1o. Chaska Community Hockey Assn: Gambling Permit.CITYOF COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
(612) 937 -1900 • FAX (612) 937 -5739
TO: Mayor
City Council
Don Ashworth, City Manager
FROM: Scott Harr, Public Safety Director
DATE: October 17, 1996
SUBJECT: Chaska Community Hockey Association
Action by City AdmthWM
Endorse ✓ - DW q
Modified
Rejected
Dat 1 O —
Date Submitted to Commissit3il
Date Submitted to Council
This memo is to respond to the Minnesota Lawful Gambling Premises Permit Application from
the Chaska Community Hockey Association. The background investigation conducted reveals
no reasons that the license should be denied.
Attached is the required resolution. It is the recommendation of staff that this permit be
approved.
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MEMORANDUM
Attach
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Size: I -1/4" by
LG209
(Rev. I U26193)
Minnesota Law,fuI Gambling
Registration of New Gambling Employee
Receiving Compensation
for the Conduct of Gambling
Please Print
Emp. #
organization by whom you will be employed
1. Name of organization Organization license number
Address City State Zip code Phone
Emnlo information-
2. Last Name Legal First Name Full Middle name Previous or maiden name(s)
Name you would like to a ear on the badge Soc. Security Number
3. Home Address City State Zip code
t - ' S O '�`►1 I�t r1 C� �.�'� t �c` �'l c� u n tl L r� 5 S �(n
Daytime phone ( (,� l'� y L ' '-* °f Evening phone ( i L ) `-E -1 Z - `
Yo: - r_s :icn w;th orcanization (check as many as apply)
'❑ Gambling Manager ❑ Bingo Collector (hard cards) Seller —Pull -tab
❑ Bingo Checker ❑ Bingo Caller Seller— Paddlewheels
Asst. gambling manager ❑ Bingo Sales paper ❑ Seller — Tipboards
❑ Other — Identity
5. Gamblinct employment record for past 3 years. (Use additional sheets if necessary)
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Employer Address Position held Dates Reason for Termination
L Z 1r' c,C r1► Ei r r-
1..,. t - �. 5� X C�`15i n � �.4GU I�l�S�-t�L���L L. "3 S1��er` i1��3 - �l �•z1�t<�� }:�:5� �.�
11 NONE (If you have na prior gambling employment, c "None ".
Acknowledgment
I declare that this registration is true, accurate, and complete and all information has been fully disclosed. I understand that
false and misleading answers are g rounds for denial of the issuance of a picture identific?tion card.
Your signature Date
Attach this form to the Organization License application, LG200A or Organization License Renewal application LG210OR
OR
submit when hiring a new compensated empicyee. Include the employee's picture measuring "1 - 1/4 x 1 -314."
Mail to:
Gambling Control Board
1711 W. County Road B, Suite 300 S.
Roseville, MN 55113
This form will be made available in alternative format (i.e. large print, braille) upon request.
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0? Minnesota Lawful Gambling
LEASE AGREEMENT FOR
PULL -TAB, PADDLEWHEEL, TIPBOARD, AND /OR RAFFLE
ACTIVITY AT A PERMITTED PREMISES
Property O Information'
Name of Legal Owner of Property Street Addres% City
5 O. w '7) sT
Name of Lessor e Street Address City
(Thi may or may not be the same as the Legal Owner of the Property)
Name of Leased Premises
Zip
Daytime Phone
Daytime Phone
rl s 53V7 (62)
Street Address City Zip Daytime Phone
1
" � ' idf cpA LouAcc ± r _Izo W 79"' Cftr60n 0AJ SS3)7 (RL) g3 Y-91(.
Name of Lessee (Name of Organization Leasing the premises) GCB License # of Organization Daytime Phone
� ll
CWkM clal2) 31 - F63n (moo)
Rent Information' '
Type of gambling activity (check all that apply) that will be conducted at this gambling premises.
0 Raffles 0 Paddlewheels "M Pull -tabs 0 Tipboards
Total rent cannot exceed 51,000 per month for all non -bingo lease agreements with your organization for this gambling premises.
An organization may not pay rent to itself or to any of its affiliates for space used for the conduct of lawful gambling.
Rent to be paid per month S ,00C) , C)
List dimensions of all areas leased by your organization for the conduct of gambling activity checked above, including storage.
The leased areas are: feet by feet for a total of 27 square feet.
feet by feet for a total of square feet.
feet by feet for a total of square feet.
feet by feet for a total of square feet
Storage feet by (p feet for a total of 2- square feet.
Storage feet by feet for a total of square feet.
Combined total square footage
Submit a sketch (drawing) of the gambling premises. This must show the location of your organization's leased area(s) for the conduct
of lawful gambling, including areas leased for storage of your gambling product on this gambling premises. Be sure to write the dimensions
of the leased areas on the sketch. TILE DMIENSIONS ON THE SKETCH MUST BE ME SAIME AS THOSE LISTED ABOVE.
MN Statute 349.18 Subd I states that the term of the lease may not begin before the effective date of the premises permit and must expire
on the same day that the• premises permit expires. ONLY write an effective date in this area of the lease if this is a renegotiated lease
agreement occuring during the tern of your current premises permit.
Zip
SS317
Effective Date for Amended Lease Agreements
F_
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teach LG209
employee photo I Minnesota Lawful Gambling (Rev. 192v93)
�
here. I
he not glue I Registration of New Gambling Employee
Do ' I ptctwe to I Receiving Compensation
e istratton i for the Conduct of Gambling
' I Stze: 1 -1/4" by
1-314_ _ _ J Please Print
Emp. #
Organization by whom you will be employed
1. Name of org anization 1 Or anization license number
0t10sk�l �_ , mwtjq �}ocl(�Y . S�C(a�lrn� E�2�c03
Address City State Zip code Phone
' Po� 11 N► LA 0\4' 55311 ( WyM - A 5
Employee Information -
2. ast Name Leg I First Name Fulli Middle name Previous or maiden name(s)
Nam�ou w to appear on the badge Soc. Security Number
I i zab2trl �l ueJE�L 4T5 -12 - 9-] tt�
' 3. Home A City i date Zip code
1 "�'�a�,lic>cSQti� 1 r1fl \ c JS�t�1
Daytime phone ( �fIZ Evening phone
Your position with organization (check as many as apply)
❑ Gambling Manager ❑ Bingo Collector (hard cards) Seller —Pull -tab
Bingo Checker ❑ Bingo Caller ❑ Seller— Paddlewheels
' Asst. gambling manager ❑ Bingo Sales paper ❑ Seller — Tipboards
❑ Other— Identify
' S. Gambling employment record for past 3 years. (Use additional sheets if necessary)
Employer Address Position held Dates Reason for Termination
NONE (If you have bo prior gambling employment, ch "None ".)
' Acknowledgm_ ent_-
/ declare that this registratiovfis true, accurate, and complete and all information has been fully disclosed. I understand that
__false,and mislaaog aAswers are grpunds for denial of the issuance of a picture idenbfic?t card.
Your signature � � � �- -� n Date �
Attach thislorm to t4`Organiz3tion License application, LG200A or Organization License Renewal application LG2100R
' OR
ubmit when hiring a new compensated employee. include the employee's picture measuring "1 -114 x 1 -314."
Mail to:
' Gambling Control Board
1711 W. County Road B, Suite 300 S.
Roseville, MN 55113
' This form will be made available in alternative format (i.e. large print, braille) upon request.
LG214
(7rz9f91)
Minnesota Lawful Gambling
Premises Permit Application - Part 1 of 2
Renewal
Organization base license number
New
Premises permit number
Orgarc;ezatio � l<r�oFina�a..
FOR BOARD USE ONLY
BASE #
PP #
FEE
CHECK
INITIALS
DATE
Class of premises permit
(check one)
A ($400) Pull -tabs, tipboards, paddlewheels, raffles, bingo
B ($250) Pull -tabs, tipboards, paddlewheels, raffles
❑ C ($200) Bingo only
D ($150) Raffles only
Name of Organization
CQ4 Colnrn
Busjgess Address of Organza 'on - Street or P. O Box (Do not use the address of your gambling manager)
City State i Code County 1 Daytime phone number
Mo. 1
Name of chief executive officer (cannot be your gambling manager) Title Daytime phone number
�:�UeT . O t t nazi'
Bingo Occasions
If applying for a class A or C permit. fill in days and beginning & ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your organization per week.
Day Beginning/Ending Hours Day Beginning/Ending Hours Day Beginning /Ending Hours
to to
If bingo will not be conducted, check here
Gambling Premises Information
Na ,c� of establishment whe gambling will be conducted Street Address (do not use a st off i a box umber)
K i 4� PA Lccw( .> 1 FSfi.9 2p�t 53(6 W . q+n �rA C S Mc 5) 3n
Is the premises located withiq city limits? � Yes = No If no, is township = organized O unorganized C unincorporated
City and County where gambling premises is located OR Township and County where gambling premises is located if outside of city limits
CV1Qi1ylQ '!U 0 DX12'�YC� �
and of premises City State Zip Code
� ? � _ K j.,i= �� c� `7 ��� c��•� c� � v� J1k ,. , 553
Does your rg inn "e building where the gambling will be conducted? = YES NO
attach the following:
a copy of the lease (form LG202) with terms for at least one year.
a copy of a sketch of the floor plan with dimensions, showing what portion is being leased.
A lease and sketch are not required for Class D applications
Address of storage spa of gambling equipment = oo not 'use a Po � number
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Address City State Zip code I
c� � , V. _Ck C�c��4��ss� Y�� 553 i-�
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AGREEMENT BETWEEN
CITY OF CHANHASSEN AND INDEPENDENT SCHOOL DISTRICT NO. 112
RELATING TO TIF REVENUE SHARING
AGREEMENT made this day of , 1996, between the
CITY OF CHANHASSEN (hereinafter "City ") and INDEPENDENT SCHOOL
DISTRICT NO. 112 (hereinafter "School District ").
RECITALS
• The School District and City have previously discussed the disposition of
Tax Increment Financing (hereinafter "TIF ") funds arising out of additional tax levies
relating to the issuance of the School District's General Obligation School Building
Bonds, Series 1993C in the amount of $15,300,000.00 and bearing a date of original
issue of July 1, 1993, and the School District's General Obligation School Building
Bonds, Series 1994B in the amount of $31,980,000.00 and bearing a date of original
issue of May 1, 1994; and
• Certain TIF funds have in the past been transferred by the City to the
School District;
• The parties desire by this Agreement to formalize the sharing of TIF
funds generated as a result of current and future School District referenda and
resulting levies; and
• The parties recognize that this Agreement is based upon present state law
and that the City must retain the ability to modify or terminate this TIF revenue
transfer in the event of changes in state law.
43763
NOW, THEREFORE, the parties agree as follows:
1. Commencing with payable 1997 taxes and terminating with payable 2000
taxes, the City will transfer to the School District TIF revenues as calculated
according to Exhibit "A" hereto which is incorporated herein by reference.
2. The City will not transfer any TIF revenues to the School District unless
and until the City actually receives the TIF revenues.
3. The City shall have the right to terminate this Agreement if changes
occur in state law which directly or indirectly effect the amount of TIF revenues
received by the City.
Dated:
Donald J. Chmiel, Mayor
And
Don Ashworth, City Manager
Dated:
, 1996. CITY OF CHANHASSEN
1996.
INDEPENDENT SCHOOL
DISTRICT NO. 112
By:
Its:
By:
Its:
43763 2