5.c) Liquor License for Scandia Marine Lions Meeting Date: 4/6/2010
Agenda Item: ���
City Council Agenda Report
City of Scandia
14727 209th 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 a chicken-dinner fund-raising event on
Saturday, Apri124, 2010 (4:00 p.m. to 8:00 p.m.) Proceeds of the
event will benefit the Lions Scholarship Fund and equipment
needs of the Scandia Fire and Rescue Department.
• 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 24 2010)
Page l of 1
03/31/10
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APPLICATION AND PERMIT
FOR A 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE
TYPE OR PRINT 1NFORMATION
NAME OF ORGANIZ ION DATE ORC3ANlZED TAX EXEMPT NUMBER
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NAME OF PE N MAKING APPLICATION BUSiNESS PHONE NOME PHONE
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DATES LIQUOR W1LL BE SOLD !.� ., '�� _ZQ�� 7'YP OF ORGANIZATION
OROAMZATION OFFICER'S NAME ���'A�N 7 ADDitESS (�O p i,x ��
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ORGANIZATION OFFICER'S NAME T' ChS V� ADDRESS ��,�� �� ���� C�U��
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Location liceosa will be used. If en outdoor area,describe �
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W�b applicant contract for intoxicating liquor service7 lf so,give tho oame aad address of the liquor licensee providiog the service.
Will t6e ap licant cerrv liquor liability insurnnce? If so,pleas rovide the corrier's n�une and amount of covuage.
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APPROVAL �
APPLICATION MUST BE APPROVGD BY C1TY OR COUNTY B�FORE SUBNIITTING TO ALCOHOL&GAMBLING
�NFORCEIVI�NT
CITY/COUNT'Y DATE APPROYED :
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CITY FEE AMOUNT LICENSE DATES �
DATE FEE PA1D
SIGNATUItE CITY CLEItK OR COUNTY OFTICIAL APPROVCD DIRICfOR ALCOHOL AND GAMIILiNG ENTOACEMENT
NOT�:Submit thts form to Ihe ctty or county 30 dnys prior lo c��ent �onvnrd nppiicndon sfgned by city nndlor county to the address
aboVe. lf ihC applttatlon is opprovcd tlic Alcohol and Cambling Enforcemenl Divisian�vill return tl�is applicalion lo be used as the Llcense for thc cvcnt
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