87-1266 � WH17E - CITV CLERK .
PINK - FINANC£ G I TY OF SA I NT PAU L Council ///}}j
CANARV - DEPARTMEN7 t � {/'�J �' /.h/ �
BLUE - MAVOR . Flle NO. 0 I �
�
Council Resolution -- -
Presented By �
Referre o Gommittee: Date
Out of Co ittee By Date
RESOLVED: That Application (I.D.#80272) for a One Day City of St. Paul
Gambling Permit (Bingo, Raffles, Paddlewheels, Tipboards, and
Pulltabs) applied for by the Church of St. Patrick at 471 E.
Magnolia on September 27, 1987 between the hours of 1:00 P.M.
and 5:00 P.M, be and the same is hereby approved.
COUNCILMEN Requested by Department of:
Yeas Dr'�w Nays
Nicosia
Rettman In Favor
Scheibel �J
Sonnen Against BY
Weida
Wilson SEP — � �� Form Approv by City A orney
Adopted by Council: Date
Gertified Yas e uncil Se ary BY
By
A►ppr v by Mavor: Da �- � 2 �� Approved Mayor for Submission to Council
By
PUB�..6�3 ���r �. ;� 19$7
. C._�. � 1 � � ��� �,`�'_����
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE � ) 1 ` �`�
INTERDEPARTMENTAL REVIEW CHECKLIST
_( r c L"J
Applicant ��L1 rC.YI p 1 ���c�rJ(lC.� Home Address ��(Q '�.�Q Q,�
Business Name �:�vYns- Home Phone �`� (�-,3 S�
Business Address �� � , Type of License(s) � � . G��Q
. �j ,'�
Business Phone '1 "-j(o - ����p � ` �rn:
Public Hearing Date � License I.D. # ��Z'�'o2
at 10:00 a.m. in the ounctl Chambers,
3rd Floor City Hall and Courthouse State Tax I.D. # y\,� R
REVIEW DATE DATE INSPECTION
APPN REC'D VERFIED COMPUTER) COMMENTS
�oved NOt '
Housing & Bldg I i �
Code Enforcement � t � �
I �
Public Health �
ll � I IL
I
Fire Prevention �
'�► ( -�--1 ' Y1
�
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Police �
�1 �► � �. 1,4-
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City Attorney � I ` I �
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I
ENS �
✓� I
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300 Foot Notice I
II I
License Inspector's Comments:
I HAVE BEEN GIVEN A COPY OF THIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT
THE PUBLIC HEARING IS REQUIRED.
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
New Officers:
Stockholders:
t � � Minnesota Charitable Gambling Control Boa�d LAWFUL GAMBLING EXEMPTION
���'' Room N475 Gri s-Midwa Buildin
99 Y 9 FOR BOARD USE ONLY
1821 Unive�sity Avenue � ,
- � St. Paul,MN 55104-3383
:°°���� (612)642-0555
�" 7�"?
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 o�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 License Number Ili arrentiv a preHwsM��dl
`�77 `,T7 7,;'i^
l�. 1�`
Address City,County,State,Zip Code
I,� .i �l'- ,��•i ��+ , . S - .- � ' ' . �
Chief Executive Officer's Name Phone Number Manager's Name Phone Number
�;:.� :�., . ;; _-� 774 8�675 7arne �.�o. 1 ?� �� !o
Type of Organization If Other Nonprofit Organization(Check One)
❑ Fraternal 0 Veterans ❑ IRS Designation
�1 Religion ❑ Other Nonprofit Organization ❑ Incorporated with Secretary of State
❑ Affiliate of Parent Nonprofit Organization
Name of Premises Where Activity Will Occur Datels)of Activity
.. � `.: .?'ti,.� '<1 C. �.j.�:-,T
.. .' ' ' ' .. . '> _
Premises Address ''- - - - - • � -'
, .! . t . - — s� i _ 1
Games Yes No Gross Receipts Vatue of Prizes Expenses Profit :
Bingo :
Raffles •
Paddlewheels .
Tipboards �
Pull-Tabs --
u$so�Frofit
D#btrib�ttorFroen MflEwm Gambfing Epu'rpme�t Acquued. . distributor`sLicense Nc_
I affirm all information submitted to the Board is true, accu- .t:afFii�x ati f►naneiat.inforrnation submitted to the Baard`is
rate, and complete. true<<.ac�wrate„ar�d eomptete.
� - , ' � .
r � r' �, , .
Chief Executive Officer Signature Date Chie�Eic�ccitiue E1€ficar�gnaturer Dat�
ACKNOWLEDGMENT 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 body)
Cit� of St. Pau1
Signature of Person Receiving Application Signature of Person Receiving Application
Jose�h +:archewi ; .:;,7/7/,:7
Title ' Date Received Title Date
L�c�n�. Ins�ec*ar
CG-00020-01 141861 White—Board Canary—Board returns to Organization to keep
Pink—Organization Gold—City or County
�f�-�a�P�
7'.:J. �:1V2 ?12,.I.".QS 0�� OS'O�C@1"S O?' 3.*L;� otne� �?i SOPS ^8'Q T'OT' S@T^T=.C@S �O �C'_2 .,"^c1*'�:.Zc.t�v7:.
;iame-Title �cdress 7ate of �_rt::
None
21. �.^. ri�:OS° C'�t'.CC�.j' '�1�1 �'°COZ'.'1S OZ' C7T'�3T1.l.za�icn's G8.I1itiJ'1_ri�' �'JZSSi.OIIS �° T:°!Jt.�
;+�e Thomas F. Hill tia�yAss 1095 DeSoto, St. Paul, NII�J
22. �ttach a copy o� your Crganization's mem�ersY:ip roster and date eacn member joined.
23. ����ch ti�e G2T,1bli*1� Sess:.or :•`ana.Fer`s bor_d.
2�:. iit�2.C:'_ a COb� Oi �re ::@t,32'trer_t 02' �::8 Treasu:,y, I:1t2T'i181 .'.evZ?iil@ 7e�ce ��:'•_2LUT'i. 0:'
QZ'�3i�l�S+i.10:: 1Y2!'T;� FZ'O� !riC0�:.2 m3X«� i OT'i?l 9Q�. �CP2��?r �:i�.'.^i� �1.�.�
2[. �ZLBCh 3 CODJ Oi 1�2Dc^.T'L:'!2P.t O� L i° 1="O2.SL1T'�v'� InL2r�21 °°ver_ue �@^'V�C8� ���':{2.T�TDt C?'r an-
ization �ks�ness Ir.come TaY", ?or:n 9°OT. (C:anter L19.0� (2}. i
26. :�ttach the annua� report recuired of c:�aritable or�anizations by i�1ir�eGo�a S�atutes,
Section 3�°.53. (Chapter Lt19.0l� (3)• i
27. T:a�e �ou read and do yeu tno^ou�^hi� uncarstar�? the nro��;.sior:s of all laGrs, ordiLl2:iC?S
and re��.:`a�ions �overnin€ the cperation or Gamhlir� Sessions? Yes
2°. tlny cY-.an: es des=red b� t.re appl�ca:,i asseciatier. *�af ne nace o*:l�y ��rith �he ronsent or
the Liccr.se CorL-nittze.
29. iias ar_y �erso�(s ) �articinat�ng in �ne operation of any of �Y:e �a^blin� sessior.s co�-
ered by th�s 1�cense e�er beer. concicted of a felon� in tre State of :.innesota or �n
any o�r.er State �: :eGeral Court? '�es ":o�_. I° zs:swer is "�res", �rovi:e
:alr:es, addresses and birth-dates.
CHURCH OF ST. PATRICK
�CrEanization
RV _� `yrsiC / -
(0°ficer-Tit1e Thomas F. Hill, President
. ,
a.*:d tlirc.��
(::ana� r_ c:.ar�e o= Caa�b?�n� Sessicn)
State of l�s�esota} James Damiani
)SS
County of �a;�sey )
ar:d
being duly s��ror� sa�� that �'r:e�r a~e the aetit:.oners in the above a^�i�ca��or.; �hat �:e�� havs
ra�d t::e iore�oin� pet�tion a.^.d Ta:o�� �he contents t'�ereoi; Li:a+ ;he sar�e is +�,zn o° t`eir
o:�r_ ur_o�ale��e.
�sas�eae.�++++•�.+a►
S �� cr�ced ' s:-r r�. o be��re me �"; � .,...
�—a-_a� � �o"� ....�,,.�^.;;�.. ��1�RCELLA. G. SC-��LL!NGER �
� '��,,q,!��� "�` NOTARY PUBLIC —Mi�!NESOTA
�� A//� % ��"''°��� �lF1ir�JC�i� C�;U!`iTY
lG�� �`�"�'
v i My Commissio^, Expires��ar.21,1991 �
ilOto2^,�' i 11�1iC� `�iO11IluV� :1���S0:2 '*N�
:•�y ccrun.ission P�ires
3uildi*� �epar�:;en� :�.ppZ'oved �isapproved by
+"�=•'- �2.��"+..u.2Ili. iiDD:oved =r�sa��roved tiJ�
--". - --�
?ol�ce �e�art^er.t �p�roved ��sar�-r�v?d oy
' � . Y li��� V� v_ • �.:�L �.�.J l�+
` � . � .._..i:li'�.T-.r.�T 1.:� .j._'.'r ri t_.'.y 1:LL't._l�.J.....1.� .�_'....++lJ:...
C'— -� , m � T nr �TT!�"l�.
��VI�iC:i ur :�Ii.c,:1S� :u�;�J ?�:'u•ffl �1�II�?I��:�:.��.t
r r T..,m— m T T,^•'1 m /+ �1eT .r m ,� T
I_^Gt_�:;iTICN :-�,CJI=� •iIT�? a?°;.;�.��!Ci? �'OR ?"Ri�'!I_ 10 CC_.�iJC_ C��.i;�LI:'� S�SSlv,. .; _ �:iJL
1. ::a:::z o' ���roar_' �a�ycn C�-�UiZC:i QF ST . PATRICIC
2. Address whero C��anization's �e�ular meet�ngs �re held 4 71 L . �"a�a o 1 i.� _
3. �ay a.^.d ti^�e o� :neezin�s Second Tu�sd4v of �ac:z Mo�ti1 . 7 : 00 � .J1 .
!�. Addr�ss where Gamblint? Session .1ill he �^.eld 471 L . �'an�olia
;. Is aen?icar.t o��ner o' �ro^er�� -•�'r,e�e :la^bli-:�- Sess�cn �•rili re !?e1C? ��s g ''o
fJ' . �� Ieasec., :•7r0 _S o*.uner Of iJT'��erL? ri:.BT'A Gar,hl�Tlf�essicr. ?�"!�i hP �:Z��`:
7. I� leased, attach letter of per;�i.ssion to conduct Gar�blir� Session, s=gned by lessor.
� . 'Iame of ofi icer :na.�n� applicaticn 2 o v�P 1 � n s!-;
°. �:ddress of of�icer na't�ng application 1 406 �ra cl l Py Date o* birth 8/29/24
10. �ia:�e af r�a.*�ager i;'r_o will conduct Ganblir.g Session ,Ta�P� n�-.,; a�;
11. nddrsss oi r�ar.ager 626 Wells, St. Paul, MN ��te c� 'r.��th 10/22/1915
12. In connection with what event is this Gamblin� Session be=r:g held?
Church Fall Festival
13• '��'hat type of gar.iblin� de�rice(s) wi11 be useci? Pa.�dle�rreel X'�pboard X L.3t r!2 X
1!�. Da;�, dates and hours �his a�pl�cation is �or ar:� nL:mber of sessicns.
�'.vv�J�'� �J i�
Da;�(s) Sunday Dates Sep,,.r 27.1987 Hous's 11:00-7:OOpm r'o. of Sessicrs 1
1�. ;�diL pr�za� be paid in monev or merchandise? Both
/ 1.5. TS �L° 3T�D�wC2rit 3SSOC1.3t1CI1 O:'�32'L:Z°d under �:�e �STn7S C_° ��:8 State OS '_�.7.P.^2SOt3� 1'2S
17. ro�r lor.g has Crgar,izatiar_ been in existence? 104 vears
1�. :;naL is the purpose ei tY:e Gr€ar.ization? ReliQious and educational services
19. Gff�cers of tY:e Grganization
�Ja�Te-Title Address Datz oi b�rLh
Tho�s F. Hill. President 1095 DeSoto 12/23/1939
Irvin Udulutsch, Vice-President 1095 DeSoto f�� /� f�',��
Ann Carlson, Secretary 1745 Sunnyside Tr 04/18/1960
Roy zielinski, Treasurer 1406 Bradley 08/29/1924
�7-%���
A G E N D A M A T E R I A L S
COUNCIL ID4� 1��,( - --. DATE RECEIVED
� AGENDA DATE AGENDA ITEM 4�
SUBJECT . •
_ �
ORIGINATOR CONTACT
RESEARCH STAFF ASSIGVED DATE SENT TO CLERK
COUNCIL ACTION
MASTER FILE INFO AVAILABLE . � ' �
ORD'IRESOL. �6 DATE FILE CLOSED
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