1f. Temp Liq Lic Chan Fire Dept. 1
CITYOF
I
i \
!: CHANHASSEN
690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
f (612) 937 -1900 • FAX (612) 937 -5739
".' Action by City Administrator
Endorsed ' ' Du) 4 "
1 MEMORANDUM Modified
Rejected
TO: Don Ashworth, City Manager D - -.=
I Dete Submitted to Commission
FROM: Karen Engelhardt, Office Manager ' .
Date Submitted to Goiania
- at –9
1 DATE: July 21, 1992 —...
SUBJ: Temporary On -Sale Non - Intoxicating Liquor License Request, Chanhassen Fire
' Department, August 15, 1992
I The Chanhassen Fire Department has requested a one day on -sale beer license to sell beer at their
annual dance. The dance will be held on August 15, 1992, at the main fire station at 7610
I Laredo Drive. They will be selling beer in the bay area of the fire station.
Richard Wing and I are working with Dolliff Insurance to secure liquor liability insurance for
I this event. The certificate of insurance will be issued following action by the City Council on
the license application.
I RECOMMENDATION
This office recommends approval of the one day on -sale non - intoxicating liquor license as
I requested by the Chanhassen Fire Department, contingent upon receipt of the certificate of liquor
liability insurance.
1 ATTACHMENT
I 1. Application for Temporary License.
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1 to 4, PRINTED ON RECYCLED PAPER
PS- 09079 -01 (8/85) MINNESOTA DEPARTMENT OF PUBLIC SAFETY 1
PHONE 612-296-6159 LIQUOR CONTROL DIVISION
333SIBLEY•S
,0 .
APPLIC ATION AN D PERMIT
FOR A 1 to 3 DAY
I
Y TEMPORARY ON -SALE LIQUOR LICENSE
TYPE OR PRINT INFORMATION I
NAM OF ORGANIZATION DATE O GANIZED NO. OF MEMBERS TAX EXEMPT NUMBER
c h 7 n /1 ? ssz n h r2 Quo) , s 7 a ci l`
STREET ADDRESS CITY I i STAT ZIP CODE I
6 -
/0 , ('-'-# ) 0 • G h r'"/ S - 1-317
NA E OF P RSON i rvi A ING ..FPLI9ATION BUSINESS PHONE HOME PHONE
) 01,4 t ✓► I G(�) ( 0 Li S 2 5 1> -4--- -) ....._ A
DATES LI , UOR ILL BE SOLD? (1 TO 3 DAYS) DOES 0 GANIZATION HAVE A CHARTER GENERAL PURPOSE OF ORGANIZATION
f �� Yes O No , p r
ORGANIZATION OFFICER'S NAME ADDRESS ADDRESS
Cr( vrl G h �1 I - (/ /) ) G i .3 vYL , 1
ORG NIZATION OFFICER'S NAME ADDRESS
1, n 7oor
ORGANIZATION OFFICER'S NAME ADDRESS
I
l �f AZ-T) UJ1/
Location where license will be used. If an outdoor area, describe. 1
P /)—e ST) ? 1. - ar3 4 r
1
Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing
I
the services.
!Y / '
Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage.
I
(Note: Insurance is not mandatory)
\ 1 1 - ^ >� = % 31 ? ' ST� IS NJ 4 J
ill avt (14 11 Ctuhn cli
APPROVAL r
CITY OF DATE APPROVED 1
CITY FEE AMOUNT LICENSE DATES
DATE FEE PAID 1
APPROVED LIQUOR CONTROL DIRECTOR
1
SIGNATURE CITY CLERK
NOTE: Do not separate these two parts, send both parts to the address above and the original signed by this division I
will be returned as the license. Submit to the City Clerk at (east 30 days before the event.
1