1h. Gambling permit app for American Legion Club I
I 4..! CITY c /_A-,
041
CHANHASSEN
1 690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
(612) 937-1900 • FAX (612) 937-5739
IMEMORANDUM
ITO: Don Ashworth, City Manager
FROM: Scott Harr , Public Safety Director
IDATE: April 30 , 1991
I SUBJ : Premise Permit Application Submitted By Chanhassen
American Legion Post 580
In consulting with the State of Minnesota Department of Gaming,
and in conducting routine background checks , I have acquired no
information that would cause this department to recommend that
Ithis permit be denied.
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Manager's Comments: Approximately two months ago the City Council
II asked the Public Safety -Commission to.,:review the rules for
charitable gambling. This office did not consider that this would
affect existing licenses as previous state procedures did not
II require Council action on renewals unless specifically requested by
that city. The law was changed and a Council resolution is
required on both new and "renewed" applications. As the intent of
this office, and hopefully the City Council, was not to hamper
I existing local organizations who had no violations, this office
would recommend approval of the charitable gambling license
submitted by Chanhassen American Legion Post 580.
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FOR BOARD USE ONLY
LG214 FEE
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CHECK
INITIALS
DATE
Minnesota Lawfiui Gambling
Premise Permit Application - Part 1 .
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Legal Name of Organization
eh/AA/i/i s56--N Pe s r c$a , �L Rm cit 1 C4 n/ 4 L=X/o.J O4 p4,t r- 'T o G ns'v,veto:X'
IBusiness Address of Organization-Street or P.0 Box(Do not use address of gambling manager)
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. City State Zip Code County Business phone number
..' CHAAdi44 fSC/v or SS3/7 G'/��t ur (G/zf 93�G6�7
Name of chief executive officer(cannot be gambling manager) Title Business phone number
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Address of chief executive officer-Street or P.O.Box
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City State Zip Code County
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Class of Premise Permit Fee
-, ❑ Class A— Bingo,Raffles,Paddlewheels,Tipboards,Pull-tabs $200 "
Class B— Raffles,Paddlewheels,Tipboards,Pull-tabs $125 The class Of premise permit
.'' ❑ Class C— Bingo only $100
must be reflected by class of
the organization license.
Q Gass D— Raffles only $75
Bingo Occasions
? If class A or C. fill in days and beginning and ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by an organization per week.
kill Day Beginning/Ending Hours Day Beginning/Ending Hours Day Beginning/Ending Hours
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Status of Premise Permit - check one:
-
Q New premise—Fill in base organization premise permit number p- 6 07Z.C- O a 3 -
4. ❑ Renewal of existing premise permit—Fill in complete premise permit number
❑ Previously expired premise permit—Fill in complete premise permit number
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LG214
Minnesota Lawful Gambling
Premise Permit Application - Part 2
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Name of establishment where gambling will be c and Street Address(do not use a post office box number)
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Is the premises located within city limits? ayes ❑no
City and County where gambling premises is located OR Township and County where gambling premises is located if outside of city limits
CHANH4-SSe t%1 t C4401E ,
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Name and Address of Legal Owner of Premises City State Zip Code
C/ M1-. -n1 P o s r Sao ? 99, 6-,ca-o-r /i A,A., r 8I_u
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Does the organization own the building where the gambling will be conducted?IN YES ❑NO
NOTE:Organizations may not pay themselves rent if they own the building or have a holding company. A letter must be sub- '
4 mitted showing rent payments as zero from gambling funds if the organization's holding company owns the premises. The
letter must be signed by the chief executive officer.)
it If NO, attach the following: I
* a copy of the lease with terms for one year.
* a copy of a sketch of the floor plan with dimensions,showing what portion is being leased.
I
A lease and sketch are not required for Class D applicantions.
Rent:
For gambling with bingo $ Total square footage leased
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For gambling without bingo $ Total square footage leased _
Address of storage space of gambling equipment I
Address City State Zip code
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F.. (each permitted gambling premises must have a separate eck ng account)
Bank Name Bank Account Number
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Bank Address City State Zip Code
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Name,address,and title of persons authorized to sign checks and make deposits and withdrawals: '
Name Address Tide
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I LG214
Minnesota Lawful Gambling
IPremise Permit Application - Part 3
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Gambling Site Authorization
II hearby consent that local law enforcement officers,the board or agents of the board,or the commissioner of revenue or
public safety,or agents of the commissioners,may enter the premises to enforce the law.
,' Bank Records Information
The board is authorized to inspect the bank records of the gambling account whenever necessary to fulfill
requirements of current gambling rules and law.
1 declare that:
I have read this application and all information submitted to the board;
i I All information is true,accurate and complete;
All other required information ':as been fully disclosed;
I am the chief executive officer of the organization;
I assume full responsibility for the fair and lawful gambling and rules of the board and agree,if licensed,
to abide by those laws and rules,including amendments to them;
A membership list of the organization will be available within seven days after it is requested by the board;
Any changes in application information will be submitted to the board and local government within 10
„' days of the change;and
A termination plan will be submitted to the board within 15 days of the termination of all premise permits.
z Failure to provide required information or providing false information may result in the denial or revocation of the
license.
I
Sig re of
chief
tiv e officer
Date f
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', 1. The city*must sign if the gambling premises is located within city limits. -
2. The county**AND township**must sign if the gambling premises is located within a township.
.- 3. The local government(city or county)must pass a resolution specifically approving or denying the application.
4. A copy of the resolution approving the application must be attached to the application.
1 5. Applications which are denied by the local governing body should not be submitted to the Gambling Control Division.
Township: By signature below,the township acknowledges that the organization is applying for a premises permit within
township limits.
e City*or County** Township**
City • C•unty Township Name
ill S•n.to /.w ••. eceiving a..ication , 1 Signature of person receiving application
i . / ///`7�to Received I Title - Date Received
Person delivering application goveming D A�Q��•.6u 7
6h/ Is township: ❑Organized ❑Unorganized ❑Unincorporated
4_ Refer to the instructions for the required attachments Mail to: Department of Gaming
- Gambling Control Division
Rosewood Plaza South,3rd'Floor
1711 W.County Road B
A Roseville,MN 55113