88-564 WHITE - CiTV CLERK COURCI�
PINK - FINANCE G I TY O SA I NT PA U L ��'��p�
CANARY - DEPA�7TMENT
BI.UE - MAVOR File NO.
'l Resolu ion r �` �
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Presented By �, �� "��,
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. #54326) for a One Day City of St. Paul
Gambling Permit (Raffl Only) applied for by the Mississippi
Creative Arts School P A at 1575 L'Orient Avenue on April 21,
1988, between the hour of 6:00 P.M. and 9:00 P.M. be and the
same is hereby approve .
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Fa r
Goswitz
Rettman
�be1�� _�_ A gai n s BY
Sonnen
Wilson
R � � �ggg Form Appr ved by City tor '��
Adopted by Council: Date q • � �/
Certified Pa. o ncil Se r BY �
B , ��`� -
S
Approved b � vor. te � ��� � � ��� Approved by Mayor for Submission to Council
By v '`�'-' $y
PI��ISHEA �,�'�? �. � 1 88
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�tIfACT o�r�rir owecron rarar roa�ISr�um
�3St1.'2lG _RDZP�e � �a�+r�s oweczoR �cm cx.Ewc
Finan�e & l�ycmt. 298-5056 oR �r w�, �-4y�,tr�i1 F�esearch
_ .� � 1, CRV ATTORHEY -. ..
Appraval f�r a oa�e Day City of Saint Paul Gamb].�ng P�m,it - �ff_le Or�7.y.
N(�TI�'ICATTCd�T IaATE: 4 6/88 L�,TE• 4 1� ;$$ Councii Research Center
p � ' � � pR 121988
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w�ta�N�t3 caa�ss�oN av�sEav�c�rxssioN o�tE�u on'rE an �wa.vsr p►�No.
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Kath�een Hi1�, o� behalf of M�,ss�ssi.ppi tivre 3�xts �ol PTP,, x�ts a�al of tlx�is
applic�ti�n �cxr a t�e Day City of Saint aul �l,ing P�.�t (Raffie �ly) . The raffle wi�.l
be 1�1d April 21, 198$ at 1575 L'(lrient v�enue bettia�n t�ie �s :of 6:00 p.�►. at�d 9:�0 p«m.
� 'The raffle wi.I1 be ltie�.c1 in oorij�ctio� `th a sta�y �e11�g and pizza p�arty. Prooeeds wil,l
be uaed for schaol events.
�usmc�t�o��c�a.ue.�.,�a�nm�.���: - : : , .. . ; •�
If approval is granted, the Miss�.ssa�p��. t�.'v�e �,rt� Sc:hool PTA wi.lt be able to h�ld this
. raffle.
�cwna�.wA.n.�a To wnonsr. , . •. .:
, ;
if appso�va7. is nat granted, the Missi.ss i Creativ+e Arts Scho�l PTA will ryett�be able to _
hold tha r�ffle.
i�.�u►rn� vAOe ooMS ...
wa�onrrvnec¢o�rrs:
���t�s:
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UIV'ISION OF LICENSE ANI) P�RMIT ADMIN STRATION DATE � � g�C�+•� o� � o p
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Proc ssed/Received by
.
Lic Enf Aud
Applicant �QTr►�i�r1 �L �` _ Home Acldress 8?3 }.�Q�,OrYi�
Business Ivame �SS��S.S ,a CY �Q,r Home Phone
�-�s Sc.hoo t �
Business Address Type of License(s)
�5�$� L.� 1�121Sn •
Business Phone � ��'y �Q-��G �Qr ►9'1 l�
Public Hearing Date � License I.D. 41 p � ��p
at 9:00 a.m. in the Council Chambers
3rd floor City Hall and Courthouse State Tax I.D. �� �J'q
llate Notice Sent Dealer �f N 1l4'
to Applicant � g
rederal Firearms 4� � �}
Public Hearing
DATE INS ECTIUN
REVIEW VERFIED ( QMPUTER) CUMMENTS
A roved ot A roved
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Bldg I & D
N�A� "
Health Divn. �
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Fire Dept. i �
j !v �� �
Police Dept. �sn�► I �b�g"
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License Divn. � � �
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City Attorney �
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�.� c�2 . S�l-�.-y z -4���,� r.s ���- ���d.e - r-�.,t�-I�, ,�of -f-o �e x e:� 7 s-o� o u
Date Received:
Site Plan N I( �
To Council Research � � ��
Lease or ettg� ate
from Landlord � a ��
. City of Saint Paul
Department of Finance and Management Services S�3ac�
Lic nse and Permit Division
203 City Hall
, St. P ul, Minnesota 55102-29&5056 ����
APPLI ATION FOR LICENSE
CASH CHECK CIASS O. New Renew �
a -� � > > ao ,9 � f
. Date �v��� �
Code No. Title of License ��S�
From_ � �`�� 19_To 19
,���� �o�l�s Q ,U I �.� n 0• �5 . .
ioo ;�'i�5s,s�,::�` i� ►�r�.`��.�: ��C�=., ��nto i
ApplicantlCompany Nema 7..'?�..�
100 ,
I.S `1 j �- r.��� £ ��`C ��t_�-;--,
100 Business Name
too �'�1. �i..�.l, J"i ,� � /f "l
�
Business Addresa Phon�Na
100
100 Mail to Addresa Phone No.
�oo �C-I-{� 1�,1 �t ��
ManapeNOwner•Nams
100
��3 � d �,�-�!� o�Z IU cJ
100 AlanageNGwner•Home Addresa Phone No.
4098 Application Fee
Recelved the Sum of �2.10q� � ' ' �/ ' �`/, � I I
/ r
� '�� Manager/Owner•City,Slafe 3 2ip Cods
100 Total 100
_ 1
� c� C � .z ,
,UCense InspeCtor By: Signature of AppUcant
Bond•
Company Name PoUcy No. Ezpiration Date
Insurance:
Company Name Policy No. Expiration Date
Mtnnesota State Identificat(on No. Social Security No.
Vehicie Information:
Ssrial Number late Number
Other
THIS IS A R CE1PT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your application for license wiif either be granted o�rejected subject to the provisions of the zoning
ordinance and completion of the inspections by the Heatth Fire,Zoning and/or License Inspectors.
$15.00 CHARGE R ALL RETURNED CHECKS
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H CITY OF SAI.TT PAUL �� `��
� ' �' DEPART:�YT OF FIN CE � :SANAGEtEENT SERVICE�
' ' • DIVISION OF LICE:I E A��'D PERMIT AD,IINISTRATION
INFORMATION RE UIRED WITH APPLICATION R PERMIT TO CONDUCT G�LING SESSION IN SAINT PAUL
���
Four sessions are allowed per year, wf. h each session being a maximum of four consecutive
hours. This application and alI requ ed attachmeats must be filed with the Licease
Inspector at least thirty days prior t the requested date of the gambling event. ,
�'1) Name of organizatioa , 1 �Q✓' �
2) Address where organization's regul r meetings are he1.d �7� L.��i�i�� -��JT��(�
�
3) Day and time of ineetings �Q-fV ��JRLS � qv U/1�G
4) Address where gambling session wil be held ��j 7���d(Zl�� /-t�VG . ��14-Uf��
5) Is applicant owner of property whe e gambling session will be held? Yes 1� No
6) If Ieased, who is the owner of prop rty where gambling session will be held?
1 � � � �lj r
7) Name of officer making application . 'T�-(��/t� c. � („(�
8) Address of officer Date of birth 7 "�� -�`
9) Name of maaager who wi11 conduct g ling session �,�C�j.,)/�� ]� , �Q��� �`J� �
IO) Address of manager U� � (� �
LI) Ia conaection- with what event is t s gambliag sessioa being held?`
4 �Z��4
12) •What type of gambling denice(s) wil be used? Paddlewhesl Tipboard
_ ._�,__. ... � _ . . . ._.._ f1e �_ Pul.ltabs Bingo
13) ,.Specify when gambling sessi n(s) w' take place:
HODRS:
, . Day(s) �,'L� ate(s) � -� From: �cQ� To: 6
� (Maai�um of four ho rs)
14) Will prizes be paid in money or mer handise? �"�"�
i
15) Is the appl.icant association organi ed under the Iaws of the State of �iinnesota? �
16) Sow long has the organizatfon beea existence? ��pZ ����.�7
17) WEiat is the pu.rpose of the organizat on? ��� ' ��Il��g@� ,�/
18) Officers of tHe a►rgan;�zati`oi�s � y *�, � � j
Name-Titl.e .. , " � :� Address Date of birth
�� �-�P��u-t � � � ,�-�-��
��L�'v �A��,i�V'� ����c� � ST '�—�-'��O
�,)� `j��VY1�4L�R 5�`�R'�/ � $ C .� �' �c�r�`'-�" �— '' i
� ` � - S'�
�1C,�fk��J`� ��• �:/�'�1�.'�'lU ����= zi�'j 5'f �R�L � _� � _�J�-
19) Give names o= o=ficers or aay other person paid for services to the organization.
vame-Title Address Date of Bi..•��
-���
20) Ia whose custody will records of organization's gambling sessions be kept?
Name �� .�-(Z,� �,��1� Address � /Q�(� �1c�
21) Attach a cover Ietter defiaing the event for which you are requestiag this license.
22) Attach a Ietter of permission to conduct the gambling session at the requested address.
23) Attach a copy of your orgaaization's membership roster and date each member joined.
24) Attach a copy of the Department of the Treasurq, Internal Revenue Service "Return of
Orgaaization Exempt from Income. Tax", Form 990. [Chapter 419.04 (I) J
25) Attach a copy of Department of the Treasury, Internal Revenue Sernice, "Exempt Organi-
zation Business Income Ta:c", Form 990T. [Chapter 419.04 (2) J
26) Attach the annual report required of charitable organi.zations bq Minnesota Statutes,
Section 309.53. [Chapter 4I9.04 (3)J
27) Save you read and do pou thoroughly understand the provisions of a11 Iaws, ordinances,
and regulations governing the operation of gambling sessionsT �t s
28) Any changes desired�bp the applicant association may be made only with the consent of
the License Co�ittee.
29) Has anq person(s) participatiag ia the: operatioa of any of the gambling sessions
covered by this license ever been convictad of a felo y in the State of Minnesota or
in any other State or Federal. Court? Yes No �. If answer is "yes", provide
names, addresses, and birth dates.
� Organization: m ��JUS'`�� �.1�l��i���� ��L t � �
By: (Officer-Title ���l'
and
State of Minnesota) ( ' ger i.n arge of ambli.ng session)
) ss ��
Coun of Ramsey )
and �``~�r . .,
eing duly swarn saq that they are the petitione ` �ne n ve. ap ication; that theq have
read the foregoing petition a.nd kaow the conten� hereo , that the same is true of their
own knowledge.
annn�nnnnnN`^^^n^^nn��^�n^nnnnnnn/+��
pATRICK M.'a�«
Subscr'bed and sworn before me this - �/ �;:.�� �T��r vUll�C ��MMfSQt�
da of 19�� ��,.
� • RAM��: cns•HtY� i9g+►
nn.... � J R�.
/�: yMY�:omrt�.�-}P�'"' ..V�VV1
� f � � •vw���• .....�.-»..,.... . v-
otary blic, Coun�, l�i s ta
Mp Co�ission Expires �,,,
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Buildiag Department Approved Disapproved by
Fire Department Approved Disapproved by
Police Department Approved Disapproved by
@��-��
• MISSISSIPPI CREA NE ARTS MAGNET SCHOOL
PARENT T CHER ASSOCIATION
To whom it may concern
For the purposes of thi permit apnlication , the event for
which application is so ght is a raffle. The prizes to be
awarded shall consist o cash and goods not to exceed $750. 00
in value. The proceeds shall be used entirely by the
Mississippi Creative Ar s School PTA .for its programs to benefit
the students of the sch ol. The drawin� for prizes will be
held in conjunction wit a Storytelling and pizza party also
scheduled hat day at t e school.
. .--- ,�
Patrick M. Hill
Co-president MCAS PTA
1575 L'ORIENT STREET • . PAUL, MN 5S 117 • (612) 488-7253
� ����
� - � � s�int r�a � r�uv�ic schoo�s
. � . MISSISSIPPI
�, CREATI E AI�TS MAGNET SCHOOL
,;,
� '' 1575 L'ORIENT STREET SAi T PAUL,MINNESOTA 55117 TELEPHONE(612)488-7253
,, ,
March 23, 1988
Division of License and P rmit Administratiqn
Room 203 - City Hall
St. Paul , MN 55102
To Whom It May Concern:
I have been informed 6y t e PTA president of Missi.ssippi Creative
Arts Magnet School that a raffle drawing w111 occur on April 21st
at Mississippi Creative A ts Magnet School , 1575 L�Orient Street,
St. Paul , Minnesota.
�,:
If you have any questions please contact me at 293-8840.
; . Sincerely,
�
Mrs. Judith Brzinski
Principal
JB/ss
::�
'�
l�'Q�—C�Y'
' ��,�..,. CITY OF SAINT PAUL
�'� '� DEPA TMENT OF FINANCE AND MANAGEMENT SERVICES
� �� : DIVISION OF LICENSE AND PERMIT ADMINISTRATION
♦ w
' ���� Room 203, City Hall
Saint Paul,Minnesota 55102
George Latimer
Mayor
April 6, 1988
Kathleen Hill DBA Mississip i Arts School PTA
873 Hawthorne
St. Paul, MN 55106
Dear Ms. Hill:
Your application for a City Gambling Permit has been received in this
office.
A hearing on your applicati n for Raffle ID �(s) 54326 will be held
before the St. Pau1 Citq Co ncil on April 19, 1988 at 9:00 A.M., Third
Floor of the City and Count Conrt House. This date may be changed
without the License & Permi Division's consent and/or knowledge.
Therefore, it is suggested hat you call the City Clerk's Office at
298-4231 to confirm this he ing date.
You are hereby aotified tha your attendance is required at this
meeting. Failure to appear may result in denial of your application.
Ve ruly you�/1/
/�
J eph F. Carchedi
License Inspector
JFC/Ik