87-805 M�NITE - CiTV CLERK
PINK - FINANCE ///��� /
CANARY - DEPARTMEN T G I TY O F SA I NT PA U L COUIICI ��J ���
BLUE - MAVOR File NO. /
Co nc 'l esol ion
Presented By � �
Referred To Committee: Date
Out of Committee By Date
RE50LVED: That Application (I.D.#16320) for a One Day Temporary On Sale
3.2 Malt Beverage License by the Muscular Dystrophy Association
at 1463 Grand Avenue on June 7, 1987, between the hours of
12:00 Noon and 5:00 P.M. be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas JrE,. Nays
�— �f��z�x-a�.% � [n Favor
N,cos�a
scne�be� _ � __ Against BY
-9e�nerr—
Tedesco
� `�ij'{ ,. ''• �7 Form Appr ved by City rney
Adopted by Council: Date ��Y
Certified Pa s uncil S�,�f ta BY
By
{
Approv y Mayor: Date ���� ° �r g�l Approve b Mayor for Submission to Council
Bv - - _ BY
Pl��l�l�D ..�:;�'� � 3 1987
, ; , � . , `� �� �--�_
, • Af'R � ;f ,�;,;
, � CITY OF ST. PAUL, MINNESOTA
APPLICATION FOR TEMPORARY ON-SALE MALT BEVERAGE LICENSE
NOTE: This application must be filled out and signed at the time of your interview
with the License Iavestigator, 30 days rior to the date of the event.
1. Name of organization Muscular Dystrophy Association
2. Address of organization 1821 University Av, Room N-170
3. Type of organization - check one which is applicable.
CIVIC ( ) CHARITABLE (X) RELIGIOUS ( ) VETERANS ( )
4. List all officers and directors.
Exec. Dir.
, �}���g Dean Weber 4530 W. 77th St. , Mpls 55435 893-1340
NAME ADDRESS PHONE N0.
Regional Coord. �
� �4CX�C4C�� Eric Iverson 4530 W. 77th St. , Mpls 55435 893-1340
NAME ADDRESS PHONE N0.
District Director
� Julie Mullin 1821 Universitv Av. , N-170 St.P, 55104 646-7557
NAME ADDRESS PHONE N0.
Treasurer
NAME ADDRESS PHONE N0.
Others
� NAME ADDRESS PHONE N0.
NAME ADDRESS PHONE N0.
5. Location of premises for which application is made 1463 Grand
St. Paul, MN 55105 (Zip Code)
6. Date(s) and hours during which the non-intoxicating malt liquor will be sold
�
June�, 1987 12 p m to 5p m
7: For what will profits be used? Research, patient care
How will profits be disbursed (or spent)? according to MDA policy
8. Upon completion of events you will be required to submit a financial statement showing
expenses for event and use made of profits. '
9. Attach to this application a letter of consent from the owner and/or a person with
lawful responsibility for the premises for which this license is, being requested.
(OVER) `
10. Every applicaat for a temporacy On Sale Malt Beverage License sha11 file with his
applicatioa therefore, a bond with a valid Power of Attorney attached, in the sum
of Two Thousand Dollars ($2�000.00) . The surety on such bond sha11 be a surety
company licensed to do business in the State of Minnesota, and the bond sha11 be
approved as to form and execution by the Corporation Counsel. Said boad shall be
conditioned as follows:
a. ) That the licensee will pay to the municipality, when due, all taxes, license
fees, penalties and other charges as provided by law.
b.) That the Iicensee will obey the law relating to such licensed business, and
that in the event of any violation of the provisions of such law, the licensee
will pay all fines, penalties and other charges as provided by law.
c.) That the licensee will pay, to the extent of the principal amount of such
bond, any damages f�r death or injury caused by or resulting from the violation
of any provisions of law re'_�*ing *_o the business for which such licensee has
been gra�ted a license, and conditi�n�d that such recovery may be had from the
surety on the bond. The amount recoverable shall be measured by the.actual
damages, provided, however, that in no case shail such surety be liable for any
amount in excess of the amount of the bond.
_ _
STATE OF MINNESOTA )
) ss ___ _ ,
COUNTI' OF RAMSEY )
� 1��� �,ttl �i'�l beiag first duly sworn, deposes and says that he
has read the foregoing application aad lcnows the contents thereof, and that the same is
true to the best of his knowledge, information and belief.
Subcribed and sworn to before me
this 1�� day of � 19��
!%%��� �.`�����-�rt.. � " �
Nota blic, -F�aixse�- County, Minnesota G�
My commission expires � �
.
. .
,4,�r�.. MARY K.HILLSTROM
;"."''-''"'= NGTARY PUBLIC—MINNESOTA
.a;.�s�t?�.;
WASHINGTON COUNTY
�3.:"•~
� My Comm.Expires Mey 18,1988
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