HomeMy WebLinkAbout18-11-38 RESOLUTION 18-11-38
CITY OF OAK PARK HEIGHTS
WASHINGTON COUNTY, MINNESOTA
RESOLUTION APPROVING A GAMBLING PREMISES PERMIT
APPLICATION MADE BY FRATERNAL ORDER OF EAGLES 94 FOR
GAMBLING ACTIVITY AT JOSEPH'S RESTAURANT
WHEREAS, Adeline Carroll, on behalf of Fraternal Order of Eagles 94 has
applied with the State of Minnesota Gambling Control Board for a permit to conduct
lawful gambling activity at the site of Joseph's Restaurant, 14608 60th Street 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 permit as
applied for by Fraternal Order of Eagles 94 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 Fraternal Order of Eagles 94 with the State of Minnesota
Gambling Control Board to for a permit to conduct lawful gambling activity at the site of
Joseph's Restaurant, 14608 601h Street North, within the City of Oak Park Heights and
the same are hereby approved.
Passed by the City Council of Oak Park Heights this 13th day of November, 2018.
'}
,;f Mary McComber
A ST: Mayor
c A. o s
City i 'strator
MINNESOTA LAWFUL GAMBLING 6/15 Page Iof2
LG214 Premises Permit t ppHca`�-tccn Fee $150 (NON-REFUNDABLE)
REQUIRED ATTACHMENTS TO LG214
1. If the premises is leased, attach a copy of your lease. Use LG21S Mail the application and required attachments to:
Lease for Lawful Gambling Activity. Minnesota Gamoling Control Hoard
2. $150 annual premises permit fee, for each permit (non-refundable). 1711 West County Road B, Suite 300 South
Make check payable to "State of Minnesota." Roseville, MN 55113
Questions? Call 651-539-1900 and ask for Licensing.
ORGANIZATION"INFORMATION
Organizaition Name: V`0J--C Y_X'�C � ( r( C c �G License Number: W
Chief Executive officer (CEO) —60�0 Q Daytime Phone:
Gambling Manager. A"et ,I 5. L6 f0 ` Daytime Phone:
GAMBLING PREMISES INFORMATION
f
Current name of site where gambling will be conducted:
List any previous names for this location:
Street address where premises is located: /f/Cp� �
dzf's
(Do not use a P.O.boo number or mairing address.)
City: OR Township: VCount',,jZip Code:
Does your organization own the building where the gambling will be condu ed?
aYes �No If no, attach LG215 Lease for Lawful Gambling Activity,
A lease is not required if only a raffle will be conducted.
Is any other organization conducting gambling at this site? ElYes FLR�j No F]Don't know
Note: Bar bingo can only be conducted at a site where another form of lawful gambling is being conducted by the applying organi-
zation or another permitted organization. Electronic games can only be conducted at a site where paper pull-tabs are played.
Has your organization previously conducted gambling at this site? OYes ONoDon't know
GAMBLING BANK ACCOUNT INFORMATION; MUST BE IN MINNESOTA
Bank Name: _lam q_k` �=, Bank Account Number:
Bang Street Address: rl 4: y ��I -> � —
� _ki:� v i .• 5+_ate: MN Zip Code: _3 (�
ATL kND PERV,1A.;ENT OFF--SITE S7GR_k SPACES
Address (D(; use i P.Q. box number): City: y i ` ,y State: Zip Code:
U1 ,5.r Cw d . `� 1t�c6 iii ' MN C-AJC
MN
MN
LG214 Premises Permit Application 6/15 Page 2 of 2
ACKNO?'NLEDGMENT 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
II,,, 1 k,I
City Name: : F f& County Name:
Date Approved by City Council: Date Approved by County Board:
Resolution Number: i S - Resolution Number:
(If none, attach meeting minutes.) (If none, attach meeting minutes.)
Signat re of City ersn Signature of County Personnel:
Title: r.�Q� ;F - _._ Date Signed: Title: Date Signed:
J TOWNSHIP NAh3E:
Complete below only if required by the county.
Local unit of government On behalf of the township, I acknowledge that the organization is
must sign. applying to conduct gambling 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:
ACKNOWLEDGMENT AND OATH
1. 1 hereby consent that local law enforcement officers, 6. I assume full responsibility for the fair and lawful operation of
the Beard or its agents, and the commissioners of all activities to be conducted.
revenue or public safety and their agents may enter
and inspect the premises. 7. 1 will familiarize myself with the laws of rlinnesota governing
lawful gambling and rules of the Binord and agree, if licensed,
2. The Board and its agents, and the commissioners of to abide by those laws and rules, including arrierldments to
revenue and public safety and their agents, are them.
authorized to inspect the bank records of the gambling
account whenever necessary to fulfill requirements of 8. Any changes in application information will be submitted to the
current gambling rules and law. Board no later than ten days after the change has taken
effect.
3. I have read this application and all information
submitted to the Board is true, accurate, and complete. 9• 1 understand that failure to provide required information or
providing false or misleading information may result in the
4. All required information has been fully disclosed. denial or revocation of the license.
S. 1 am the chief executive officer of the organization. 14. I understand the fee is non-refundable regardless of license
approval/denial..
Signature of Chief Executive Officer (designee may not sign) Date
Data privacy notice: The information requested un this information when received by the Board. Mini,esota's Department of-Pi bGc Safety,
form (and any attachments)will be used by the All other inform at!or. provided will be Attorney General,Commissioners of
Gambling Control Board (Board)to determine your private data about your organization until Administration, Minnesota Management&
organization's qualifications to be involved in lawful the Board issues the permit. When the Budget, avid Revenue, Legislative Auditor,
gambling activities in Minnesota. Your organization has Board issues the permit, all information national and international gambling
the right to refuse to supply the information; however, provided will become public. If the Board regulatory agencies; anyone pursuant to
if your organization refuses to supply this information, does not issue a permit, all information court order; other individuals zrd agencies
the Board may not be able to determine your provided remains private, with the specifically authorized by state o federal law
organization's qualifications and, as a consequence, exception of your organization's name and to have access to the informaElor: individuals
may refuse to issue a permit. If your organization address which will remain public. Private and agencies for which law or legal order
supplies the information requested, the Board will be data about your organization are available authorizes a new use or sharing of
able to process your organization's application. Your to: Board members, Board staff whose information after this notice was given; and
organization's name and address will be public work requires access to the information; anyone with your written consent,
This form will be made availahie in he-native ferri i.e. large print, braille, upon request.
An equal cpoom]nrfy employer