HomeMy WebLinkAboutResolution - 94-152 - Approving Raffle Permit for the Telephone Pioneers - 10/04/1994 CITY OF EDEN PRAIRIE
HENNEPIN COUNTY, MINNESOTA
RESOLUTION NO. 9 4 — 1 5 2
APPROVING RAFFLE PERMIT FOR THE TELEPHONE PIONEERS
BE IT RESOLVED by the Eden Prairie City Council as follows:
That the application of the Telephone Pioneers for a Raffle Permit
with the State of Minnesota is herein approved. The location for this
permit is the Eden Prairie Police Department on January 16, 1995.
ADOPTED by the Eden Prairie City C n it on 10- 94.
Do s npas, Mayor
ATTEST:
Jr� . Frane, City Clerk
Mb mesota Lazvfu1 Gambling FOR BOARD USE ONLY
LGM t Application for Authorization for N T DATE
``-.4=I Exemption from Lawful Gambling License
Ft#in the unshaded poidons of this application for exemption and
send it in stlawt 45 days before yourgambling acbvify for processing.
N :.......: .. :...::: :..:...
am' anizat>to• ��:arcd�>t7idd>r�ess af:.:.;Qcg -
Orgadrallon Name CurrenUlxevious ibense number Curtentlprevious exempt number
T�LFPI�N e . P 0AJ5i!R ; 7l 5 g - a s
Street City State zlp code county
R coM 13 0 0 zrJv S S' 5'7' M 1AWrjV,911.5 M AJ SS qO 011 OJOI Al
ChM Executive Off low Daytime Phone Number Treasurer Daytime Phone Number
OFNNJS cL�-AK Qdz) 34/-S'72Qj U1/q!r/.y//i Mc 3V�4-yl76
e o lYorti anizat>Forr`
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Cttecfc the box that indicates your proof of ranproftt
Check tlhs box bNow which indicates your type of otgartizatiorl strius and attach a copy of the proof to tits appiitretion-
f�`' Fraternal Q IRS designation
❑ Veterarta Q Certification of good startdrng from the Minnesota
❑ RMigious Secretary of$taws office
❑ Other non-profit ❑ Affiliate of parent nonprofit organization(charter)
Nam of ske where adMty will take place ;
Din! PR i R l£- t°oL,ic p-C—P'
stn.796-0 ~f county
c�1lF�L ----�-- StateNyN S3 �rvitl
Dates)of ac&.*(for ratites.indicate the date of the drawing]
;T��o,f Ganre�:.... �Yna>fzacral 3Zepo� ..mot va<i �oF�rrz��:`'
Games teoMptaw <r»acaes:nFPdttasa.:...
Bingo Q
Raffles �1
Paddlewheels ❑ ::-.
boards ❑ :
7i
Pull-tabs Q .. :. .
I declare all information submitted to the
Gambling Control Board:is true, accurate,
and complete. :
Edridare�alCfirrraxYal:, :... .taatrsCwnbingcorrfroC ;
kYmi Bouicdistnrs;aorxrraiKar+dtiompis(rc
... ..........
9 ;Z 14 9 >:
ChMt ExecutiwOfflces•sSignature Dab CttifF.iacutivOMaSignatru ... Dais
I:oCal.�Tl&Zt,Of GQf7!BXitJt67i>~BCTL`JLou7l6dglJLBlity� :..:.
I have received a copy of thisapplicatkwL Thisappifcatim wig be reviewed by the GamblingCorool Board and wi l became effective 30 daystromtha dale of
receipt by the city or counkyt ur4m twIocaNriot gwm mwtpawesa,naokMmtaspedtieailyeprohl*VmaetiW-A copy of that resolutiorrmust be received
by the Gambling control Board within 30 days of the date filled In bebw. Cabs of the tirst-dasshave60 days in-which to ciaallowtheadivity.
My or County Towrahip
clay county name � Township name T"OWnShi�715<
�A&0jQ organized
Q unorganized`
PreceiviWappkation SWIMIUM of pario n erg aPPk2dDn Q unincorporated`
Attach letter
Date received T o Date Received
V7, 4 k!, —
T is form will 09 made available MaitiNlth$25 permit fewand copy of White-Original
in altemativefotmat(Le-large proof of nonprofit status to:: Yellow-Board returns to
print,braille)upon request Gambling Control Board Organizatiorr to complete
1711 W.County Rd-B,Ste 300 S shaded areas-
Roseville,MN 55113.