5.g) Approve Temporary On-Sale Liqour License for Washington County Historical Society Meeting Date: 4/19/2011
Agenda Item: �
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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 the Washington
County Historical Society, for a one-day event to be held at the Hay
Lake School Museum complex.
Deadline/Timeline: N/A
Background: • The Historical Society is planning a Beer Tasting fund-raising
event on Saturday, June 25, 2011. They hosted similar events in
June 2008, 2009 and 2010.
• Under Section 22 (H) of Ordinance No. 93, the Historical Society
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.
Recommendation: I recommend that the Council approve the license contingent upon
submission of the required certificate of insurance.
Attachments/ • Application
Materials provided:
Contact(s): Brent Peterson, 651 433-4014
Prepared by: Anne Hurlburt, Administrator
(Wash Co Historical Society Temp Liquor Beer Tasting 2011)
Page 1 of 1
03/31/11
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Minnesota Department of Public Safety �� <..��� �'�
ALCOHOL AND GAMBLING ENFORCEMENT DIVISION �. `�`'
�. 444 Cedar Street Suite 133,St.Paul MN 55101-5133 �• ' -
��OF (65l)201-7507 Fax(651)297-5259 TTY(651)282-6555 �"��.'.. ^`
WWW.DPS.STATE.MN.US —___
APPLICATION AND PERMIT
FOR A ] TO 4 DAY TEMPORARY ON—SALE LIQUOR LICENSE
TYPE OR PRINT INFORMATION
NAME OF QRGA IZATION . DATE ORGANIZED TAX EXEMPT NUMBER
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DATES LIQUOR WILL BE SOLD .t;,r��S�r�� TYPE OF ORGANIZATION
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ORGANIZATION OFFICER'S NAME ADDRESS
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ORGANIZATION OFFICER'S NAME D SS /
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ORGANIZATIQN O ICER'S�TAM� ADDRESS
Location license will be used. If an outdoor arsa,describe °
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Will the applicant contract for intoxicating liquor service? If so,give the name and address of the liquor licensee providing the service.
Will the app' ant carry,liquor 'ability�sur ce? If s�please provide the carrier's name and amount of coverage.
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APROVAL
APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL&GAMBLING
ENFORCEMENT
CITY/COUNTY DATE APPROVED
CITY FEE AMOLJNT ��O• �� LICENSE DATES
DATE FEE PAID �3 -- 3 � - a o � I
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 event. Forward applicatioo signed by city and/or county to the address
above. If t6e application is approved t6e Alcohol and Gambling Enforcement Division will return this application to be used as the License[or the eveot
PS-09079(OS/06)