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88-818� wHiTE - Cirr CLERK COUt1C1I PINK - FINANCE G I TY F SA I NT PA U L CANARV - DEPARTMENT i BLUE - MAVOR File NO• � � - i Resol tid.n �� :��; ��._ Presented By � Referred To Committee: Date Out of Committee By Date RESOLVED: That Application (I.D. #71053) for a One Time Gambling Permit (Raffle Only) applied for by M xfield/Galtier PTAC at 380 North Victoria on May 27, 1988, between e hours of 10:00 A.M, and 11:00 A.M, be and the same is hereby app oved. COUNCIL MEMBERS Yeas Nays Requested by Department of: Dimond �� � In Fav r Goswitz �6� � Agains BY Sonnen � MAY [�4 �9 � Form Ap oved by C' Att ey Adopted by Council: Date � � Certified Pas d by Council Secretary BY . -► g�, ��.�C. Appro d by Mavor: Date _ 5 �?y Approved by Mayor for Submission to Council By PUBIISHED J U�J 1988 . � � . ��-��� UIVISION OF LICENSE AND PERMIT ADMI "ISTRATION DATE � .ZS�O / '� 3 �� INTERDF.PARTMENTAL KEVIEW CHECKLIST Appn Proc ssed/Received by Lic Enf Aud Applicant J(�dy �h���Z,r Home Address qQJ VQn ,���1'e,� Rusiness Name {t rl'�}G Home Phone 4� — .g��s Business Address 3�� �• V ��.-'1� I�i.+ Type of License(s) �l"�'H l�a,�,b1�N(� �^-C,/'!'1'�6�1� Business Phone a Q3""` �� S �Q�-��, b /�f�� Public Hearing Date M o�� � O O License I.D. 4� '1 1�S� at 9:00 a.m, in the Council Cham er , 3rd floor City Hall and Courthouse State Tax I.D. �t N lq r llate I�'otice Sent; Dealer �� .N '/.� to Applicant L��g$ Federal Firearms �� N A Public Nearing —T DATE IN PECTION REVIEW VERFIED COMPUTER) CUNIMENTS A roved Not A roved � Bldg I & D + �I� Health Divn. ' , N I,q. , , Fire Dept. i ( ; Ni� � Police Dept. � 51���(� I 01� � License Divn. �R � s(31�� City Attorney �/� �� 1 � � Date Received: Site Plan � To Council Research S �1 � Lease or j��r Date from Landlord � a'S g� City of Saint Paul „ ' ' Department of Finance and Management Services � 1os3 . , � Lic nse and Permit Division ' 203 City Hall' � St. P ul, Minnesota 55102-298-5058 APPL CATION FOR LICENSE �� CASH CHECK CIASS NO. New Renew :� c� o � � a a �� �- �f� Date 19 Code No. Title of License From �'�a U ��9 JT�� �''`J/ �"� 19 � il ��` .) . �. 1..��� TP;�•�� , - � G - I?J �J C � , _� , � �, �oo % � X-��e 1:1 ; :��:� r -,-c:. , �"� , ;;<..r �jU(.t� ApplicantlCompany Nams _ M � ,j : \ �W J �--� .� �'O �'V. L%� :. {�rc; ,:� �'% � - 100 Bualness Name 100 :� i - � a-;.�` � "� i-� Businsss Addross �+�No. 100 100 Mail to Addreas PNOM Na i � 100 � `,(,l i� � `�� /i , �� i-v P � •- : ManapeHOwnsr•Nam� '. 100 � r -� iJ'�'7 - ! n ��t � l� '� s �1 ��i ✓�? ,� :�%.�� 100 AlaoapedGwnx•Home Addroaa PhoM Na 4098 Applicatlon Fee 2 gp Received the Sum ot ^ � `, I . ��tt j � ,%�� i-i ,ssl0� �� ManayedOwner-Clty,Slate 6 2ip Cod� 100 Total 100 /� � ! % = , � . UCenEB Insp@CtOr � � By: ` � ' ,Signaturo of Applicaot Bond• ' Company Name Policy No. ExPiration Dat� Insurance• Company Name Policy No. Expiration Oale Minnesota State Identification No. ���'�'� v ^� Social Security No. Vehicle information: - Suial Numb� lat�Numbar Other. THIS IS A ECEIPT FOR APPLICATION , THIS IS NOT A LICENSE TO OPERATE.Yow application fo Iicense wili either be granted or rejected subject to the provisions of the zoning i ordinanca and completion ot the inapections by the Health Fire,Zoning and/or license Inspectoro. � ' � � $15.00 CHARGE OR ALL RETURNED CHECKS � . � --�I,�u_/ ! � `�� \, ', � ,�i`, 't� v�'- •'� ; •� .,`. �,,...� ^ � _ ; � �, -t� s�31�a � � -- ------ -- ---- ��31�-� � _- _-- ---- --- � _ � , CZ OF Se�IINT PAIIL ��/ Q� • DEPABTMENT aF CE aND M�AGF�NT SER�ICES �� 4 � . DIVISION OF LI AND PERMI't AD1�9ISTHATZON INFORMATION RE UIRID WITS APPLICATION FOR PERMIT TO CONDIICT Gd�LING SESSION IN SAINT PAIIL Fonr sessioas are al.I.o�ed per qear, th aach ssssioa baing a maaiao� of four consecutive hours_ This a�plication. aad a1L sd attaci�meats mnst be f3led vith th� Licease raspector at least thirty days prf.or to ths requsstsd data of the ga�bliag avent.. �I)� Name af orgaaization � �U� � L � 2) Addregs where organization's re meetiags are hsld 3�0 �0 1�t C_�n r�(3�. 3) Dap aad time of ms�tiags o� — :G c - .C�^ PvY 4) Address where gambling session be held ��� �, LJ��{-c�r r C�� - 5) Is applicaat owner of property wh re g�mbling sessioa will be held? Yes �_ No 6) If Zeased, who is the owner of pr perty where gambling session wi3.I. be held? 7) Name of officer making applicatio �� /( (� ���^ �,�}�(�?� 8) Address of officer ..• , ., , . � / Date of birth t. . � 9) Name of manager w�io wi.11 conduct ami�I.ing sessfoa ,T�/�,' SC�I�.�f�/1�2.Y r1� IO) Address of maaager � Date of birth /-�3%S'C� IT)' ra coaaectioa witfi what eveat is gami�ling sesaioa bef.ag held? c ' ��h q � � � 12) WEist type of gambliag device{s) be used? Paddl.e�es3. Tipboard � fIe �_ Pulltabs Biago 13) Specify when gambliag session(s) ta�ce place: HaURS: Day(s) �N;� Dr3-� Date{s) , �,? � rj"� From: l0�'co �n�To: ���� f�ii� (M9�m+�m of iour hours) L4) WiL1. prizes be paid ia money or m chandise? , LS) Is the applicaat associatioa org ed uader the laws of the State of �innesota? � L6) Sow I.oag has tfie organization bee ia eaistance? � GYf�1Lc1 -E�1 �lJro rr►.�� � ' ` , ` G5.£,Jc1� 17) What is the pu=pose of the organiz tion? ��,��,�%�� ���'�,�.,,,-,«rc��, %/?�i ��z�k:� � 18) For what *ai.1.Z tiie pr.oceads from t event be used? 5 h�,., � �'t il o �i� ,�n n v�-�-C� �� 19) Give names of orficers or aay othe person paid for services to the argaaizatioa. Yame-Title Address Date of Bisth 20) Ogficers of the orgaaizatiaa: �. Name-Title Address Date.of bi�th . J h�, �; ho ��n'1 Lt Y1 /!� �Ln CvG���Y1.�J f7�� �r-� SF�S 1 `�n,v��l.� �nc.�r'�r, =a �r v u� � - lL, -5,�, =�c�a � �4�,' I b��a �r �n //�1..� ,LC��n.-na� _3- 9 -53 � �� ,�a� ��,�� �,� � �p ,�� � a4�� ��,� Ru;�p ;� r- � �-�� 21) Ia wliose eustody ai11 records of crgaaizatioa's gambliag sassioas be kept? Name ��a c.Q� S C�i'1� c. � i A�-��/c`r Addreas Ci c(S l)Clt r �i.l Y 0.» 22) ?,ttach a cover Zetter defiaing the eveat for w�ich you are requestiag this Iicrose. 23) Attach a letter of permission to coaduct the gabLiag sessioa at ttis requested address. 24) Atzacii a copy of yonr orgaaizatioa's membershi� rostar aad date eaci� msmber joiaed. 25) 3tzach a copy of t�s Deaartmeat af the Treasury, Iateraal Revernie Servfce "Retura of Organizatian Exempt from Iacflme Tas", Form 990. [Chapter 419.04 (1) j -OR- 2b) �ittaca a copp of Deaartment of tha Treasuz9, Iatsraal Reve�e Sesvics, "Laempt Qrgani- zat�oa Busiaess Iacome Taz", For� 99aT. [Chapter 419.04 (2) j �-08- 27) �ittach t�e aaaual. report res�uj.red oi ci�aritabl.e organizations bp �escta Statutes, _. Section 309.53. [Cha�ter 4I9.04 (3) 1 ��x �X-��'n.�'-� �l�lc�• (� (�oZ L� S�C� , ZS) Have you rsad aad do pon tfioroughly uaderstaad the pravisions of a1I Iaws, ordiaaaces, aad reguias�.oas gvveraiag tf�e operatioa of gambliag sasaiaas? 29) 3ay citaages desised by tfie appl.icant association �ay be mads on1.y Qi.tft tfie conseat oi ttte L+csnsa Co�ittes. 30) Has aay persoa(s) particiaatiag ia ti�e operatioa of aay of the gambling sessions cavered by this I.icense ever been connicted of a felo� i.a the State o= w.inaesota or :,a aay ozher Staze or Federal. Court? Yes Yo �. If aaswer i.s "?es", provide aames, addresses, and bir�fi dates. Orgaaizatiaa: (�1C1_X i-t��. vCUE'�t� !� �T� �, By: (Officar-Title) �O�rt ��L��?m Gt�,�� - / " f7CL._�rYtGt-�.� aad Q...la/'1i� ,� ���1 Gc��C� � State oi :�i.anesora) (Maaager i.a caarge oi gamoiiag session) ) ss Counzy of Ramsey ) , aad �e g duly swora say chac cheq are the petitioners ' che above applicac-.:on; chaz t�ey have reaa the �oregoi.ag petition aad kaow the caatents chereo=; thaz tfie same is trne of cfieir avn �owiedge. Subsc��ed aad swora efore �e t�is day of � L9 t�� ■� ° �• 1015 4.�StSG'! � � i _"�'%,� WpTa�Y Pt!�LC—Pail�,�tiE5uT4 �i�,�• L�:�4iC iA::�:fiiT� � Yozar� Publ.ic, Ccuat7t. :ii.aaesoLa MY C�iM�R.�PIR�S�v1�Y 22.1991 � :iy Commi.ssion F.xpires �-��� q / " " '� .. � ,. . . �=��� � Rpril 21 , 1988 re: Reffie - MeKfield/Geitie Carniuel The Parent-Teacher Aduiso Committee end the schools (MeKfield Science,Mnthematics end Technology Megnet and Geltier Science, Mathemeti s end Technology Megnet) haue held a carniuel for seueral yeer . This yeer's cernival is 5/6/88 at MeKfield School, 480 Uictor e, St. Paul, MN from 5:00 to 8:OOPM. In conjunction with the car iuel raffle tickets ere to be sold. The proceeds of both the ca nival end reffle go directly to pey for field trips for students f both schools. Reffle tickets are sold by students, steff end their families. The top prize ualue is s50.00. T e eccounting for the carniuel and reffle ticket sele is hendled by the PTAC treesurer. If further informetion is ne ded regerding the purpose of the fundreising euents describe here pleese feel free to contHCt me. The �Q �-� �� ����� ! h�ia � rr��y a� ig�� � a� r»�,��i�i'a� s�a-�� , Respectfuily, \ ,�%�/Cf?1Z Mery iibourn, Secretery MeKfield/Geltier PTAC 645-7487 (home) 642-2023 (work) ; S Y. - ` t w. ;� ��.: • � '' � � saint �u� � scrtoo�s - ����f � '�� � MAXFIELD EL MENTARY S�HOOL � �,, � ��`�' NORTH VICTORIA&SAINT ANTHO Y AVENUE SAINT PAU4 MINNESOTA 55104 TELEPHONE(612)� - - 293-8680 ;: . �` Y� ' �t e. �.� '" April 25, 1988 Department of Finance and Management Services " Division of License and Permit Administration Room 203, Court House 15 W. Kellogg Blvd. St. Paul, MN 551.02 To Whom It May Concern: I am writing this to confirm that the Maxfield/Galtier PTAC has my permission to hold a raffle t Maxfield Magnet School, 380 N. Victoria Street, on May 27, 1988. Our membership roster consis s of all parents and teacher of both Galtier and Maxfield Schools and wou d be impractical to include. If you have any questions please contact me at 293-8680. � Sincerely, !Gti,,v/ l Robert Miller Principal Ma.xfield Magnet School RM:kh .Cf�lA7�0l1, ,�. . . - OAl! , , _. D11TE WAI�L,EIED . �����J��. . . s,��: ��a,•, G�'tE�t S�t�T .No:0 01711 ;�N�ACr e�ON oEr�r o�croa wdon to��enwn C�'lrtl.$'t,1t1�' � F� _Flr�a wr�c�e�arr sr�v�s dc�cron �crtv c�ac oar�,►cr�r�w. euoo�r aA�cr� 2 (�'A0.uyc3.l ��eX�c� ' FitDance &.N�1E�t1t. ;, 298-5056 � ], cm�,TOawEr �ippli�aatian fQr a C�ne T�me City o� t P�ul Ga�rlbla�g �'exmi t (l.��le pn1X) , N(7�.'IF'ICATICN LIATE: 5/4/88 L)ATE: 5j24/88 �I►?tOps:IMp�(�)a qyect(R)) RESEARO�+IIE�OipTd �� ��BE��� s /fg s,%'lgg ,� ��. �� ���� ���' y,si �� �� � �,��5 ,�t�.�• �,��,� � �� * — _�,��,� _�,�. ,�: . �,��.�z . ; �O�ncit Researcti Cente� _ , �wAY � 2�gsa ..�,,.�.����.,��,.,�,�,: . Jud�. Se,��:lc, on behalf of Maxfield/ t:i.er PII4�C. �sts C�3. a�prwat of thea.z �p3,ic�t�.o� for a Orr1e T�me Ga�nbling 't (Ra��].�..only): fo;r May 27, 1988 betw�n t1�e howc�s , 10:00 _�.m, ax�d 11;00 a.m. The raff�, w.l.11 be, held at.Maxfield Sch�al, 380.Narth fTict�oria. � � � �w�„].1. be::used to pay fo� fie�d ips for stud�ent�s at both Ma�sfie�d ar�d C�ltie� Schp�,3�.s: . ;was,c�i+o��ca.ve��.�aa�.�t: : . . ' : All fees and appl.icati�ans have beP,n tted 30 days pri�ar tA the ever�t. �il.l the require- me�ts of 402.06 - �02.14 hav�e been met. `�@�y4 Whwi.�nd To Whan): . _ ' If CA�r3ci1 appraval a.s giv�en, the M�xfi ].d,/Galtier PTAC will be able to lx�ld their raffle. If �il app�+o�val. is rx�t giv�n, tt�e fle will mt be l�eeld. _ _ .�.,, , _ �ttaru►rnes: weos cows �oMr�wrs: �a�u.�: ,