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Home My WebLink About15-12-40 RESOLUTION 15-12-40 CITY OF OAK PARK HEIGHTS WASHINGTON COUNTY, MINNESOTA RESOLUTION GRANTING THE APPLICATION OF SPRING LAKE PARK LIONS CLUB TO CONDUCT A ONE-DAY GAMBLING EVENT AT HIEGHTS HALL & CLUB ON DECEMBER 13, 2015 WHEREAS, Janice Kugler; on behalf of Spring Lake Park Lions Club has applied with the State of Minnesota Gambling Control Board for a permit to conduct a one-day gambling event with bingo and paddlewheel games on December 13, 2015 at the site of Heights Hall & Club, 5880 Omaha Avenue North; and WHEREAS, the City of Oak Park Heights has reviewed the application and finds that its purposes meet the necessary community standards; and WHEREAS, the City of Oak Park Heights has solicited the input of the public and there have been no objections to the granting of the application for the raffle permit as applied for by Spring Lake Park Lions Club with the State of Minnesota Gambling Control Board. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL FOR THE CITY OF OAK PARK HEIGHTS AS FOLLOWS: That the application of Spring Lake Park Lions Club with the State of Minnesota Gambling Control Board to conduct a one-day gambling event with bingo and paddlewheel games on December 13, 2015 at the site of Heights Hall & Club, 5880 Omaha Avenue North, within the City of Oak Park Heights and the same are hereby approved with no waiting period. Passed by the City Council of Oak Park Heights this 8th day of December, 2015. Mar. cCbmber TTES Ma�or Eric A. Jo son City Ad nistrator Nov 19 2015 1 : 59PM SLP LIONS 7637849167 P. ? MINNESOTA LAWFUL GAMBLING 6115 rape i of 2 LG230 Application to Conduct Off-Site Gambling No Fee ORGANIZATION INFORMATION Organization Mame: Spring Lake park Lions Club _-.— Licerse Number: 00584 Address: 8433 Center Drive City; Spring Lake Park , MN zi 55432 G,smbling Manager Name_ Amanda Jackson Daytime Phone:763-784-9179 Chief Executive Officer(CEO) Name. Janice KJgler Daytime Phone..763-234-7695 GAMBLING ACTIVITY Twelve off-sfte events are allowed each calendar year not to exceed a totaf of 36 days, From 13 I 13 /-15- to jk2 / 15 Check the type of games that will be conducted: Raffle Pull-Tabs iZli3lngo ❑Tlpboards [paddlewheel GAMBLING PREMIS✓ES Name of location where gambling activity will be conducted_jhe Hei9ttt5.Hall and Club Street address and City (or township); 5880 Omaha Ave N - Stillwater Zlp: 55082 County. Washington a Do not use a pcstoffiee box. IF no street address, write in road designatlons (example; a miles east of Hwy. 63 on County Road 42). pees your organlzatlon own the gambling premises? FIYes If yes,a tease is not required. ElNo If no,the tease agreement below must be complete,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"o') All ota attws and agreements between the organization end the lessor are listed below or attached. e Any attachments must be dated and signed by both the lessor and lessee. o This lease and any attachments is the total and only agreement between the lessor and the arganizapon conducting lawful gambling activities. 4 Other terms,if any-, Lessors SignattBre: Date: Print Lassoes Name _ L'�6;a C _ CON77NUr;TO PAGE 2 Nov 18 2015 1 : 59PM SLP LIONS 7637845167 P. 3 LG230 Application to Conduct Off-Site Gambling 6/15 Paye2of2 Acknowledgment by local Unit of Government, Approval by Resolution CM APPROVAL COUNTYAPPROVAL for a gambling premises for a gambling premises located within city llnaits lecated In a township City Name: L`n,tY Pc' I k _ S County Name: Date Approved by City Council- I C, s Date Approved;,y County Hoard: Resolution Number: — r- L� Resolution [dumber: (if none,attach rrieeting minutes.) (If none, attach meeting minutes.) 5ignatur± of Cit�l frerson E: Signature of County Personnel: Title: die' o 11"k(-.ifs � ,'L� Date Signed. Title }" Date Signed: TOWNSHIP NAME: Complete below only if required by the county. Local limit Of goverY meat On behalf of the township, I acknowledge that the organization is must sign, applving to conduct gambtlnG activfty within the township limits, (A township has na statutory authority to approve or deny an application, per Minnesota Statutes 349-213, 5uW, 2.) Print To.hnship Martie: Signature of lownship Officer: Date Signed: K11f IEF EXECUTIVE OFFICER (CEO) ACKNOWLEDG14ENT e person signing this application must be your organization's CEO and have their name on file with the Gambling Control Board. he CEp has changed and the current CEO has riot filed a LG20DI3 Organization Dffrcers Affidavit with the GarnUng Control Board, he or she must do so at this time. I have read this appllrabon,and all informaijon is true, accurate,and complete and, If applicable,agree to the lease terms as eUted in thfs application. -', Jai --Le !j S7gnalt 7 C00(ettust be CEO's slgnature;designee may riot sign) Date Mail or tax to: No attachments required. Gambling 0ontmi Board Suite 300 Seutw questions? Contact a Licensing Specialist at 551-539-1900. 1711 West County Road B Roseville, MN 55113 Fax, f 5I-639-+403 2 This publication will be made available in alternative format(i.v. large print, bratlfe)upon request. Data privacy notfce� The Information requested on this farm(and any If the Board does not issue a permit,Ell information provided-remains attachments}will be used by Case Gambling Corrroi Board (Board)to prlvate,with the exception of your argantzatimi s name and address whld determine your organization's qualifications to be involved In lawft}I wfll remalr publlc. gambling activities In.Minnesota, Your organization has the right to refuse tc supply the infnrmatian;however, if your nrganiration refus&s to supply prlvatu data about your organization a-e avaliabie to; Board members, tills Information,the Board may not be able to determine your Board staff whose work requires access to tt�e information;Mlnne9ata's orliantzatiorl's quaitficabons and, as a consequence,may refuse to ISSue a Department of Publl;SaItty; Attorney General;commissioners permit. if your organlzatlun supplies the Information mque-sted,the aWrd Administratr'on, Minnesota Management&Budget, and Revenue; will be able to process Your organization's avnkcation. Legislative Auditor; riatimal and international gambling rcgulatay agencies; "Yore pursuant to court order;other indNlduais and agencies Your maniaethri a narne and address will be public information when spaclR®liy authorized by state or federal law to have adzes tv the received by tiie ligand. AJI other information provided+hal be,private data Information; Indivfduals and agencies for welch law or Icgal orper about your otgarazatlon.tmtil the Board issues the permit. When the authorizes a new use or sharing of information after this notice was given; Board issues the penrdt,all Information provided will became public, and anyone with your written consent.