The URL can be used to link to this page

Home My WebLink About4.n. Gambling Premises Permit Renewal Application - Rosemount American Legion � CITY OF ROSEMOUNT ' EXECIITIVE 3IIMMARY FOR ACTION CITY COUNCIL MEETING DATE: JUNE 6, 1995 AGENDA ITEM: GAMBLING PREMISES PERMIT RENEWAL AGENDA 3ECTION: CONSENT APPLICATION - ROSEMOUNT :AMERICAN LEGION PREPARED BY: SUSAN M. WALSH AGENDA N¢��n� � ); � ADMINISTRATIVE ASSISTANT i i tV1 ��; ATTACHMENTS: APPLICATION; RESOLUTION APPROVED BY: The Rosemount American Leqion has submitted its renewal application for a Gambling Premises Permit effective September 1, 1995 to August 31, 1997. The City Council must adopt a resolution approving the gambling premises permit renewal prior to the American Legion submitting the renewal to the State Gamblinq Control Board. City staff recommends approval of the renewal application. Under new business, the City Council will discuss the first draft of a proposed charitable gambling ordinance. The gambling operations of the Rosemount American Legion and all other charitable gambling organizations will be regulated by the new ordinance upon its adopti.on and publication. RECOMMENDED ACTION: MOTION TO ADOPT A RESOLUTION APPROVING A GAMBLING PREMISES PERMIT RENEWAL APPLICATION FOR THE ROSEMOUNT AMERICAN LEGION POST 65. ACTION TAREN: CITY OF ROSEMQUNT — DAKOTA COUNTY, MI1�iNESOTA RESOLUTION 1995 - A RESOLUTION APPROVING A GAMBLING PREMISES PERMIT RENEWAL FOR THE ROSEMOUNT AMERICAN LEGION POST 65 WHEREAS, the City Council of the City of Rosemount received a Premises Permit Renewal Application from Rosemount American Legion Post 65 to canduct lawful gambling within the City of Rosemount at 14590 Burma Avenue, Rosemount, Minnesota. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Rosemount approves the Gambling Premises Renewal Application submitted by the Rosemount American Legion Post 65 for the period of September 1, 1995 through August 31, 1997. ADOPTED this bth day of June, 1995. E. B. McMenomy, Mayor ATTEST: Susan M. Walsh, City Clerk Motion by: Seconded by: Voted in favor. Voted against: � $as� STATS OF IYINNSSOTA FOR BOARD IISE ONLY ' _--......�. -r- :AMT PAID ,. ,.,��>�..�.�� . - � C�Al1BLSNG CONTROL BOARD ._. - • • 'PREPlI383 PERPfIT 12SNEWAL APPLICATION � , CRECK NO. ` - --- -.-'"`: �= LG214PPR PRINTED:03/13/95 - � DATS = / LICENSE NUMBERz A-01Z53-001 EFFECTZVF. DATE: 09J01/93 $XPIRATION DATE: 08/31/95 NAME OF ORGANIZATION: Americaa Leqioa Post 65 Rosearouat GAi�LINd PREMISBS INF�'ORMATION NAME OF ESTABLISI�SENT WHERE GAMBLZNG WILL BE CONDUGTED Am Legioa Post 65 14590 Burma Ave W Rosemouat 55068 COUNTY Dakota IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y LE330R INFORMATION . DOES YOUR ORGANIZATION OWN THIS SITE?: Yes IF NO, LIST THE LESSOR; - NAME OF PROPERTY OWNER (WHEN NOT LESSOR) : SQUARE FEET PER MONTH: 0 AMOUNT PAID FOR RENT PER MONTHs 0 SQUARE FEET PER OCCASION: 0 AMOUNT PAID PER OCCASION: 0 BINGO ACTIVITY BINGO IS CONDUCTED ON THIS PREMISES: Yes IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT ._ STO E ADDIr..E�S �so�s Fa��age Aoe ao9� el� c�3�Y'�et- A le Valle 1+IId 551Z4 � � PP y $�r�vSyr/�� ''r,�..1 �'�'33�7 BANR INFORMATION Rosemount Natioaal Bank rji1;duld A��/`d'tt'tL � �'��' Co Rd 42 & Chippeadale 73�} �47��t S�� ,5,/� Rosemous�t bII�t 55068 ,q�pr�, i��.11�fl! � � _ � GAMBLING BANK ACCOUNT NUMBER: Z039080 ON THE LZNES PROVIDED BELOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS AUTHORIZED TO SIGN CHECKS AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. THE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. SSi"� �E�(I� � %r v'�rfl I S�f27 �i,�1Qrw��1 ��'E �i'� �s�ar � � h 'S D �m/, r� � w. �7�.n�es �r-r://er �3Ss` C�e�e/I e�l �es��a�,�� .v -S'.sd�� C � � ��6 �.��.s�',z� a�9 S��-� ��T�'��e �'.�//��!��ra� — � �e�r�� (BE SURE TO COMPLETE THE REVERSE SIDS OF THIS APPLICATION) THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQiJEST _.-- . ;-==�� . �- ,� ACA�TOWLEDGMENT - _ .. _- "_ - GA�LING PREbII3ES ApTHORI ZATION - `: I �REBY GIVE CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THE GAMBLING COIQTAOL BOARD,• OR AGENTS � pg TSE gOARD, OR THE COMMISSIONER OF REVEIWL OR PUBLIC SAFETY, OR AGENTS OF THE COMMIS3IONERS, TO SNTER THE PREMISES TO ENFORCE THE LAW. : _. BAN1C RECORDS INFORMATION : _ THL GAMBLING CONTROL BOP,RD IS AUTHORIZEn TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT WHENEVER NECESSARY TO FULFILL REQUIREMENTS OF CURRENT GAMBLING RULES AND STATOTES. Z DECLARE THAT: ` • I gAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BQARD; • ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE;; ,_ . • ALL OTEiER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED; • I AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; • I� p�SgUME gULL RESPONSIBILITY FOR THE FAIR AND LAWE'UL OPERATZON OF ALL GAMBLING ACTIVITIES TO BE CONDUCTED; • I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE GAMBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERMIT, TO ABIDE THOSE LAWS AND RULES, INCLiJDING AMENDMENTS TO THEM; • ANY CHANGES IN APPLICATION ZNFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHIN TEN DAYS OF THE CHANGE; • I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT ZN THE DENIAL OR REVOCATION OF THE PREMISES PERMIT. gI OF CHIEF EZE I OFFICER � �.►�'" X � S I,p GpVEP,NMENT AC3�tOWLEDGMENT 1. THE CITY* MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS. 2, THE COQNTY** AND TOWNSHIP** MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITFiIN A TOWNSHIP. 3. FOR TOWNSHIPS THAT ARE UNORGANIZED OR UNINCORPORATED, THE COUNTY** IS REQUIRED TO ATTACH A LETTER TO THIS API�LICATION ZNDICATING THE TOWNSAIPS STATUS. 4. THE LOCAL UNZT OF GOVERNMENT (CITY OR COONTY) MUST PASS A RESOLUTION SPECIFICALLY APPROVING OR DENYING THIS APPLICATION. 5. A CflPY OF THE LOCAL UNIT OF GOVERNMENT'S RESOLUTION APPROVING THIS APPLICATION MtJST BE A'�'TACHED TO THIS APPLICATION. 6. IF THIS APPLICATION IS DENIED BY THE LOCAL IINIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED TO THE GAMBLING CONTROL BOARD. ' -. TOWNSHIP: BY SIGNATURE BEI�OW, THE TOWNSHIP ACRNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A pREMISES PERMIT WITHZN TOWNSHIP LIMITS. CIT7C* OR COUI9TY** TOWNSHIP** GITY OR COUNTY NAME I TOWNSHIP NAME SIGNATURE OF PERSON RECEIVING APPLICATZON I SIGNATURE OF PERSON RECEIVING APPLICATION TITLE DATE RECEIVED I TITLE DATE RECEZVED gEp'ER Tp Tg8 C8ECIQ.IST !OR REQUZRED ATTACffi�IENT3 MAII, TO: GAirIDL2Nt; CONTROL BOARD 1�11 W COUNTY RD B - SUIT1; 300 S ROSEVZLLE, �II? 55113 LG213 MlTttieSOta LQI�,fiil G�i7Jtb�7t9 �Re".s�,�'� Gainbling Manage�Aff'idavit : (Attach to the Gambling Managar Application.Form LG212) STATE OF �I/I��?!�r ��L ) AFFiOAViT OF�UALIFiCATlON . ) s.s. FOR GAMBUNG MANAGE�L1C�iJSE COUNTY OF_ �Da�1d� ) AND CONSENT STATEMENT (PursuaM to NGnnesota Statute 349.16 Subd.2(e) and Minnesota Rule 786L0030,Subp..128(3)) I, JC o�P r� �i ��t'i�� . , under oath state fhat: (�YPe/print name) 1. I have never been convicted of a felony. 2. I have not,within five years, committed a violation of!aw or board rule that resufted in the revacation of a license issued by the Lawful Gambling Corrtrol Board. 3. I have never been canvicted of a criminat violation invofving fraud,theft,tax evasion, misrepresesitation,or gambling. 4. i have never besn convicied of assauft, a criminal violation invoiving the use of a firearm, or making terroristic threats. 5. I am not an assistarrt gambling manager for any other organization. 6. I am not a gambling manager for any other organization. in addition, I understand, agree and hereby irrevocabiy conserrt that suits and actions relating to the subject matter of the attached gambiing manager license, or acts or omissions arising from such appiication, may be cammenced against my organization and i wiii accept the service of process for my organization in any cou�t of competerrt jurisdiction in Minnesota by service on the Minnesota Secretary of State of any summons, process or pieading authorized by the laws of Minnesota. By signature of this documeni,the undersigned authorizes the Departmer�t of Public Safety to conduct a criminal bacicground chedc or review and to share the resutts with the lawful Gambtic�g Co�rolBoard. Faiiure to provide required information or providing false or misieading information may result in the denial ar revocation of the license. � Subscnbed and sworn to before me this � (Signature of pplicarrt-gambli manager) �[ day of_1y� (/ _ 19� n n / . KoS�?•�r�o.v�{�2i�r;�.�.v,��q,6,c�' �'�s7`�r � {Name of organization) Coun �_Q `a� _ '%^ D License number Notary P My co rn' sion expires 3/— c?OD 0 . • CHERYIE R.COUGkiIIN t�TARY PUBUC-MINNESOTA DAKOTA COUNTY • My Cotnrtl.F.�tres Jen.3i.2W0 t s Last STATE OF PIINNESOTA FOR BOARD IISE ONLy GAMBLING CONTROL BOARD AMT. 'PAID GAMBLING MANAGER LICENSE RENEWAL APPLICA2'ION CHECK # ' LG212GMR PRINTED: 03/13/95 : DATE LICENSE NUMBER: G-C1253 001 EFFECTZVE DATE: 09/O1/94 EXPIRATION DATE: 08/31/95 NAME QF ORGANIZATION: Americaa Legioa Post 65 Rosamount GAI�LINt� MANAGER ZNP'ORMATION Robert Joseph Femrite DATE OF BZRTH: 08/30/44 : 4476 Reindeer La • SEX: M Eagan b!N 55123 SOCIAL SECIIRITY NtJMBER: 151-36-6171 DAYTIME PHONE NUMBER: 612-681-8874 �s�-8a.z.7 MEMBER SINCE: 08/08/87 LAST DATE YOU ATTENDED A GAMBLING MANAGERS SEMINAR/CONTINUING EDUCATION CLASS: 11J12/93 . BOND INFORMATION BOND COMPANY NAME: Western Surety BOND NUMBER: 58427457 ACXNOWLEDGMENT I DECLARS THAT: • I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD; • ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE; • ALL OTHER REQIIIRED ZNFORMATZON HAS BEEN FULLY DISCLOSED; • I AM THE ONLY GAMBLING MANAGER OF THE ORGANIZATION; • I HAVE BEEN AN ACTIVE MEMBER OF THE ORGANIZATION FOR AT LEAST TWO YEARS; • I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE GAMBLING CONTROL BOARD AND AGREE, IF LICENSED, TO ABIDE TIiOSE LAWS AND RULES, INCLUDING AMENDMENTS TO TIiEM; • ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE; • AN AFFIDAVIT FOR GAMBLING MANAGER HAS BEEN COMPLETED AND ATTACHED; AND • I UNDERSTAND TFiAT FAILURE TO PROVIDE REQUZRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESIILT IN THE DENIAL OR REVOCATION OF THE LICENSE. SIGNATUItE OF GAMBL G MANAGFR DATE , �.� a� � REFER TO THE CHECIQ�IST FOR REQIIIRED ATTACffi�NTS MAII� TO: GAI�ffiLING CONTROL BOARD 1711 WEST COUNTY ROAD B, SUZTE 300S ROSEVILLE, MIN2iESOTA 55113 THIS FORM WZLL BE MADE AVAILABLE ZN ALTERNATIVE FORMAT (Z.E. LARGE PRINT, BRAILLE) tJP4N REQLTEST. /_' CITY OF ROSEMOUNT DAKOTA COUNTY, MINNE54TA -' RESOLUTION 1995 - 3 0 A RESOLUTION APPROVING A GAMBLING PREMISES PERMIT RENEWAL FOR THE ROSEMOUNT AMERICAN LEGION POST 65 WHEREAS, the City Council of the City of Rosemount received a Premises Permit Renewal Application from Rosemount American Legion Post 65 to conduct lawful gambling within the City of Rosemount at 14590 Burma Avenue, Rosemount, Minnesota. NOW, 1'HEREFORE, BE IT RESOLVED, that the City Council of the City of Rosemount approves the Gambling Premises Renewal Application submitted by the Rosemount American Legion Post 65 for the period of September 1, 1995 through August 31, 1997. ADOPTED this 6th day of June, 1995. -�.--�. � � � � E. B. McMenomy, ayor ATTEST: , S san M. alsh, City Clerk Motion by: W� P P e r m a n n Seconded by: B u s h o . Voted in favor: Staats, Busho, Anderson, W i ppermann, McMenomy Voted against: N o n e.