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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 ,-,�.. �-- � .1=�M• "� Minnesota Department of Public Safety �r '. ALCOHOL AND GAMBLiNG ENFORCEMENT DMSION ��� ,,' • � 444 Cedar Street Suite 222 St.Paul MN SS101-5133 •��" , � ��;ti -,� . � (651)201-7507 Fax(651)297-5259 TTY(651)282-6555 �y WV✓W.DPS.STATE.MN.US 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 Sc Aa� � R-�t�c�� l.l�►uS �]-, q, i�l� � � — I- � U STREET ADDRESS � �� � 5 , C1TY STATE Z1P CODE i�f �. �2�a r�+ s� � �, SG�►-►vr��A M� SSo`7 NAME OF PE N MAKING APPLICATION BUSiNESS PHONE NOME PHONE �- 5 (�S�) �,,pq,-713C�, (65U '��� �Z�� _ DATES LIQUOR W1LL BE SOLD !.� ., '�� _ZQ�� 7'YP OF ORGANIZATION OROAMZATION OFFICER'S NAME ���'A�N 7 ADDitESS (�O p i,x �� 1- 1� M1K� {-1 ��� T SG/+ 5 0 ORGANIZATION OFFICER'S NAME T' ChS V� ADDRESS ��,�� �� ���� C�U�� �1'N� l.��S Z 5�. . \ c . A-6D C T '-� � o I 3 OR�ANIZATION OFFICER'S NAME.S���F T PR�K �D�S 2 I 35(� Po��� AJ�Iv�� 1�.� i G 5�_ tita � ►'►1�✓ S � Location liceosa will be used. If en outdoor area,describe � i � 15� � a s�A,�a�� rRA-� � �e�T� . ; Sc,� ,�� I 1� , JM N 5���`� � 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. ±-; �r��DR�r� t�;��� _�������u ,r r��-� � � I �oC���vz� �A��-+,$2,��G� �lr���.�Y APPROVAL � APPLICATION MUST BE APPROVGD BY C1TY OR COUNTY B�FORE SUBNIITTING TO ALCOHOL&GAMBLING �NFORCEIVI�NT CITY/COUNT'Y DATE APPROYED : I 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 � 3 �k r I� PS•09D79(12/09)