HomeMy WebLinkAbout[04c] Gambling Permit
Council Agenda Item 4c
MEETING DATE: February 5, 2018
AGENDA ITEM: Gambling Permit – Requested Action: Authorize the Mayor and
Administrator to execute Resolution 2018-003 Approving the
Application to Conduct Off-Sale Gambling for the 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 March 30, 2018 at Sal’s Bar and Grill.
BUDGET/FISCAL IMPACT:
ATTACHMENTS: Request for Council Action
Gambling Application
Resolution 2018-003
REQUESTED COUNCIL ACTION: Authorize the Mayor and Administrator to execute Resolution 2018-
003 Approving the Application to Conduct Off-Site Gambling for St. Joseph Lions.
MINNESOTA LAWFlIL GAMBLIIdG W15 �aqe 1°f z
l,G23� Application to Conduct Off-Site Gambling No Fee
ORGANIZATION INFORMATION
Organization Name: St. Joseph Lions License Number:02021
Address; 12870 287th St. City: St. Joseph . MN Zip: 56374
Chief Executive Officer(CEO)Name:Joseph Bechtoid Daytime Phone:320-363-4483
Gambling Manager Name: Scott D. Bloch Daytime Phone:320-845-7843
GAMBLING ACTIVITY
Twelve off-site events are allowed each calendar year not to exceed a total of 36 days.
From 03 / 30 / 18 to 03 / 30 / 18
Check the type of gam�that wili be conducted:
�Raffle �Pui)-Tabs �Bingo �Tipboards �Paddlewheel
GAMBLING PREMISES
Name of location where gambling activity will be conducted: Sal's Bdr and Grill
Street address and
City(or township): 109 W. MN St., St. ]oseph, MN Zip: 56374 County: Steams
• Do not use a post of�'ice box.
• if no street address,write in road designations(example: 3 miles east of Hwy.63 on County Road 42).
Does your organization awn the gambiing premises?
�Yes If yes,a lease is not required.
allo If no,the lease agreement below must be compieted,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")
Ali 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 attachmerrts is the total and only agreement between the lessor and the organization conducting lawful
gambling activities.
• Other terms, if any:
Lessor's Signature: c� Date: / � �
Print Lessor's Name:_T 7L� JC��/�,�f�
CONTINUE TO PAGE 2
LG230 Application to Conduct Off-Site Gambling 6/15 Pa9e 2 of 2
Acknowfedgment by Locat Unit of Government: Approval by Resolution
CITY APPROYAL COUNTY APPROVAL
for a gambling premises for a gambling premises
located within city timits located in a township
City Name: St. 7oseph County Name:
Date Approved by City Council: Date Approved by County Board:
Resotution Number: Resotution Number:
(If none, attach meeting minutes.) (If none,attath meeting m'snutes.)
Signature of City rson 1: Signature of County Persannel:
Ti le: Date Signed: � Z� ` Titte: Date Signed:
TOWNSHIP NAME:
Comptete below o�[y if required by the aounty.
Local unit of government On behalf of the township,I acknowledge that the organization is
MUSt Sigtt. applying to conduct gambiing activity within the township limits.
(A township has no statutory authority to approve or deny an
app{ication, per Minnesota Statutes 349.213,Subd.2.)
Print 7ownship Name:
Signature of Township O�cer:
Title: Date Signed:
CHIEP 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 fiied a LG200B Organization Officers Affidavit with the Gambling Control
Board, he or she must do so at this time.
I have read this application, and all infarmation is true,accurate,and complete and,if appiicable, agree to the lease terms as
stated in this application.
. �,���
Sign re CEO(must be O's signature;designee may�t sign) Date
Mail or fax to: No attachments required.
Minnesota Gambling Control Board Questions? Contact a Licensing Specialist at 651-539-1900.
Suite 30Q South
1711 West County Road B
Roseville, MN 55113
Fax: 651-639-4032
This pubiication will be made available in aitemative 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,ail 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 invoived in lawful will remain pub{ic.
gambiing activities in Minnesota. Your organization has the right to refuse
to supply the information; however,if your organization refuses to suppiy �vate data abaut your organization are available to: Board members,
this information,the 8oard may not be abie to determine your ��d staff whose work reyuires access to the information; Minnesota's
organization's qualifications and,as a consequence,may refuse to iswe a Department of Public Safiety;Attomey General;commissioners of
permit. If your organization supplies the information requested,the Board �ministration,Minnesota Management 8e Budget,and Revenue;
wiN be able to process your organization's application. Le9islative Auditor;national and international gambling regulatory
agerides;anyone pursuant to rnurt order;other individuals and agencies
Your organizat'wn's name and address wili be public information when specifically authorized by state or federal law to have access to the
received by the Board. Ail other information provided wiit be private data information; individuals and agencies for which law or legai order
about your organization untii the Board issues the permit. When the authorizes a new use or sharing of information after tfiis notice was given;
Board issues the pertnit,ail information provided will beoome publk. and anyone with your written consent.
An equa!opportu�tt�'emP�Y�
CITY OF ST. JOSEPH
RESOLUTION 2018-003
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 March 30, 2018, at Sal’s Bar and Grill, 109
MN St W, St. Joseph, MN 56374, is hereby approved.
Adopted by the council this 5th day of February, 2018.
____________________________
Rick Schultz, Mayor
____________________________
Judy Weyrens, City Administrator
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