87-1620 WHITE - CITY CLERK
PINK - FINANCE GITY OF S INT PAUL Counci! �J �
CANARV - DEPARTMENT / �
BLUE -MAYOR File NO. • _/���
�
Coun ' e lution
Presented By �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#52077 for a One Day Gambling Permit (Bingo)
by St. Patrick's Church at 4 1 E. Magnolia on November 15, 1987,
between the hours of 7:00 P. . and 11:00 P.M. be and the same is
hereby approved.
COUNCILMEN Requested by Department of:
Yeas•�1� Nays �
Nicosia [n Favor
Rettman
Scheii�el � _ Against BY
Sonnen
Weida
WllsOil N�V I � ��5� Form Approv d b ty tt y
Adopted by Council: Date
Certified P s d ouncil Sec r BY
By� ,
Approv by Mavor. Date � ��� i i �$7 Approved by ayo or Submission to Council
By
Pl!��iz:�� :��� :� 1_ i�$�
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� � , � 1�tQ Q11399 . .
�n � DEPARTMENT , - - - - - -
CONTACT NAME
�9�- kS�.ti C.o PHONE
� !O I 'L1 1.�1"1 DATE
ASSIGN N[J�tBER FOR ROt1TING ORDER: (See rever e side.)
_ Department Director _ liayor (or Assistant)
_ Finance and �snagemant Services Director � C ty Cler�
_ Budget Director � p , s_o�.�
� City Attorney _
TOTAL NUMBER OF SIGNATIIRE PAGES: (Clip 11 locations for signature.)
Q G ? (Purpose Rationale)
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0 ND 0 P C C
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ANCING C ODG T B C T :
(l�iayor's signature not required if under $10, 00:) �
. Total Amount of Trans,hction: �,PS Activity Number: � I�
Fux�ding Source: ��
ATTACHMENTS: (List and number all attachment .)
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ADMII6ISTRk��V$ PROCEDURES � 'fl
_Yes _No Rules, Regulations, Procedur s, or Budget Amendment required?
_Yes �No If yes, are they or timetabl attached?
DEPARTMEIIT REVIEW C�TY ATTORNEY REVIEW
✓Yes _No Council resolution .required? Reso2ution required? �Yes _No
_Yes �No Ixisurance required? Insurance sufficient? _Yes ,_No
_Yes �'13o Insurance attached? "
. ..
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' UIVISION OF LICENSE AND PERMIT ADMINISTRAT ON DATE (� j / 1 (,S ��g7
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicaut �, �'n, � C�,�,�� Home Address l t�°�$ �,a—�-o �!
Rusiness Name� �,,,`� Home Phone �� � - ���.p
c-- --
Business Address �'� ) � , ���,J Type of License(s)
Business Phone �� � .. B'� 1 � �� �
Public Hearing Date� License I.D. �{ ��Q'1'"�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� �1�
llate Notice Sent�;�/1� �o �Dealer 4� � J�
to Applicant j���; �� � �g�� �
�r Federal F3.rearms �� � �..
Public Hearing
DATE IIv'SPECTIO
REVIEW VERFIED (COMPUT R) CUMMENTS
A roved Not A roved
Bldg I & D �� � (
Health Divn. � '
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Fire Dept. i �� �� �
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Police Dept. �,� `� I
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License Divn. �
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City Attorney ��� �
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Date Received:
Site Plan I� ��
To Council Research ��� �z�I g"1
Lease or Letter Date
from Landlord '� �(�,. � �� � �����
, �a���
�L6.J, ` 29•s`
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'� CITY 0 SAINT PAUL
DEPARTMENT OF FIN CE AND MANAGEMII�iT SERVICES
DIVISION OF LIC SE & PERt'!IT RF�IST33ATION. '
INFORMATION IIIRED WITH� APPLICATION FOR TO CONDIICT BINGO�GAME IN ST. PAUL
1. Name of��rganization - � H � C l-� o�. •� 5 i �C�i� T/E, /G�C,,
2. Address where games will be held � 7/ � /�I A G i✓O L!A��
..... __..._. . . . . .
..._.. .. .. .. . .. _. ...
3. Address where regular meetings are hel `t 7� � /�/���U o �- /�A
4. Day and time of_meetings S�C��i� NI CN�/� Ea�l� /1�)c.v�k�_ �•�3�' P�'1
5. Name of Officer making this appiicatio �o y ��eL��s ki Title i^2rAsU�PE�
6. , Address of Officer making application /�C �, (�j,,e,q D L� St,Paul.
7. Name. of Manager who will conduct Bingo games ���n e.s. .1�A-�►�r�gN r
8. Address of Manager (o ,�, 1,(��LL S i St. Paul
9. Day, dates and hours this application s for, and how many periods.
_�� , ,�
•-Day SUNDA^i Dates /.V�c} t.S� /g$", ours '�;C C !a //.`��' P�'HNo. of periods ONc
_�
10. Will prizes be paid in money or merc dise? �j c l�
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ll.�Ts the applicant Association organized un,der the laws of the State og Minnesota?�/ S
_ 7r—
12. How long has Organization been in exis ence? �0� �r'��4�'S
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13. What i� the purpose of the Organizatio ? /?� L 1� F� !C �;, `�' ,�' D i!C��i i o.v�L SE',��'�«�
14. Officers of the Organization
Name�Gn���-s I- �-� i LL Address C c/S .�-2 S c� Title 7���S �,���•v f
._ _._ . --yRV�nl u �iJL v i's�l, . / c ��'S .�,' S��'. f1r cz.. ���s;����,�T�
�A�/1� C�',Q L S c7�'✓ . � 4J S.�.✓N S� D•2 I/� S�C 2 z�I3 2 '7
Ro N Z� � ��,vs �< ,' � �C- �r2g ���� '�R�as v�� 2
15. Give aetmes of officers, or any other p rsons paid for services to the Organization,
Name ' 1V 0 �tl G — Address Title
16. In whose custody will organizations re ords be kept?
Name�� o na A-.3 N , L L ddress l O J S L � So J
Co r-Fe e � o�9y.��j s
17. Will refreshments be served during the time these games are being conducted?�
18. If so, wi11 a charge be made for such freshments? �-�?s
�
(over)
�,� . ���7- i��
• • � Minnesota Charitable Gambling Control Boa LAWFUL GAMBLING EXEMPTION
r� � Room N475 Griggs-Midway Buiiding FOR BOARD USE ONIY
, 1821 University Avenue
• St.Paul,MN 55104-3383
�"��%�� (612)642-0555
`r?°:,
'' ' INSTRUCTIONS: 1. Submit request for exemption at least 0 days p�ior to the occasion.
2. When completing form, do not comple e shaded areas until after the activity.
3. Give the gold copy to the City or Coun y. Send the remaining copies to the Board. The copies will be
: returned with an exemption number a ded to the form. When your activity is conciuded; complete
, PLEASE TYPE the financial information, sign and dat the form, and return to the Board within 30 days.
_ Organization Name N be�of Members License Number lif currently or previously
���J ; --� � j -� L. / �� licensed)and/or permit number.
Address City State Zip County
� � �.J. !':._i . � . ,- ... . .
f�
Chief Executive Officer's Name . Phone Manager's Name Phone Number
`i:. .:, � ;= f-�, � , ,: , -;� , ,, ,
Type of Organization If Other Nanprofit Organization ICheck One and attach proof of rronprofit statusl.
.. ❑ Fratemal ❑ Veterans 0 IRS Designation
fr$Religion ❑ Other Nonprofit Organization ❑ Incorporate with Secretary of State
Attach proof of three years existence. ❑ Affiliate of Parent Nonprofit Organization
Name of Premises Where Activity Will Occur Da2elsl of Activity,drawing�sl
, "' . �
Premises Address City Scate Zip County
� 7r r' �i^ :� i= ,1 - - , . � , _ . r � .
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c.�.. �a. .. ��, >.
Game Yes ' No
R. e
Bingo �
Raffles x
Paddlewheels �
Tipboards �
Pull-Tabs �
Use of Profit
. . _ ; ' �
I affirm all information submitted to the Board is true, accor- � � t�
ate, and complete.
� ��- , � , r. / ,� � " - �1 a�. ..�;
.. _ .. � .
Chief Executive Officer Signature Date , _ .,, , _. . . ; , �y „�,, 4., „ �,•.�
ACKNOWLEDGEMENT OF NOTI E BY LOCAL GOVERNING BODY
I hereby acknowledge receipt of a copy of this application. By cknowledging receipt, I admit having been served with notice
that this application will be reviewed by the Charitable Gamb ing Control Board and will become effective 30 days from the
date of receipt (noted below) by the City or County, unless a esolution of the local governing body is passed which specifi-
cally disallows such activity and a copy of that resolution is eceived by the Charitable Gambling Control Board within 30
� days of the below noted date.
CITY OR COUNTY TOWNSHIP
Name of Local Governing Bady(City or County) Township Name(Must be notified when County is the approving body)
, �- .-+-, 1_
Signature of rsomReceiving Applicatio� �j'°�; _ Signature of Person Receiving Application
~� ' � j s�
� Title � Date Received Title Date
� ...,,,,� �
CG-00020-01(6l87) White—Board Canary—Board retums to Organizatan to complete shaded areas.
r`; Pi�k—Organization Gold—City or County
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-------------------------------- AGENDA ITEM ---------------------------_____
-------------------------------- ---------------------------
ID#: [413 ] DATE REC: [10/29/87] AGEN A DATE: [00/00/00] ITEM #: [ ]
SUBJECT: [1-DAY GAMBLING PERMIT - ST. PATRIC 'S CHURCH - 417 E. MAGNOLIA ]
STAFF ASSIGNED: [NONE ] SIG:[RETT AN ] OUT-[X] TO C�ERK �.98�AAf88] /O�z 9
ORIGINATOR:[LICENSE DIV. ] ONTACT:[SCHWEINLER - 5056 ]
ACTION:[ ]
C ]
C.F.# [ ] ORD.# [ ] FILE COMPLETE="X" [ ]
s � � r� +� � � � � � �
FILE INFO: [RESOLUTION/CHECKLIST/APPLICATION ]
C 7
[ ]
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