1c. Chanhassen American Legion Post 580: Gambling License.CITY OF 1 =
CHANHASSEN
690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
(612) 937 -1900 • FAX (612) 937 -5739
TO: Mayor
City Council
City Manager
FROM: Scott Harr, Public Safety Director
DATE: June 13, 1997
SUBJECT: American Legion Post 580 - Chanhassen, Gambling Application
This memo is to respond to the Minnesota Lawful Gambling Premises Permit Renewal Application from
the American Legion Post 580. The background investigation conducted reveals no reasons that the
licenses should be denied.
It is the recommendation of staff that this permit be approved.
gAsafetyVesl ie \gamblinglegion
MEMORANDUM
Central STATE OF MINNESOTA
GAMBLING CONTROL BOARD
PREMISES PERMIT RENEWAL APPLICATION
LG214PPR PRINTED:
I FOR BOARD USE ONLY
I AMT PAID
ICHECK NO. I
I DATE I
LICENSE NUMBER: A- 00765 -003 EFFECTIVE DATE: 09/01/95 EXPIRATION DATE: 08 /31/97
NAME OF ORGANIZATION: American Legion Post 580 Chanhassen
GAMBLING PREMISES INFORMATION
NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED
Am Legion Post 580
7995 Great Plains Blvd
Chanha 55317
COUNTY Carver
IS THE PREMISES LOCATED WITHIN THE CITY LIMITS ?: Y
LESSOR INFORMATION
DOES YOUR ORGANIZATION OWN THIS SITE ?: Yes
IF NO, LIST THE LESSOR:
NAME OF PROPERTY OWNER (WHEN NOT LESSOR):
SQUARE FEET PER MONTH: . 0
SQUARE FEET PER OCCASION: 0
AMOUNT PAID FOR RENT PER MONTH: 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
7995 Great Plains Blvd
Chanhassen MN 55317
BANK INFORMATION
The Chanhassen Bank
600'W 78th St
Chanhassen MN 55317
GAMBLING BANK ACCOUNT NUMBER: 0094916 - rR e- A c e o u A o 1 7y o 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 ORGANI Z�ATTZON' S TREASURER NOT HANDLE
UL HANDLE GAMBLING FUNDS.
P4 P1 r-F�(e DJ IV r 7L29 Ck- amTuiA.1K. CNANNA -CS Alf Sys' /7- 69691,iry Inj
10 _ _
' o OA r g C y e,,EjS10 /ham S S,3 /W e c
(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
!SLING PREMISES AUTHORIZATION
IEREBY GIVE CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THE GAMBLING CONTROL BOARD, OR AGENTS
THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS,
ENTER THE PREMISES TO ENFORCE THE LAW.
QK RECORDS INFORMATION
3 GAMBLING CONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT
MVER NECESSARY TO FULFILL REQUIREMENTS OF CURRENT GAMBLING RULES AND STATUTES.
)ECLARE THAT:
C HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD;
ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE;;
ILL 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
kCTIVITIES TO BE CONDUCTED;
I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES
)F THE GAMBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERMIT, TO ABIDE THOSE LAWS
IND RULES, INCLUDING AMENDMENTS TO THEM;
QTY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND
jOCAL '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.
3NATURE OF CHIEF EXECUTIVE OFFICER DATE
?AI, GOVERNMENT ACKNOWLEDGMENT
THE CITY* MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY
LIMITS.
THE COUNTY ** AND TOWNSHIP ** MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS
LOCATED WITHIN A TOWNSHIP.
FOR TOWNSHIPS THAT ARE UNORGANIZED OR UNINCORPORATED, THE COUNTY ** IS REQUIRED TO ATTACH
A LETTER TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS.
'THE LOCAL UNIT OF GOVERNMENT (CITY OR COUNTY) MUST PASS A RESOLUTION SPECIFICALLY
APPROVING OR DENYING THIS APPLICATION.
A COPY OF THE LOCAL TJNIT OF GOVERNMENT'S RESOLUTION APPROVING THIS APPLICATION MUST BE
ATTACHED TO THIS APPLICATION.
IF THIS APPLICATION IS DENIED B)? THE LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED
TO THE GAMBLING CONTROL BOARD.
;NSHIP:
SIGNATURE BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A
VISES PERMIT WITHIN TOWNSHIP LIMITS.
'Y* OR COUNTY ** TOWNSHIP **
:'Y OR COUNTY NAME TOWNSHIP NAME
CHA�MSSEN
A OF P N EIVING APPLICATION ( SIGNATURE OF PERSON RECEIVING APPLICATION
.'LE DATE RECEIVED . TITLE DATE RECEIVED
PUBLI S D 5/28/97
REFER TO THE CHECKLIST FOR REQUIRED ATTACHMENTS
MAIL TO: GAMBLING CONTROL BOARD
1711 W COUNTY RD B - SUITE 300 S
ROSEVILLE, MN 55113