HomeMy WebLinkAbout[04i] Gambling Permit Council Agenda Item 4i
MEETING DATE: March 6, 2017
AGENDA ITEM: Gambling Permit—Requested Action:Authorize the Mayor and
Administrator to execute Resolution 2017-007 Approving Application to
Conduct Off-Site Gambling for St.Joseph Lions.
SUBMITTED BY: Administration
BOARD/COMMISSION/COMMITTEE RECOMMENDATION:
PREVIOUS COUNCIL ACTION:
BACKGROUND INFORMATION: The Council must review and accept gambling permits that will allow
lawful gambling at specific sites.The St.Joseph Lions has submitted a gambling permit for an event to be
held on April 14, 2017 at Sal's Bar and Grill.
BUDGET/FISCAL IMPACT:
ATTACHMENTS: Request for Council Action
Gambling Application
Resolution 2017-007
REQUESTED COUNCIL ACTION: Authorize the Mayor and Administrator to execute Resolution 2017-
007 Approving Application to Conduct Off-Site Gambling for St.Joseph Lions.
MINNESOTA LAWFUL GAMBLING 6/1s Page 1 of 2
LG230 Application to Conduct Off-Site Gambling No Fee
OR6ANIZATION INFORMATION
Organization Name: St. Joseph Lions License Number:02021
Address: 12870 287th St. C�ty; St. Joseph , MN Zip; 56374
Chief Executive O�cer(CEO) Name: Joseph Bechtold Daytime Phone: 320-363-4483
Gambling Manager Name: Scott D. Bioch Daytime Phone:320-845-7843
GAMBLING ACTIVITY
Twelve off-site events are ailowed each calendar year not to exceed a total of 36 days.
From 04 / 14 / 17 to 04 / 14 / 17
Check the type of games that will be conducted:
�Raffle �Pull-Tabs ❑Bingo ❑Tipboards �Paddlewheel
GAMBLING PREMISES
Name of location where gambling activity will be conducted: Sal's Bar and Grill
Street address and
City(or township): 109 West Minnesotd St., St. ]oseph Zip; 56374 County: Stearns
• Do not use a post office box.
• If no street address,write in road designations(example: 3 miles east of Hwy. 63 on County Road 42).
Does your organization own the gambling premises?
�Yes If yes,a lease is not required.
�No If no,the lease agreement below must be completed, and signed by the lessor.
LEASE AGREEMENT FOR OFF-SITE ACTIVITY (a lease agreement is not required for raffles)
Rent to be paid for the leased area: $0 (if none, write"0")
Atl obligations and agreements between the organization and the lessor are listed below or attached.
• Any attachments must be dated and signed by both the lessor and lessee.
• This lease and any attachments is the total and only agreement between the lessor and the organization conducting lawful
gambling activities.
• Other terms, if any:
Lessor's Si nature: �����Z . ����
g � Date• �
Print Lessor's Name: ' `/ lt" �L��?e J�c'�
CONTINUE TO PAGE 2
LG230 Application to Conduct Off-Site Gambling 6/15 Page 2 of 2
Acknowledgment by Local Unit of Government: Approval by Resolution
CITY APPROVAL COUNTY APPROVAL
for a gambling premises for a gambling premises
located within city limits located in a township
City Name: St. Joseph County Name:
Date Approved by City Council: Date Approved by County Board:
Resolution Number: Resolution Number:
(If none,attach meeting minutes.) (If none,attach meeting minutes.)
Signature of ity Perso nel: Signature of County Personnel:
(.C, L��dI S
�
T le: _ Date Signed:��� Title: Date Signed:
TOWNSHIP NAME:
Compiete below only if required by the county.
Local unit of government On behal€of the township, I acknowledge that the organization is
MUSt S19f1. appiying to conduct gambting activity within the township limits.
(A township has no statutory authority to approve or deny an
application, per Minnesota Statutes 349.213, Subd. 2.)
Print Township Name:
Signature of Township Officer:
Title: Date Signed:
CHIEF EXECUTIVE OFFICER (CEO) ACKNOWLEDGMENT
The person signing this application must be your organization's CEO and have their name on file with the Gambling Control Board.
If the CEO has changed and the current CEO has not filed a LG2008 Organization Officers A�davit with the Gambling Control
Board, he or she must do so at this time.
I have read this application, and all information is true, accurate,and complete and, if applicable, agree to the lease terms as
stated in this application.
D� j/T/»
Sign re CEO(must be CEO's slgnature;designee may not stgn) Date
Mail or fax to: No attachments required,
Minnesota Gambling Control Board
Suite 300 South Questions? Contad a Licensing Specialist at 651-539-1900.
1711 West County Road B
Roseville, MN 55113
Fax: 651-639-4032
This publication will be made available in altemative format(i.e. large print, braille) upon request.
Data privacy notice: The information requested on this form(and any If the Board does not issue a permit,all information provided remains
attachments)will be used by the Gambling Control Board(Board)to private,with the exception of your organization's name and address which
determine your organization's qualifications to be invotved in lawful will remain public.
gambling activities in Minnesota. Your organization has the right to refuse
to supply the information; however,if your organization refuses to supply ��ate data about your organization are available to: Board members,
this information,the Board may not be able to determine your �rd staff whose work requires access to the information; Min�esota's
organization's qualifications and,as a consequence,may refuse to issue a Department of Public Safety•Attorney General;commissioners of
permit. If your organization supplies the information requested,the Board Administration,Minnesota Management&Budget,and Revenue;
will be able to process your organization's application. Legislative Auditor;national and intemational gambling regulatory
agencies; anyone pursuant to court order; other individuals and agencies
Your organization's name and address will be public information when specfiwlly authorized by state or federal law to have access to the
received Gy the Board. All other information provided will be private data i�fortnation;individuals and agencies for which law or legal order
about your organization until the Board issues the permit. When the authonzes a new use or sharing of information after this notice was given;
Board issues the permit,all information provided will become public. and anyone with your written consent.
M equal opportvlty emp/oyer
ITS'' OF ST. JOSEPH
CITY OF ST.JOSEPH
RESOLUTION 2017-007
RESOLUTION APPROVING APPLICATION TO CONDUCT OFF-SITE GAMBLING
FOR ST.JOSEPH LIONS
WHEREAS, Ordinance 602 of the St. Joseph Code of Ordinances outlines the regulations
regarding lawful gambling activities, and
WHEREAS, the St. Joseph Lions has submitted the required applications, and
WHEREAS, the St. Joseph Lions has complied with all the requirements of Ordinance 602
of the St. Joseph Code of Ordinances.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF ST. JOSEPH,
MINNESOTA: by the City Council for the City of St. Joseph that the application from St.
Joseph Lions to conduct off-site gambling on April 14, 2017, at Sal's Bar and Grill, 109
Minnesota Street West, St. Joseph, MN 56374, is hereby approved.
Adopted by the council this 6th day of March, 2017.
Rick Schultz, Mayor
Judy Weyrens, City Administrator