88-478 WHITE - CITY CLERK CO�IRCII rI
PINK - FINANCE GITY O SAINT PAUL �d `�7 �
CANARY - DEPARTMENT
BLUE - MAVOR File NO.
Counc 'l Resolution
- �fa
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. 70038) for a One Day City of St. Paul
Gambling Permit (Raffle Only) applied for by the East Side
Lions at 1560 White Bea Avenue on April 6, 1988, between the
hours of 7:00 P.M. and 1:00 P.M. be and the same is hereby
approved and the City C uncil does hereby permit Hafner's to
allow the East Side Lio s to conduct this one time raffle
event, pursuant to the rovisions of Section 409.08 (6) of
the Legislative Code.
COUNCIL MEMBERS Requested by Department oE:
Yeas Nays �
Dimond
�� In Favo
�
Rettman Q. B
sche;nei __ A ga i n s t Y
Sonnen
Wilson
APR + � �� Form Approve City Attor
Adopted by Council: Date �
Certified Pa;- ouncil , ret BY—
gy,
/Approve Mavor: Date _ r� ��� Approved by ayor for Submission to Council
By BY
PIlB�1��l�D ;-�'�,,; i � i 88
. ���7�
UIVISION OF LICENSE AND P�RMIT ADMIN STRATION DATE � OS � ��/ � a���
INTERDF.PARTMF.fiTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant 1 �OMQJ Lt �r�.n Home Address ��p3� Q/NPrI��VL ��
c . l , d
Rus ine s s Name C.Q� j� (..lp Home Phone � ����p S
Business Address ��� Wh.t� Vr � Type of License(s) C �\/ I�QMb�CVIL�
Business Phone T1.�jYlt,"� ' �Q,.���„ �1`1 �v
Public Hearing Date y .S g� License I.D. 4i � oa 3 g
at 9:00 a.m. in the Council Chambers, N ��
3rd floor City Hall and Courthouse State Tax I.D. �1
llate Nutice Sen • Dealer 46 N �A
to Applicant g�
Federal F�_rearms �� N ,/�'�
Public Net�ring
DATE INSP 'CTIUN
REVIEW VERFIED (C MPUTER) CUMMENTS
A roved N t A roved
Bldg I & D I �
u l�°r ' ,
Health Divn. ' ,
__ ;
N�� �
Fire Dept. i �
; N �A I
Police Dept. f ��
s�� � �
License Divn. Q � i
� �
City Attorney �
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Date Received:
Site Plan
To Council Research L�j)aQ ��
Lease or Le�t�r �i Date
from Landlord yQ,d. .�'.3 �a D
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���JNSTRUCTIONS ,1 Submit request for exe�pUon a eas't 30 days pnor fo the pccas-0on. ,;: ,_ � . 4�,�,��������.�
�� �.;�`4 � �,. • 2 When completing form;•do not c mplete shaded areas until'after the activity:� _ ;;, ��s�-"^;�
, �4°` �� � ' � 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 activtty is concluded, complete '�L��
° ��r'PLEASE TYPE ��^ ' the financial info�mation;sign a d date the form;and return to the Board�within 30 days. .. "`�:�..� '�;�� ��
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'Organ� t�on Name �-. � J�1� ; � rt Number of(�1embers License Number(if currently or previouelyy;��¢ �, ,��
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Chief Executive Officer Signature -�'�t � _ , '; ate ''
�� � . < �t� . ACKNOWIEDGEMENT OF OTICE BY LOCAL GOVERNING BODY `� �.�;�� � �� ` � ,, ,
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. 'I hereby acknowfedge receipt of a copy of this applicatio �y acknowledging receipt,I admtt havin been served with notice ��'
�Y�. , 9 , :
'that this application will be reviewed by the'Charitable amblin Control Board and will become effective 30 da s from the; �
.,
9 Y
�date of receipt(noted belowl bx,the City;or County,unl ss a resolution of the local governing body is passed which,specifi�� ��:
�"",�cally disallows such activity and a copy of that resoluti n is rece�ved by the Charttable Gambling ConVOI Board within 30 �° �
`' `� 3ry- � �� .� ,s. ;� x :��. �,-, k � � �' _
�; days of the below noted date �'�,Z ,�t'.°, ,� ��,.�� ��x���� � � � . r. �„ , �' ��
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^:Narr�of al Govemi Body,d ity or Coun , Township Name IMust be notified when County is the approv�ng body)
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'' CG 00020-07(6/87) � WhRe—Board. ' , • ` � r Canary-Board retums to Organization to complete ahaded areas e �'
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, ` ' ' ez�t F SAINT PAIII. (,��`��
�� ••'' DEPARTMENT OF EIN CE AND I�lArTAGII�NT SERVICES
, ` DIVISION OF LICENS AND PEBMIT ADMINISTRATION
INFORMATION REQtTIRED WITH APPLICATION FO PERMIT TO CONDUCT G�LING SESSZON IN SAINT PAUL
. . Four sessions are allowed per year, wit each session being a ma$i.mum of four consecutive
hours.. This application and all requir d attachments must be ffled with the Licease
Inspector at Ieast thirtg days prior to the requested date of the gambling event..
-L) rTame of organization � ' L��vit/,S
2) Address where organization's regula meetings are held J .� ��(�� �_
�
3) Day and time of ineetings ,�oo j�
4) Address where gambling session will be held /.5� L(/�y T ��,C� �G�^
5) Is applicaat owner of property wher gambl.ing session will be held? Yes �No
6) If Ieased, who is the owner of prop rty where gambling session will be held?
D C�
7) Name of officer making applicatioa E G/_��
8) Address of officer 30 �- : .S CG': c9n Date of birth ,�=3/-3S
9) Name o f manager who will conduct g ling sessioa ��6�,�5 ���-�,,P t�,4/
10) Address of manager Date of birth S/f�jr/�'
I1) ra counection with what event is th s gambling session being held?
�d E � -
12) What type of gambling device(s) wil be used? Paddlew�eel Tipboard �
Ra fle �_ Pulltabs Bingo
13) Specify when gambling session(s) wi I take place:
/ HOURS:
Day(s) ��3; Date(s) �I� �lJ From: .�c� �To: .0'0 .�
(Maximum of four hours)
14) Will prizes be paid in money or mer andise? /ye�►�Fy
15) Is the applica.at association organi ed uader the laws of the State of Minnesota? ��S
16) How long has the organization beea ' existence? �s l�t�s
17) WEiat is the purpose of the organizat on? �/f�/�/�lTj � �0��/.e�r'/S
18) For what wilZ the proceeds from this event be used? ��' ��-� �,Q6����o�t/S
19) Give names of officers or anq other erson paid for services to the orgaaization.
Name-Title Address Date of Birth
�P,��/ ��M l � � �'- S .�' L �-9�s'
l��e� ��i��,�/,�E� 3 ft��/T s� �? /a�'�
2�) 0'f�icers of the orgaaization: /��'00�7�
l
Name-Title Address Date of birLL �'
21) Ia whose custody will records of or anization's gambliag sessions be kept?
Name � ��� -. Address �,���
22) Attach a cover Zetter defining the vent for which you are requestiag this license.
23) Attach a letter of permission to co duct the gambling session at the requested address.
24) Attach a copy of your organization' membership roster and date each member joined.
25) Attach a copy of the Department of he Treasury, -Internal Renenue Service "Return of
Organization Exempt from Income Tax', Form 990. [Chapter 419.04 (1) J
R-
26) Attach a copy of Department of the reasury, Internal Revenue Service, "Exempt Organi-
zation Business Income Tax", Form 9 OT. [Chapter 419.04 (2) ]
R-
27) Attach the annual report required o charitable organizations by Minnesota Statutes,
Sectioa 309.53. �Chapter 419.04 (3 ]
28) Have qou read and do you thoroughly understand the provisions of a1T laws, ordinances,
aad regulations goveraing the opera ion of gambliag sessions?
29) Any changes desired bp the applican assaciation may be made onlq with the consent of
the License Com�ittee.
30) Has any person(s) participatiag in he operatioa of any of the gambl.ing sessions
covered by this license ever bean c nvicted of a felony in the State of �Iinnesota or
in any other State or Federal Court. Yes No If answer is "yes", provide
names, addresses, and birth dates. �
Organiz ion:
By: (Officer itle) �� c�
�
and
State of Minnesota) ( ger in c gambling session)
) ss
County of Ramsey )
�-e Q.� and
beiag duly sworn say that they are the etitioners in the above application; that they hane
read the foregoing petition and kaow th conteats thereof; that the same is true of their
own kaowledge.
Subscribed and sworn before me this
��_ daq of �}'y(�tf � �� I9
� �
Notary blic, ,Q�o�,�.�, County�•+�' oEa°':':�,':-- ,_ ._.__ . _
.w�,r,.
My Co ission Espires _ -.,...
° � �d�'�l�
o��e �eo a►�e cow��o
�. ca���a� ' �f����i �I���T �ro. 0(�1 fi 2 8�
o��r�►�r o�,�on �►�i«,�r�
Christin� Rozek � � �a�r�� 3 an«�
o�rr. — auooEr oinr�c3n — _
' � 2 Council Research
`Finance/Manage�ent `�t8--5@:5f 1 ��,�� • .
Application fo�c a one day City of St. Pa 1 gambling permit (zaf�le anly)
Notifieation Date: N�arch 28, 1988 Heaxing Date: ri1 5 1988
7t�a:i�vn�ou+(�)«�N+)) R�se�alPVar:
xa�ra oo�oN crvR.eea�nce�xs�on oa�t w ok� b+u.rsr �o►�aa.
/
�wa� �ezs�yoo�� �j �ZjS
, . . .. $FMF . , . . CFY�RTEH CW�AAAIS910N� . . A3��. - L IM�O.ADD�D# _._F�A�7.RIfO� r.� �ADDEb*.� . .
D16TRICT00tJllCIL� - * � . � .
e�sMnNq�aou+c�oerecmtev . �r�u�Crll ,�(�.J'�'.,1�tih ti�slltivi
: MAR 2 91�g
•�.�..�:��,►,�:��.�,�:
Mr•. Thoaas I�esforen, on behalf of the Eas Side Lions, �equests council approvai of their
appli�ation ft�r a one day City of St. Patx gambling per�it (raffle onty) . The xaffle �vill
�be ��d in cc��L�nction with a benefit din r at Hafner's, 1560 idhite Bear Avent�e, on April; :.,
g, ��:, .b�t�+�aen the haurs of 7:00 P.M. li:OO P.M. Proceeds £�ra this event W.il�-b�
do�� to Tias�`Side Chaxities.
���� �, ` �ions and fees have been submi ed.
,
i�a�,�ee�a.f: _ : :
'::If �cae�c,ii �tprava3 is gra.nted, the East S de Lions, which have been in existence for 35
yea�s, �►i11 be able to hold this gamb�.ing. ession. ;
oa+reo�twn�.wn«+.,.+a Tc vwaaq: _ - •: . ; ; - , . - -: , .::
If cc�uncil approval is not given, the East Side Lions will not be° able to hold a gamb2��ng
session at thier benefit dinner.
�r:�.. _ ' c,oNS • -
�
Msre�w .
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