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88-60 M�HITE - C�TV CLERK PINK - FINANCE G I TY O F SA I NT PAU L Council CANARV - DEPARTMEN T �6� �%j BLUE - MAVOR File NO. Council Resolution � � Presented By Referred To Committee: Date Out of Committee By Date RESOLVED: 'That Applications for four (4) one day bingo pexmits by Case Payne Community Council at 958 Jessie be and the same are hereby approved as follows: i.D. #73903 on March 4, 1988, between the hours of 7:00 P.M. and 11:00 P.M. I.D. #16705 on April 8, 1988, between the hours of 7:00 P.M. and 11:00 P.M. I.D. #44579 on May 6, 1988, between the hours of 7:00 P.M. and 11:00 P.M. I.D. #37957 an June 3, 1988, between the houxs of 7:00 P.M. and 11:00 P.M. ' COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond I.on� , In Favor coswitz Rettman J sc6e;n�� _ Against BY �o.r.. Wilson t'.�."•.�.; ! :. `°'�`f � ' '' ' Form p ved b City Attorney Adopted by Council: Date Certified Pas er et BY B}' �� .JAN 2 0 1988 Approved by Mayor for Submission to Council A►pproved �Navor: Date By � BY pUBtiSNEO J A N 2 31988 aM6NU►ron '- a�.�� w►.e..nnno oor�ecarne,rto , �, "� -.✓ � F.. (.�6ti�� - ����� � �. ' 0��� . �T ��� ����� �'1S �rG�.t1�VVi H0�71 �N �a wiaa�rr�vx�s anecTOe T cm c��ac NI�BER FOR — _ . & mror�or�wo. � etrooEr o�croR �� E1h0ER:. — y : ment Servioes . 298-5056 — �,.,,�. . . . u : Apsalicatioai far. €our One Day Ga��1i#�g Lic�ns�es- (bir�go) . ��s:lAVw�c�u a�«cR►► !cow+a��s�na,Re�: ��ww��oo�r� cm�seawce co�assia+ nnre m o�tE arr ar-ur�vsr qa�wo. nowr+o oo�oN �ao szs�r+oo�eo�ao sr,� c►uarER� c�t��s�s �nuFO.nooeo* nEro ro«mtr�r � .. . . . . � . _ . .. �-FOR ADDL�IFO. �FEEOBl1dC ADDED* . D16�RIf.T COUPICIi. � �. . � . *ERPUINATION: � . ' .. . . - � �ORt8 YNIICiI OOUNCL OBJEC71VE9 � . . .. . � �. . � . . . . . .. - . . . .. . . �� .. NT�IA7'Ylfi�L�r NMIF OP�ONTUINTY(YV�q.VN1Al.VIRIBO,YVIMElr�NhYZ� ,- . Rita Ac3atAS, «�n behalf of Case-Payrle Cairm�u�.tY Or�,ii. is �qu�s't�g C�iZ : of ��o�. t�ir�,applicati� for four.�rie Da.y. t�amllaLiryg: Z,�,cer�es' f� �ral.�)� ��.P�� 4. �.�8, : � Apt�`il 8 i 1988� Mr�y 6� 1.988� �.�d �hu�e 3 i 1988. The '�SS�c�cts WiI3: be he�d :�t the 4�.�st : Recreatiod C�tex� at 9S8 Jess3.e. 2'tye manies w�.IY be us�d f.ar tl� �a�nt �f civic/ cultural envixnr�erit af the Case/Pa.yne area reasidents. . ro�«�e�.�..�o«:�►: : . , . _ If this �plicatioa� is app��aved, the Case�-Payne �itX �ca.l w,�ll be a1l,aaad to ha��e � four a�e-t3�ne hingo �ssions cu� sai.d�dat�es. oo�a�,e�a�:va,.�..�a.�o�,f: ; . • ' � If this applicatioal is not approved, .the Case-Payne Ocx�mity � .'#�i.31 �t la�e �l� to � t1�e bincp sessiaris. K�u►na�: �ros �s . �sranr�rra: _ t�o�t aeuES: a. �� � •�• v+T�^.• �^ �, • ���V�I �� • .�� V' VV �1C 4 // � , _ �� � T„ .`T', �f'1 , ' '1 11� 1T. n .�.��'.���y� �� uu�-1L ��.�I� La ��.:1'i..�... ..�.J 1:��5.�:1.�:...I�.uT�� V�+_. � .. �� r1 ��•n � •�r�1' ql \^� \T�^T^1�TR ♦ �z;ris�o., o. �:,�:��:. :�;:� ����� �r�.:y��.�.�ar z.r���►AZZCrr �c�r� �:zTs �D�c��zc*r ro�? ��-.:�T mo cc?,�LCT G��Ts:,� s�:,sznrT ra sT. P�TJz �. i:3�.'12 OI' l o3Z'.1Z8L�C21 ��SG 1 /T'y�C ��!i�!�!7 GH / ' / � C'����•� L Z. Address whe�e �a�i.zation's re�vlar mestings are held 9.�� �SS/� �' � �o�� J 3. Da� ar.d ti.:�^.e of zeszin�s L-�S� �e Q�.7�P� �L .r-i �/ v'� �`i E ��yrf-� i. �dci..-�ss c�here Cambl�nP Sessioa :�ii? hs held �.5 t5 c��°SSi�� 5. Is aor.?;.car.t oT.n:er o.f propert� -•rrer� G�.�bL.::F Sessic:� rai?1 t�e helC' ves To 5. I� leasec, :�rY�o �s oumer of prcpe:t� ��i:sre Gar,hlin� Sessior. *.a-i�?1 ne he�d' s� �4u L 7. If leased, attac'� letter of pex:zission to conduct Gar�blir.€ Session, s�gr.ed by lessor. �. �Jame of ofiicer ��n; applica�icn /�,�'�`q /� ��-r'i�s 9. AdcLess of of�icer maiQng applicat�on �� -�j— 1���/`�O Date of birth -�'.�-/�-_�� � 10. 2.ane of �aana.Eer who will conduct Cambling Session Ct 1� r ; � 71. �ddress of cza.r.ager � � �ate of birth �f /9 5�� 12. In cor.^�ction with what event is th�s GambLng Session be�r.g held? �l/%� I3• 6�11at type of gar.�bLng devi.ce(s) will be used? Paddleyrreel ?'ipboard P.aff'7.e 1l.i.. :�a�, dates anc hours this application is ;or and nur.iber of sess�ons. Da�(s) � Date - u�urs �� ' // �'o. of S es si ons� �—� 8� � �-�� s-� -�� � - � - .�� 15.� :di11 pr�zes be paie in monev or ^�erch.an�.ise? � � � - ��J. IS �i° ��:��C6i1V 4.ai7OVi6Vior� C.r2ri�Z°4� L::..a.e2' �i2B �.^e.:v5 Or L:".r St2�A Of ::i::r.esota?_�� 17. i=.ow long has Cr�.anization been in existe.^.ce? /� �/e.c 1�"� lE. ?ti'hat is the p��ose of the Or€anization? �o �d � � �^,/.�i-il/�Pvh P.-, 7�' a � �,�� � � �u ��-� Q e �- o-� c�.s� � ,� � �-.__. C'i`-ea� r�� � � .�fs , I9. Of�icers oi the Organization ilame-Title Address Date of birth %��� ���� � ��s ����..�-�� 9 -/�-,.�� T S � � 4 r�ID S' l 2.�/�irn7�r/D -/�" 5l7 , _ L� z.Z �,�� , Sa h ��,� Si� _ s � -/�-�Co �D�i�sE � /�7`'�� g-�� �4� er7d � `5- 0�3 _ _. , ^;�S' ���: �7'^p .' i r� .'1 � r p..� r+ �wr= O n�.n r' �'��-�t/ __. .. e _ �...,.s �_ c_��.cers or _r_,; o�ze_ ;,__ o^s �a=.. _or sz_ _ces t� -..'r_„ �__2._ZcL,02:. ' _iar.�.e=' t�e �.^:d:ess 1a�e of �t� /vOil/✓ ` 2I. Ir_ wco�e cus�cd�� �riil roco:ds oi Qrgar.izat�cn's �sa.*��i°_n�- Sess=ons t� '�ep�: :�ame !—��1/�Sc� /i�'-7��/� � �lddress �S� E�C� Y?�✓T - 22. Attach a copy of four Crga.r.izatioa's membersr.ip roster and date each �eaber joined. 23. Attac'r. t:ie Ga�byin� �ession :•fana�er�s bond. 2L,. �,ttac?� a cogy of the i;ep�Tt��er_+ of tr.e T_�ea.su.�, Inte�al :'.everue Se�ce "°..etur_^. of Cr�anizaticr_ :�cer.!pt �ro^. Incor.e '"ax", ro� 99n. (Cha�ter �519.0!� ;i).i 25. xt�acr a coo� oi iepart:�ent of t:�e '"reasur�, In�er�al .'.evenue Se:�r ce, "��e:�mt Cr�a�*�- ization �usiness Ir:coa�e Tax11, For� 990T. (C�:apter l�19.OL (2).) 2b. �ttach the arLrlual report recuired of cr.aritable organizations by ,�i^:nesota Statutes, :} Section 309.53• (Ch.apter It19.��- (3). ) 27. I'ave Jou :ead and do yeu thorou�rl� un�?erstar.d the �rov,sions o_° all Ia�frs, ordinances and reeulations €overr.inE the operation oi Canhi_�c Sessions? � � 28. �- cY:an:��es des�red by �he app3�.car.t asseciat�or. nay ne mace only :�r t:: tr.e cor_sent o� tr.e License Con¢nittee. � 29:" iias ar�� person(s) �a.�ticipat�:.g in �he operat�on of any o� tre ga.^bli_^_� sessior_s cov- ered by tr.is l�cense ever been cor.victed oi a �'elony in tre State of. :iis.r_esota or in � `� any ot:�er State or _ederal Cou:t? Yes :`Io If az:swer is "�es", provide r�es, add�esses and birth-dates. _ . c� —�� CrEanizatior.j �4 (Cff c�r-?'f ar:d ���` "� ` (c�n�zr �n c:arEe of Cambli^.0 Sessicz; Staie of :4innesota) )SJ .r'.OUI"it7 �.3I'aS @� � '\ ' � an� being �'uly sworn saf that t:ey a-,e the pet�t'_oners _n �r�e above a�plicaiion; �:�aL �:e�r havs :e�� the ?oregoing pet�tior. and Tmc•rr �he contents. t::ereof; tha� +,�:e sarie is ==1� o�' :::=_r a:•m kno��rled�e. - -�:>.�:..:�....;,� Subscr;bed and swora to bei�re :�e t�s _;;ww�.t ;,c,����,�_.,;; ;_;:LZc� ��5� Oi �,0_t//��±,��..?�✓ �� � rl.� +►�Rer N. ^� f`,NESOTA .P�— —� /�.1� � �.�' F�'.F � � ._:' "_' L%i�1 i�'i � h � �� I�ti� `r��y Ccr;rn�-sic��*::pires Oct.15,1s90 �otarr- Pub:�c,` Cour.�v .•1:.nrlesota �«•++'"t"'''••'°�'°'�`�'''�'s.��s . � :•:� co�unission expi=es /0—�-/y�D � BZildir.� L'epa.zti:�ent Ap�roved uisa�proved by � ri:e �@TJ2.2`Li..ent ��proved �isapgroved �� � Pol:.ce �e�artzer.L zDwroved-7�sa��rovzd—�:3y . ��-�� ��':......... ' Minnesota Charitable Gambling Control Board LAWFUL GAMBLING EX MPTION 3��'"�'�""°���� Room N475 Gri �, ggs-Midway Building -� 7 821 University Avenue FOR BOARD USE ONLY - - St. Paul,MN 55104-3383 ������������ (612)642-0555 INSTRUCTIONS: 1. Submit request for exemption at least 30 days prior to the occasion. � 2. When completing form, do not complete shaded areas until after the activity. 3. Give the gold copy to the City or County. Send the remaining copies to the Board. The copies will be returned with an exemption number added to the form. When your activity is concluded; complete PLEASE TYPE the financial information, sign and date the form, and return to the Board within 30 days. Or ization Name Number of Members License Number(if currently or previously A E �� ` pm � licensed)and/or permit number. !t Address City State Zip County G� �` +' � � 7" �'. i:c O - Chief E utive Officer's Na Phone Manage['s Name Phone Number .� �G�' �`Y � _� - � /� " �-�7�-`�(jt�� " Type of Organization H Ocher Nonprofit Organization ICheck One and attach proof of nonprofit statusl. f _ ; . � Fraternal ❑,Veterans ❑ IRS Designation ❑ Religion �Other Nonprofit Organization �ncorporate with Secretary of State Attach proof of three years existence. ❑ Affiliate of Parent Nonprofit Organization Name of remises Where Activi ill Occur _. Datelsl of Activity,drawinglsl ! c� e r e .� � r�-' '�-�� �g Premises Address City , State Zip Co ty• '�' �� �g� es 5 � -==� -7 � , �' S�� �� e� � �8� ., �� ��, �����x����� �l��Vat� � . , ,�, Game Yes No " ' : ;., ' ��"rF�e���.KS�,.. ����� � � . :� r;s+��t��; ;� � � � � �� , 3� �� � �� ���� � ��� � � .. . .. Bingo � - � � � � � � �< �, �, ���� ���� �� .. - . . .. :, :�F. .� � �:�.. ��, ���� � �� ���,.��� �� ��,� � � ,t ���,��'� _ '�q' ��a�a�v�� ���� x ����. � � -. 'a��:� '� � Raffles ����� ��� ,� � � �� � ���� �� � ;z �� � 3� � ��;� ,�p���� � T � �� &�. �,�s�«, '� ;�, � �� ,:r�� �, �� � ..;� r� , ;� F�.ta�Sa�D° k - a���+ �>'� � �� � • , s � r Paddlewheels � € � ����������� ��� � �m��� � � °£ � R� � ��$p � ;. � - R, ���..:, ` .. �x"�.lm.,��T. '�a��i%��� a$:,,n�._ ., ,a. II� ,.. '�e� ✓y '�+p,.� . ,n� � . Tipboards �`� : �� � ��� � �� ,� ��� � ,��� � k����� � _��+� ' �� � .��� ';x�, �� r x�a a F�r����'�. ,a�;� Pull-Tabs � -����� �� �� ,���a��� v= � t,� � � �� �EU ����� �q <<�����a� �� _,_ �» , 2 . ., _ .. . Use of Profit : � � � � � &� ��t� � ��, T � a �,�� � �� �.,�&k«_��'s�ss�a� .��� 3 �;� � 2�`�,� . m : '�;r�c z��;��ztts,�, ��* � � '� .�'r�"ia �.�? '� � �: tSL[t OT 8 BASB O. ..�. .Y� .,s , . �' �� �., ,r �_,,. ._�,a &. , . . , ..... .,. . , .,._. . , . ,. , ,a_> , ,.,,�, ,,, , � I affirm all information submitted to the Board is true, accor- g ��alt.�r�an�a�tn��r�t�tdtt���'��a�tnttted tt�'C�e SQard'i� •ate, an cQmplete. � ���ur�'�,8�nc���s��� � .� �� ��� _ ���`, � �J//// f/ .�• _ : _ _ ���4 ��� ���� w� g���� ����� � � � � /,/. <��.� l.-/ ,! .! ..�� ��;:�'.�" �� � � �. ,��` �. -.,� ��x ;.�r������� Chief Executive Officer Signature Date E�u�t��[is�r��iur�;.�," >;F�k,r�, Date ACKNOWLEDGEMENT OF NOTICE BY LOCAL GOVERNING BODY I hereby acknowledge receipt of a copy of this application.By acknowledging receipt, I admit having been served with notice that this application will be reviewed by the Charitable Gambling Control Board and will become effective 30 days from the date of receipt (noted below)by the City or County, unless a�esolution of the local governing body is passed which specifi- cally disallows such activity and a copy of that resoluiion is received by the Charitable Gambling Control Board within 30 days of the below noted date. CITY OR COUNTY TOWNSHIP Name of Local Governing Body(City or County) Township Name(Must be notified when County is the approving body) . i�. .. � �• �"` , • j" r, Signature bf PersOn Receiving Application Signature of Person Receiving Application ; '� t ' f !`� � ,�'- Title � Date Received Title Date CG-00020-01 I6/871 White—Board Canary—Board returns to Organization to complete shaded areas. Pink—Organization Gold—City or County �. ' �� ���'(/Q�� • UIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE 1Z z t / � Z- 3�� �'�� INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant (;�py....� yy ,�} me Address �3�� ��Sp�j Business Name ���, Home Phone - �p�t(� Business Address � �,�_ Type of ice �(� � � �� - �C'Yr'Yz��. 3 � �� �� � � � 51 � �X �, Business Phone 1��- _���� (�,r� � 73 (v - �c�7a� -��s�q� � Public Hearing Date . � License I.D. �i ,7� ' at 9:00 a.m, in the C ncil Chambers, 3rd floor City Hall and Courthouse State Tax I.D. 4� 11 l� llate Notice Sentl� �_ �y�G'--' Dealer 4� ,� �A to Applicant i%�I��N S7� / � 7�$B �� Federal Firearms �� 1� �� Public Hearing DATE INSPECTIUN REVIEW VERFIED (COMPUTER) COMMENTS A roved Not A roved � Bldg I & D ,n I� + i � ; Health Divn. ' n � � ( � Fire Dept. � � � � �� � I � Police Dept. I � I� License Divn. � �z��; i o� City Attorney � t Date Received: Site Plan r � l� �-/ To Council Research j � � �a Lease or Letter TT— Date f rom Landlord 1 2(�� � ��