HomeMy WebLinkAboutCC RES 95-066 RESOLUTION APPROVING THE APPLICATION FOR PREMESIS PERMIT RENEWAL RELATING TO CHARITABLE GAMBLING AT APACHE WELLS Meeting Sheet
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103396
Box: 26
Folder: RES 1995
Document: CC RES 95-066 RESOLUTION APPROVING THE APPLICATION
FOR PREMESIS PERMIT RENEWAL RELATING TO CHARITABLE
GAMBLING AT APACHE WELLS
CITY OF ST. ANTHONY
RESOLUTION 95-066
A RESOLUTION APPROVING THE APPLICATION FOR
PREMISES PERMIT RENEWAL RELATING
TO CHARITABLE GAMBLING AT
APACHE WELLS
BE IT RESOLVED that the City Council of the City of St. Anthony hereby approves
the Application for Premises Permit Renewal made by the St. Anthony Sports Boosters
to conduct charitable gambling at Apache Wells, a municipally owned liquor
establishment, 3800 Silver Lake Road, located within the City of St. Anthony.
Adopted this 20�A day of ��D �,�hJ , 1995.
Mayor
ATTEST: !-
City Clerk —T
Reviewed for administration:
Cityanager
•
Central ' STATE OF MINNESOTA IFOR BOARD USE ONLY
GALLING CONTROL HOARD IAMT PAID
PREMISES PERMIT RENEWAL APPLICATION ICHECK NO.
L64PPR PRINTED:10/11/95 JDATE
LICENSE NUMBER: B-02945-002 EFFECTIVE DATE: 04/01/• EXPIRATION DATE: 03/31
40d-
NAME OF ORGANIZATION: Sports St Anthony Boosters T
GALLING PREMISES INFORMATION
NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED
Apache Wells
3800 Silver Lake Rd
St Anthony 55418
COUNTY Ramsey IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y
LESSOR INFORMiTION
DOES YOUR ORGANIZATION OWN THIS SITE?: No _
IF NO, LIST THE LESSOR:
City of St Anthony
3301 Silver Lake Rd
St Anthony MN 55418
NAME OF PROPERTY OWNER (WHEN NOT LESSOR) : -
ORE FEET PER MONTH: 24 AMOUNT PAID FOR RENT PER MONTH: 800
SQUARE FEET PER OCCASION: 0 AMOUNT PAID PER OCCASION: 0
BINGO ACTIVITY
BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT
STORAGE ADDRESS
251 5th St NW
New Brighton MN 55112
BANK INFORMATION
lot Bank
3928 Silver Lake Rd
St Anthony MN 55418
GAMBLING BANK ACCOUNT NUMBER: 11654011860
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.
rerr`� -�{Aod' �ci90 Zan /K-"n Pdsfj4A,44ioA, mo ��/�8 I�fGY Arc,Jr,�
(BE, SURE,TO COMPLETE-THE-,REVERSE,r SIDE OF THIS. APPLICATION)
THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST
ACKNOWLEDGMENT
GAMBLING PREMISES AUTHORIZATION
I HEREBY GIVE CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THE GAMBLING CONTROL BOARD, OR AG
OF THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS,
TO ENTER THE PREMISES TO ENFORCE THE LAW:
BANK RECORDS INFORMATION
THE GAMBLING CONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT
WHENEVER NECESSARY TO FULFILL REQUIREMENTS OF CURRENT GAMBLING RULES AND STATUTES.
I DECLARE THAT:
I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD;
• ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE; ;
• ALL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED;
• I AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION;
I ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING
ACTIVITIES TO BE CONDUCTED;
• I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES
OF THE GAMBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERMIT, TO ABIDE THOSE LAWS
AND RULES, INCLUDING AMENDMENTS TO THEM;
• ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND
LOCAL UNIT OF GOVERNMENT WITHIN TEN DAYS OF THE CHANGE;
• I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING
INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE PREMISES PERMIT.
SIGNATURE OF CHIEF EXECUTIVE OFFICER DATE
LOCAL GOVERNMENT ACKNOWLEDGMENT
1. THE CITY* MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY
LIMITS.
2. THE COUNTY** AND TOWNSHIP** MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS
LOCATED WITHIN A TOWNSHIP.
3. FOR TOWNSHIPS THAT ARE UNORGANIZED OR UNINCORPORATED, THE COUNTY** IS REQUIRED TO ATTACH
A LETTER TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS.
4. THE LOCAL UNIT OF GOVERNMENT (CITY OR COUNTY) MUST PASS A RESOLUTION SPECIFICALLY
APPROVING OR DENYING THIS APPLICATION.
S. A COPY OF THE LOCAL UNIT OF GOVERNMENT'S RESOLUTION APPROVING THIS APPLICATION MUST BE
ATTACHED TO THIS APPLICATION.
6. IF THIS APPLICATION IS DENIED BY THE LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED
TO THE GAMBLING CONTROL BOARD.
TOWNSHIP:
BY SIGNATURE BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A
PREMISES PERMIT WITHIN TOWNSHIP LIMITS.
CITY* OR COUNTY** TOWNSHIP**
CITY OR COUNTY NAME TOWNSHIP NAME
City of St. Anthony
SIGNA FP SON RECEIVING APPLICATION I SIGNATURE OF PERSON RECEIVING APPLICATION
TITLE T DATE RECEIVED TITLE DATE RECEIVED
Citv Manager
REFER TO THE'CHECKLIST FOR REQUIRED ATTACHMENTS
MAIL TOs GAMBLING CONTROL BOARD
1711 W COUNTY RD B — SUITE 300 S
ROSEVILLE, MN 55113