HomeMy WebLinkAbout2001-023 Council Resolution•
Council Member Dahl
adoption:
introduced the following resolution and moved its
CITY OF LINO LAKES
RESOLUTION NO. 01 - 23
PREMISES PERMIT RENEWAL APPLICATION FOR LAWFUL GAMBLNG
AT SHIRLEY KAYES OF LINO LAKES.
WHEREAS, the City Council of the City of Lino Lakes met at its regularly scheduled
meeting of February 12, 2001, and
WHEREAS, the Lino Lakes City Council discussed lawful gambling at Shirley Kayes
and Centennial Hockey Association to conduct gambling at 6810 7868 Lake
Drive, Lino Lakes, and
WHEREAS, the City of Lino Lakes has conducted an investigation of Shirley Kayes;
and
WHEREAS, Shirley Kayes and Centennial Youth Hockey is in compliance with City
• Ordinance; and
•
WHEREAS, the Centennial Youth Association and Shirley Kayes appears to take into
consideration the best interest of the City of Lino Lakes; and
NOW, THEREFORE BE IT RESOLVED, that the City Council of the City of Lino
Lakes hereby approves the Renewal Premises Permit Application for the Centennial
Youth Association at Shirley Kayes of Lino Lakes.
Adopted by the Lino Lakes City Council this 28th day of February 2000.
C/90,1,67)
Ry -C el Gaustad, CMC City Clerk Jo J. ergeson, Mayor
The motion for the adoption of the foregoing resolution was duly seconded by Council
Member Carlson and upon vote being taken thereon, the following voted in
favor thereof:All
The following voted against the same:
None
Whereupon said resolution was declared duly passed and adopted.
• LG214PPR Printed: 9282000
State of Minnesota
Gambling Control Board
Premises Permit Renewal Application
For Board Use Only
Amt. Pd
Check #
Date
License Number: B- 03934 -003
Effective Date: 4/1/1999
Expiration Date: 3/31/2001
Name of Organization: Hockey Circle Pines Centennial Youth Assoc
Gambling Premises Information
Name of the establishment where gambling will be conducted
Shirley Kayes
6810 Lake Dr
Lino Lakes, MN 55014
County: Anoka
Note: Our records show the premises
is located within the city limits
Shirley Moore
6810 Lake Dr
Lino Lakes, MN 55014
Name of the property owner (If different):
Lessor Information
Square footage leased per month:
Rent paid per month:
Square footage leased per bingo occasion:
Rent paid per bingo occasion:
30
1,000
Bingo Activity
Our records indicate that Bingo is not conducted on these premises.
CARE: 'Roe CT GL -
Storage Information
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/3/, / )7/`' , 527k19
Twin City Federal
1059 Meadowlands Dr
White Bear Lake, MN 55127
On the lines provided below list the name, address and title of at least two persons authorized to sign checks and make deposits
and withdrawals for the gambling account. The organization's treasurer may not handle gambling funds.
Bank Information
Gambling Bank
Account Number:
5851499148
Name
Address
City, State, Zip Code
Title
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(Be sure to complete the reverse side of this application
This form will be made available in alternative format (ie. large print, braille) upon request.
Page 1 of 2 (Continued on Back)
Acknowledgment
Page 2 of 2
Gambling Site Authorization
I hereby consent that local law enforcement
officers, the board or agents of the board, or
the commissioner of revenue or
public safety or agents of the commissioners,
may enter the premises to enforce the law.
Bank Records Information
The board is authorized to inspect the bank
records of the gambling account whenever
necessary to fulfill requirements of current
gambling rules and law.
Organization License Authorization
I hereby authorize the Gambling Control
Board to modify the class of organization
license to be consistent with the class of
permit being applied for.
Oath
I declare that:
1. I have read this application and all
information submitted to the board is true,
accurate, and complete;
2. all other required information has been
fully disclosed;
3. I am the chief executive officer of the
organization;
4. I assume full responsibility for the fair and
lawful operation of all activities to be
conducted;
5. I will familiarize myself with the laws of
Minnesota governing lawful gambling and
rules of the board and agree, if licensed, to
abide by those laws and rules, including
amendments to them;
6. any changes in application information
will be submitted to the board and local
unit of govemment within ten days of
the change; and
7. I understand that failure to provide
required information or providing false or
misleading information may result in the
denial or revocation of the license/
i//4
ignature of th chie exec wve
officer (Designee may not sign)
atat
Local Unit of Government Acknowled ment and A m ' royal
On behalf of the city, I hereby acknowledge this application
for lawful gambling activity at the premises located within
the city's jurisdiction, and that a resolution specifically
approving or denying the application will be forwarded to
the applying organization.
Print name of city
Signature of city personnel receiving application
Title
Date
For the township: On behalf of the township, I acknowledge
that the organization is applying to conduct lawful gambling
activity within the township limits.
A township has no statutory authority to approve or deny an
application (Minn. Stat. sec. 349.213, subd. 2).
Print name of township
Signature of township official receiving application
Title
Date
For the county: On behalf of the county, I hereby
acknowledge this application for lawful gambling activity at
the premises located within the county's jurisdiction, and
that a resolution specifically approving or denying the
application will be forwarded to the applying organization.
Print name of county
Signature of county personnel receiving application
Title
Date
The information requested on this form (and
any attachments) will be used by the Gambling
Control Board (Board) to determine your
qualifications to be involved in lawful gambling
activities in Minnesota, and to assist the Board
in conducting a background investigation of
you. You have the right to refuse to supply the
information requested; however, if you refuse to
supply this information, the Board may not be
able to determine your qualifications and, as a
consequence, may refuse to issue you a license.
If you supply the information requested, the
Board will be able to process your application.
Your name and address will be public
information when received by the Board. All
the other information that you provide will be
private data about you until the Board issues
your license. When the Board issues your
license, all of the information that you have
provided to the Board in the process of
applying for your license will become public.
If the Board does not issue you a license, all the
information you have provided in the process
of applying for a license remains private, with
the exception of your name and address which
will remain public.
Private data about you are available only to the
following: Board members, staff of the
Board whose work assignment requires that
they have access to the information; the
Minnesota Department of Public Safety; the
Minnesota Attorney General; the Minnesota
Commissioners of Administration, Finance,
and Revenue; the Minnesota Legislative
Auditor, national and international gambling
regulatory agencies; anyone pursuant to court
order, other individuals and agencies that are
specifically authorized by state or federal law
to have access to the information; individuals
and agencies for which law or legal order
authorizes a new use or sharing of
information after this notice was given; and
•