company Name
Business Name/DBA
Name (Last, First, MI)
Owner Partner On Site Manager
Business Address
City
State
Zip Code
Mailing Address (if different than business address)
City
State
Zip Code
E-mail Address
Cell Phone Number
Business Telephone Number
Minnesota Sales Tax ID Number (Required)
Social Security Number or Individual Tax ID (ITIN) (Required)
Type of Ownership:
Sole Proprietor
Corporation
Partnership
LLC
Non-Profit
Date of Incorporation
State of Incorporation
Is this business publicly traded? Yes No
Proposed Opening Date:
4. Business Information
License(s) Requested:
Starting a new business in a new building.
(New Business)
Starting a new business in an existing building.
(New Business) Name of Previous Tenant:
_____________________________________
Changing Equipment.
Adding a new license to an existing business.
(New License)
Taking over an existing business.
(New Owner)
Name of existing business:
_________________________
Remodeling Only.
5. Owners
List all owners and partners. Ownership must add up to 100%. Attach additional sheets if necessary.
Full Name: Last, First, Middle
Telephone
Home Address
City
State
Zip
Title
Date of Birth
Ownership %
Full Name: Last, First, Middle
Telephone
Home Address
City
State
Zip
Title
Date of Birth
Ownership %
Full Name: Last, First, Middle
Telephone
Home Address
City
State
Zip
Title
Date of Birth
Ownership %
Page 3 of 6 - October 2022
Full Name: Last, First, Middle
Telephone
Home Address
City
State
Zip
Title
Date of Birth
Ownership %
6. Company Operations
Days and Hours of Operation:
Gross Square Footage
for Business Use:
Give us a description of the services and products at your business.
You may not have any live entertainment. You may have radio, television, or electronically reproduced
music. Music/noise cannot be amplified. Describe your entertainment:
List any licenses you currently have or previously held in Minneapolis (business or individual).
Have you ever had a business license denied or revoked by any government entity? Yes No
If Yes, Indicate the Date of Denial/Revocation, Government Agency, and Reason for Denial or Revocation.
Are you planning or have you completed any
construction or remodeling? Yes No
Name of Contractor or Building Manager
Explain the scope of the remodeling or construction.
7. Workers Compensation
Workers’ Compensation Company
Policy Number
Dates of Coverage
------Or------
I certify that I am not required to carry workers compensation insurance because I am self-insured. I
am the sole proprietor and I have no employees. I have no employees who are covered by workers
compensation law. Only employees who are specifically exempted by statute are not covered by the
workers compensation law. These include spouse, parents, and children regardless of age. All other workers
whose work is controllable by the employer must be covered.
Page 4 of 6 - October 2022
8. Verification
The City of Minneapolis uses the information on this application to determine qualifications for a license.
You are not legally required to provide this information. If you refuse, we cannot approve your application.
MN Statute 270C.72 requires your Minnesota Tax ID Number and either a Social Security Number or
Individual Tax ID Number. These may be given to the Minnesota Commissioner of Revenue if requested.
After we approve your license, all information except your Social Security Number is public (MN Statutes,
Chapter 13).
A signature is required.
I have read and agree to the Terms and Conditions for electronic signatures, records and payment.
I, (print name) __________________________________________________, certify or declare under penalty
of perjury under the laws of the State of Minnesota that the information on this application, checklist, and
attached documents is true and correct. All information is subject to verification by the State of Minnesota.
I understand that false information may result in the denial, suspension or revocation of my business
license.
By typing your name, you are electronically signing this application.
Signature of Applicant _____________________________ Title ________________________ Date ________
9. Additional Information
1. No license will be issued for longer than one year.
2. You cannot transfer your license to any other person or location.
3. For reasonable accommodations or alternative formats, please call us at 612-673-2080 or send an email
to businesslicenses@minneapolismn.gov. Individuals who are deaf or hard of hearing can use a relay
service by calling 311 at 612-673-3000.
4. Information in other languages: Para asistencia 612-673-2700. Rau kev pab 612-673-2800. Hadii aad
Caawimaad u baahantahay 612-673-3500.
Page 5 of 6 - October 2022
Business Plan Requirements
The Minneapolis Code of Ordinances, Chapter 259.30, requires applicants to describe in detail your business
operations. Attach a typed report that includes all the following items. You may attach extra documents to your
report. Answer every question that is relevant.
1. Safety
Attach your Safety Plan to help prevent illegal behaviors and disorderly customers at your business,
parking area, and neighborhood.
2. Noise
Attach your Sound Management Plan which details how you will manage sound from your business. A
Sound Plan is not required for Off Sale Alcohol businesses.
3. Litter Removal
You are required to clean litter within a 100 foot radius from your business. Describe your plans for litter,
graffiti, and garbage. Include staff and hours assigned and plans during the warm weather months.
4. Entertainment
Describe the following:
type of entertainment at your business
days and hours of the entertainment and
age group which the entertainment is directed
Acknowledgement and Agreement
I, (print name) _______________________________, an authorized corporate officer, partner or owner, hereby
acknowledge and agree to the following:
The attached business plan is a true and correct; and
Any material change in the business plan must be submitted to an approved by the Business Licenses
Division before implementation; and
Violation of this business plan may result in suspension, revocation, or refusal to renew my license or in a
civil fine determined by the Minneapolis City Council.
I have read and agree to the Terms and Conditions for electronic signatures.
By typing your name, you are electronically signing this application.
Signature of Applicant: ___________________________ Title: _________________________ Date: ____________
#1
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