88-886 WNITE - GTV CLERK
PINK - FINANCE G I TY O F A I NT PA U L Council �./� �
CANARV - OEPARTMENT �(//y(
BLUE - MAVOR File NO. �+V �
Council Resolution '°�: '�
� ��
Presented By
�-.
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. #217 9) for a Gambling Permit (All Forms of
Gambling) applied for by th Church of St. Francis de Sales for
August 14, 1988, between th hours of 12:00 Noon and 4:00 P.M.
be and the same is hereby a proved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�ng � In Favor
coswitz
Rettman �'
�y��� Against BY
Sonnen
—iYilsen
Adopted by Council: Date � �AY � � �� Form Appro d by City Attorney
Certified Pa- C cil� BY—
5'/���
gy. ,.
A►ppr v d Nlavor: Date
N !� Approved by Mayor for Submission to Council
By BY
Qt�IiSHEO ���ti 111988
C�,—a° ��P
UIVISION OF LICENSE ANI) P�RMIT ADMINIST TION DATE � � b� / � !z S �
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Recei ed y
Lic Enf Aud
Applicant � r(,�► �• ��Qf'1Cl Home Address ��u�l—'-�j, V' jy�Qy� n
sa �s $ ?g ��2/�t�-ro h
Rusiness Name Home Phone
� L q �
� -- /D
Business Address ��'j !1(QV�� 1�*'� Type of Lic.ense(s)
Business Phone —� � � l�( �,. Q ��r� �t��'�'1�'�'' ��� TOrM.�
Public Hearing Date .7 � O � License I.D. �� �
at 9:00 a.m. in the (;ouncil Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� � 33 9 8 8'a
llate Notice Sent; `\� Dealer �� �'�
to Applicant � g' �
Tederal Fi_rearms �� N
Public Hearing
DATE INSPEC ION
REVIEW VERFIED (CO UTER) COMMENTS
Approved Not A roved
�
Bldg I & D N� I
�
Health Divn. I
, N �� ,
,
Fire Dept. � �
i
; NR �
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Yolice Dept. sl � I
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License Divn. ���� O,�
5�/
City Attorney S �
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Date Received:
Site Plan C
To Council Research S � 0
Lease or Letter Date
f rom Landlo d S ��— ��
f.w. � . _
:'; .:. � � ` - v�F [-
Minnesota.CharitabieG�nbGng�ontrol ard LAWFUL GAMBLING EXEM�
' .� Room N475 Griggs�Midwsy Building
�<-78Z1 UnlV9fSlt�f AVe11tlE FOR BOARD USE OIrIY
�Sr.Paul,MN 551043383
��, � ..� ` (Ht21642-055�--
'�' :
'IN�RUCTIONS.<1`�:,��sSubmitreques�forexemption at le st 30 days prior to the occasion.
��'"�� � � 7. =When completing form,do not co plete shaded areas until after the activity.
t.,r '' 3_ Give the gold co��to the City or C unty. Send the remaining copiss to the Board.The copies will be
= retu�FleJ�with art exemption numb r added to the form. When your activity is concluded; complete
�PLEASE TYPE iMe financial information,sign and ate the form,and return to the Board within 30 days.
` Organization Name • Number of Members License Number(if currently or previously
C h u r c h o f $t.F r a n c i s d° C� � °S 1 {�;'� licensed)a�d/or permit number.�_C�^(�? ^=i �
�= Address / City State tip County
5�� �alace .�v� �' �t °au�. '�n ��! '?� �aT��v
�^
, -
°Chief Executive Offieer's Name Phone Manager's Name Phone Number
�,d1^� '� . �;1t�tRaR �^ �i �� ��r._� 1 � !t ; r.a �orrl�nn � i ^ ;���_, 1 �^
•�7Ype of Organization .' If OUier Nonprofit Organization(Chack One and attach proof of rwnprofit staa�ul.
� i.�_ Fraternal D Veterans ! � � ;� � O IRS Designation
�Religion : � Othe'�Nor�profit Organization ❑ Incorporate with Secretary of State
Attach proof of three years e�e�terice. ❑ Affiliate of Parent Nonprofit Organization
��� ' ,•.
'x": Name of Premises Where Activity wll Occur { :. Datelsl ot Activ'rty,drawing�s)
� High; and �ar-..k ,` ,:
�° P►emises Address � - City State Zip County 1 I�(T� 1 1 1 '?47 ST'2
��'�. , t �..' 1 �, ii, 1� r,� � 1 �, ;7 r� av �
: Sne _ i ng & �lontr�.a ... St. i._ : n _; , � a..� s _
�`—�... ." •'_ .._ . . ... t i a��' '.Y � E.
�
�� Game Yes No
'- Bingo X
,�:
=s Raffles X
_;
��`. Paddlewheels X
� Tipboards X
'�'< Pull-Tabs X
.. Uss of Profit
<„fi
'�':.:
y..
,ti.
>"x:
::,:: I affirm all information submitted to the Board is true;acc r-
�_
: ate,and complete. �-- �
� :�._,�.�� Gt�, �L�`��.tJ1M.Q,v, ��'�(—�� f�'
.�
Chief Executive Officer Signature Dat
ACKNOWLEDGEMENT OF NO ICE BY LOCAL GOVERNING BODY
-%.. I hereby acknowledge receipt of a copy of this application. y acknowledging receipt,I admit having been served with notice
,- that this application will be reviewed 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, unless a resolution of the local governing body is passed which specifi-
,�`�' cally disallows such activity and a copy of that resolution 's received by the Charitable Gambling Control Board within 30
:�ti days of the below noted date. .
`�� _ _ _ CITY OR COUNTY TOWNSHIP
Nsme of Lacat G veming Body(City or CountYl Township Name IMust be notified when County is the approvi�g body)
�i.,�,� � �-"t_ t--�e,�..�...�..�
_ S�aRurea�Pe' n Receiving Application Signature of Person Receiving Application
�J� '.,�-..��;j`d,�., f � 'i P:�
rrt�e .` � J ,ty �,,,. �acs Rsceiv rrc�e �ate .
_ .�_.-` _ . ..�-�/ �1'�•w:�l.)!_/ ....... ` !.j f
r:-
i
CG-00020-01(6/87) Whke—Boerd � ' Canary—Board returns to Organization to complete shaded areas.
P'ink—Organization Gold—City or County
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Cit ot Saint Paul
� Depa�tment of Fina e and Management Services � � /-�
License nd Pennit Division a V
r � City Hefl' .
� St. Paul,Mf nesota 55107-Z9B-S056
� APPLICAT ON. FOR UCENSE
,- CASH CHECK CLASS NO. N Rsnew
::�a o �- Q � $6.
- " Oats �� 19
Code No. Titts of licenae F� � 1� �y��o��,'L--� 19
CJ.O� I�,M � � /� �
r n — oZ.) .S U ,.�
' 100 ��l1 ✓r �'1 U i- �• �/Q»C�c���P� �'��P�
` �p Q S AppllcanUComparry Nams
�ao ��h �ctn� ��.K� .-,
1� Busi�sss Name
100 � � • �G �c � �i�') Sv l) 6
Busin�ss Addross PAOn�No.
100
100 Maii to Address Phon�No.
t
�
10� ,�:t CC- f i � ��./ !�,'J Y l �.T i)r �
ManapeNOwner•Nam� -,�,� _
100 �/� .y y.}
� !� f� rT��l�'I�'�1V ��� �Jr,�
100 AtanaqeNGwnx•Homs Address Phon�No.
1098 Applicatfon Fet � gQ / ,,
Receiwd the Sum ot ' 100 �� � ,� ��-L�f J"I y� �(J�
� �� �U V Manaq�►IOw�er-City.Slate�Dp Cod� �C �-i�
t0o rota 10o S
� � .
UC1�selnspBCtor ` �� By: �I SlqnatureotApplieant
Bon •
Company Name Policy No. ExpUatbn Dat�
Insurance•
Company Name PoNey No. Fxpiration Dat�
M(nnesota State Identification No Social Security No
Vehicle Information:
Ssrial Number ats umba
Other-
THIS IS A REC 1PT FOR APPUCATION
THIS!S NOT A LICENSE TO OPERATE Your applicat�on for Ilce se will either b�granted or rejected subject to the proviaions of the zoniog
ordinance and completion of the inspsetiona by the Health, Fir ,Zoning andlor Ucense�napectora. •
,�k` \� �� $15.00 CHARG� FOR ALL RETURNED CHECKS
�'' d'''G�' � �d �-✓Z../
��� �,�`� C� �, u,•� 5 f r�.,��`��-�2/
, �r �
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, , • CITY 0 Se1INT PAIIL C=I`�'7l4 00�"
j _ . '. � • DEP9BT�NT OF FINAN aND M�FAG�NT SE84ICES
+ ,, . DIVISION OF LICENSE AND PE8MIT ADMIlqISTRATION
.i ,
II�TFORMATION RE UIItID WITH AYPLICATION FOR PERMIT TO CONDIICT G�LING SESSION II� SAIN? PADL
Fcur sassions are a1lc�ed per yssr, with eacii ssssiaa baiag a m�dm� of four consecutive
hours_ This appLicatio� aad all require' attaci�aats must be filed with th� Licease
taapactor at Zeast thirt9� days prior to a requastad date of ths gambl.iag eveat..
I).� Name of organizatioa --� -
Z) Address where orgaaizad.oa`s regular mestiags ars held 650 Palace Av
3) Dap and time of msatiags -
4) Address wEiare gambliag sessioa wi11 e &eld Hiohland Park
5) Is applicaat owaer of property where gambl.ing session will be hald? Yes �� No
6) If Ieased, w�o is the ownez of prope where gami�].ing session wilZ be held?
7) Name of officer makiag applicatioQ R
8) Address of oEficer 6 0 P A . Date uf birth 9-29-21
9) Name of maaager wi�o wiZ7. conduct g �ng sessioa Juanita Hermann
IO) Address of� maaagsr � 7 Arm t Date of birth 8-5-34
T17 ra conaectioa with what eveat is gambliag sassiaa beiag hel.d?
P �
12) WE�at tppe of gambl.iag devfce{s) be used? PaddleMiiesl x Tipboard x
fle x r_ Pulltalis x Biago
L3) Specify w�an gambliag session(s) take place:
HOIIItS: 't,�-�-
Day(s) Auciust 14 Date{s) From: 12 Ta: �p.m.
(Ma�amum of four hours)
L4) WiIZ prizes be paid ia moaap or �er e? mOneY
L� Is the app3.icaat associatioa org ed uader the laws of ttie State of Minaeseta? e�_
16) How ].oag has the orgaaizatioa beea eaistsaca? 104 year's
17) What i.s the purpose of the organiza ion? Catholic Church
i8) Far.what wi1L che pr.oceeds from t ' eveac be used? support of Church & School
19) Give names of officers ar aay other p�rson paid for servfcas to the organization.
Name—Titl.e Address Date of Birzh
G rald Lauer - Treas. 9-> >-��
Roger Cook - Secretary 992 Otto �-�6-��
20) 0£ficers of the orgaaizatioa:
N�tis Ad�ss Date of b.irtft ;�
� RPV_ Karl M_ Wittm�n - V_PrPS 650 Palace Av 9-11-20
Arrhhich^n .lohn R_Rn�rh-Prat_ ��h Summit Av 7-31-�1 '
2I) Ia w�ose cnstody wi11 recorda of orgaaizatioa`s gambl.iag sssaions be kept?
N� Rev.Karl M. Wittman �dreS$ 650 Palace
Z2) �ttach a cover Ietter def:aing tfte eveat for whic� you are requeatiag tf�s Iiceasa.
23) 3ttac+a a Letter of permissioa to caaduct the gambliag sassion at tiu reqneszed address.
24) Attaci� a copy of your organization's m�mbersizip roster aad daze eac3i m�ber joiaed.
ZS) 3ttac�s a capp of ths Daparflaaat of tfie Treasury, Iateraal Revemie Servi.ce "Retura of
Orgaai.zatioa Ezempt from Iacflme Taa", Form 990. [Chapter 419.04 (1)J
-OR-
26) 3ttaca a capp of Daaartmeat of tii4 Tressurg, Iateraal Revemie Servica, "�.a�pt Orgaai-
zatioa Buaiaess Iacoma Tas", Fo� 990T. [Chaptar 419.04 (2) ]
-08-
27) 3ttach the aaausl. report required o= c�arf.tabl.e orgaafzatioas by �ssota. Statutas,
Sect{�n 309.53. [Chaptar 4I9.04 (3) J
ZS) Have pois r.ead aad do yvn thoroug�l.y uadezstand tha ptovfsioas of aLl Iavs, ordiaaaces,
aad regul.aziaas gavaaiag tha� opsration of gambling 9essioas? ves
29) Aay c�aag�s desired by the applicaat assaciatioa may be made only vit3i tfis caaseat oi
ttie L+cense Co�i.t=ee.
30) Sas aay persaa(s) Partici�at.�.ag ia tf�e operatioa of aay of the gambliag sessicns
cavezed by ti=is Licsasa ever besa coavfczed of a felony i.a the State oi �iaaesota or
:a aay othsr State or Federal Coun? Yes Yo �_. If aasver i.s "?es", provide
�es, addresses, aad birtf� dazes.
orgaaisatfoa: St. Francis de Sales Church
By: (Officer-Title) �Z� �C. � � �
aad
Sta=e of 3inaesora) ger i.a caarge oi gamoLtag session)
) ss
Couar� of Ramsep )
��+Z.�.-�. �.�, �'���U.L�,LU � .,'��'.(.���- � !� �t.t.c.+.t.�
� �
�e�ag dulp swora sap t�aL they are che petitionars�Ca the above applicar+on; tfiaz thep hane
read the �oregoi.ag petition aad lmow the cantents r.hereo=; chat ths sase is t�ue or their
awa �owiedga.
_
Sub�c�bed aad swora efore me this ��
y of 19 i
, / � r SCOTT M. DICKMEYEq �
�Totaz'J Publ�c, � Ccuatp, :4iliaesata -"� NOTARY PUBUC-AWpEgpTA
,� WASHMIGTON CQlpr7y
;ip Co:isaioa F.S�i=Q3 ��� 7 �7�"' ' MY CpMM.EXPIRES MAR.9. 1�J82
Y
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CHURCH OF ST. FRANCIS DE SALES
660 Pa Aoanue
Suir�t Paui, innesota 55102
May 6, 1988
To Whom It May Concern:
On August 14, 1988 the C rch of St. Francis de Sales
will have a Booya and Fe ival at Highland Park. The
proceeds will be used to support church and school.
Sincerely,
,�;...� �. � �,'��...,
'Karl M. Wittman
Pastor
_ _ _
.. T�11� � ` . . . DA7ENNIM7� . D1tTFlAI/LETEp- �` .'r'� ��� �
Mr.'�. �ar�hedi . `. �x��� �1#EE�` �: Q a17�s `
� � CONTACT� , . � . . . . DEPARTMENF�DIR�G7�OR� . � � � � MIIYOR(41R A8&6TANT) � � ..
' Chri sti ne Rozek �R �.�►,���� 3«r�
� i nance oqNT"� � Aoun�c �� 2 Counci 1 Research
: & Mana nt :, . ?r98-5Q56 . oRO�: � «,Y��
Application for a Or�e Time City Gambling ermit - All -Forms.
Notification Date: 05-19-88 Hearin Date:
c�oowr.c��«��t► oour�cr. nEParr:
�N++wo oa�+ cMtt AE�aY�e con�.nssww o�w o�Te u� wa�+e ra.
��� ���� S`�d Y .s�o 8 S/ -
�,� �� ,�,5 _��.�• —���� ��„�
.
��
_�►�:
�,�,��,�„�� -
�.�u��cil Resear�h Cent+er
, ,
_ MAY 2� 1988 ;
r�rtu�u r�oe�.»eu�a+�an,uNm t�,wnu.vun�,.w�.wny�: . _
Judnita Herniann, on behalf of the Church St. Francis De Sales, requests� Cou�i1
approv�l of their applfication for a Ons �Ti Gambling Permit (all forins� for .
Hi"ghland Park, August 14, 1488, between t hours ,of 12:00 Naon �nd 4:OO .PM. The
�gambling session wi1T be hald in conjuncti n�with a Parish Festival and Booya. P�edc�eds
will be used far the support of the church and school . - _
�►�rau ccaue�.na�+�,�r. .
All fees and applications have been submit ed 30 days prior to the event. If Councii
approv.al is given, the Church of St. ,Franc s de Sales wil� be able to conduct �
` gambling session in conjunction w•ith their Parish Festiva1 .
,:C�t�#W►r�.nnieh..na ro v+n,omt: . . _ .. . . , _-
If Council approval is not given, St. Fran is de Sales will be unab1e to sponsor
a_ gambling session.
�ka�w►twes; . . co�s .
xisrdw�o�rs:
t�c�u.�s: