102-St. Joseph of Cupertino Church application.pdf C
OFFICE OF THE CITY CLERK NOV ( : ! D
CITY HALL GUPERTINO CITY CLERK
10300 TORRE AVENUE -CUPERTINO, CA 95014-
TELEPHONE: (408) 777-3223• FAX: (408) 777-3366
CUPERTINO
APPLICATION FOR BINGO PERMIT
1. Name of Organization - o e—o1l 's 0AA,)P e- e '4 ?7V 0
Name of Officers C59 m ¢
Address of Officers ] ft 7 11 r"L} LA4�a b�zs tie d
2. Days of operation K/P I 1 i 14 urs of Operation
3. Address of Bingo game 16J 10 azls i 'bo . (tnxTPl cs
4. Purpose of premises used by organization 'A 11460
5. Ownership of Bingo equipment
6. Name of person responsible for operation of Bingo game J�� ) vv)46-c—
7. Name of everyone who has any financial interest in Bingo game
8. Name of contact en RftFwert�r
Address of contact bill) Al. DL;;-APJZA dAjVj 0jVe 5 P/
Phone&email of contact 4Q - Q W.
MUST HAVE THE FOLLOWING
V A. Consent for Sheriff to inspect bank account containing Bingo profits. k
+T B. Statement of ownership/lease of premises.
C. Copies of exempt status from Internal Revenue and Franchise Tax Board
or tax identification number. cjYa73g5D3
D. Floor plan of room where`gaming will take place showing the exit(s)
E. Will food or drinks be served?Y N
If es, describe the type, how it will be served, and where it will be prepared
- ar s
U �✓�—ee... , P".,z
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Signature of person responsible for Bingo game
FEE: $50.00-General License annual. Over 10 games.
$5.00 -General License each game. Under 10 games.
THIS PERMIT IS NONTRANSFERABLE EITHER AS TO THE LICENSE OR LOCATION
FOR OFFICIAL USE ONLY
Sheriff recommendation YES V NO
Fire District YES ✓ NO
Health Officer YES_ NO
Building Official YES V NO
Director of Planning Fyb 7 YES ✓ NO
Time of public hearing;JAwi 2012
Business License No. 14
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OFFICE OF THE CITY CLERK
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CITY HALL
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
C U P E RT I N O TELEPHONE: (408)777-3223• FAX: (408) 777-3366
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November 1, 2011
Ed Ramage
10711 Rae Lane
Cupertino, CA 95014
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Re: Renewal of Bingo Permit
Pursuant to Section 5.32.290 of the Cupertino Municipal Code, the Cupertino City Council
conducts a public hearing each January regarding renewal of bingo permits. The hearing is
scheduled for Tuesday, January 17, 2012, Council Chamber, Community Hall, 10350 Torre
Avenue, Cupertino, California.
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To allow enough time for the required verifications by the Santa Clara County Fire Department and j
the Sheriffs Department, the application should be completed and returned to this office by Friday,
December 2.
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Sincerely,
Grace Schmidt
Deputy City Clerk
cc: Code Enforcement
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PARISH HALL FLOOR PLAN
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Statement of Ownership/Lease of Premises
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St. Joseph of Cupertino Church
10110 N. De Anza Blvd.
Cupertino, Ca. 95014
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November 17,2011
The Santa Clara County Sheriffs Department may inspect the Bingo Records of St.Joseph of
Cupertino. The premises used for St.Joseph of Cupertino Bingo are owned by the Church/Diocese of
San Jose.
Ed Ramage
Chairman,St.Joseph Bingo
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OFFICE OF THE CITY CLERK
CITY HALL
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
C U P E RT I N O TELEPHONE: (408) 777-3223• FAX: (408) 777-3366
i
November 1, 2011
Ed Ramage
10711 Rae Lane
Cupertino, CA 95014
Re: Renewal of Bingo Permit
i
Pursuant to Section 5.32.290 of the Cupertino Municipal Code, the Cupertino City Council
conducts a public hearing each January regarding renewal of bingo permits. The hearing is
scheduled for Tuesday, January 17, 2012, Council Chamber, Community Hall, 10350 Torre
Avenue, Cupertino, California.
To allow enough time for the required verifications by the Santa Clara County Fire Department and
the Sheriff's Department, the application should be completed and returned to this office by Friday,
December 2.
Sincerely,
f
p
C Le
G
Grace Schmidt
Deputy City Clerk
cc: Code Enforcement
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