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88-475 WNITE - CITV GLERK COlII1C1I �7�-- PINK, �. FItJANCE CANARV - DEPARTMENT GITY OF SAINT PAUL � � BI.UE - MAVOR File NO• � � Co ci es lution � Presented By Referred To Committee: Date Out of Committee By Date RESOLVED: That Application (I.D. #2 004) for two One Day City of 5t. Paul Gambling Permits (Paddlew eels, Tipboards, and Pulltabs) for April 16 and 17, 1988, be ween the hours of 2:00 P.M. and 6:00 P.M. and for two One Day Temporary On Sale 3.2 Malt Beverage Licenses for April 16 and 17, 1988, between the hours of 12:00 Noon and 6:00 P.M. applie for by the Church of St. Matthew at 510 Hall Avenue (Parish S cial Hall) be and the same is hereby approved. COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond ��. [n Favor Goswitz Rettman � s�ne;bei A gai n s t BY Sonnen Wilson APR — 5 1� Form Approve y ity ttorney Adopted by Council: Date \, Certified P s Council Se t By — By �..i � 61pp e 1+lavor: Date Approved by Mayor for Submission to Council By By Pt�I�S�€� ,-„ ., :i � i 9 8 ���TS TiIVISION OF LICENSE AND P�RMIT ADMINIST TION DATE "l I—��/ vz —�� ��� INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by , • � ` Lic Enf Aud �Applicant �al,�, I D•Q,S C-� Home Address � g �• ry� 50� Rusiness Name l��,Y�.f�� (J 1' ��' ! (�f '�`�ome Phone � 5 � � a' �` ! Business Address ��� ��}-(� Type of License(s) C ��( �Q/ �711 � Business Phone oZC�► �"�f� 3 � �,{(�'�A,{�S � (xX(vdS Q�CI�Z�IS _ e�,►-•. P a � P Public Hearing Date � �� License I.D. 4{ �������o� at 9:00 a.m, in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. 4t ���" llate Nutice Sent; Dealer �l � ��" to Applicant Federal Fi_rearms �E � Public Hearing DATE INSPEC ION REVIEW VERFIED (CO UTER) COMrIENTS A roved Not A roved � Bldg I & D � �l� i Aealth Divn. ' N �� ! � Fire Dept. � ' � � � � Police Dept. � 52 n� I 3 �( � g � License Divn. �K � 3 �� �8"� , City Attorney � I Date Received: Ss,.�� p---�i-a.�-- �/ /T Ff ' To Council Research � o-? 3 � Lease or �� 'J � ��u - I Q. �, �� Date f rom Landlord �e Tl l,°r' rOrY) N'� ���� � ' �: Minnesota Charitabie Gambling Contro Board LAWFUL GAMBLING EXEMPTION . ; Room N475 Griggs-Midway Building � 1821 University Avenue FOR BOARD USE ONLY �' - - St.Paul,MN 551043383 /J�.. y,F c�/7,5` �- �.....:�� (612)642-0555 (/r—U v _��_ . :y_. , . �;'.- __ , , ., �°Q..,INSTRUCTIONS: 1. Submit request for exemption at ast 30 days prior to the occasion. • 2. When completing form, do not c mplete shaded areas until after the activity. 3� Give th�gold copy to the City or ounty. Send the remaining copies to the Board.The copies will be - : returned with an exemption num er added to the form. When your activity is concluded; complete '� PtEASETYPE - tF�e financial information, sign an date the form,and retum to the Board within 30 d`ays. ; Organiz�ol�Lvcn �f St. Matttrew Numb6r�f{Nembers License Number(if currently or previou�y On�/�_oo� �. u�"t,fl �t UU licensedlandlorpermitnumber. u �? Aad�S�90 Hall RVe. �' t. Pau� s`erf! zj�5107 c°"`�i�s�y :.�' Chief E ve O p� Mana er's Name Phone Number "��. �'f���i�i J. Adrian �"�� � 224-97.3 game � � Type of Organization If Other Nonprofit Organizavon ICheck One and attach proof of nonprofh statusl. � Fraternal ❑ Veterans ❑ IRS Designation �'� Religion ❑ Other Nonprofit Organization ❑ Incorporate with Secretary of State ..:;-.. ��.� ;ri� : Attach proof of three years existence. ❑ Affiliate of Parent Nonprofit Organization - Na mi r A f it �I c r Datelsl of Activity,drawing�sl ����`� rfia��wf�' 'S�S���Y Ha 11 ... ^ Y : �. �.e'"��5��'�fiall Ave. c�`v St. Paul s`ai�PJ Z���1Q7 co""`YRams2v ; ,',� . , ,�,. . r � . __.. _ _,� , . , _ a x.. � Game Yes No �� �.� �' ;���� � � �. .�. : _ Bingo X -_ =Y���. Raffles � �.: - Paddlewheels X :�°�: '�,;;. . Tipboards X �- � Pull-Tabs � �� � � y: . u8eot��1g10US Educatinn� Progams �� �� � ,. � ,� � ,� �� '�����:a�d �, � ;� a��;r �"'" ',,,;-„..,� ��, �. �� ��^�C � I affirm all information submitted to the Board is true, acc r- ��a�firm��f��ret�F��nf " ariar�s�cb��:i+e�to�th�H"varrt i� _ �#*�;. . �F-�."' �" r -!",'�' �a �-«-4 r ,�`�.s - � s� r - '� ate, and�amplete:=�- ,� ����� :.�.< a �,;,. � �� �� ���° � °� � � / � � � � ; ��/ _ (�L`(;��� _ .;�s ,� >'��� �p�' � � . . '- " 'e"'.�^ � - -� . Chief Execative Officer Signature Dat _ �:. ,.. _ .a. �� ..� , .•.;r._ � ACKNOWLEDGEMENT OF N TICE BY LOCAL GOVERNING BODY �_;,I hereby acknowledge receipt of a copy of this application. y acknowledging receipt,I admit having been served with notice -,- thatthis application will bereviewed by the Charitable Ga bling Control Board and will become effective 30 days from the -°- date of receipt(noted below)by the City or County, unles a resolution of the local governing body is passed which specifi- cally disallows such activity and a copy of that resolution is received by the Charitable Gambling Control Board within 30 days of the below noted date. CITY OR COUNTY TOWNSHIP �Y Name of Local Govem�ng Body iCity or Cnunty) Township Name(Must be notified when County is the approving bodyl '� �-Jl.. .,,:.:: ;r .�y, _ Signature ot Person Receiving Application Signature of Person Receiving Application '-,�.-;;� :..ti -:-�,� _j - .. . ..�.. - - • _ . . r T�tle� Date Receiv Title Date �� '' ,_ __ .� •—;�:_ - i.. --�--. .. �. � ` � CG-00020-01 I6/87) White—Board Canary—Board returns to Organization to complete shaded areas. Pink—Organization Gold—City or County ity of Saint Paul ��y C���S t�� _°'""_.� Department of Fin nce and Management Services ��° License and Permit Division ^ O O , L - 203 City Hal1� �� �-r St. Paul, Innesota 5fi102-298•5056 APPUCA ION FOR LICENSE CASH ,CHECK � -- I.ASS NO. ew Re�ew � ,� I/ � _ : 0 � -/ _ �� ���_f; � Date 19 ��.. ,,.�Code No. Title of License f� 'r� �� �'� ;�• From r'�� 19��0 19 , � � � / ^�/� � ,�� r'-��'�/ �' QlJ j r l � � I i y , ,oo ��1 r� r r'/1 �;-*- �?`" - //�G�1°c.� ; ��o � r1�� T'�(;r! c � >� Ci�l N(%t °r� �0 ApPUcanUCompany Name ' �� � � r �! /j/J ,� � � �i �•- � / �""�"„ ,� - ///�"� .>/ 100 B'i'sfneas Name � �' � ^ � _..,. ,00 �% / � ' 1,�� � Bua(naas Address Pnone No. ,00 � ) t �/'�1 t � r, ,l c�_J�~� , 100 Maii to Atldreas �� Phon�Na 100 � � J vV � //=/�" -.�� '� ManapadOwner�Name ,00 /� �s? � -, � /�� i . 100 A anagsNGwner•Home Address PAone Na�� 4098 Application Fee 2, 50 ReceW�d the Sum of 100 '�U ManagerlOwoer-Clty,State 3 ZIP Cod� 100 T 1 100 � i / � !' / � � ,,� � /. J � ��-.ri � s/ ��n•.' i .-� i I�1C@�13@ 1�13p@CtOf � B� ;r� � Signature of Applicanf`� , ,'� ,/� � .;° �'� '> !� ?�j {/ � � �--.�� Bond• �' � � ��. � � �.-,: °i�� l �.. .v — �':;z�/-' �::: � _.:_..., ; .� C .:/� , — Comparry Name ' Policy No. � Expiration Dale Insurance: ' •• Company Name Policy No. Expiration Oate Minnesota State Identificatlon No. Sociai Security No. Vehicie Information: Sxial Numbsr , Plate Numbsr Other THIS IS A REC !PT FOR'APPLICATION THIS IS NOT A LICENSETO OPEAATE Yoix applicatfon for lice se will eithe�be granted or rejected subiect to the provisions of the zoninq ordl�ance and completion o(the inspactions by the Health, Fr ,Zoning and/or license Inspectora. � 15.00 CNARGE FOR ALL RETURNED CHECKS $ R— (�1 �� � � � ��...�� 3 l����5�c� P''� s�-,�• `� i ► ,,.1 �sc cr� � � ��75� � .i� r' j� . ?':,:, �?.?r�T:�1T OF ^�'y 'iC';: :3IJ tl�:YZC�'_�''.t i' S��lIC::S , � 7�+�Jl�JiI l�C ial�`� G ti� i�rLUQ:� i►u�'.:IJ�.2���x� r , • . IIJr'OFt:ATIGN �C,UL'�7 ;lI'�� .7.GDr.1.VR'::IG2t �'0 ?z''.''�!'*� '"0 C�'.�UC'" G�u•'.�t"��'�'TG Sv1��T_OP! _r;? �T. DAUL ?. t:a�e a� �a�i.atioa Church of int Matthew Z. �ddrsss where �anizatioa's rer mestj�s ars rsld 510 Hd1I Ave. ;' 3. Da� aad time o� �est�nF:s 2nd and 4 h Tuesday of the month 7:00 p.m. I�. Addrsss Whers Gambl3np Sessian :ii11. he held 510 Hall Ave. �. Is ao�.'.icani os�ner oi propertp uhe Gamb1:� Session �rill be he?c? X Yes � "o 6. If leasec, :rho is awner oi �x�certp �ri-.sre Gamb�n� Session TaiL be �.eid? 7• If leased, aty�.ac: lsttar of cer.aiss on �o cor.duct Ga�blir.� Session, signed by lessor. 8. Name of off�cer caa�i.� a�oLicaticn Rev. Stephen J. Adrian 9. Address of o2°i cer making az�Lcati n 507 Ha 11 Ave. Date af birth 4/15/42 _ �_ 10. �Same ot manager who wiL candnct G bling Sessioa Rev. Stephen J. Adrian L. address oi �ager 507 Hal l A e. • �� a� bi,.t,h 4/15/�!, 12. Ia conneciion wi.th �raat event is t ' GambLng Session beir.g held? ChurCh of Saint Matthew Funfest . Z3. W'hat type oi �aabL*� device(s) ai be used? Paddlew�eel X �aboat�d X Paf"le X I.1a.. :,ay, datas ar� :�ours ttis a�Lcaii is ?or and number of sessicns. Day(s) Sdt./Sun �ates Apri 1 6/17 ;r'A�g�2:00 - 6:00 t;o. oi Sessioas 2 15• r1i'? prizes be �aic `..n �one� or �e_ :�a^_�se? bOth I.6. Is t� appLcant association orE ani ed under `�.he Iasrs of �r.e State oi :�i�esota? ves 1T. Iiow loag r.as Cr�ani�ation been ia ste:�ce? 100 1�.. �'hat is the pur�ose oi t�e Orcaaiza ion? Religious Education 19.. OYficers oi the Orga�ization i�ame-Ti`�.l.e �ddress Jate or' biitih 1052 Ottawa 12/17/44 �Pnnis Chirhart Jean Manning 749 Ottawa 8/13/40 Joseph Stevens 175 W. Isabel /42 Rev. Stephen J. Adrian 507 HaII Ave. 4/15/42 . Gl--��75 __ � 2d. Give �.es oi oi_ic�rs ar au� oz.�,er ersars �aid _or serv�.ces ia �he �rs�a.�zatior.. . Vame-Ti`,.Ie �d��ess �aie oi �=�Y: , -- . , ' , � ' Rev. Stephen J. Adrian 507 Hall Ave. 4/15/42 2Z. Ia wzose c•.istc�; *ai11 xecores oi � 2aTa.on's Gam�--�� Sessions �e kent? �' .. 1�� r �ress 490 Hall �ve. 22. At�ach a capy oi ?our argaaization's a�bers�p roster and date each cie�ber �oiaed. 23. Attach t'se Gaab �** Sessi.oa �.anarer`s bond. 2L�. �ttac� a copy oi �he Depar�eat of '- Treasu.-�, Interlal 'evenue Service "RetvrL of Orgauization r.eeeroz _'roia lrcacce ^_'�c+', r^or� 990. (Ch�ter L19..^•li (1).) 25. Attac:� a co*�g of De�a.--�aen;. oi the ^: asur?, I:�tex^ia1 'evem�e �erQice, ''Y:te�nt QrPa.n- izatioa �usiness L�come :'ax", Fo� 9a i. (Ccapter L.1°.OL. (2).i 26. �ttach tre ar.nual repo� r�c�.i:rsd of :ar�able organizat+ons by ;�.3r.nesoLa Statutes, Seciion 309.�3. (Chaptar L�19.0I� (3). ) 27. F.a.Pe geu read and do �ou thorouFhl� �ers�ar.d the proc�sions o? all laws, ordinancas ana re�u].ations governin� the ooerati oY Gamblir.s� Sesaions? Y2s 28. r� chaa�es desired by �::e a�Lcaat soc�atior_ may be mace orly arith y,.2�,e coasenZ o� �� the Licsase Committee. • ' 29. iias a� oerson(s) �art-�c' at; �� .�g i� ' operation oi aay oi w e �a�cblinF sessior.s cav- ered by this Lcsnse� ever beea coav-°yc ed oi a �'elo� in �2:e State oi :1i�nesoLa or in a� other S tate or .ederal Cou:t? Ye i�a X L-: �s-aer is "?es", �rovide . r.ataes, add.-�e�ses and birth-dates. � Church of Saint Matthew Or;aaizazion ?y -�lG� Pastor (O�P�.c.. - ' le) and • (:ia,nager ia c:�rge o� C amiali�*i¢ Session) State cf Z�i.�nesota) ;SS . Couatp oi ?.asisey ) Rev. Stephen J. Adrian d being duly sworn sa? �nat i'r.e� a:-s t�+e pet'tioaers i.n �he above a�rolication; `�.haL �::ev zavs rsad �he ioregoing pet;.tion aad rmow �he c ntents �:ereoi; Lhat t�e same is true of t:e=r own. ?xozrled£?e. Subscr;bed and swora to befare r,ze t:�.is 8_ th_day oi Mdt^Ch Z° 88 ;.-;;. � H a. HELSPF� � _ JUD T � � � -•, NOTA4Y rU?�-IC-MINNESCIA � _ J�Y.OTA cauNrr .. .�3I'� �L1DIiC� (:d � � r ~� Y'�r� ... . •(innB3O� ' "�:a,..�y 7v�Y comm�ssion•expiras(3-23-91 :•hf COL'�L7.S51�I1 P.�[DL"OS �,i� ;rr DepaxRT.eat dpprove i isaa� s�ved t�p ��3�Te DeDazti�ent �DD�OQ@d 7isa�� ed bp PoLce Jepartzeni �pproved"--�isap-� oved—�p . - 1,��-�7s' �r „t , CITY OF SAI PAUL, MINNESOTA QI,� , APPLICATION FOR TEMPO ON-SALE INTOXICATING b�iOR NOTE: This application must be filled out and signed at the time cf your interv�.ew . with the License Inspector, 30 da s rior to the date of the event. 1. Name of. organization. Chut^Ch Of t. Mdtthew '-- 2. ?:�dress of organization St. Mdtth2 'S Parish Center 490 Hdll AV2. 3. Type of organization - check one which is applicable. CZVIC ( ) CHARITABLE ( ) RELIGIOUS (X ) VETERANS ( ) 4. List all officers and directors. President Dennis Chirhart 1052 Ottawa 457-3018 NAME ADDRESS PHONE N0. Vice President NAME ADDRESS PHOtiE ;:0. Secretary Jean Manning 749 Ottawa 297-9567 NAME ADDRESS PHUNE N0. Treasurer Joseph Steven 175 W. Isabel 291-2921 NAME ADDRESS PHONE N0. others Rev. Stephen J. Adria 507 Hall Ave. 224-1037 •. NAME ADDRESS PHON ��0 ., _ ` � _- NAME ADDRESS PHOVE N0. 5. Location of premises for which applica ion is made St. Matthew' S SOCldl Hdll 510 Hdll Ave. Saint Paul, MN 55107 (�ip C�d� 6. Date(s) and hours during which the int xicating liquor will be sold Vi�O� t0 6:00 p.m. on Saturday, April 16 and Sunday Apri 17, 1988 7. For what will profits be usea? Edu ation program for the school and youth activities How will profits be disbursed (or spen )? thr�i�� churnc �hack hnnk 8. Upon completion of evencs you will be equired to submit a financial statement showing . expenses for event and use `made of pro its. 9. Attach to this application a letter of consent from the owner and/or a person with lawful responsibility for the premises for which this lic�.:se is bei.ng requested. OVER) 10. Every applicant for a temporary On Sale Liquor License shall file with his app11- cation therefore, a bond with a valid Power of Attorney attached, in the sum of , Three Thousand Dollars ($3,000.00) . The suret}� on such bond shall be a surety , • company licensed to do business in the State of Minnesota, and the bond shall be approved as to form and execution by the Corporation Counsel. Said bond shall Be . conditioned as follows: ,_- a) That the licensee will pay to the municipality, whea due, all taxes, license fees, penalties and other charges as provided by law. b) That the licensee will obey the law relating to such licensed business, and that in the event of any violation of the provisions of such law, the licensee will pay all fines, penalties and other charges as provided by law. c) That the licensee will pay, to the extent of the principal amount of such bond, any damages for death or injury caused by or resulting from the violation of an; provisions of law relating to the business for which such licensee has been granted a license, and conditioned that such recovery may be had from the surety on the bond. The amount recoverable shall be measured by the actual damages, provided, however, that in no case shall such surety be liable for any amount in excess of the amount of the bond. 11. �3,0000 On Sale Liquor Bond and Liquor Liability Insurance (Accord Certificate) as per attached. STATE OF MINNESOTA ) ) ss COUNTY OF RAMSEY ) R2V. Stephen J. Adt^idfl being first duly sworn, deposes and says that he has read the foregoing application and knows the contents thereof, and that the same is true to the best of his knowledge, information and belief. . � Subscribed and sworn to before me this 8th day of March 19 88 . ;��' � � � � �� N ary Public, Ramsey County, innesota My commiss,ion expires ��+�!� JUDITH A. HEtSPER :_T4" Np1pZY PUBLIC—M�NNESOIA i'� ���'�� MY �AY•OTA COU�N 8-23-91 % + comm�ssion e�P� ��.. . � �-�,�7s" . _�,-,.� � �,> > > � �,� a- Church of Saint Matthew 507 Hall �Ave. Saint Paul, Mirtnesota 55107 3/8/88 City of Saint Paul Division of License and Perm't Administration TO WHOM IT MAY CONCERN: Permission is hereby granted to the Church of Saint Matthew and Saint Matthew's Funfest Comm ttee to conduct a Funfest on Saturday, April 16, and Sund y April 17, . 12:00 noon to 6:00 p.m. on the premises of the Churc . It is understood that beer w' ll be served and that a gambling session will take place Yours sincerely, t � e J. ri�rt"� Pas r Church of Saint Matthew . � ���r� .. � . . � , ' r iii � t � � ilt s- Church of Saint Matthew 507 Ha1Z �Ave. Saint Paul, Minnesota 5510? 3/8/88 TO WHO IT MAY CONCERN: Mr Paul Desch is hereby app inted as my agent to represent me in matters reg rding the Saint Matthew's Funfes�. The proceeds of which are t go to further Religious Education at the Church of aint Matthew. YOurs sincerely, , ` �� %" e . Adrian � - tor Church of Saint Matthew ; ����� �Q,*,,. C1T1( OF SAINT PAUL ~' : DEPAR MENT OF FINANCE AND MANAGEMENT SERVICES : :., ' � ' DIVISION OF LICENSE AND PERMIT ADMINISTRATION � � Room 203. City Hall .... . � Saint Paul.Minnesota 55102 Geo�t Latimer " MaYo� �,. 3/17/88 T0; Virginia Baisley From: Chri sti ne. Roze.k"" Re: Record Check In connection with an application for a one day gambiing and malt l,icense at 510 Hall , a record check is reque ted on the following: Stephen J. Adrian Andrew Gross 507 Hall Ave. 151 W. Belvidere St. Paul St. Paul Birthdate: 4/15/42 Birthdate: 10/27/56 Dennis Chirhart Jean Manning 1052 Ottawa 749 Ottawa St. Paul St. Paul Birthdate: 12/17/44 Birthdate: 8/13/40 Joseph Stevens 175 W. Isabel St. Paul Birthdate: / /42 CR/car ���� ��� ��-��" _ ' . � F. c�. _ f�'r��N �►��' �,4�1 G`�.-9 � ���, , ��,�:;��, Ct�ris�tirie Pc�m�c �r-oR - �.��� 3. :«,�«� oo►dr . .. - : ppUT1Np — e�mc�raaEC►or+ �.��+�� F'� St-:�. 29�-�E156 �� ca,r Arro�,� A�plication,ft>r a�t�r�e.D�y Gity Ga�blaxig �t (Paddle��he�s, T3�pbGaxds & Pulitatbe�}` dnd a c�ne DaX Ta�'axY Qn �ale Ma7,t. N�'ICATICN l]ATE: 3/2�/88 L1��n 4/5/88 t�vP►a+ln)«�*fa!) s�o�� naroar _ . ri.�r�+r�a� a�nc�oo�axas�a+ o�� o�� �►�.rsr ar+a+E t�b. �� ��'�� ,7 Z''�' �`,�'�_ �� ���� �� � _��.� ����� —�� . oiernx.�r� * r�a+: . , ��r�ams�oouNa�oe�� � , ` Councit Research Cen#e�r . MAR�2 8'�$ - .�►�.r�lo.ur.rw�art��cwm�wno.wi+.�.w�,.�.w�»�.,wryf: Mr. P�aul De.�d�, on behalf of the E�urch of t. Ma�t�t�w Me�i's Club, �s �eq�x�3fi.ing'(�e,i.i _. appr�rval t>f �ir apP�;i.catioci for t�+a� (2) Day``City C�ambli,rig Pe�nu.ts `(Padci]�.s, : -T� &:A�tabs)`an�d tw� (2) Q�e`L�aY tY of`Sa�i.tit Pau]; !t3sti�Poraar� � Sale M�.t �c�s�s . at '�I,O �ta:l�.. l�v�'n�e (Par�:sh:Soc�.al Hail) f April 7:5 and 17, 1988 �ee� th� hc�iars Qf l�i�� 1Voo� �d '6i0t� `�.m.. (C�t�b].ing fra�f 2sQO p.m. to 6:4a p.m.) . �'Y�e 13,c� ai�+e �d in aonj�ctial w�i.#:Yi the St. Nk-�t�'s F� Fes Proceeci.s of ttye e�went wi11 be u�ed to fur�th� relig�aus ,y�iduc�t�on at the Q�um� of -St. t��ew. �� ` �urrol:. . , - : _ - , If this a�pli.�aation is appxoved,� the of St. Ma�t�w will be al]�ped trs spoe�av� th�ts �vent wi,th 3.2 beer a�d eha,rit�ble g�nbl' . � _ : _ - �'twn.t.wau►:,na�rr�wno�+�: _ , _.. . � , . . : ,. If this apQlicaticari is r�at a��d, the o� St. Mattt�v will r�t be �.low�ed �bo �r � e�t v�ith 3.2 beer and chari e ga�b,Ltng. : _ . - . _ ,. - �:sa�r►7� _ cp� wsropr�a�rs: _` uou roaues: � _