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03-15-2011 Addition to Agenda- Scandia Marine Lions Club Temporary Liquor License Meeting Date: 3/15/2011 Agenda Item: Addition to Agenda 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, April 30, 2011 (4:00 p.m. to 8:00 p.m.) Proceeds will benefit the Lions Scholarship Fund and Fire Deparhnent 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. • A certificate of insurance and a$SO.00 license fee are required but have not yet been received. Recommendation: I recommend that the Council consider approving the license, with the condition that the required certificate of insurance be provided and the license fee paid. Attachments/ • Application Materials provided: Contact(s): Dan Hames, 651 433-2505 Prepared by: Anne Hurlburt, Administrator (Lions temp liquor april 30 2011) Page 1 of 1 03/14/11 ����t� Minnesota Departmcnt of Public Safety " ALCOHOL AND GAMBLIlVG ENFORCEMENT DMSION �� , h„ � 444 Cedar Street Suite 222,St.Paul MN 55101-5133 • •�'.i. '' "' (651)201-7507 Fa�c{651)297-52591'TY(651}282.6555 �y" W W W.DPS.STATE.MN.US APPLICATION AND PBRMIT FOR A 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE TYPE OR PRINT INFORMATION NAME OF ORGANI TION DATE ORGAIJIZED TAX EXEMPT NUMBER S� ,v��,� ��t,�r2_�wr� L.t�w5 ��- t .- i �2 t� I� �4 6�g 1� STREET ADDRESS d � � 5 � CITY STATE ZIP CODE � Z Tu � sc�n�A��4 y�l� ;So �3 NAME OF PERSON MAKINQ APPLICA'i'ION BUSINESS PHOIVE HOME PHONE A►V �� rvl.�S . (65i) ?s>g - 7vOt�'i (ES!) 4 33�-ZS�S DATES LIQUOR WII.L BE SOLD � � �� �� ] E OF ORGANIZATION � ORGANIZATION OFFICER'S NAM6 51 �"I�T DRESS G�'G�'�� ,.., � �q Tk � �` G�o�� L(J/�N�v��'c- �o/�.��5 r 1 � /K� ,� oZ ORGAMZATION OFFICER'S NAME • .4�(,/� ADARESS 2 p � � _ �J �1'� ���s � C /' �4-Go � S Sa l ORGANIZATION OFFICER'S NAME $,C j ADDRESS .L 1 3 5C� r0�,�'[ ��� �� , � _ G� �• cq�v/J�q � Location license will bc used. If an outdoor erea,describe 1 0'�o S G/+�v���1 T �� �,�r�-� -- SG�rv� i.4 � �� S�o`�'� Nill the applicant contract for intoxicating liquor service? If so,give the name and address of thc liquor ticensee providing the service, ��� . ._ Will the applic t carry fi or liabih msurance If so,pfease pmv' the carrier's name ac►d amount�ooverage. _ S�c_- v�l�� �T�t�' � �i�vc-y, �1�.�xx� �A�.N �c�cr��� /�-scJN�A�. APPROVAL APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMII'TIIVG TO ALCOHOL&GAMBLING ENFURCEMF,NT CITY/COUN'I'Y DATE APPROVED � C�TY FEE AMOUNT �,ICENSE DATES � ; DATE FEE PAID I � SIGI�'ATURE CITY CLERK OR COUN'TY OFFICIAL APPROVED DlRECTOR ALCOHOL AND GAl1SBLII�G�NFORCEH�NT NOTE:Submit thts form to the city or county 30 days prlor to event, Forw�ard appUcatlon signed by city�and/or county to the addresc above. If the appl�cadon li appraved the Alcohol And Gambiing Entorccmeat Dlvtslon wW return thlc pppNcaHon to be uted as the Liccnse tor the event PS-09079(!2/09) � � ;