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Home My WebLink About4H - PL Optimists Gambling AGENDA #: PREPARED BY: SUBJECT: DATE: INTRODUCTION: DISCUSSION: ALTERNATIVES: RECOMMENDATION: ACTION REQUIRED: (AG9533) 1- ~ .. ! I // tc i ~i-I(! Approved STAFF AGENDA REPORT 4(h) LAURIE DAVIS-FRIEDGES CONSIDER APPROVAL OF RESOLUTION 95-33 AUTHORIZING THE RENEWAL OF PREMISE PERMITS FOR THE PRIOR LAKE OPTIMISTS CHARITABLE GAMBLING MAY 15,1995 The Prior Lake Optimist's have operated Charitable Gambling (pull-tabs), in the past at Extra Innings and Hollywood Bar and Grill with no problems reported by the Prior Lake Police Department. The organization has submitted the State of Minnesota Premise Permit Renewal Application, Lease Agreements for both premises, the premise permit fee of $100.00 and the Certificate classifying them as an exempt organization. All information requested is in order. The Prior Lake City Council may approve or deny the request for renewal of the Prior Lake Optimist's Premise Permits. Staff recommends City Council approve the request for renewal of the Prior Lake Optimist's Premise Permits. If approved, please sign below, sign both of the State of Minnesota Renewal Applications where indicated by II X" , and the resolution approved by the City Council and return to Laurie Davis-Friedges in the Lic~sing Department. // //\..----., -1- 16200 Eagle Creek Ave., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER RESOLUTION 95-33 "'INNESO't~ R OLUTION AUTHORIZING RENEWAL OF CHARITABLE GAMBLING PREMISE PERMITS FOR PRIOR LAKE OPTIMISTS MOTION BY: WHEREAS, WHEREAS, WHEREAS, {Seal} (RS9533) SECONDED BY: the Prior Lake Optimist's are applying for renewal of their Premise Permits in order to conduct Charitable Gambling at Hollywood Bar and Grill and Extra Innings Saloon and, the organization has met all requirements in order to acquire a Lawful Gambling Premise Permit for each premise requested including payment of the permit fee. Further information can be obtained from the Staff Agenda Report and, the organization needs a signed Resolution from the Prior Lake City Council in order to complete the State of Minnesota Lawful Gambling application. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF PRIOR LAKE, MINNESOTA, that the application of the Prior Lake Optimist's organization for a lawful gambling permit at the premises of Hollywood Bar and Grill and Extra Innings Saloon be approved on the basis that the Council finds the application to be in conformance with Prior Lake City Code Section 3-8-4. Passed and adopted this 15th day of May, 1995. YES NO Andren Greenfield Kedrowski Scott Schenck Andren Greenfield Kedrowski Scott Schenck Frank Boyles City Manager City of Prior Lake 16200 Eagle Creek Ave., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER 1 . Hortheast STATE OF MINNESOTA GAMBLING CONTROL BOARD PREMISES PERMIT RENEWAL APPLICATION LG214PPR PRINTED: 04/11/95 FOR BOARD USE ONLY AMT PAID CHECK NO. DATE LICENSE NUMBER: 8-02523-003 EFFECTIVE DATE: 10/01/93 EXPIRATION DATE: 09/30/95 NAME OF ORGANIZATION: Opt~ist Prior Lake Club GAMBLING PREMISES INFORMATION NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED Bxtra Innings Saloon 16299 Main Ave SE Prior Lake 55372 COUNTY Scott IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y LESSOR INFORMATION DOES YOUR ORGANIZATION OWN THIS SITE?: No IF NO, LIST THE LESSOR: Lanford Adler Box 411 Prior Lake MN 55372 NAME OF PROPERTY OWNER (WHEN NOT LESSOR): SQUARE FEET PER MONTH: SQUARE FEET PER OCCASION: 76 o AMOUNT PAID FOR RENT PER MONTH: 1000 AMOUNT PAID PER OCCASION: 0 BINGO IS CONDUCTED ON THIS PREMISES: No BINGO ACTIVITY IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT It. :)')Cj -MAl'" /~v~. ~; { ']' '37' ~JAi~. J;).- Prior Lake MN 55372 STORAGE ADDRESS BANK INFORMATION Marque~te Bank Prior Lake t- 16817 Duluth Ave Se Prior Lake MN 55372 GAMBLING BANK ACCOUNT NUMBER: 807875 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. ;.i .L) c,' I/J 1-+ !- K ! . - /71 )') - )v1/1 / ~ I (- L Iv _ ") / /~,' c .<: / t... .r-=1/~~ /.... It. 7 A.. ".' #)... L ~ /.J M .A.'I :' . !) -7 (BE SURE TO COMPLETE THE REVERSE 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 AGENTS OF THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS, TO ENTER THE PREMISES TO ENFORCE THE LAW. BAHIt 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. ~IGNA~__ ~ C1!_:[~ EXECUTIVE,: OFFFR f... '- \. :'-. /); '- """ J) \. . )':\,.= ~"-~~I ~~~ ~~'~ L6CAL) GOVERNMENT ACKNOWLEDGMENT 1.'-1HE 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. ~ 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. L/ I ~ DATE --.. '1 ,--. ~ .,d / - L; S CITY* OR COUNTY** TOWNSHIP * * ( '-' t ~! -jJ' II1AL~~ll DATE RECEIVED ;;//~/7J REFER TO THE CHECKLIST FOR REQUIRED ATTACHMENTS MAIL TO: GAMBLING CONTROL BOARD 1711 W COUNTY RD B - SUITE 300 S ROSEVILLE, MN 55113 I I I SIGNATURE OF PERSON RECEIVING APPLICATION CITY OR COUNTY NAME ('~,t I 0-( '-- P,L~ /-:r.L/:L,,-, { FI' SIGNATURE 0 _ PERSON RECEIVING APPLICATION ~ TOWNSHIP NAME TITLE TITLE DATE RECEIVED Northeast STATE OF MINNESOTA GAMBLING CONTROL BOARD PREMISES PERMIT RENEWAL APPLICATION LG214PPR PRINTED: 04/11/95 FOR BOARD USE ONLY AMT PAID CHECK NO. DATE LICENSE NUMBER: 8-02523-002 EFFECTIVE DATE: 10/01/93 EXPIRATION DATE: 09/30/95 NAME OF ORGANIZATION: Opt~ist Prior Lake Club GAMBLING PREMISES INFORMATION NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED Hollywood Bar & Grill 16760 Toronto Ave 5E Prior Lake 55372 COUNTY Scott IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y LESSOR INFORMATION DOES YOUR ORGANIZATION OWN THIS SITE?: No IF NO, LIST THE LESSOR: Leajan Inc 16760 Toronto Ave SE Prior Lake MN 55372 NAME OF PROPERTY OWNER (WHEN NOT LESSOR): SQUARE FEET PER MONTH: SQUARE FEET PER OCCASION: ~ .3 <j~. l~- o AMOUNT PAID FOR RENT PER MONTH: 1000 AMOUNT PAID PER OCCASION: 0 BINGO ACTIVITY BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT STORAGE ADDRESS 16760 Toronto Ave SE Prior Lake MN 55372 BANK INFORMATION "/ Prior Lake S~at6 hlI1t ,,'....'/}/..!. (., t../k.,";- r/~- /-,,IN< /....1"77 Dul'tl"th Avo. S8 ;i.<::? _/) "_' _l.. ;-1.., /:Jv.: '- .:;. Prior Lake MH 55372 ,Y--'/ Y~:'s' GAMBLING BANK ACCOUNT NUMBER: -10-25-3-9-4- 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. ).,1 /). 5: r ~ J-I L../t" L: i' / <- / - ~/./) /J l /.;- t.. /Vrj> ) c: ,'J L /l 1t:.L:" ftrl ^' !:..:.-:".). - ~~ ~J ~h "'1 t:..; , L , .. I -~ (BE SURE TO COMPLETE THE REVERSE 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 AGENTS OF THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS, TO ENTER THE PREMISES TO ENFORCE THE LAW. BAN1t RECORDS INFORMA~ION 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 JAYS 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. DATE LL - I -~/- r.- \1 ~ / UOCAL GOVERNMENT ACKNOWLEDGMENT l:---THE CITY* MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS. 2. THE COUNTY** ~~D 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 L' , t I - h J C 2 ,-p/~v/' ~/..e-!..l-Z I / SIGNATURE O~ PERSON RECEIVING APPLICATION SIGNATURE OF PERSON RECEIVING APPLICATION f TITLE f, boO L-/;l t1 rliJ;'L ~ ( ) DATE RECEIVED ,~/r/9J- , TITLE DATE RECEIVED REFER TO THE CBBCICLI S'r l'OR REQUIRED ATTACHMENTS MAIL TO: GAMBLING CONTROL BOARD 1711 W COUNTY RD B - SUITE 300 S ROSEVILLE, MN 55113