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HomeMy WebLinkAbout3D - PL Lions Club Gambling Permit INTER-OFFICE MEMO TO: FROM: RE: DATE: City Manager/Prior Lake City Council Laurie Fr~edges/License Clerk Renewal of Premise Permit to Conduct Lawful Gambling March 1, 1993 Attached is a resolution and application in order for the Lake Lions Club to renew their lawful gambling license. included is a receipt in the amount of $100.00, which is renewal fee. Please sign the application and resolution, if approved, and give back to me. Prior Also the RESOLUTION 93-10 RESOLUTION APPROVING THE PREMISE PERMIT RENEWAL APPLICATION FOR LAWFUL GAMBLING OF THE PRIOR LAKE LIONS CLUB MOTIONED BY SECONDED BY WHEREAS, the State of Minnesota requires that a municipality adopt a resolution in support of an organization to conduct lawful gambling at a particular premise, and the Prior Lake Lions Club is requesting renewal of their lawful gambling permit, and the Prior Lake Lions Club has been conducting lawful gambling at the premise of Prior Place, and the Prior Lake Lions Club 1992 lawful gambling license has expired. WHEREAS, WHEREAS, WHEREAS, NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF PRIOR LAKE, MINNESOTA, that the Prior Lake Lions Club is hereby approved to conduct lawful gambling at the premise of Prior Place for a period of one year effective upon approval by the Gambling Control Division. BE IT FURTHER BE RESOLVED, Passed and adopted this day of , 1993. YES NO Andren Fitzgerald Kedrowski Scott White Andren Fitzgerald Kedrowski Scott White Kay Kuhlmann Acting Citr Manager City of Prl.or Lake {Seal} 4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245 AN EQUAL OPPORTUNITY EMPlDYER ~ lG214 1112W91) -::-~._~:-.'.::~;~7.: '~...~.r.7', M) . . FOR BOARD USE ONLY BASE" pp" FEE CHECK INITIALS DATE Minnesota Lawful Gambling Premises Permit Application - Part 1 of 2 ~~~!!~ii1l0HndttO~3i1i;Fiifli;;,C;i'&li;;1LiI;lii;i~.I~ ~ ON~ CLUR .:.,~ Business Address 01 Organization - Streel or P. 0 Box (Do nol uso tho address 01 your gambling manager) POX 38 a~ ~~ PRIOP LAKE MINNE~OTA Name 01 chiol eXOCUlive ollicer (cannol bo your gambling mSIl<lgor) JA'AEc B~INK Bingo Occasions If applying for a class A or C pennit. fiUin days and beglnning & ending hours of bingo OccasIons: . No more than seven bingo occasions may be conducted by your o~anl7..atJon per week. Day Beginning/Ending Hours Day Beglnnlng/Endlng Hours Day Beginning lEnding HoW'8 m;"':~;4~~'I'idiHibh':..:.'.'..': .' '. .... . ....... :..... .. .. .. -' . .. .. '._, ...... -, '" ,', ,'....'.. -'- . :..~-"-"-' []J Renewal Organizalion base liconse number B - 0 15 5 8 Premises pennil numbor J) 0 9 o Now 1\ -:(. \ to to to Class 01 premisos permit (check one) o A ($400) Pull-labs, tipboards, paddlewheels. raInes, bingo ~ B ($250) pun-tabs, tipboards, paddlewheels, raffles . O , . C ($200) Bingo only , o 0 ($150) Rallies only , . . _l.... .'. Zip Code 55372 :.. Coun~ SCOTT (Olri~e. p~~, ~u9'~' 7 Daytime ~hone number 61? 882-0'S8R ( 1 Tille PRESIDENT to to to to Ublngo wlll not be conducted. check hero ~ ~G':""""""~""'b""'ll" ...",'w..<-..'.pt....'.""'.'.'."....t". ..,...,....:'....'1.. '.. ,.~......".,..":".,...:"...,,...t...l.' ,..,,:,.,.....'.::'.}}';::.,.:.,.::::;:::.,:.;::::.,.':i:..,.,.,.;.}):,{~.,:::'.'.':....''''';;,'.:,,?::::':':~,:,:;'.rn:::,:n:':::'::':wr:::;~::r':r'~'t:j:,..::",:::'::t%~:;,'%;~): a.m.. tt.. g... . em.. 9.e'" norma. on. ...................".. ."....... ."......... ..... '."'" .............................. .....................~..M... ......,.....""..>. ;.: .. ;::> . ....::::,';::'::::..: :'. "::":'.?'::;;:';X :,::';:':':':'::::":.::::';:')'''::?::::':::''';:,':,::;::::':::'~::~::':;:;:';::<::::;::':':r:">y<.::"::;:::~.:}:.:"}:,:,:,,?,.,;t:~;:.':,%:....... No... - o. ';la~ii;m;,;,. "i;l;o.. iiMi6;;;;" ;.;lfF;;; axKi"",,;;F'- - --, - -'. S~, Ada.ou'l&> nOl.... ;;';,10.1..' ",;,um 0.1 p ~ 'EQ STREET S E oOInp LAKE ~~ 55372 Is the premises localed within cily limils? !:XJ Yes CJ No II no, Is lownshlp CJ organized CJ unorganizod CJ unincorporaled Ci~ and Coun~ where gambrrng premises is located OR Township and Coun~ where gambling premises is localed II oulslde of city Iimils I . . PRIOD LAKE SCOTT COUNTY N~me and address 01 legal OWner 01 premises Ci~ Slale RICHAPD B. BEDRV 10248 182th ST. Jr. LAKEVILLE, HN Does your organization own the building where the gambling will be conducted? CJ YES CXl NO If no, attach lhe lollowing: .. a copy ollhe Ioase (Iorm LG202) with terms for alleast one year. · a copy 01 a skolch ollhe "oor plan with dimensions, showing whal portion is being leased. A lease and sketch are nol requirod for Class 0 applications. . Add?€~1;rlit6i'7'~~'-a~~iii+'ariibllii"'r:;'W'fuWiitf.~T~fii.ir~;m';;,'- . . . Address '. Ci~ Slale ip 16228 ~AIN AVENUE ~E. PPI!)O LAKJ:: - . . ~ ..... ,. ' .. ~ : . . . lip Code 5 5 04'l!. ... ',' .. UN 55372 .' ". ". """,', : '.... ., . :.. -'; ";. " " . ~ .