88-1132 M�y1TE - CITY CLERK
PINK - FINANCE COUnC1I �//i6 )
CANARV - DEPARTMENT GITY OF SAINT PAUL File NO• �+`� �J/��
BLUE - MAVOR
_ � , Coun il Resolution
Presented By
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Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. #82784) for a One Time Gambling Permit
(Raffle Only) applied for by the Episcopal Church Home at
1879 Feronia Avenue, be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
��g In Favor
Goswitz
Rettman t�
B
Scheibel A gai n s t Y
9anecn,
Wilson
�" ' � ��pQ Form Ap oved by City Attorney
Adopted by Council: Date 1�.__
Certified Pas• b il Secre y By � � �
�
By
�lpproved � vor. ate
� � � Approved by Mayor for Submission to Council
By BY
P11�lSHED J U L 2 �3 198_8_
�=-: ,
���r!.�'
. �" � �A��",� °"�`�� G`iREEN Slif E7' wo.0020 3 7
�', �Mr. J. Carchedi
��a�� ���«���n
Christine Rozek �"R� — �a��� �`��
. °°��� . Roun� — �� � Counci 1 Research
� F. Ei . 298-5056 onoea: 1 �A„� —
. 0F P E . •
:
Application for a One �ime Gambling Permit (Raffle)
�
Notification Date: 6• 3-88 Hea i Date:
TIONS:(APpove(p o►Fleject(Fl)) ! COIMrCN.REBEAACH REPORT: . .
PLANNMN�COAM�8810N. . � GVIL SEiiVICE.COMMI3SION I DATE M � DA7E d7T ANALY3T � . _ PMONE N0: , - . .
ZONIttlO COWd18810N . . 13D 824 BCNOOL�ARD ... I . . � . - � � . . � .
. . �8TAFF - piARTER tXMMdISSI0P1 ;�I � �+iPLE2E AS IS�� A�i MIFO.��ADDED* � - .REt9 FO QONfA�T . ... .��.�TRUENT� .
� _ . �. �POR A�i MIFO. _FEEDBACM ADDED• .
DISTRICf COINJCIL �.. I *EXPLANAT�N: � . � . .
� -.�3l1PPOR'.f8 WMlqi WUNCIL OBIEC7NE? � � � � - . . � . . . . . . � . .
. . . . . . . . .. . �
Gour�cil Res�arch Cer�te�
J�;�1 3 0 19$8
..n►,.����,�„�.,,►�,�.,�,�,. .��: _ _
Beth Craig-Powe11 , on eha1f of the Episcopa1 Church Hotne, requests
Council approval of he application for a Qr�e Time G�mbTing Permit for
�` . July.21, .19E8, between: the hours of 2:30 PM and 6:30 PP�. The raff1e wi11
be held at �he Home, 1 79 Feronia.Avenue, �n conjunctioR with a Sunnerfest
ce1ebration. Proceeds �from the event wi11 be dona�Ced=to �he resident guild.
,�cR,+oN�_�rn.p..�,as): ., . ; �
i
All fees and appiicati�ns have been received 30 days prior to the event.
,cot�ou�+e�s cwne�:wn.n�.ne�ra v��:
If Council approval is'� given, the Episcopa1 Church Home will ho1d a raffle
at its Sumnerfest eve, t. If approval is not given, .a raff9e w��l1 .not be
held.
� aaeMU►nves: . : wws _ coNs
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DIVISION OF I.ICENSE AND P�:RMIT ADMINISTRATION DATE � �(0 a� / �''� �� / o �
. INTERDF.PARTMEhTAL REVIEW CHECKLIST Appn Proc ssed/Received by
Lic Enf Aud
Applicant �.`�h �+Y�,�� • �t�We�' Home Address
Rusiness Name �(�lS�G,� L�IILYl1'1 ��e Phone
�
Business Address ��7q �rontc�, Type of License(s) Q�Q„�//�tF�_
Business Phone � �� � y��r in T-Q'��'1'1L'� `�G �Q,
Public Hearing Date � ��2��0 License I.D. 4{ �°��O �
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �1 �5 e�37 �{�
llate Notice Sent � Dealer 4� ���
to Applicant �'�� c��'��������
rederal Firearms 4� /U /�
Public He<�ring —�
DATE IIvSPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
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Bldg I & D �
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Health Divn.
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Fire Dept. I ��� �
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Yolice Dept. �Y�� I
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License Divn. �
� a�- � o�
City Attorney �
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Date Received:
Site Plan N '�T � �c� �
To Council Research v
Lease or tt + Date
from Landlord �Q ��
� , City of Saint Paul �� ���
• . Department of Fnance and Management Services �� `'"' "����
. ' . License and Permit Divisiort
. 203 City Hatl�
' St. Paul, Minnesota 55102-298-5056
- APPLICATION FOR LICENSE
CASH CHECK CLASS NO. New Renew
a o !- a c� � .
Date `"n /`� � ���,79
r J
Code No. Title of �icense � `���
From � �c� tg6 �To '"`�;`�' �1 19
�� Gt7 " - k7v�L p r� �
Q�i...•L"�/� ��%�.���1 .•"! � t'�U Y✓� D�� 1'l t.� �l��' j�} `�i/wl vs . � ,
1 ( ( 100 d.i7�. � i% � �J�Ct I ��;I�.! i�_`1 C"t d:'li! ��-
� = � .,i�� � '-fZ r,� �"T !�. �1�;1„� App�icanUCompany Name
� 100 ' ,, -� j � �� .
;i_ .c. ,�.. .��;
100 Buslness Name
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100 .i , � �:.i .t t i ,�. '; �J` �-�
8usiness Addross Phon�Na
r
100 _ -t '.: ' -��-- ` .
100 Mail to Address Phons Na
� �� �'�� � � � Y , - , , ..v - .
/
ManapedOwn.�-Nams !
100
100 AtanagerlGwner-Home Addresa Phons No.
4098 Application Fee 2 5a
Recefved tha Sum of 100
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ManagaNOw�er-City,Slate 6 Ztp Cade
100 Total • 100
I � i�
License Inspector � `'� 8y: � "� Signature ot Applicant
Bond•
Company Name Policy No. Expiratlon Oats
Insurance:
Company Name Poiicy Na Expiratlon Oate
Minnesota State Identification No. Social Security No
Vehicie Information: �
Sarial Number Ists Nwnbsr
Other. - —
THIS IS A RECEIPT FOR APPUCATION
THIS IS NOTA lICE1JSE TO OPERATE.Your application for license will either be granted or rejected subject to the provisfonsof thezoning
o►dinance and completion of the inspections by the Health, Fire,Zoni�g andJor License Inspectors.
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� ; � �� ` $15.00 CHARGE FOR ALL RETURNED CNECKS
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20) Officers of che orgaaizatfaa: /�� (�,����.
�/��� Q v
� Nams-Tit1e Addresa Date of bi.rT.,h�
...�- __- -
21) Ia wt�osa eus=ody wi1Z records of orgaaizatioa's g�liag sessions be kapt?
Name � �li ��t'� Addrsss S�- �-�("'��
22) ?,ttach a cover Zetter def�aing the eneat for w�ich you ars requestiag tfiis licensa.
23) 3ttach a letter of pezmissica to caaduct the gambl.ing sessioa at t3ie requested address.
��,24) Attacfi a copy of pour orgaaization`s membersf�i.� roster aad date each member joi.aed.
��
25) 3tzach a copp of tfie Deaartmeat of the Treasur�, IateraaL Reve�e Servi.ce "Recura of
Orgaaizatioa r".zempt fram Iacome Taa", Form 990. [Chapter 419.04 (1) 1
-OR-
2b) �ttaca a copy or Deaar�at af tiia Treasur9, Iateraal Reveaue Service, "Qasmpt Organi-
zatioa. Busiaess Iacame Tas", For� 990T. [Chapter 419.04 (2) ]
-OR-
27) �ittach che anaual rsport required oi ciiaritable orgaaizations by �iaaescta Statutes,
Sect:oa 309.53. [Cha�ter 4I9.04 (3) j
28) Have pc�u. read aad do yon tfwroughly uad�rssaad tha prorvi.sions of ail lava, ordiaaacss,
aad reguZazi.oas govexaiag tt�ee operatioa of gambl{� sessi.oras? _xP.S
29) 3ay chaages desired by tite applicaat association map ba made oalq �th tfie ccaseat oi
che L+cease C�:.ittes.
30) Sas aay persoa(s) part:.ci�at.fag ia tt�e operatioa of a� of tfie gambl.ing sessions
covered by tfu.s I.icanss ever besa connicted o= a felouyii.a the State oi �inaesota or
:,a aay other State or FedezaL Caurt? Yes Yo ✓ If answer s "�es", provide
�es, addresses, aad birtt� dazes.
�r$3II1ZSt�0II: � I S C o Q � �YI,�l rC.� �6�n e. e /�7�n n 2 Sc�I'q,
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By: (OfficBr-Title) ��.�%;�'l',"-1�,� �',�i'►�,;���v,v.+ .�'1',l��b���',.�'_
� � f.• „'V�Y L., - .� �'/•/• �� '�/J.-���j:
Staze oi :4iaaesoca) C ger ia caarge �oi gamoLi.ag'sessioa) - . f--
` gs ��y�-Ll�..(��.
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Coua� of Ramsep )
�f}V I D �b 2.F D�•U,(3C,e C. aad .�L/2.i913�'TH C' 2 /4/ C-- (�C' (,v E�L
�eiag duly swora sav t�at �ey are che pec�tioners ia ct�a acove applicat�on; ct�at they have
read che _oregoi.ag pet+tion aad kaow the cantea=s chereo=; tfia= tfie same is c=ue ai tf�eir
owa '�owl�dge.
.�. �Hl��c�l M. G�.R=J�lFi2
S1108C�.beC. 3ad SWOI� bef ore m@ C�11$ � +� � NL'TARY�UBLIG-MINNiSOTA
f3 � d3� Of . L//��C I9 J'�Y ��� RAMSEY COUNTY
MY commisaion axpires Do�. 22,1989
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Yotarr Pubiic, RA��5��� , cuaty, :iiaaesoca
Ky Ca�issioa E�pires _/T/�a /Q 9
� . . CITY OF SdINT PAtJ�. C�� �° `1,3•Z
� ... DEPA8IMENT OF FINANCE dND MANAGII'�]T SERYICES '
� , . • DIVISION OF LICENSE AND PERMIT ADMIl�TISTRATION
INFORMATION REQUIRID WITS c1P'PLICATION FOR PERMIT TO CaNDIICT G�LING SESSION IN SAINT PADL
Four sassioas ara al.lowed pe� yaar, with eacfi sessioa bsiag a ma�Lm� of four consecutive
hours_ This appl3catioa aad all required atrac�ments atnsz be filsd witti the Liceasa
raspector at I.east thirty� days prior to the requssted date of r.he gambliag anent..
I)� Yame of orgaaizatioa _��ti�c��o.� C,(ry�.tr��, (-�+'hZ
Z) Ad'dress where orgaaization`s regular meatings are held ���� -{��Jhr� ��.
3) Day aad time of ine�tiags N�/-� ��`' TS � ��.Y`'�i r� h;�v�� .
, 4) address wlaere gambliag session will be held 5���
5) Is applicaat owner of property wi�ere gambling session wi].l be held? Yes � No
6) If Ieased, who is the owaer of property where gambliag sessian wi11 be hel.d?
N/�
7) Name of officer makiag appiicatian ��/'n,� ��a�.�.���� ,. -�e{ hr, ttiis�"!��
�
8) Address or officer �-�i�- �U�%��7��D /�v! - �i „��w�,?,� �� Date of birth / yi,�S�'
9) �Tame of manager w�io wi71 conduct gambliag sessioII '���� (.t�e�� -Qo4���
10) Address of manager �4��r.,-�,�,.� .,�-•PL�.� .�(CS� Date o= birth (Z-��--�.'b
II)" ra co�ection with wEiat even,t is this gambLiag sessioa beiag held?
�tr.VYt YYt 12��5-1�
12) Wlzat tqpe of gambli.ag devi.ce{s) will be used? Paddlewhesl Tipboard �
Raffle c� Pulltabs ___ Biago
13) Specify wiien gambliag session(s) *aill. take place:
HOtTRS:
Day(s) � Y��� Date(s) C�w�y �-� From: �r:� To: :�'0 �'m .
�-- �Mazim*tm OL LOLir 110'11I3�
14) Wit1 priz�s be paid i.a menay or mercf�aadise? �"t�-ltin(+."�4�,-�
I5) Is the applicaat associat�.oa organized under the laws of tfie State of Minnesata? �S
1.6) Sow long Eias the organizatioa besa i.a eaisteaca? i t�_ ��
17) Wizat is the purpose of the organizatioa? ��t<S� �r1C��-
^
L8) For waat wi1Z the proceads from this event be used? �id;;-�v� C��,,� �
19) Give names of oZficers or aay other person paid for services to the orgaaization.
Yams-Title Address Daze of Birttt
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'W,�,/� ��'P.G �,� �!'�r —�`-!i�r�t��-e�,�Yi.�e� �'�i'�'� �C.yc-Y.-�c r��� )J,iCc ,!� %—Zf-5
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' ^r, ��/�C`�lj J�L�(,1,�•�-�v��Z\PC�.. �L ��.: � ���V�.0 �(�(n�.y, ��T� � �- /��.5�>
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� the episcopal ,church home
� of minnesota
1879 feronia avenue
st. paul, minnesota 55104
612-646-4061
6/3/88
City of St . Paul
Division of License & Permit Administration
Room 203 , City Hall
St . Paul, MN 55102
To Whom It May COncern,
This is to request permission to conduct a raffle at the Episcopal
Church Home of Minnesota. It will be held as part qf our Summerfest
event on 7/21/88 . All prizes will be donated merchandise . Thank you
for your consideration.
Sincerely,
��
Dave Bredenb rg
Administrator
� � � -. ���`..�-
_.
, ,.
� - the episcopal ,church home
of mtnnesota
1879 feronia avenue
st. paul, minnesota 55104
612-646-4061
June 3, 1988
City of St . Paul
Division of License and
Permit Administration
Room 203, City Hall
St . Paul, MN 55102
To Whom It May Concern,
The event being held at the Episcopal Church Home
of Minnesota is the anual summerfest . This type of event
has been held every year for a number of years to raise
funds for the Resident Guild. The event will include
refreshments such as ice cream and hot dogs , entertainment,
arts and crafts sale and a raff le . Thank you for your_
consideration in granting this permit .
Sincerely,
���e� `'+�1.�.
Dave Bredenb
Administrator