Loading...
HomeMy WebLinkAbout4.j. Gambling Premises Permit Application for Celebrity Bowl Charities, Inc. � CITY OF ROSEMOUNT ` EXECUTIVE SUMMARY FOR ACTION CITY COUNCIL MEETING DATE: DECEMBER 19, 1995 AGENDA ITEM: GAMBLING PREMISES PERMIT RENEWAL AGENDA SECTION: CQNSENT APPLICATION - CELEBRITY BOWL CHARITIES, INC. PREPARED BY: SUSAN WALSH AGENDA �p A � � ( ADMINISTRATIVE ASSISTANT �y� ts ATTACHMENTS: APPLICATION; RESOLUTION APPROVED BY: . Celebrity Bowl Charities, Inc. has submitted its Gambling Premises Permit Renewal Applicatian for the period of April l, 1996 through March 31, 1998. Celebrity Bowl Charities leases space from City Limits Lanes and Lounge. They have paid the$100 investigation fee which is a requirement of the new gambling ordinance adopted by the City Council in 7uly of this year. Since the 80 percent annual expenditure requirement takes effect January 1, 1996, this requirement will not have to be met for this renewal application, although the a.�ected organizations need to keep this in mind beginning with their 1996 expenditures. Approximately a month ago, the local charities and business connected with charitable gambling were provided with the new ordinance and a memorandum explaining the 80% donation requirement and other conditions of the new ordinance. Staff recommends adoption of a resolution approving this application. RECOMNIENDED ACTION: MOTION TO ADOPT A RESOLUTION APPROVING A GAMBLING PREMISES PERMIT RENEWAL APPLICATION FOR CELEBRITY BOWL CHARITIES, INC. ~ �Tortheast 8TAT8 OF,�tZNNBSOTA_ (80R BOARD U3$ ONLY ' : . . ,�;_ ,. _ , .. ., ._, , . . GAl10ZZNC C011T!'ROL �BQARD AMT PAID ' . __ , � PR811[238.4 PSAIIlIT JtffiVBP/AL JIPPLICATIOH .' � �CFIECK 11T0. '� , ;. .. ,. � ._ ., . .��LG214PPR PRIDT!'�DS:10/11/95 .�.r�, .� .�:;,.�., c�x,� .��.�. .;.�s, s,_.�.tt.... �_ ,, °w � }� a ,:�'r� f.� . i '� . :�a�- 3 �-- .�.,� �'�:� a^ - r •" ...�-� .. . • '- `!'7:.�. � ; ,,_� . *•u _. .: . , _..... .. ,._. . ._._ .. . _.. . ;... .. .:.: . . .,a . •.,u ✓ . : .. , " , �� ��, � . � . . � .. :-.-'...� .... _ .. _ . . . . ; . ....... .:_.x� :. .-.r, s w.;..«�w-,.s,r�.-...e-ww �+.,� ..y.-� .-. . {-: -�LICENSE NUMBER: 8-02650-03! � � ,SFFECTIVB DATE: 0�/O1/94 ' `. EXPZRATION DATE�. 03/31/96 "' '' -' ' r - ._`,t .`..>:::�� .ysa;::�k� ._ •� NAME OF ORGANIZATION: Gl�brity Bonl Chariti�s .liaakato , _ _ . _ _ - , . . ;.:_ .�_�_ - ,. .- .__. _._. _<_. _... . . .,. .--•_.._.. ._ _.;._ :.: : .•�: . _ :,. :.. _ . - .� u-" .` 1 _ �GAb�LING PR�SI383 INFORblATION � '�`" - r= :S ,.•.:. }-:r_ , ; _. . , . . • _ _ ... . ,. . ..�,_,; � _ +, : . `. NAME OF ESTABLISFIlKENT WHERE GANIDLING WILL�BE CONDUCTED _ '� .. . ,_ , ,. . _ _ ,::<..- ..,:..,. , _ .. . • � •r , . _.-.t.....,: ..._ .. .•_. . . ._ __ , ... . -- - . , . , . . . : City Limits Laaes � + Yf , . � . . . _..,. , . . . . � • 3. . .�.i . . . - _i_ . . .t � .. .. .. . 15400 8 Robert Tr : ,.,,� . _ ., _ � .�Rosemount 55068 -�_ ,' _�.. . . .� . ._ . � . ,�_ . _, _, _ :` COUNTY Dakota - -- � '���IS THE` PREMISES-.LOCATED�WITIiIN THE CITY LIMITS?. Y "'� -� � - . _ . .. . , ,. ._. ,_. ,_ , . . .. _ . _ '� LE3SOR INFORMATION . . _ __ .. . _ _... _ . , > DOES YOUR ORGANIZATION OWN TIiIS SITE?. No _ ; . _ ,.: IF NO, LIST ,THE LESSOR: � �.... _.___. . ._ Josegh Doyle _ .. _;, , ,. - _ 16133 Dodd Ln . , ._ _ _ � . ..: � -., :- ,;. _. . . Roseanount . !�i 55068 . : . -,_ _ . _ .. . .. ..� , -.,—.�_._,_ �_. ____..__ .. :.....___.�_ _ _ . _ _. �_:___ ...:_ _ . - --._ __ _�. _ . _ _ .. _.._ _.._ . NAN� OF PROPERTY OWNER (WHEN NOT LESSOR) : _ _-. �. ; . •, . : :. �. 0.� ._.�.��:_.._.�._ _.._. ___� �.�_. _,__�.,... _ .,_._� • � :_. .��,.�,. ____,.. _•. _._ ____ _. _::__ . . _ ___ . .._ .�_ � _ '?SQUAR.E FEET PER MONTH: +DlrS 1 AMOUNT PAID FOR RENT PER MONTH �@$A-,,, r:SQIIARE FEET BER OCCAS ION: Y . , -._0 :�=, -, ,� , _, - _ AMOUNT PAID PER OCCAS ION �`;�Y.._�. _�� . _ _... .. t. . � . .. , -: ' .: : ` • BINGO ACTIVITY _ - - .� :. wt-� -n�„ ._ -_ __ �. . ..... -� z�� .. ���r � BINGO IS CONDUCTED ON THIS PREMISES. No ��IF YES, �REFER TO INSTRUCTIONS FOR �REQIJIRED ATTACHI�IENT , . . . _,.�.a:_::� �..._,___,_- . .a�. 1 .._ .Y..__ 'e. � K p1�1�1SV� AL�i<a1�`7 .. .: 1 `� G.C:..'.4f �. i-��•t . . m . _ - . . ii 's -L�3 - _ . . ., .,^:.. . .... �,. , F :i '3� rt('t.i S�,i� � . . .: :a ` "1 _ . ,.- _ >> 1_ . �. ....�.: . .�:�.,.. ��.. 15 S.R;IVERFRONT ST �LL 100 z�. � �...=�:�, _ , . .. -. - .., MA1vI{ATO MN, 56001 :_ „ .- ,.�c:"}.��la:-�y� �„=�� r: € ' :d k '1�.."�^'Ls �a�i 7 , x . .- Y_ _ t ,�':-SR a t (jf� �` ' 1 e. ..t E.. 'ak ^z'i�s e` ;: - �a� �ff 1 ��-S c . ., 3 .� . r �-' � -��� . . - _,t=..�;�..�_w .. . ......_ � "" � -" • -'` °�"'-BANK INFORMATION ' " "`� . .. f•. e.- �.. '`' r ���? -�..i�,- -t�- /._�+}„`�?���3�'�s Rosemouat National Baak : ,f, ��. a _ -Y,� ? �'� S'' ' �.- L'l�s' 3ro �� i.3 3Yss ��..t 'i.. _t _,"t xr'os" �it.T „-..`"..f��✓tr t`.'"�'i;���"° _ .. ,-�,.... .w.. �. �_.,�. .... _' _... ' '' . 15055 Chippendale Ave S Bx 439 � , ��Rosemount �i 55068 _ •�;_ -� Y_ .��s,'�: '���'�'r�.`" � r � .. . � � '... , � �: " . ". � .` � t�_`N3 :' � ' ' . �, ..' � f ]^ .... . . . ., :'.� ' ,;: '�' . ..."' ". ..., . . _ .' , , .. . . ,:._... . ,-. .�..:��.� . . . ' ::� ..... -: . . -. . .:, - . :.: �x➢": .. , . �.:_ .. . . . ., Y ..,. Y,. � « �a x.z'* '�+k� ��^w�' ..�trp .. fT.�:l�'+ �� � � �... '.'� = ::!^..'.4� 'X ."v ��� Xs�r:� b �` r i ;i't i "'$r' ; r ... � , ., _ � _ ,._ ,_ : -�.. .-a GANBLING BANK ACCOUNT NUNIBER: 1003211 ` � R � � . . , :- ^ ..._ � �'�� t_;. �P �.v� T f'� f'Y y —F� . � _ � "T � .. ... . .. . , ..:.. .. . , _ . . ..., ,e::..' .•. .. .s! . '_ . ..� . • .'-. -,�: . . � ' . .. :�.-' .. . . ._ . .. � f .._ . . . �. . ON THE LINES PROVID$D BSLOW �LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS n �. �.fi �A G�• a RAWALS FOR THE GANIBLING ACCOUN'P�~ AUTHORIZED TO_SIGN_CHECKS AND_MAKE_ DEPOSITS AND WITIID � � �- --- � -.. „. , ;THE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. _ .,: � . '-. _ ,. a. !..Fp�:r_�.a-- s.rJF_'s-"1 ,�. -.: - _ t� ��� �.y> ' . ,, _- e. .. �-._.,.� :� _ . ,�� .. . . .: „ . r_ �. - , .: . ._ . . � .., , .. .. :. _ , _ _..s.... . -.. .:r,.. ., .. � ;� X � � . ._ ..�. .. , >i.?.�� . •{ Se-. '"'T «s . . ,.,.... .,��_e ... .6��� a�'. f � §�� � . - ._ .. . .. . .t . . . . U DEMARCE 2025 VICTORY DRIVE,MATtI�A1'O MN 56001 GAMBLING MANAGER =: -, �..�.� ,�..�__.�.._,...�..:..._....�;��.:_._.._.� „ �. _..:� _....: .....� __�_..._.._... ____.:.,.,.,_,...:........�--.��..,. _ .., .� . __ _ .._... .. _ ..;�;.� ,_ :;. GENE GLORVIGEN. 1929 SU1�Il�IIT DR NE,R�STER MN,55906 CEO . - _ . _ __ .. _ .. . . ____. .�..� . __ __. _.. ._,. _._ .;r t ...(BE 3IIR8 TO COMPL$TS TSS .RSV8RS8 SIDB OF THI3^APPLICATION) ..e., . _ ,._ �„s.�,. as•,_. ..,:,�..,.,...,. ._>. �. .. ... .�,� ...._: . . .. ... � � . : ..".i t'�.�i', g ,t,r� i�.�f �-y .;;,� ' ,_.�. . . .�:- . . .._ ,._:. .^ -: ' .. . :� . ..� -.. . . :,;�x . ., . .. TIIIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT ,(I E LARGE PRINT, BRAILLE) IIPON.REQUEST . „ . - - - , _ - -�- ,_ N.. ,� r �: r - . . .:. . .. . -u Oiu...'. r�.��Ly.'� � � _ v .i K -- - �. 11Q�?� ^11LBDC3D�NT 'i� _ .i e��;.' -. , , ' 4.,.�. GAD�LING PR�ISSS ]►DTHORIZATION .,_ ,,..;�Y _ .' -_ .. . .._, }, , ,�;; � i � . . •.Z�i� - a��'S!�'it�. �„`�t;Ck'�... . wt••T,A1.'�;.(. t`' 'I HEREBY GZVS CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THB GAPIDLING CONTROL BOARD, ,OR,AGBNTS '�:'' ".�=;pF THE BOARD, OR TF� COI�IISSIONER OF R:EVENUE OR PtJBLIC SAFETY, OR AGENTS OF TSB CONIl�IISSIONERS, . __..._ -- —•-- --- . __ . + .:TO SNTER TSB PREMISES TO SNFORCE TSE LAW. ;r, ,� : � :� ' -- •r . ~` " : ... .. . . ._ - . � � . . . . �. ��,._ _ � ' � � . � • . -' � . . �,'...�. �"?�. �.;.�.. � _. . �� .f.._._._ .�.._. ._. � _... . ��,.. ____ . ._._� .�....`_.�...� ���,�s.....__ /�._n._^ __T..�}� �y�_..T_ �}.. ._ . . _......... .. _ ..__•_. _ �--"`«.:-. ..z�. :� ^� . . . rr DAa�A �\.�iW� ii�C��Wf��J.Qi7 „ .r • . _� .., ,.. � ,. .... . . ..v� _�. . ._ ...� ...i�t"t.'Tt. .. `�THE GAN�LING CONTROL BOARD IS AUTHORIZED TO INSPECT TSE BANK RECORDS OF TSE GAI�IDLING ACCOUNT _ _ ��`AIFialLVER NECESSARY TO FULFILL REQUZRII�NTS OF C'�JRRENT GANBLING RIILES AND STATUTES. �_� - --��.� �..r •L.,_ s-� 1.�:�). .;�::..:� 'a';-''z:, . , ....__.._ _. __� �.v.__ _ ..,,.._�. ' _�.' . . " I DSCLARL► TBAT: � • _�,,�_ r. ..�..---�s.,�.. �_, ._ -' � ` ~ • I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO TF� GAMBLING �CONTROL BOARD;. " �• ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE;; .• � .:.___ ' +��:- ALL OTHER REQIIIRED INFORMATION HAS BEEN FULLY DISCLOSED; �. r _ .��: � .. a, _;� ; `�''• I AM THE CHIEF EXECUTIVE OFFICER OF TF� ORGANIZATION; '�` - " ""• I ASSUME FULL RESPONSIBILITY FOR TF� FAIR AND LAWFUL OPERATION OF_ ALL GANISLING ., __�,. _. __.,..'_ . _...._. -_-• . _ v� i�+ec�sc;iu . 'r;.. . r�°_•=`ACTIVITIES TO BE CONDUCTED; � �,.._ __..__ _ _ __ _. -- _ _ _ __. . __- -------- ---_.. �- � I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL G1INIBLING AND RULES - OF THE GANIBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERMIT, TO ABIDE THOSE LAWS . - .._: �:: _ . AND RULES, INCLUDING AMENDNIENTS TO THEM; . _ _ - ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GANIDLING CONTROL �BOARD .AND � ' LOCAL UNIT OF GOVERNMENT WITHIN TEN DAYS OF THE CHANGE; � _`�}� � : - I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDZNG FALSE OR MISLEADING ` , �,_ -.� INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE PREMISES PERMIT. ` � � ��-" ' F . _ .- ___ . SIGNA OF SX OFFIC . ATS , : �t �� T S/ , _ . .;: , - - .�: . , " LOCAL GOVE ACIQiOWLBDGb�NT � �,.. . - 1. 'THE CITY* MUST SIGN THIS APPLICATION IF THE GANIBLING PREMISES IS LOCATED WITHIN CITY. - _: _ __ . _ _ _ _. _ __.. __.� _ .__ .._ __.. _ �----..__- _ __LIMITS. _ .: . .____ -.---- -- _._.____.- - • -�r- .... _,,; =2. THE COUNTY** AND TOWNSHIP** MUST SIGN THIS APPLICATION„IF .THE GANIBLING PREMISES IS _ _ -z r._ , . , , _ _ _. : : . _ .. ..� .t 4 =:;: _,�.-._.._ < _ . .. -- :,.' . _� _.-. ._: ` LOCATED WITHIN A TOWNSHIP. __ __�... __ _ _ _ .�.._ �. _ _ __. � 3. T�FOR TOWNSHIPS THAT ARE IINORGANIZED OR UNINCORPORATED, THE COUNTY** IS REQUIRED TO ATTACH . �, � A LETTER TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS. . $�.�4. ' THE LOCAL UNIT OF GOVERNMENT (CITY OR COUNTY) MUST PASS A RESOLUTION SPECIFICALLY , � "� APPROVING OR DENYING TIiIS APPLICATION '.�. r : • "'` �..5.��A COPY OF THE LOCAL IINIT OF FGOVERN1�iNT'S RESOLUTION APPROVING THIS APPLICATIOIJ MUST BE � � y . ATTACHED TO THIS APPLICATION. , =,�`� •;s � .� 6 , IF THIS APPLICATION IS DENIED BY THE LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED �'` '°""� `� TO THE GANBLING CONTROL BOARU. - . � -3.' '�"° � -�`°� � �-�� �„dc�,�..'���ws.: �•�;-,.TOWNSHIP: _ - u�'`'�,,,��.T? � '�c`�#��� �BY SIGNATURE" BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A �' ,�PREMISES PERMIT WITHIN TOWNSHIP LIMITS. _ �"'` `�"�"-1"' "''"``"� ''-;'�'�'�' ?"''"� '�'�``1� f4 :.. . �'� ...,:� .. ._. .- .�- �. � - - , ... _� ... _ ..� �,. . '._ �. .. CITY* OR COIINTY** _ TO�PNSHIP**' �' 4 ~ '��`"� ����a' '� ,... __ , _ .__, _._ . . . , . .__ , , _ _ . . . :.. . :-_. . .. y .... ,...el. .. :. . . ... , . � _, ^'.- . ?a.. r+,x�_�- ..:-,'�..."i..:.r,E; i= 4'f. `i'gFs" _ � ��� - =CITY OR CO N�1ME _ ' � . TOWNSHIP�NAME •, ' " ti` ` - � �_ _.,� ..-._.__ ..�..:. ,,,..__.:.,. ._e _ - �, � _ ." ..___-�_ �.,.. ... . __ _ __. � 'C�.'r o� a�mo�n� . _ . , . "SIGN OF ERSON ECEIVING APPLICATION � SIGNATURE OF PERSON RECSNING APPLICATION _. . __ _ �., ' - - _. _ _.� � .� � � ... _ . '"r` ,`.P:' f - . . .r L . .... _ . .. ._... _ ,.. ..�. ... � ,.. �.. ._.... .... . _... .",TZ , DATE RECEIVED � ( TITLE __ 4_. _ .� . __.._ - - - DATE RECEIVED __: . ` � ,� : ,_ I :. . - ,. ��- /3- 9� . __ _ . �.__ �__:. .__._ ._._._. ____..._ .._�._ ___.�.__ _. . � . ,x. ' REFER TO THS CHECRLIST FOR R}3QIIIRED ATTACI�iTS MAIL TO: G�,b�LING CONTROL BOARD _.,. _ :,.. . . _.,. , _ . -.� ' . . ;'. . _,;µ � _ 1711 �P COUNTY RD B �="SIIITE 3 0 0 3 ..� _,'� '_�=- ___.. ` . ; : ROSBVILLB. D�T 55113 _ -., , , . f _ , - _ . -. _ . . .. -�k .. . , ,.�.��;L� Minnesota Lawful Ganebling � . . . . . co��� LEA�SE AGREEMENT FOR '�� _ ��:Y: . .. , . , „_, � . .�, ,;,f. ..a f ' ` � ��, ; :,�: w ,. _.. _ �..� PUI.UTAB, PADDLEWHEEL, TIPBO�iRl� AND/OR RAFFLL <,.A. . � w .. r.� .� _- .� -AC77VITYATA PERMITlED PREMISES . " _� �,t� _a �+r:.x �?�__ __ . _ ....W ,,a.z'-,. _ � ` �:�� o . n ormaho�r, _ " - Name of Legal Owner of Property Sheet Addcess City tip Daytime Phone:` .. .. _ � ., . . _ , . ._. . ... ..., ._ . . . . . ... . ._. . �.. ..- . .� ry. .t. .r. .. �. � ;JOSEPH DOYLE, 16133 DODD LANE, ROSEMOUNT MN 55068 : "'.. . ,�-' 612 432-4976 �•_��`_ ' .y;-_� r...�F ._ .. . ._ _ - .. � : . . � ... ._ . . - .. . .� .. � ._ �. � � - - ' , ,_ �_-�_� �,:�Name ofLessor __._ � ,. •< . StreetAddress -City Zip Daytime Phone :;;(This may or may not be the same as the I.tgal Owner of the Property) � . . _ . _ . _ ��: _ �.:�" >�i �� _ . . - . .' ,: _,,,,.. _ . _ . . , . . . . . .. . .:�r� � , ..."r, .. :- � - ,• < , . . ` JEAN DOYLE, 16133 DODD LANE, ROSEMOUNT MN 55068 __ - 6Q2 432-4976 � � �- �•Name of Lea4cd Premises Street Address City Zip _ Daytime Phone '""=' . Rj . . . .. . . � . . . ' k _ _ . . _ _ .. . . �' ' .. . � � . . � . . . . ... . ' CiTY T.TMiTC T.A1VR4, �sano�.ROBERT't'1zan._ R(�SEMOUNT 1�II�T. 55068 6!2 4�3-2000 " "Name of Lessce(Name of Organization Lcasing the premises) GCB License#of Organization Daytime Phone ':. . :� _ _ B IN . B-02650 �DO �86�079 _ rv�.,�H x xk L ��� �e��� �+i w�,yi^'�����,��„,.'` y_.� .... � r_ .. � �.� � 4 � ..-� �� k''�. ��� � '�: - �Itenl In,forma�iot� ��.,( ,� � � �5 �.� .,.�� �� ' � .�s,rr.:�w�., 3�.�'�,�:,�3k..'`��.i,w..�'N 1���'i^�.�7 S:kx. 6F.e A�. d . �....z%. .......:. . . ��:� .� ..., � >'�,." ar� x "� Y " ��` '��..,. . _� �. .>..: '��:�4�. �.,.. _. :„a.,7e-!�.. �"�.�.°'zx�,:�' . .-.... . ... . . . . 4e.:.. : . __'; ' : 'Type of gambling ac6vity(check all that apply)that will be conducted at this gambiing premises. • ' > , �`]Ra(fks �PaddlewheeLs [I�Pull-tabs ��Tipboards _..,,. .,; „ : .._ . , ,._ . r _... , ., Total rent cannot ezceed SI,000 per month for all non-bingo lease agreements wit6 your org�nization !or t6is gambling premises " �-_"`M orgenizatioa msy not pay reat to itself or to any of its affiliates tor space used tor the conduct of lawtui gainbling," ` , , � . ._ : ___ ..�, . �.._,... Rent to be paid per month �500.00 � .List dimensions of all an�as leased by your organization for the conduct of gambling ac6vity chxked above,ineiuding storage. ' ` } �r" : The leased areas are: S - `fcet by - 7 � -_ 'feet for a total of 35 square feek ���� � } � . _ :. , _ -�� - _. - . � . , �. � ��_ 2 fat by 8 fect for a total of 16 �square`feet. � , : ; .� - . . � � '= feet by : :, ,-�'_ -, feet for a totsl of _ . -:, �square fxt } _ � :� � , � .., . � < fat by . fat for a totai of square fat � . .._ _.... __. ,.. � ._ _ �, . . . _ _. Storage feet by feet for a total of squane`feet 2 =, " Stora e feet by , , . feet for a total of ; . - `squere fest - - >„ . � g .. � . _ .__ _ -•-,_ . . __._. _.. ..: .._,: .__, ..,.V..�.._� __. .._.__�.�.. .. _ . ,._ ___ _. � _ _ -�; . < � , - . Com6ined total 51 - squace footage ` . t .. , � ;. i � `� �.` �y„ ,,... -., _ .,. !;�. . , .. � '�. tiea_,�L'\ !'�`�� �,.-;�.`y,: . � i' - .. .,. .:s . .. . ._. ��=.-�-- . . "� Submit a sketch rawing)o t6e g�timbling premues. Ttus�must show the location of your oiganization's leased atea(s)for the conduct of lawful gambling,including areas leased for storage of your gambiing product on this gambling premises. Be sure to write the dimensions �.:of the leascd areas on the sketch. r�nn►�vs�orrs ox a� s�rcx hnrsr sE r� s�as TxosE usr�nsov� �. . 'MN Statute 349.18 Subd 1 states that the term of the lease may not begin beforo the effective date of the premises pecmit and must expite -�..�on the same day that the ptemises permit expites. ONLY write an eft'ective date in this area of the kase if this is a renegotiated lease � --- ` agreement oceuring during the term of your current premises permit , _ _ . ,. _ .. . . . ,.: , , . �, ; -. , . _ _ . " ! Effective Date for Amended Lease Agreements �- - - -� _ . , .- � _ ; _ . __ . . . . . � .. . . .. - .... �_. ._ . . 4 . . � . . . . . � � � . . . . _ % t . �. . . i.cza - <, By ag�c�ng to t/te ternu ojthts ltast, tt is mutually agntd that: . �091°�� t .� The ownet of the prope�ty or the lesao� ,The leaaor of the promiaea Nn11 allow the The lessor ot the premises ahal provide t� ;• may not mana9e �ambM� at the p�e- � Board or agents of fhe Board,the Commia- fhe lessee accesa t� the permitted pre- `-`� mises; .�� •"�sioner of PubBc Safety or aflenfs otthe com- mises durin� any �me reasonable and , ,� �-,� �,,�,,.,_ , ._-- ____.... . ,_ _.._..--�ner.or the Commiasioner of Revenue 'necessary b�conduct lawfi�l Qambin�on � : �;"�:rThe��lesso� of the premiaea. his o� her or a�enta of tfie commiaaioner� and law en- � 1he premises and as sgreed upon in fhis t L.-_-�immediate family, �and any aQenta or fon;ement personnel to inspect the premises lease; "- "`- " ' ' � emptoyees of the(essee may not partic�- at any reasonable time, and permit the `� ':.'pate as piayers in the condud of lavvful or�ani¢atio� to conduct lawful �amb6ng at The kssor shaA not mody.te�minate or K �.=::::;pamb6n� on the leased premises; .... the premises accordn�to the terms of this _refuse to renew thia kase fi v+fiole or� ,-'.;. ._ __. . lease. The lessor may not impose any con- pan because the oryanization reported � , � �- The lessor and the lessee do not have a d�tions on the or9anization regardng ds- b a atate or local taw enforcement au- .� drect or indrect flnancial interest in the tributors of gambfing equipment, services, thorily or fhe Board the occurrence at the a � .�stribution or manufacture of gamb�n9 or the use of prohhs; site of iAegal 9amb6nQ acWity in which . ._, _._ _ ._ .,_ _ .�_ ._.._. ., ___ ._ ._ eqwpmenfi._ _ , ,: the organ¢ation dd not partiapate; and The tease shaA be terminated for any i�egai •`'�The organ¢ation must obhain an organi- gambling violations occurring on the pre- �` , zation 6cense,gambGng manager 6cense mises; � The organization must have, at the�am- ,_ _ _____.___ _ _ . . . and a premises permit from the Gam- .. bling premises, a current inventory of bGng Control Board. The organ¢ation The organization wiN be responsible for en- gambling equipment, a sketch with di- : vm'A be responsible for compying with the suring that the iessors business activities mensions of the premises avaitable for `_laws and rules of lawful gambling; are not condu�ted on the leased premises; review, and a dear physicai separation ---_. .�_..._......._ _ _ or d'nrider between the lessee's gamb6ng .The term of the lease shall be concur- equipment and the lessot's business ___ _ . . ;.. rent with the premises pemni� _. __ .�..___....._ _ _ . _ . _.._. _ . _equipment - ` � - List.any other_condrtions.or restrictions that_v+nll be induded as part of the lease. A Attach addrtional sheets if necessary. Be sure both parties date and initial any attachments to this lease. ,- . . ,.. . _ _ . : .. . . . : ;,F ,_ � ,. , : _ . - : .a . .:. . _, _ ,. ,::..: ._ ._ , .... :,.i .; . _ � _ „ ,.s .. �: �; ., SEE ATTACHED ADDENDUM TO LEASE � , .,_. _ , >. :. - � - ;. � . �_ _ ,_... . . � �: � .._.: . .. . �.�:;' .fi," .t� .: �:: rJ:: . - " r�. . ... .. . . . . _ . � . ... . .a... . `� :.;This lease is the total and only agreement bctween the tessor and the oeganization conducting lawful gambling activides ' . _- . � ,; ' Tothet than bingo and pull-ffib dispensing devices. There is no other agreement and no other wnsideratioa tequind �- �,,� x �.5. . _ �a _n., -bcEween`the patties as to the lawful gambling and otha mattcts relatcd to this lease. Any changes in this lease must be - - J submitted to the Crambling Control Board withui 10 days of the change. � � ,� , . ,. _ . . � T. . . . .. . _....-.-. .. ..^:,' ...... . ..__�... �� � ignature of Lessor � Dah Signatun of Organaxtion Official(lessee) , Date � { . � � ` .tt�3c7(�S <<.�� - /� 5�9� .. � � _ � = , �-- f Lessor Signatoty -. -- of Lessee Slgnatory _ _ � _ - - . � , , .., �� __ . : ._ ___. -. . _ � S� _- � , ., _ . _ ,r�.__.. __ .. _„_.. ._..,._ . � _. �- �> _ .,� � _T A�PY of t61s k�se and a slcetch,w�It6 dlmensions must be submfitted�vtth the pt+embes permlt appitcation or i -- ....� - ', premLres pecmit appGcation nenerval or�rben .any c6anges in the kase agmment occur. ,, , � ..__ _ . .: . _ : . . . . -_ , ,_ . _ _, : � f :�:This publication will be tnade available in alternative format(i.e,large print,braille)upon request. . _ �-:"Questions on tlus form should be directed to the Licensing Section of the Gambling Control Hoard at(612�39-4000. - `. �Flearing impaired individuals using a TDD may call the 11Tnnesota Relay Service at 1-800-627-3529 in the Greater -. Minnesota Area or 297-5353 in the Metro Area. . The information requested on this form will be used by the Gambling Control Board(CCB)to determine your compli- - ance with Minnesota Statues aad rules gaverning]awful gambling activities. All of the information that you supply on this form will become public information when receivefl by the GCB. � . . , _ �=..� : - _ � ♦ ADDENDUM TO LEASE AGREEMENT The undezsigned parties agree that this Lease Agreement shall operate as an addendum to the Minnesota Lawfui Gambiing Lease Agreement attached hereto. 1. This lease may be terminated by either party upon thirty(30)days written notice. 2. If the Lessor terminates this Lease within six(6)months of the initial date, the Lessor agrees that the rent&comp for the last month shall be reduced by the sum of$250.00 to reimburse Ceiebrity Bowl Charities for the out-of-pocket expense incurred in obtaining a premise permit 3. Rent and azry compensation shall be due on the 20th day of the month following the month earned. (e.g.. December rent and compensation shall be due on the 201h of January). No rental shall be paid or shall be due until a gambling license is issuefl and determined to be effective by the State of Minnesota. The Lessor understands that no gambling activity shall be authorized or occur until duly licensed. Compensation will be paid to the lessor or the lessor's designee in accordance with the compensation schedule on file. 4. The Lessor agrees that all equipment including cash banks maintained with individual games are the properiy of Celebrity Bowl Charities. That such equipment and cash banks shall be released to Celebrity Bowl Charities or their representatives upon demand. 5. The Lessor agrees that Celebrity Bowl Charities shall be the only entity authorized to engage in charitable gambling on the premises of the Lessor during the time that this agreement is in effect. Celebrity Bowl Charities may waive this restriction only by specific written agreement prior to any other gambling activity. 6. The parties agree that in the event either parry is required to incur attorney's fees or costs to enforce the terms of this agreement, that same may be considered as an element of damage and rec;avered from the breaching P�'• 7. All parties agree that no rent or compensation shall be due for any period that the site is closed for business. All rents will be pro-rated for partially closed periods. A period is defined as 1 calender month 8. The I,essor agrees that Celebrity Bowl Charities will be reimbursed for all excessive shortages. Excessive shortages are defined as the amount of the shortage that exceeds.003 of gross sales. Failure to reimburse Celebrity Bowl Charities by the 20th of the following month will result in the withholding of any Rent and Compensafiion that is due until the reimbursement is made. LESSOR V�'l,�-t"r1 �. LESSEE CELEBRITY BOWL CHARITIES DATED 1(�3 C��c1'S � . BY: �..... TITLE. G�i`ttif.13L��G �''!G',C., . DATED: �� � � � ,, B -�p SI�TCH FOR CELEBRITY BOWL CHARITIES W B-02650-034 CITY LIMITS LANES L B I A --�T R 5 G G F A A T M -� R B R E X L E A I -�+, � N F G N T --0 B O G 0 --� T M ------------- H B X 2X8FT -�, ------------- I N � � � i � , . CITY OF ROSEMOUNT �� DAKOTA COUNTY,NIINNESOTA �=, ..�: . ..�:�J RESOLUTION 1995- A RESOLUTION APPROVIl�TG A GAMBLING PREMISES PERMIT RENEWAL FOR CELEBRI'I'Y BOWL CB[ARTTIES,INC. NOW,THEREFORE,BE IT RESOLVED,that the City Council of the City of Rosemount hereby approves the Gambling Premises Permit Renewal Application submitted by Celebrity Bowl Charities, Inc. to conduct lawful gambling at City Limits Lanes and Lounge, 15400 South Robert Trail, Rosemount, MN for the period of April 1, 1996 through March 31, 1998. ADOPTED this 19th day of December, 1995. `� E. B. McMenomy, Mayor :; i� Attest: Susan M. Walsh, City Clerk Motion by: Seconded by: ,�-_� Voted in favor: ':� Voted against: , �