5.f) Temporary On-Sale Liquor License for Scandia Marine Lions (Spring Chicken Dinner) Meeting Date: 3/20/2012
�
Agenda Item: L �
J �
City Council Agenda Report
City of Scandia
14727 209�' St. North
Scandia, MN 55073 (651) 433-2274
Action Requested: Approve a Temporary On-Sale Liquor License for Scandia Marine
Lions Club, for a one-day event to be held at the Scandia Fire Hall.
Deadline/Timeline: N/A
Background: • The Lions Club is planning their second annual Spring Chicken
Dinner fund-raising event on Saturday, Apri121, 2012 (4:00 p.m.
to 8:00 p.m.) Proceeds will benefit the Lions Scholarship Fund
and Fire Department equipment needs.
• Under Section 22 (H) of Ordinance No. 93, the Lions Club is
eligible for a temporary license in connection with a social event
sponsored by a club, charitable, religious or other nonprofit
corporation that has existed for at least three years.
• The required certificates of insurance and $SO.00 license fee have
been received.
Recommendation: I recommend that the Council approve the license.
Attachments/ • Application
Materials provided:
Contact(s): Dave Wilson, 651 433-1413
Prepared by: Anne Hurlburt, Administrator
(Lions temp liquor april 21 2012)
Page 1 of 1
03/14/12
���� ���
�� Y
Minnesota Deparhnent of Public Safety � .. .� }�•�
�'. � . ��
ALCOHOL AND GAMBLING ENFORCEMENT DIVISION '°`�� -
�,���• 444 Cedar Street Suite 133,St.Paul MN 55101-5133 ' �• ' �"
(651)201-7507 Fax(651)297-5259 TTY(651)282-6555 ��;:'i�.��,_�''
WWW.DPS.STATE.MN.US __ ___
APPLICATION AND PERMIT
FOR A 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE
TYPE OR PRINT INFORMATION
NAME OF ORGANIZATION DATE ORGANIZED TAX EXEMPT NUMBER
�,��,�-�;¢r„�� L%o��- ���� �-i�-��l�a =��-��Go:�i�
STREET ADDRESS po gnx /5�/ CITY STATE ZIP CODE
/�7�2 7 ao�%•`.. g� �/ ���-�o„� �� �s"o 73
NAME OF PERSON MAKING APPLICATION BUSINESS PHONE HOME PHONE
�AyLr l�ILJU/1/ `i7j�� �t)7 '�d7 O v W7// T J.S"'����
DATES LIQUOR WILL BE SOLD ��j�.�(��G/,,,Z TYPE OF ORGANIZATION
ORGANIZATION OFFICER'S NAME A DRESS
,-v�io - �z�5^:z-''S%• 4- /�
GG�/�E-�%' G.�uc-�.� � ,�'i�'v-'�-Da'✓7/ .;�-sY,y,'�,q. /�'/�. 5:5a 73'
ORGANIZATION OFFICER'S NAME Annu F.ss __
v �i�Jj'✓'�!��j'——----
;J�ri/ G�/�j� •T.Q � ����'`�.�"� ��7, 5 J
[�'fft����;c? t-l:*';`�, /✓,/U .S��i„�
ORGANIZATION OFFICER'S NAME ADDRESS
,��.n.' ��-"-�G ��c=�T/�'�� �r.3 So �'a.�r.�v� ,y�� �/.
Sc�/-�v���, �ti �So�3
Location license will be used. If an outdoor area,desc 'be
s'��'it/%/.� T/�U� �Si`�T��.�
15`��� SCAar/�iA �i/�'�..¢iG ,ol�.
S�.'.¢N�iA . .�ti • j U 7.3
Will the applicant contract for intoxicating liquor service? If so,give the name and address of the liquor licensee providing the service.
.�1/cJ
Will the applicant carry liquor liability insurance? If so,please provide the carrier's name and amount of coverage.
,jcc'et�iT� 5.71-i�" �Gx�i�%� �/UcU t)D� �%�t�/ �3�.�� -�.��
APROVAL
APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL&GAMBLING
ENFORCEMENT
CITY/COUNTY .S c a h�i � �W rns h;n c��r� DATE APPROVED
CITY FEE AMOUNT � - �� LICENSE DATES
DATE FEE PAID � ` �� � �� I a
SIGNATURE CITY CLERK OR COUNTY OFFICIAL APPROVED DIRECTOR ALCOHOL AND GAMBLING ENFORCEMENT
NOTE:Submit this form to the city or county 30 days prior to even� Forward application signed by city and/or county to the address
above. If the application is approved t6e Alcohol and Gambting Eni'orcement Division will return this applicatfon to be used as the License for the event
PS-09079(OS/06)