88-640 WHITE - CITY CLERK
PINK - FINANCE GITY OF SAINT PALTL Council (//y
CANARV - OEPARTMENT J�
BLUE - MAVOR File NO. u ��D
ounci Res lution ;� ✓� ��_���
, _�.
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. 13198) for a One Day Gambling Permit
(All Forms) by St. Col ba Church, 1325 Lafond Avenue, for
May 7, 1988 between the hours of 7:00 P.M, and 11:00 P.M, be
and the same is hereby pproved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo�g [n Favo
cosw�cz
Rettman
��, _�. Against BY
Sonnen
Wilson .�p�
�AY "' � I�UD Form Appr ved by C' ttorney
Adopted by Council: Date ' .
Certified Pass uncil S cret BY— Z� �
�y �
A►pproved b avor: Date ����4� m �� i�� Elpproved by Mayor for Submission to Council
�
By W< By
Pt�l1SHED '`°"'�`:'�` i �. 19$
,
,� : �,��, �� � �-��a
�► �. �-��u. . G�t� �51�1��"` �. 0 016 8 3
' ist]�Jne �DZE'�C: . �H _ o�an�r+r o�ecraa . �ron�eurin
�� flwwcE a wa«oa�►+r saeux�s aAecrna 3 «rv a.�c
"� � . pOUTINCi euoc�T aure�ro� 2 �013t�]� �."�1
I.I� & P+�K,�CR�. �48�''rJ��i ORDER: — -- .
. , �� CRY MTORNlY . . . : �. ,�. . . ..
�l'•. ; .- _ _ . `
Application for a City of Sa�.rit Paul. Day G�omb�.ing k�eaCmi:t ((�fll Fi�arn�.$) .
�o►r�rc�Ta� �: 4/2i/ss n�: s/�/s$ ,
�t�vw�•tN«�(R►1 cou+c� r�orrr: �
PLANNMIO OO�MAI8910N � CN4 SERVIf�COMAAI9810N �� DATE MI - DATE Lklf �� � ANALYST . � �PlIOME Nfl.� . .
�o oow�rea� . �so au scHOa.eo�o 2S �}' L tl�� �. � '
. sr� " tx,eurren c�a�„xssar, �q ns�s _�.w:�• ��,a�a�rt+a"�'
� --��c�e_
016TRK,`T COUWCR � .. .
� � . � *OfPLANAT . � . � � - � - �. .
""�`°°""�`°°�' . Councii Research Cen�er
. APR 2 61988 �
�,.�,�,��.�.,�.rt.�.�: : : _ _
. Karl. Ack+a�rrr�nn, on bd�alf of St. Co1 Church, re�sts C7au�cil ap�axwal o� �i.s �rp1.a.-
: _�i�Zi`�or a C�ity of Sa�int Pau]. Onr�:Day ling Perinit (Al1 Fbams) �or l�ay 7, 198$ be�
. haar� of 7;00 p.m.: ar�d 11:E�. p.m. _The ga�l,ing. session will; iae �,d at the c�urch,
327 7,afor�d AvPnue> in c�orijt�r�ction with ar�nual St. Ebl�nba � Night. Px�°wi�7. be
�or school athletic at�d �a-curri ar activities.
��ca.ue.�e..�av.�;a�s): _ _ :.,
fees and applications hatre beesz sut�.na.t .30 days pri,or to the €�ent. �f t7o�ci1: app�val �
s granted, St. Colunba CCtxnurh, whi.ch has� in �istence fa.r 75 y�axs, ws:ll be ab�� to
, c�aritabl� g�nblir� at its Fun Ni t. . . _
�IN�M?Whe�4 aitl To•W1sKn�s,. , . , : � , . - -
f C7aancil. �+aval is. mt gi.�, St. �1 C�iurch will be unable to �orisc�r Charital�].e
.
N._ �: _ cous
�s:
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- �sw:
. , ����!�
. DIV�ISION OF LICENSE AND PERMIT A.DMINIS RATION DATE � '?��o � �'�'�I ��
INTERDF.PARTMF.NTAL KEVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �at/� � �'1'C ��"lY1Q�_ Home Address 1 a ,GJ C�C�G
Bus ine s s Name • �..0 �l�LW1� (.,� G/1 Home Phone � ��� �a 7
.
Business Address � a� L .� Y1� Type of License(s) � D+4'� (�Iy1�j�1/1�/ /`�'�'
Business Phone s' ( 7 �d� S
Public Hearing Date .S g a License I.D. �l I 3�9
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� �1 1
llate Notice Se � d Dealer 4� N!�'
to Applicant g o N f ^
rederal Firearms 4� /K
Public Hearing --T
DATE INSP CTIUN
REVIEW VERFIED (C MPUTER) COMMENTS
A proved N t A roved
�
Bldg I & D �
��q
Health Divn. ''
�
1� �A �
,
Fire Dept. � �
; N �� I
! ��I ra��
Police Dept. I
License Divn. �K �
�j�4�g�
City Attorney �� �
�(zzj��
Date Received:
Site Plan N �
To Council Research �� a ��
Lease or Lette,r Date
from Landlord L'�' ����g
��-l0�
�" , _ Minnesota Charitable Gambling Control oard LAWFUL GAMBLING EXEMPTION
Roo'm N475 Griggs-Midway Building FOR BOARD USE ONLY
1821 University Avenue
St.Paul,MN 55104-3383
'� •`' (6121642-0555
INSTRUCTIONS: 1. Submit request fo�exemption at I st 30 days prior to the occasion.
2. When completing form,do not co plete shaded areas.
3. Give the gold copy to the City or ounty. Send the remaining copies to the Board. The copies will be
returned with an exemption numb r added to the form.When your activity is concluded;complete the
PLEASE TYPE financial information,sign and dat the form,and return to the Board within 30 days.
Orgenizatio�Name �B N""'�`�ff p1f°"�'°'�8'"011��'8��
�^ ''^' ^/,f
�'"''� L ��'7 d ��t r�' f�, rs'� P: !_J 7
Address � Cit,County,State,ZigEode , - ..
�- y� �? �.� � �l.d� �' � r -i _� fV j;,� � , _
Chief Execu,tive Officer's Name Phone Number Manager's Name .� Phone Number
�: ;;r ,, r t= {`�.���R:;�,�; x.�-,°-�— 'l� , `? . t . _ r =;.; '
Type of Organization If Other Nonprofit Organization(Check O�el
❑ Frate�nal ❑ Veterans ❑ tRS Designation
�Religion ❑ Other Nonprofit Organizatio� ❑ Incorporated with Secretary of State
. ❑ Affiliate of Parent Nonprofit Organization
Name of Premises Where Activity Will Occur Datels)of Activity
. +� �1°—� �.•y � �.�f'f /ti"1!� ��•, �_ f..i ..a
Premises Address f
j .—.. '^�
/ � :� V� '�' f"�"� � -� /
Games Yes No �:G�s.Rerceip , `- V►s�of��rfres :EzPenses Profit
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Bingo ;n� � °� ' � q; �`
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Raffles � ���4 � � '� "` ������
,�. ���`� �`�X� k,.
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Paddlewheels � ��� � N � � � �
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Tipboards � � ��� , `x ���� �°
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Pull-Tabs � ��� 5�,�
k�q���fC`�'"�,� � '
�,�� �v��u � ��� �-,��,�> �� �,�; �
� a.e� s a�,; .� ,���, �` �
��'Ca,�Fhlm¢#:�f�A� � � �a s�#�t,��4 z ��,���,
�� ��,aa�.k a.'�.�.,,., - � �
���Stf{�k1LQ('Sd.�C9[i89��7:•
� � �`,�' ���s��'^�'��f �" �E t�n .?� �'#�x r
I affirm all information submitted to the Board is true,5 ccu- r��m� af�finan�iai�inf�rrn�tfiorti submitted�tc� the Board is
rate,and complete. ���'���!��a����=~ �: '
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Chief Executive Officer Signature ate C.E�iefE�cutit�G)f�icecSi�aturs- 'Uate
� ACKNOWLEDGMENT OF OTICE BY LOCAL GOVERNING BODY
t hereby acknowledge receipt of a copy of this applicati n.By acknowledging receipt,I admit having been served with notice
that this application will be reviewed by the Charitable ambling Control Baard and will become effective 30 days from the
date of receipt (noted below) by the City or County, un ss a resolution of the local governing body is passed which specifi-
cally disallows such activity and a copy of that resolu ion is received by the Charitable Gambling Control Board within 30
days of the below noted date.
CITY OR COUNTY TOWNSHiP
Name of Local Goveming Body(City or Countyl Township Name(Must be notified when County is the approving body)
Signature of Person Receiving Application Signature of Perso�Receiving Applicatian
Title Date Re ived , Title Date
CG-00020-01 (4/86) White—Board Canary—Board returns to Organization to keep
Pink—Organization Gold—City or County
. � . ��=��d
ity of Saint Paul � /
. Department of Fin nce and Management Services ) � / d
. Ljcsns and Penr�it Division ( 1
• 203 Cfty Hall
St. Paul, innesota 55102•29&5056
APPLICA lON FOR LICENSE
CASH CHECK CLASS NO. New Renew
0 0 -'-�- X 0 , ,��;
oace � ,s—
Code No. Titte of License ���� �/ �� �7 ��� t�ti%��} 19
From b
� J
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:`ia� ( ,�. �;, �-,�i ;�t,r'��1�r� c.Pii��, f - l�%�`' C� . LJ � � '
I J� 100 cy �1: i7l C'C� � /'�/ .� `1
•,.}L�, •� > (,) ti ApplfeanUCompany Name
100 ^
I a��7 L�:�;�,���
100 Businesa Name — ,
L yJ
/,
='!1 i<
�oo � � - r l c�. �, !�1 y� '
Business Address � Phone Na
100 S..�i�u�
100 Mafl to Addreae Pnons No.
.
too Ct r" � �C %'r->: ;;�?a � ;
ManayerlOwner•Name
100 ���= �
.!3 �l �;��, �N w..oc:� r'.;v�;
100 AlanaperlGwner•Homs Address Phone No.
4098 Application Fee 2, 50
Recefved the Sum of 100 � ( . �Q �I � J �� L� �
�� � l�C� ManageNOwner•Ciry,Slate b Zip Code
100 T tal 100
, ���� �� ���—
license InspBCtor v � By: Signatwe of Applicant
Bond•
Company Name Policy No. Expiration Dats
I�surance:
Company Name Policy No. Expintion Date
Minnesota State identificat(on No Social Security No.
Vehicle Information:
Serial Number Plale Number
, Other.
THIS IS A R EIPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your application for I cense will either be granted or rejected subject to the provisions of the zoning
ordinanCe and completion o(the inspections by the Health, ire,Zoning and/or License InspeCtors.
$15.00 CHARGE F R ALL RETURNED CHECKS
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� Vi�� �/� �u L • A'v Y
� �l�w��/ w��lA •V •• •�}� !� hw
. :.1.:..1':�t�:::.,1 O:' :'T� .C.'.' ss.� tltL:+.,C..:��:T �i+�:�!iC�S
' �I7ISIO:i Or ;�c � r1�JD Pr u,PQT �1DML''.I."��:"vi i��. .
� I2I»QRdATICfiT �C,UI��D 63ITH A?DLICr1TIC�I 'r'0 �'F,:�ST TO CC?,'DCCT �:�IS:�� Sr.SSIOt' P•i ST. P4�L
I.. ;:ame of L�roar.izat:.on St, � u�'��,'9 �-1(.l R G
2. Address where Organizatioa's regul meetiags ars he?d !3� � L/�-�.�� q��
3. �� �a t� of �sti�� S�� ' ,4 /YjA � i � $�S 7P�r— /I P
• L. Add,.�sa where GambLfnv Sessi.oa c+i2.Z be A.eld S�. CaLt,(iyl f�,Q C-F�-r,�,e C4i
5. rs anr..3icaz:t owaer o.f propert� *.3�e_ Ga.-:bli:.F �ession wil? re helc'_�°es "o
6. I� Ieased, :rho is oarner of pr�ert wr.sre Ga�blin�- Sessioa *�:Il �e hs�d^ ,� . _,
7. IP leased, attac:� letter oY perAiss on to conduct Ga�blir.� Sessioa, sigr.ed by lessor.
&. Pi�e of ofs'icer �a�3.zg agplicaticn �/F Rl. �-t c-f��iN.4,�✓�
9. Add.�ess of officer caaIdng applicati n l 3 oZ 1 E�✓�P�L-�w�� Date of birth .�.5� �S'
10. 1+lane vf rsaaarer w�o r�ri.l� condvct � bling Session s� � C- � �
I�.. �lss of caa.*tage�" S �ate ot �irth SA�ME
12. Ia con.^_ectioa �rith xhat eveat is t s Gaiabling Sessioa beizg held?
�.: __ . ,9�1/N u A L S�, 1-tl���4 �u�/ �l G'E/7"_._
13• W'�`at type o� ganbling device(s) urJ. be used? Paddlewr.eel TSpboarQ�P.a�f1e�
Ilt._ ��� dates aad hours thi.s applicat on is �or and n�ual�er of sess�oas.
Day(s) S'/-F7Zl R.fl�y Dates 1f't � Eours �f'M- �/PM t:o. of �es sions_
.15. `�Jill pr;..zes be• paid in noney or me �.andise? ,7jil���/F�' ... _ . .
16. Is t�e aapLcaat associatioa or� zed under +�,he laws o° zt^.e State of I•:innesota?�
I7. How long has Crganizatioa been ia ater.ce? �� yG'�s
,
lE. 1dha.t is tr.e purfl ose of ths Or�aniz tion? �.�L t G�v�S � ll�d�- �p��"t"'
19. OfYicers• at t.he Orgaaizatioa
Plame-Title Address Date oY birth
R��,� S�./YIA-rtrr,�/ Prc G 4s'.Sl,�r PS���J �./�G/.�.�
/���-7�'t A,c�,���V, P 1 �� I C����D ���'s�4�
. . ,
?�. :ive �a.*ies oi oi��cers or ar.,,R o�:7er �ersor.s ?�d �or se�ces to the Q�a.�zaL�or..
iiaate�itle �cd.-_ess �ate of bi.-*r
N � .
✓� �
2I. I� ��r'r.oss custcdF �ri11 recards oi �ac�zaticn's �1ac��I:.� Sess�ons t� �e�t?
���e ��e K ��.���i� �ss ��� �,�Ps�,c� S� �A2c L
22. �t�ach a copy of your (�gaaization's membership roster and date each meaber ,joined.
23. A�tach the Ga�abling Session 'isuager's bond.
2:. �.ttach a copy �f the :;epa.^t�ent of the Treasuz�, Inte�al :'.eveaue �e�`ce "'..etnr.^. of
Crganization �cec�t �roA Iaco�.e Tax", ro�n 9�f?. (Cha�ter L19.J!. (i).)
25. �ttach a cooy of Depart:.tent a� tne Trsasvs�?, Internal .'.s7enue Servic�, ":'ee^mt Cr�a.a-
iaatioa Busiaess Income Tax", Fora 990T. (CY:apter I�l?.0lz (2).� �
26. �ittach the annual report requ�ired of cY�.aritable organizations by itinnesota Sta�utes,
Section 309.53. (Chapter 419.OL (3). )
27.� F'.a.Qe you read and do pon thorourhl� unde:�star:d the nrovisions of aIl Iatirs ordinarices
and re�ulati.ons �overnin� the operation ot' Gac�bLn� �essions? 'S/E�:
ZE. � cN�an:•es desired by y�e appL•'car.t assec�a�ior. r�ay ne riace onlp :�th tt�.e co�sent o£
� the License Conmiittee. -
�
ZJ: c'ias a.r�p person(s) partfc{pat�z:g in�the operation of an� o� tY:e ga.�^cbli� sessior.s cov-
ered by tr�.s Iicense ever beea convicted of a £elo in tre State oP. :iinaesota or 3.a
"� '" � a� other State or Federal Court? �Yes! Plc�. If answer is rr�s,�� P��,�e
nan:es, addrssses and birth-dates.
. . _ s� ��
Gr�anizatioa
.__ . ._.. E� h
. .. � f c -_ le .
_ . � �� , —
(I!ana�;er in c:arge of C am�].in� Session j
S�aLa of �•iinnescta)
)SS �
�ovat� of �a�ases )
' and
� be�.r� du�p sworn sa� that they a-,e the pet3t;oners in the above a�plication; �'�at �t-.ey havs
raa� tae foregoing petition a�nd 'mow the contents. t.ereof; iha� +..he same is L�,ze o�' t;:air
o:•rri �cwled�*e.
S sc _be and swar , o bef�re :�e t�s ,f �
�a� a= 19 . ELIZABEiH M. WELLS '
� �
�j7 � - �� +,�� NOTARY PUSLIC—MINNESOTA �
�, . '• ,✓-G ��/"'.,?'.,'.�J �/. J.�I t1���— '�,,: PAMSEY COUNTY
- fAY CCi+',M.FXPIRES AUG.28, 1990 �
:;otax�,�ub�a, _,y"oun:v, �iinnesota Y�,,,�,,,�,,,,,�,,,,,�,,�,�Nwwww,�,�„��
:•',�� co�ssion expi.�es=���t�
�u:ldirr �eoax r:�ent Aporoved �isa�roved by �
rire �epart�ent rlpproved �3.sa�proved �4
?o?ice �eoart�ent nnproved= isagoroved�:v
. ,
• (�� �° ��
��i eras
St . Calumba Ghurch
13?? Latond A�e .
St . Paul , MN 55144
To Whom It May Concern ,
The praposed Fun Ni �ht for the paril , sched��ter� tar Saturday, May 7! 1983
has my support and en�orsement as a Gcial e�,�ent and fund raiser far the
parish . Thi �. is an annual e��ent whi h helps in the support of the
athletic proqrams and extra—curricul r ac# i � ities of the schaol , and it also
pro� ides a spring social eU�nt +or m mbers of the aarish .
R . Roqer Carroll
Pastor
St . Columba Church
,, / /�-��'1'�'
v�
_ .�,*.� CITY OF SAINT PAUL
•� ' DEPART ENT OF FINANCE AND MANAGEMENT SERVICES
' � �� °�
y, „ DIVISION OF LICENSE AND PERMIT ADMINISTRATION
,��� Room 203. City Hall
Saint Paul,Minnewta 55102
George Latimer
Mayor
4-19-88
To: Virginia Baisley
From: Christine Rozek �jl`_
Re: Record Check - License Application #13198
In connection with an application fo new City Gambline Permit -
All Forms at 1327 Lafond, a record c eck is requested on the following:
Karl Ackermann
1321 Englewood
St. Paul
Birthdate: 2-25-49
Rick St. Martin
� 645 Simpson �
St. Paul
Birthdate: 4-26-53
CAR/jl
cc: Lt. D. Winger
� ��6s�
_.�,,,,, CITY OF SAINT PAUL
~' '• DEPART ENT OF FINANCE AND MANAGEMENT SERVICES
a � .yi�
' � � DIVISION OF LICENSE AND PERMIT ADMINISTRATION
''+� ���� �� Room 203, City Hail
Saint Paul,Minnesota 55102
George Latimer
Mayor
April Z1, 1988
Karl Ackerman DBA St. Columba hurch
1321 Englewood
St. Paul, MN 55104
Dear Mr. Ackerman:
Your application for a Citq G bling Permit has been received in this
office.
A hearing oa your application for AII Forms of Gambling ID 4�(s) 13198
will be held before the St. P 1 City Council on May 3, 1988 at 9:00
A.M. , Third Floor of the City and County Court House. This date may be
changed without the License & ermit Division's consent aad/or
knowledge. Therefore, it is ggested that you call the City Clerk`s
Office at 298-4231 to confirm this hearing date.
You are hereby notified that our attendance is required at this
meeting. Failure to appear y result in denial of your application.
Very trulq yours,
.� 1 w'� ,�%4� ���
� ! .., Y �1 -
/ L�` ' �7 � ����/
� �
J eph F'. Carchedi
License Inspector '
JFC/lk