88-306 WMITE - C�TV CLE K
PINK - FIN�ANCE COUflCIl ��/y
BLUERV -MAVORTMENT GITY O SAINT PAUL File NO. " �_���
�Co� c Resolution
� 3q
Presented By
Referre Committee: Date
Out of ommittee By Date
RESOLV D: That Application (I.D. #44439) for a City of St. Paul Gambling Permit
(Raffle Only) applied or by Central High School Band Boosters at
275 North Lexington Pa kway, on March 25, 1988, between the hours of
7:30 P.M. and 9:30 P.M, be and the same is hereby approved/d��.
COUNCIL M BERS
Yeas Nays Requested by Department of:
Dimond
�ng In Fav r
Gosw;tz
Rett�°a° B
Scheibel � Agains Y
Sonnen
Wilson ��p
1"IHR � � � Form Appr v d b C ty At orney
Adopted by Cou cil: Date �,,i
Certified P- e uncil S tar BY
/
By /
Approv a or: Date ^2 � Approve by ayor for Submission to Council
gy By
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� ORY A�TQRNEY .. .
� Cit�r of '� t Faul GaQnb�ling F�,nnit ( fl� cuzly) .
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NO►1�'I . Cx+1 LE':F'I'ER SE�1T: 2/18/$&
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� . . PIAMMA'i. . � .. � . CIVIL SERVICE COIAM18610N � DATE IN . � .. .� . � PM10t�N0. �. .
. . 20NW0 . . 18D�26 BGHOOL BOARD . ... .. .. � .. .
, :.�gTAFF - - q1ARTER COMAMSSION �AS IS � . . ADD'L - * . . . ilE[V�TDCONiA�f �ENT�� . .
. . � .. . ,_ : � � _�FOR'ADDL hiFf). . __lk�E AGC�* ' .
. C18TqCT�01MCIl _ � � *ER . . . . �. � � .
��� Councii Research Cent�r
FEB 2 319$$
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: r4r. i+�i.lfora F...�Ja�z].ler, on behaZf ot tr�e I3�;��n sc�ool Ba�aa &�ers, �+eq�,�es�s �
of the#r , far a City of �a�,nt° a ' .Ga�b:Ling Pernif.t (R�ffle o�]:�) at` 275 13c�th '
T�earing�cart P : y: :The raffle will be Mareh 25, 198� }a�twiaen the h�aur�_o�- 'f`:30 p.m:
, at�d'9:�0 p: : in �nrae�ctiari �th a �arxi . , . _ . _ _
. .. a,sewc�tnof, �ar,rwyss,aa.Wr�; . . : . , _ : . : . .,
All - a�pp�.i.eatioa�s and fees hav�e aukmitted. Tne p�xoceec3s �an thi.s raffle wi.11
be used to mx�y to l�lp with band .
,_aN�al��f,�., r�e Ts w�ana: ,, : . .. . . ,
.,, ., .: ,
If t�a�cil _ is rx�t g,iv�enr the Cen Hic,� Sc�ai Hat�. �osters will be tuaak�.le ta
hpld �t�eir fle. '
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1�ifoRYl�Eq7'8:
LEtiAI.NM!!!:
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UIVISIO OF LICENSE AND P�:RMIT A.DMINI TRATION DATE ��'� 'S�/ � `�� ""��
INTERDF. RTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
� Lic Enf Aud
Applicait �GvL �- l��h Home Address ?O � �-�d/r�.l�
Busines Name -� � S p�� Home Phone
R
Busines Address 1 �1.. !r1 � Type of License(s) C� GQ/'hbl�nu
Busines Phone �p��+ �(�S �.rm�'� •• �q.�•��Q. Oh � '�
Public earing Date 3 $p License I.D. 4{ ��y �j�
at 9:00 a.m, in the Counci C ambers,
3rd flo r City Hall and Courthouse State Tax I.D. �t N �,q
llate 1�TO ice Sent � Dealer 4� N/�}
to Appl'cant 7 g
Federa2 Fi.rearms 4� ��A�
Public earing
DATE INSP 'CTION
RE IEW VERFIED (C MPUTER) CUMMENTS
A roved N t A roved
Bldg & D N'� I
i
Healt Divn. '
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Fire ept. I N'� �
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Yolic Dept. 1G.Cto� i G/� S't n °�)1���
Licen e Divn. �K � � l•����
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City ttorney � � �
i
Date Received:
Site P1 n �J �l�'��
To Council Research a-
Lease o Letter � � �.�s�v{L� Date
from La dlord �Gir1ri1 la�''� �e.��'"'
Y'�GC�V� �
" Mlinnesota Charitable Gambling Contr 1 Board - LAWFUL GAMBLING EXEMPTION
. .�-;:..
Room N475 Griggs-Midway Building
��� 1821 University Avenue FOR BOARO USE ONLY
- St.Paul,MN 551043383
������"�`�� (612)-642-0555
G � -��
INSTRUCTION : 1. Submit request for exemption a least 30 days prior to the occasion.
2. When completing form, do not mplete shaded.areas until after the activity.
3. Give the gold copy to the City o County. Send the remaining copies to the Board. The copies will be
returned with an exemption nu ber added to the form. When your activity is concluded; complete
PLEASE TYPE the financial information, sign a d date the form, and return to the Board within 30 days.
Organization Name Number of Members License Number lif currently or previously
n v� licensed)and/or permit number. j 1��q
Central E�ig Schocl Band Boosters -
Address C ty State 2ip County
275 '.Y. Lex'n�ton P:cwy St. Faul �'�1ti 55LO4 "r'.n;�se,.
Chief Executive Office's Name Phone Manager's Name Phone Number
Steve r111e �512 � ��47—�+ t�3 �'ilford ;ul�ar � n.2� 0�'+-111�
Type of Organization ' �:i • If Other Nonprofit Organization(Chedc One and attach proof of nonprofit statusl.
❑ Fraternal ❑ Veterans O IRS Designation
� Religion C� Other Nonprofit Organization ❑ Incorporate with Secretary of State
Attach proof of hree years existence. � Affiliate of Parent Nonprofit Organization
Name of Premises Wh e Activity Will Occur Datelsl of Activity,drawinglsl
Central H'�h Sc:�ool
Premises Address City State Zip County `'a rc t: ::�� Z�f t`•
275 N. Le:c'n�ton Pk�ay St. Paul :;P' S�1G4 kamsey
y, _ � � � _ _ - - ��y,�
. . � '" �'F � � �Y�u�."s =�
Game Yes No �#�' .;� ,�- �� rv��������e
�.:
�� � ���-� ��;�
Bingo °
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F
�. _ - : . �. � � ,
�_ �._- . .:. _ � .. ., .��
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- Raffles X �
Paddlewheels X
��� ,w , �.��
. . , a�
Tipboards X
� � PuI1-Tabs � � � ���
�� ���� �: � ,v:n
Use of Profit.
To g oa a band trip, uniforms, su pl:es
: ���.. : �� ' r� _� �.�
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,� . .... . . . . ... . .. : .:..... ... .. . ........ .. . . �.. . . ,. .. . .,W ..: .
� I affi�m all infor ation submitted to the Board is true, a cor- C'�' " � �' �c�at�`ar�snb�rit�te .� ��B�a�a�
� � � ' � e�� �� ,� .r� � `
� ate, and comple '� _ ��,��n�� � ��, � ��� ,w�
�� -T1 � i'�' � l ( . r' a �'-d�.'*x '� ' ��K` $�,��,� �a;�
� ��` 1 ._- / � 7 _ : Y9't� $ & ..�
�...r�� Y. �:4' .kt u4$
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ChiefExecutiveOfficer ignature ate ClYidf' grretuee-�.`_, <„t,�: ^ �:"� �"'���"'�:�
ACKNOWLEDGEMENT OF OTICE BY LOCAL GOVERNING BODY
I hereby acknowl dge receipt of a copy of this applicatio . By acknowledging receipt,I admit having been served with notice
that this applicat on will be reviewed by the Charitable ambling Control Board and will become effective 30 days from the
date of receipt( ted below)by the City or County, unle s a resolution of the local governing body is passed which specifi-
cally disallows s ch activity and a copy of that resoluti n is received by the Charitable Gambling Control Board within 30
- days of the belo noted date.
CITY OR COUNTY TOWNSHIP
Name of Local Governin Body(City or County) Township Name(Must be notified when County is the approving bady)
...L, .i i v,�,��YC;..L t:.
Signature of PBrsoq�ec iving Application Signature of Person Receiving Application
�� ��� ��--� � `'��c
Title t�,{ �^ � Date Rec ivedr Title Date
_ t _
- �' ! �_.Li ' ._ . .'.A --.%�l'..i..�t.;.- . . . '
CG-00020-01 I6l87) Whke—Board . Canary—Board returns to Organization to complete shaded areas.
Pink—Organization Gold—City or County
City of Saint Paul /} �. ��?� /
� „ • Department of F nance and Management Services (,�1`--Ja 10
� Licen e and Permit Division �� f( �3 �
203 City Hall `� �7
.- St. Paul Minnesota 55102-29&5056
APPUC TION FOR LICENSE
CASH CHECK CLASS NO. New Renew
r� o i�- a c� .� � � �l��
oace � ,s �
Code No. Title of License oi - ,;;� �� ;'� :� �..'`�
From 19'_To 19
-� —' t �
G� ,�! !-v .x i, � f-.- `.i� 1� , �� �,_` �;� �� � �. �. I _'
� 100 ��.;�n,-� � � _ _ .. �'
Lc I '-*' :i
ApplicantlCompany Name.. . � _
„ `.:�J��'G��.
100
,'� ��. i.�. , _ ;.� -�'L .t .:1
100 8ual�ess Name .., �
��A �}
, ��O ��' 1,}"'i.= .r� . . . /� � `r �� t
' Buainess Addreas Phon�Na
100
100 Mail to Address Phone No.
�
100 �:�J 1 � TUy":� (`. . ��i< i� �r'
ManapeuOwner•Nams �y 4. --�
100 .�'
i L v� j�-= i,. (Q r � +-;� -�_� i � i �!
i
100 AtanagerlGwner-Homa Address Phone Na
4098 Applicat n Fee Z, 50 ,'�
Received the Sum of 100 �.'�,' . T!� �� ; � � ��%`�
��� �,. � 5 ManagedOw�et-City,State 6 Zip Code
100 tal 100
� - � � j V�J:Z'/A,"„_._ .'�!.«r..:r�
License Inspector �� By: � 't�� Signature ot Appiicant
Bond-
Company Name Policy No. Expiration Oate
Insurance�
Company Name Policy No. Expiradon Oate
Mtnnesota State Id ntification No. Sociai Security No.
Vehicle Informatio :
Serial Number Plate Number
Other:
THIS IS A R CEIPT FOR APPLICATION
THIS IS NOT A ICENSE TO OPERATE.Your application for I cense wili either be granted o�rejected subject to the provisions of the zoning
ordlnance and ompletlon of the inspections by the Health, re,Zoning and/or License Inspectors.
$15.00 CHARGE F R ALL RETURNED CHECKS
,�Q r c,h � ��a r2 �-.�
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,� - � a-i� -g�
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. , • CITY OF SAINT PAUL - , ����`-�
, DEPART"�NT OF FIN CE � A'fANAG�NT SERVICES
DIVISION OF LICEN E A,.'�'D PERMIT AD:IINISTRATION
INFORMATIO REQUIRID WITH APPLICATION F R PERMIT TO CONDUCT GAMBLING SESSION IN SAINT PAUL
Four sess ons are allowed per qear, wi h each sessioa being a maximum of four consecutive
hours. is application and all requi ed attachmeats must be filed with the License
Inspector at Ieast thirty days prior t the requested date of the gambling event.
� �
1) Name f organization ,�j C'. ,,�, G'' � �j� ��p�' ✓ja�
2) Addre s where organization's regul meetings are held � ., , � ' y `• � � .��j ri!'�'��' /�%►
f`� n c.�c�.Yr�o�°�h '
3) Day a d time of ineetings <�� ,�� F (,:� �; < <��' �' �.�, � �Q,r,��'t
r
4) Addre s where gambling session will be held � ���j NE � �k� n,���G��� , _����'.r,.,'!
5) Is ap licant owner of property wher gambling session will be held? Yes � No
6) If le sed, who is the owner of prop rty where gambling session wi11 be held?
/v
7) Name o officer makin a lication :��e- J — r
g PP f d rt'i f� ct vl. � �+ !��
. ,.,, . , � ,
8) Addres of officer ' � , , � � �:� Date of birth �� �����`f
9) Name o manager who will conduct g bling session ��� ��i' i�� / : ]�� L% � 6� �Y
10) Addres of manager � �{� � r � ,L1 ` j1� �,�� ��
11) In co ection with what event is th s gambling session being held?
� '
f�` . � . .
12) What t e of gambling device(s) wil be use � Paddlewheel Tipboard
Ra fIe � Pulltabs Bingo
13) Specif when gambling session(s) wi I. take place:
r�HOURS: � 3�
Day(s) Date(s) � .� From: � � To: •�
� (Maximum of four hours)
14) Wil1 p izes be paid in money or mer ha.ndise? ��`�,�1 �G►11'C-�.f ����'S~ C:�y�i�i.diSY�'-
r
15) Is the appl.icant association organi ed under the laws of the State of Minnesota? � � �
I6) How lo g has the organization been n existence? (n L.t ?-�S
17) WEiat i the purpose of the organiza ion? .; • , �- � ' , ��, l�.� f'r�"L-
6X,r�.`�n�"��:,
18) Office s of the organization: � �
Name-Title Address Date of bir.th
'�Jt='G �� ��) �1''Y1 �r � �: � � � G-, ,c 'L��- •S�`V�i: � �/ '�''�(�
�
. , � � ` .
- -�- �r���- �j� h� � rti ��-�' , 3 --:..3 -,.�,v
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'- " � '' _ ►e � i � �� �� /� '� m �.�
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,� „ � r� .
r Q. j'1 ir� )1 l � ` � �> Ci �U � .� '� l � � "— ���
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19) Give names oL officers or any other person paid for services to the organizatioi�.
Name-Title Address ' Date �f Bir�h '
/�/���
20) Ia whose custody will records of organizatioa's gambling sessions be kept?
Name (JV � ` YL 3�CIl. /-j I� tt 1 1��'Y Address ��U�� � �� Y a,� � �lY'�. ,��!wE1[
�1 Attach a covez letter defining the event for which you are requesting this license.
�� Attach a Ietter of permission to conduct the gambling session at the requested address.
�3v-�� �t
�) Attach a copy of your organization's membership roster and date each member joined.
N �4) Attach a copy of the Department of the Treasury, Intemal Revenue Service "Return of
',�� 1, Organization Exempt from Income Tax", Form 990. [Chapter 419.04 (1) ]
�r�
;�, �25) Attach a copy of Department of the Treasury, Internal Revenue Service, "Exempt Organi-
r� zation Business Income Ta.Y",`Form 990T. [Chapter 419.04 (2) ]
��
Attach the annual report required of charitable organizations by Minnesota Statutes,
Section 309.53. [Chapter 4I9.04 (3) ]
27) Have you read and do you thoroughly understand the provisions of all Iaws, ordinances,
and regulations governing the operation of gambling sessions? Y ��
28) Any changes desired by the applicant association may be made only with the consent of
the License C,ommittee.
29) Has any person(s) participating in the operation of any of the gambling sessions
covered by this license ever been convicted ,of a felony in the State of Minnesota or
in any other State or Federal Court? Yes � No If answer is "yes", pro�.ide
names, addresses, and birth dates.
Organization: � �jr-C� ,�` � y1 SG C'�s'�
By: (Officer-Title) 1 �� � � � � ?/
n
and /'
State of Minnesota) ( nage in cnarge of gambling sessionj
) ss
County of Ramsey )
O� and
bein uly sworn say that they are the petitioners in the above application; that they have
read the foregoing petition and know the contents thereof; that the same is true of their
own knowledg.e.
.�,
Subs � " ed and swo be re me this y� �
day o f - 19 !�O
:�, ,
�
Not�iyy,,P;ublic, ounty, Minnesota
My �Com�3ssion .Expires ����—��_
. ., �
. �_,
Building�•Department Approved Disapgroved by `
Fire Department Approved Disapproved by
Police Department Approved Aisapproved by
. : .- . � _ . �--���
. _ .�,.• ., ' C1TY OF SAINT PAUL
`� = DEPAR MENT OF FINANCE AND MANAGEMENT SERVICFS
� u�i � .
,+, „e DIVlS10N OF LICENSE AND PERMIT ADMINISTRATION
'' ,��� ' Room 203, Ciry Hall
Saint Paul,Minnesota 55102
George Latimer
Mayor
2/17/88
To: Virginia Baisley
From: Chri sti ne Rozelc C
Re: Record Check
In connection with an application for a one day raffle permit
at 275 N. Lexington Parkwa , a record check is requested on the
following:
Jim 0'Brien Wilford F. Muller
527 Desnoyer 1405 Ashland .
St. Paul St. Paul
Birthdate: 11/28/50 Birthdate: 3/3/30
Bobby Berwin Nancy Ankeny
1832 Munster 2130 Roblyn
St. Paul St. Paul
Birthdate: 11/6/43 Birthdate: 12/23/46
Steve Allen
784 Aldine
St. Paul
Birthdate: 2/10/54
A copy of the application i attached. A March 8th hearing date has
been set for this matter, please respond prior to that time.
CR/car
attachment
_ �����
`�,*,',, � CITY OF SAINT PAUL
°4' � DEPA TMENT OF FiNANCE AND MANAGEMENT SERVICFS
�� i i�� e�
� DIVISION OF LICENSE AND PERMIT AOMINISTRATION
% Room 203, City Hall
.M �.�.
Saint Paul,Minnesota 55102
George Latimer
Mayor
February 17, 1988
Wilford F. Muller
1405 Ashland Avenue
St. Paul, MN 55104
Dear Mr. Muller:
Your application for a City Gambling Permit has been received fn this
office.
A hearing on your applicati n for Raffle ID �(s) 44439 will be held
before the St. Paul City Co cil on March 8, 1988 at 9:00 A.M. , Third
Floor of the City and Count Court House. This date may be changed
without the License & Permi Division's conseat and/or knowledge.
Therefore, it is suggested hat you call the City Clerk's Office at
298-4231 to confirm this he ring date.
You are hereby notified tha your attendance is required at this
meeting. Failure to appear may result in denial of qour application.
ve�cr�iy yours, .
� ' � � "r.✓, �%� �
. - ' _ ..r . ......��..�,.
,J�seph P`. Carchedi J
License Inspector
JFC/lk