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87-1202 WMITE - CITV CLERK PINK - FINANCE G I TY OF SA I NT PAIT L Council (� /J CANARV - OEPARTMENT File NO. u � /Y`�� BLUE - MAVOR � Council Resolution '-��, , Presented. By �' '( ' Referred o Committee: Date Out of Co mittee By Date RESOLVED: That Application (I.D.#18236) for a Two Day City of St. Paul Gambling Permit by Sacred Heart Church at 840 E. 6th Street on September 12, 1987, between the hours of 6:00 P.M. and 10:00 P.M, and September 13, 1987, between the hours of 1:00 P.M. and 5:00 P.M, be and the same is hereby approved. COUNCILMEN Requested by Depactment of: Yeas Drew Nays Vicosia � In Favor Rettman 5cheibel 6� Against BY 5onnen G�Jeida v�•json AUG 18 1987 Form Appr ed by City Attorne Adopted by Council: Date Certified Yas e y uncil S a BY By � �� ^ ;" A rov Ma or for Submission to Council A�pprove 1Vlavor: Date �' ` 1�� pP y Y By BY Pt�l�� ,u G 2 9 198�' . �, Z `'l � 3� I 5�, �j��'7-/�o.� � DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE `�'I l3, � � �'� INTERDEPARTMENTAL REVIEW CHECKLIST Applicant �;'�CY�G -�ec.tt - Jt•�r'�"ln �-�1cx� Home Address _ ��U � � �� S-�. - Business Name C��e� ut.'c�.lt �-� Home Phone ��(� -� ��` Business Address ��(� � � �� ,, • Type of License(s) , Business Phone ��- o�� `t� �� -�� Public Hearing Date � � License I.D. # � �(0_23 � at 10:00 a.m. in the Coun 1 Chambers, 3rd Floor City Hall and Courthouse State Tax I.D. # e REVIEW DATE DATE INSPECTION APPN REC'D VERFIED COMPUTER) COMMENTS �oved Not ed Housing & Bldg � Code Enforcement � I !k � I Public Health � nj � , � i Fire Prevention � �� , � Police � � I� � i City Attorney � �/ � I ENS � n �a � , 300 Foot Notice � � � j � License Inspector's Comments: I HAVE BEEN GIVEN A COPY OF TIiIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT THE PUBLIC HEARING IS REQUIRID. CURRENT INFORMATION NEW INFORMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Current Officers: Insurance: Bond: New Officers: Stockholders: � � �---- -- - �-- �,1�0 7 /��°2 � , :,�_.'�--- �- �- - -- ^- --- --1- - ::�:'...-�.�..:_ .,�-..�.,�.. J1�T�..1V.� •L� 1..Ivua��i.J .'t11L ?r,?u�rLT 2'1..'ilrl��^Zll�o.l - - • - - - •-- - ----� •TT�,� -�,� ,.^ •r*m •--*-�- .. _�..� �-,- .,,. T•• - _ •r�r ��.n�_�.i _v _ . . rn.^�.• - - _ S�cred Heart-St. John School (School Board) �. 4cicress �.�rre�e :r�ar��a�ioa's rs�zla� fR^@yi.:.rFS a_s tieid 835 E. Sth St. �aul, mn 551U6 z. �a�: a^d ti-e �r ;�eAri�� First Thursday oF month -- 7:30 p m _. .ad.ir�s� ;�:-.e�s r3IRC�:.^F �e�sior: *�ri?1 re he_d 835 E. Fifth Street _ . I� ^•-l��S::+ .:.r,er O� ^.r�T`c,.t-� -.11-E"n '.:ar..!:1::.F �?esinn t.til? }�c r�aiC^ X _r?$ �� _ . _r �.°_3�P.:� li::O _S ...;nPi �° Yr....o,..��- :r�:°:.°. �rg�-�•__;iF' �e=s'_cr. __� }i4? .'.?�'..�� ., -c- y��': 3��5:;: .�,_B��c2' Of L°T'-'�SS=OII �C CC71.^..UC' :2i�'U:.�`:E" JE:S�iO:.� S'-E''."�.� �'-- _._.- 'y . I • �_ _ ' � . . l'.l .J-._. }. .,ar.,e o£ of��cer :�2.i�n� a��i_ca'�icn O�vid Uerlo 9. h�::ress ef of_`i�e� m��ng aFF1�caticr. 395 Londin Plance 55119 La�e of byrth �'�1� 5� ly� _ _ �y . , v . PZt �amn.is .is.',12 Gi �^:�.'Id�?" .v._O Ld� CQrC'.:..^� �'•2.r:��_��1€ occ� ,^�P. rJCJ�71 q_1!�../i!1 =�. :��.._��s c: -��acer 1101 Dayton Ave. W. , St. Paul Park mn � _.,+r � �ate c. !�• i_^_ CO^.'1@C�iOI; w�1..;= iJrZ� ?7Qrt 1S C�'�S �,13I":��i_^.P .ci2S5�,^.II �o:I'.� hcl�? 8�zaar (Fund Raiser) �� . �'_?t i,;.^pE Ci' f'3.^:�11^E' �?�iC°�5� :d?�� 8 L15ei1:' ?3CCi'°41�"oa]. X �:�.^.��&T'� x '-:ar` -°- X __. =s�r, da�es ?^� `:c�s tr's apr'_cat_c:� :.� -or �Tc �,:.^'�e� o` ses�__r.�. � Sept. 12 �:00 - .L0:00 pm - �a"is `, 2 �a�os 13 ,��;8� - 6:00 Pm '.'o. o` `.'ess:c*:s 2 J � 'r '=1' �r�es `^e �.�i�: in �enes er -�erch?.rd?se' both L. • ..�. r. _ . 1� . TS ...'_� 2^7�_C271: 25°�C1dti0P. Cr�2S.;ZE`� ll71C:P.Z' ��g ��:d5 C_° �i.ti:2 S�at.e O' _�in*�a�O�S'' YF'S . y-. ::c.r icr.� :as Cr<ar��a�icr b°°n i-^• eVistence? 1�0 years _. . ':2� :s `_.`e �:s^oss o: �'.° �r�ar:�at'_�n^: Religious Education - E lementary 1;. :,i;�cers o_° �'r,e Or�a:-.ization :ia:�e-._t1e kddr�ss �ate of �i-t'� David Uerlo - President 385 Londin Place 55119 6-10-50 Lo��is VettPr - Vice Pres 1201 Wilson St. 55106 7-12-44 Loi4 Aguirre - Treasurer 1048 �essie St. 55106 9-10-39 , , . ��-iao� • __ • �� '° •-:•3'.:5 ..� O��-Cp15 C^ ?'"„ C�:E_" �°_'_'�O.^_S ^.2'.� _O: co�:=.0?S LC1 �:'.°_ �:"f'S.^_['.3i,_Oi.. ' �,sr;e- t�e :�odress �:ate o� �� th �l. L.^. :�.p�° C:15T...^. � 'n^_.'L� ^OCvT':S OI ��'�ar�za�iCI1�5 U3I'�1_.^+� 525SyC:1S }`g Vo��? ;- -,A Sister Katherine Rossini �rincipal Q� p35 E. Sth St. St. Paul mn 55106 .a. ��r....s ► � per your ofFice - 22�23,24,25,26 - no copies necess�ry to attar_h G2. nttSCf: 8 CCD� Oi J0�12' �'"�3P.=zaZion's ..-,e�bers'r.ip roster and date eac:� r�e^��er �0:._'1P.!:. 2� :t��3C: :::@ .:?-.i.^•1.=�'� :.°_S�=^.^ .�2..nae;or1S CC:'i�. G�. ..`..�is��"_ A C' �i �:° _F_':'3:'�::@T:� .,_ �:F -�r_85L �! �:1�°••;•�l '�c4-c':'12 2��:CF.. �:�.2�J:'^ Oc ��i=?'i:3�.:'�^V_��. ,. �_ .... 1":C.^,�"_2 -3:tr� -0"..' ".^.n. \:r:,3'��2'_' �: C.�L (. � � i _ . � r �— �[. iT.tBC^ 3 ^C.^,;; 0� �er�:��2`:`. O� i.:o .:^ncciy-� T':;eraal '�.;?.^.Z12 .:@�7;:°� ��.;:°-:�� "f'3P.- �'L3�_C.1 �'15'�_^.?SS _:1CG:1? �c�.Y�i� "'0_T'^ i�;-..'i. �'��Zrter L:1�.'1i.: ��• , ��'. .it�3C:: ��"° 31'"::1.:� _ ^O:'� :'?�^,'L?'?C''_ Or C:".37':::^!P, or�ar�zat_ozs �:V •-=-'-:l��C�3 ��3:']Lcc .. � �2C��:: ?t��' �� ;^�2�,±?I' 11q.C� ( . � }j ? 2 i'. ?:BCQ �-�-�ll ,^P3C: 3P.� '�Q ,"Cll t�'?O^OL1E'�''17 '1t:�8`-S1S:,� }}�P_ �2"3�r=S10^S O�' 31� :.Ss'S� ^I'rl�^2^C°.S 3"!� :°"•'.�3'�_7P._ '�?,-E>r-,�._. �:P O^?:'1?=OIi G_ �3-ti1��;'.F' �e;��CT'i�� y9S �._ • _. .,..�.. ?5 �o5=-�c.:i ti'� _.^.2 nci.��.;C2i:� 2�5: C�c�lOP. "12V �� 'l2'?2 OY:1'': �'i��:i �ia2 .,..:�Sr''!� O`� th� �icer_se ;en,-�ittee. ��. �ISS �Ily L�PT'S'?.''i�S j Do.��C_F%�t�.^.F' �Il �f:� CF?°_"2i,1.^I: Of 3S;': 7c `_�'o ��..:)y_P.�' S2°��.OT:S CO"- E,@� �y ;f'.1S _�.C°.^.52 Z�2T' beer. c��^��C�2G CI' 2 `e�ony 1.^. t�'2 J�3Le 0:' • �:"1?2`'C'_3 or ;n c.:1J Oi.:2:' :�:Si.° �I" �°C°I'3� �.C'.L:t� ZZS ,.O X I� �*:�.'i?I' 15 ��%°C�� J:'C?��° r.a�es, add:esses a_n� eir�h-dates. Sacred t�eart-it. John 5chool (School 9oard) e l�rE.ar.iza�iar.) David�Uerlo - President . -r ��/i�i�=_ �T�t�,l�,' arG Pa t C,�mni s �� • !:ian�,er in c:ar�-� o�' "a��i:.� �e�sien;: J}i.aL@ o: =1n.^_esct3� ;�.. �o•i.'�� of :�:a:sA;• j Sacred Heart-St. John School Board David Verlo an� C2'_^F ...l;t' SIvGI": 52;. ��.L� �.,.°' " 'Q �:i2 ^°`,.��:Q:.�^5 _II �tIB 3�O�e ar^��CS'_�ri; '�':3C '::2'" !':2"S »O:_ �'.�:? i:�2'°E'oir,r ^.•Et=t,O^ 3..::.� .',�p41' �i'1? C�l:�a_L:�S �`.�':P.I'°Of: t1:2: �r2 SS^9 �S '7"_:^ - .`•�" . �1:vI: T��,�.�.;1 c�-;�c. Jv. ;.M'- �:�'SC?'' rEC� ?I7� Si:�?") �J ��E�'�t$�..; IO� ''a;,• :i EM�M�NN � /)') ` _ � iPPN� Ge ��e 6. � v/L�c(1 P S .:c�a ?uc_y - 1 �^ c r" =�'- °r�l; My t�^� •1-- e5 `a_ -;; c�r��ssi�:, ��'�e -�- � , � .,�.i_�yr�- �e�3:"'..:�@:�t npz�oved �isar�:cvad r; ri�e ::e^2_"�-E'!lt .�^r.~ovad �isat^rore� ��% :o;_�e �e^art,er.t �.; rc�e•� ..�:s�r�r_V�^'—�:;� ., C'��i �� Minnesota Charitable Gambling Control Board LAWFUL GAMBLING EXEMPTION �� Room N475 Gri s-Midwa Buildin - 99 Y 9 FOR BOARD USE ONIY 1821 University Avenue - St. Paul,MN 55104-3383 '�'�"'�� (6121642-0555 INSTRUCTIONS: 1. Submit request for exemption at least 30 days prior to the occasion. 2. When completing form, do not complete shaded areas. 3. Give the gold copy to the City or County. Send the remaining copies to the Board. The copies will be returned with an exemption number added to the form.When your activity is concluded;complete the PLEASE TYPE financial information, sign and date the form, and return to the Board within 30 days. Organization Name txense Number IH currentiv a previously Gcensed) 5acred Heart-St. 3ohn Schoal Address City,County,State,Zip Code 8�5 E. Sth �treet ,t. �eul* �itn �5106 �amsey Chief Executive Officer's Name Phone Number Manager's Name Phone Number ilavid 'derla 7?6-2703 Pat Ganani� 'i7�-274I. � Type of Organization If Other Nonprofit Organizatio�ICheck One) ❑ Fraternal ❑ Veterans ❑ IRS Designation C� Religion ❑ Other Nonprofit Organization ❑ Incorporated with Secretary of State ❑ Affiliate of Parent Nonprofit Organization i� ,' ,�' Name of Premises Where Activity Will Occur Datels)of Activity l� .:��;c�' � r: ' 1� .y,�_T- 'r�.: ,;�r_ f� 9- ;� - •�7 Premises Address �" r. r i .� �-� �.� -ti .. • ,. � „ i , e , y �. , � 4r� ,..' . f_-' — ..._� ?'i: c-L.i � � . / t 1 r..l [. , l,'i i: > ='! ! ' !e `1 � - �-. Games Yes No Gross Receipts Value of Prizes Expenses Profit Bingo x Raffles x ' t Paddlewheels "k ' ' _ , , , _ -r - - - - Tipboards x Pull-Tabs x Use of Profit Distributor From Whom Gambling Equipment Acquired Distributor's License No. I affirm all information submitted to the Board is true, accu- I affirm all financial information submitted to the Board is rate, and complete. true, accurate, and complete. 6-3�-8? Chief Executive Office'r Signature Date Chief Executive Officer Signature Date ACKNOWIEDGMENT OF NOTICE BY LOCAL'GOVERNING BODY I hereby acknowledge receipt of a copy of this application.By acknowledging receipt, I admit having been served with notice that this application will be reviewed by the Charitable Gambling Control Bo�ard 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 is received by the Charitable Gambling Control Board within 30 days of the below noted date. CITY OR COUNTY TOWNSHIP Name of Local Governing Body ICity or Countyl Township Name(Must be notified when County is the approving bodyl Cit oi St. Paul Signature of Person Receiving Application � � �� i� Signature of Person Receiving Application Josenn Carc}tedi .., -' -t/1�/87 Title Oate Received Title Date Licerse Ins�ector CG-00020-01 14/86) White—Board Canary—Board retums to Organization to keep Pink—Organization Gold—City or County