87-454 WHITE - CITV CLERK
PINK - FINANCE G I TY O F SA I NT PA U L Council
CANARV — OEPARTMENT File NO. �/ � ���
BLUE — MAVOR
C un ' e olution -�
' � ` �
Presented By � �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#56096) for a One Day City of St. Paul
Gambling Permit by Dayton's Bluff PTSA at 262 Bates Avenue
for April 10, 1987, between the hours of 5:30 P.M, and 8:30 P.M.
be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas p�eW Nays �
Nicosia ln Favor
Rettman
Scheibel �
so��e� __Against BY
.�ed.c�o
Wilson
Adopted by Council: Date APR 8 - 198Z Form App o ed by City Attorney
Certified •s Counc.il ret BY
B}�
. �,
Approved by , vor. Date �'1 ' � ~ +� Appro by Mayor for Submission to Council
�-f " .,
� �
BY - – — BY
��r"�4i:d��.4.�' f .. . _ _. '� 'VVI��
, � ! �___ :,_ .._ . -_..,y
�1,��7���/ i
��_ .,-, � , �T: , ° r_�_.__,.:� .,�,�:�i�n`c
'":il`T' 'I1 l,�L h:.Cu rL u 'lri:i
iC.- �T f ♦T r�^ (1
-•i.� � �' �.-� ^-n—. � • 7^`l' . T 'rTl"
�J l.'1Vi l;i :�vi�i1J� ttl'iJ i+�lii'lli :�'a'lll 1J�-�li 1 i�
ni. m•T ^ -�r.,�r+ �. �. m ��f � r r*+ � r' F��; '� ? �'" p.rTT
'�0�'.ATICDi i�?�...uI�:=D �,;I�1� l:r?v1Ji:�Tli., "OR P"?.:'Sl TO �....:i.i:C� GA.��?TI:'.� S.��._I�P, _ t�_L
�(��, � I
�. ..Fi:.^.c O� �'_'��u.iii�c°..Li(:I: �� i�1 � �/L( �Z 1 / �� I
2. :�c;dress ia!:ere �r€anization's re�-��ar meetin�;s are h.eld �(�c�_ .�,2��c :•QvP . _ �
�. �a�- a.^.G ti*�e oi �nee:ir.�-s�[ 5� /11��nC�c.�, c�� v�i,r���r �� t- '?. i�,C� ,, �rr
i�. �lddr�ss ;vY:ere �amblinF Session :�rill he held �� 1�� ��? �2�Q�-ps A�� �
i
,
j, l� S^P�1ca:�t. o�aner C� pro*�ert;' 'f�P'_'F'. �'i2.^hl�:l�' �BSS�.C`.^. `dlll �'2 Y12�C: '=°S_�:TO j
�J. Tr '1?ase:� ?•TIlO 1S o•;mer of prc^ert;j 4i'f.?7'8 CrclTlt���:i� ;iPSS1CI: T-rl�l �":8 �":°��� i
I
i
� i . 'A I
//� 17
7. If leased, attach letter of per,:.ission to conduct Gar;blir.� Session, s;_�ned by lessor.
s. :+ai1e of of�icer makin� agpiica��on rr1r1 r �+�f � �C.)vi!; i
9. Address of oflicer ma'!�.ng application /(;�, / ��'/�r %,��;- �� /,J� Date of birth /� ��,�`% �
1
10. :�a^�e cf �ana�-er wt:o will conduct Gambling Session� � i S °�u�t�-i �
; % I
ii. :�ddre s s of mana�e r / ;%.S � )'��n /P�r r� �2te of cirth , ;, i ��f i
i
12. In connection with ;ahat event is this Gamblin� Session be_r� held? j{;���.�, f �
1' �l►��cY r� 1 � P ✓'
�,n�c� x
I3. ::hat type of gamblin� device(s) .n 11 be used? Paddlet•;'r.eel �ohoard '_'a*:fle �
1L:. �a;�, dutes and hours this a�plication is for anc nuriber of sess'cns.
�
�a�'�s )J�r��,�_I ,�l�����a�es f�nr�� � i L� Hou.rs 5-30- S',,-� () iTo. of Sessicr_,s�—
r . ,_, 7 �
'17. ':l�_ �ri�es be p31� ln noney OT' ''1?�_"C�'?3.rlC:1S°� ��✓ ��; ri��i.0 P ---
i:�. TS �r° a.TJD�1C8rili. 35SOC12,t1.021 OI'^2111Z8C� Lll1C?P.T' �:'lZ �2WS O_� �t'.2 .�i`i,Sl,g Of 1 i"riP.�0+2.? (,��_
17. ::o�r lenE i.as Cr�-ani�atior. beer. �r. e�ister:ce?�>;,,�_� ___ __
l�. ::hat is t.".e purpose oi Lre V,�3Z`.7.ZStion? j��_��`C rn n`�e �F rru.�� /, r ��f������
c' �J fE"j'Y1 GL Y1 C� ��l'l��(�I�Y/Y C (' �CP +/� <,:,/'/ �/�� !�I'L�v���� ��/�I �.� "�1�1/1� iI�C P.'F��
� �
19. �fiicers of tr.e Or�;anization
:iame-Title Address �ate o� �irth
��G i)�Z �SC'�I ii f�_ ' �l"E' < �U 7� �f [ �r.",il Gti/r r./
�, c.e
) /� t'i'c't�, , �� + '�y,� l n �
1) � , .,,�� � ". I��C/�l - ,�(.( ��,��(����� �^�'.� r,+��' t'Gf Yl /��i, �
�(l l.) f� �/Q/'j �V,P�.S � " "'"'r,iI'//� �/ �-f�y C.L�C �2. -
vl
V�cJc, .n���- - �errP�c'rr✓/ _ locf9 ��- S�fh �� .
�,y�r�O �r'����s�'n - T►2 e s u/c°/' �l� 4
� ���-�s�/
� ,_�✓• .._'Jr? n�::"cS C= Oi c1Ce2'S Ol' d:!j' OL:°i :�t?rSQi;.S �c�l':1 '_�OI' S2I"�7=.C°S li\7 ..._? •11rCLr.�' Z.:.i:?O�,
�?��'�e-Title :;dd:P.SS �S�e of rirt'r.
�
1
�1. lr. ��rrose custcd,� Wlli recor:s oi Or€;ani.zaticn's Gam�lin�- Sess_ons �e kept?
�_,
��a::e .��n.�4 fc-��s .�',,�:r��� ' ' ; � ad�ress � ���-� �"�a'�c°�- �✓F .
L
22. Attac" a copy o� your Organizatior�'s membership roster and date each ^�ember joirled.
23. 4t�ach the G�h1in� Sessior_ :-`ana.��r's bon�.
�;;. ���tSC�' 3 CC��' Ci tti18 :i@732'Li*�81:t Ol t�'i? Treasuz^,j� I:1tA2'.^.21 .'.ecer�ue ::ervice ��i�2L'J"7` O:�
Or�ca.izat�.cr. ��e^:rt fron �nceme �':�", :orm �9�. (Cr:acter i.;19.0� (I!. )
f t T1 ml+P + M � p ��T
2�. iiLi.SCY: a coti;; of �enart;�ent of the : asu�~y, I:1�P.?":1c31 .':P_verue �e_ ��c,., _.�e*�pt Cr�-ar.-
ization Business Income Tax", rorm 9°0^. (C'r_apter 419.0l� (2). i
26. Attach the annual report required of charitable organizations by ;4innesota Statutes,
Section 309.53. (Chapter 419.0� �3). )
27. I?ave �rou read and do you thoroueY:l�r understand the nrov,sions o_° a11 laUrs� ordir.ances
ar.rl r��-ulation� �overnin�- the oneration of Ga;^hlirr� :'ess,_cr�s'
2?. �:ny chan� es des,_red b;� tre applica:.t associati.or: ma,y �P made only �•r th Lhe cor.sent e°
the i.icense Cocamittee.
29. iias any person(s) participating in +he operation of any of �"e �amblin� sessior:� cov-
ered by this �icense ever been cor.victed of a felony in t}-e State of �:innesoLa or in
a.^y other State or cederal Court? Yes ;�10_�_. Ii ar:sTfrer is "yes", provide
r.arr.es, addresses and birth-dates.
..L7C����e ns �i 1�;�;'�- _�J-c}�
vr€ani z ati or� �
f ��,��,{;�.��r� �J�--=��� ;
L � i,� c , , , , �.�;.,.
(Offic�r-'"itle f�
. �
BriG� }�Y�(,�r��.�;� �%Q���:; ; � t'c,r��i�i i j'� /�r���� .,�.C���•;•,�,-,,
(:Iana�-er �n c!:ar�e' o? �amblin�- �ession) �
Sta�e of :s:�r_esota)
)SS
County af �ansey )
Q nL�S E' (� �1 y�r� and
beinP auly stiaorn sa,� th4t tt�e,tir 3-�� the ;�etit_oners in Lhe above arplication; +„hat ,::e� !,:avn
�^___:'. the fore�:oir.� pet�tion and T:no�.r �he contents tL;ereof; t'r:a: tre sar?e is �r�s� ^" ';`.:a;r
o:Jn kr_ot�rle:,��•�.
�ubscr:.ber: anc? scaorn to he�i/o:e me �?-:is
/ � �Z ''.3`✓' Ol C/"/(�,[/(�GL ���
/ .�
i;ota 1- o��c, -� , ., Count�r, :�Linnesot�
;hr ccsrulission esnires
�:i:.l�ir.� ^epar�:-ient A�S�r4va,d '
. ,�, ;u:7-&apa:rou,sd by
rire Je�art�ent aonroved ?�sanp�oved bv
Police �eoartner.t �,pprcved---�isap,r,rovez-�y