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
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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
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STREET ADDRESS d � � 5 � CITY STATE ZIP CODE
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NAME OF PERSON MAKINQ APPLICA'i'ION BUSINESS PHOIVE HOME PHONE
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DATES LIQUOR WII.L BE SOLD � � �� �� ] E OF ORGANIZATION
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ORGANIZATION OFFICER'S NAM6 51 �"I�T DRESS G�'G�'�� ,.., � �q Tk � �`
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ORGAMZATION OFFICER'S NAME • .4�(,/� ADARESS 2 p � � _ �J
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ORGANIZATION OFFICER'S NAME $,C j ADDRESS .L 1 3 5C� r0�,�'[ ��� �� ,
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Location license will bc used. If an outdoor erea,describe
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Nill the applicant contract for intoxicating liquor service? If so,give the name and address of thc liquor ticensee providing the service,
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Will the applic t carry fi or liabih msurance If so,pfease pmv' the carrier's name ac►d amount�ooverage.
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APPROVAL
APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMII'TIIVG TO ALCOHOL&GAMBLING
ENFURCEMF,NT
CITY/COUN'I'Y DATE APPROVED
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C�TY FEE AMOUNT �,ICENSE DATES � ;
DATE FEE PAID I
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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) �
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