1e. Lions Temp On-Sale Liq. LicCITYOF
CHANHASSEN
7700 Market Boulevard
PO Box 147
Ohanhassen MN 55317
Administration
Phone 9522271100
Fax~ 952227.1110
Building Inspections
Phone: 9522271180
Fax' 9522271190
Engineering
Phone: 9522271160
Fax: 9522271170
Finance
P%rle: 9522271140
Fax: 9522271110
Park & Recreation
Phone: 952 2271120
Fax 952 2271110
Recreation Center
2310 Coulter Boulevard
Phone: 952.2271400
Fax~ 9522271404
Planning &
Natural Resources
Phone: 952227.1130
Fax: 9522271110
Public Works
1591 Park Road
Phone 952 2271300
Fax: 952 227 1310
Senior Center
Phone: 952227.1125
Fax: 952 227 1110
Web Site
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MEMORANDUM
TO:
FROM:
DATE:
SUB J:
Todd Gerhardt, City Manager
Karen Engelhardt, Office Manager
May 18, 2004
Approval of Temporary On-Sale License, Chanhassen Lions Club,
July 30-August 1, 2004
Attached please find an application for a temporary on-sale liquor license from the
Chanhassen Lions Club. The Lions would like to sell strong beer at the Regional
Softball Tournament that will be held at Lake Ann Park on July 30-August 1,
2004.
RECOMMENDATION
Staff recommends approval of the request from the Chanhassen Lions Club to
strong sell beer at Lake Ann Park on July 30-August 1, 2004. This approval
should be contingent upon receipt of the liquor liability insurance covering this
event.
g:\uscr\karcn\liquor\lions.doc
The City of Chanhassen · A growing community with clean lakes gual ty schorg,~ '"
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Minnesota Department of Public Safety
L!QUOR CONTROL DIVISION
444 Cedar St./Suite 100L
St. Paul, MN 55101-2156
(612)296-6439 TDD (612)282-6555
APPLICATION AND PERMIT
FOR A 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE
(Organization or location limited to 3 permits in a 12 month period)
TYPE OR PRINT INFORMATION
NAME OF ORGANIZATION
Lions cfi_ Chgnhassen
STREET ADDRESS
P.O. Box 484
NAME. OF PERSON MAKING APPLICATION
I)ATES LIQUOI~ WILL BE SOLD (1 Io 4 days)
July 30, July 31 & August 1, 2004
(?I~,,GANIZATION OFFICER'S NAME
ORGAnIZATIOn4 OFFICER'S NAME
ORGANIZATION OFFICER'g NAME -
DATE ORGANIZED TAX EXEMPTNUMBER
1988 41-626399
CITY STATE ]ZW CODE
Chanhassen HN I 55317
BUSINESS PHONE [ HOME PHONE . ;> ~,
TYPE OE ORGANIZATION
[] CIA~ ~ CHARITABLE ~ RELIGIOUS [] OTHER NONPROFIT
Location xvhere license x~'ill be used. If an ctfitdoor area, describe
Lake Ann Cuinmunity Park, 7500 Lake Ann Park Drive, Chanhassen, MN 55317
Will thc applicant contract lbr intoxicating liquor services? If so, give thc nmnc and address of the Liqnor license providing the service.
No
Will thc apphcant can3.' liquor habilit3.' insurance? If so, the carrier' s name and amount of coverage.
(NOTE: Insnrance is not mandatory) A~-.'l-.aeh~d
APPROVAL
APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO LIQUOR CONTROL
CITY/COUNTY
CITY FEE AMOUNT
DATE FEE PAID
SIGNATURE CFFY CLERK OR COUNTY OFFICIAL
DATE APPROVED
LICENSE DATES
APl'ROVED LIQUOR CONTROL DI]LECTOR
NOTE:
Do not separate these two parts, send both parts to the address above and the original signed by this dh'ision
will be returned as the license. Submit to the City or County at least 30 days before the event.
PS-09079(8/95)