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LG214PPR Printed: 3/5/2001 <br /> <br /> State of Minnesota <br /> Gambling Control Board <br />Pre mises Permit Renewal Application <br /> <br />For Board Use Only <br />Amt. Pd <br /> <br />Check # <br />Date <br /> <br />License Number::~:Ilqgkf~J~tt~ <br /> <br />!I <br /> <br /> ~- e)/.~o 5~ - ~ffec~ive Date: 6/1/2000 <br />Name of Organization: Ramsey Lions Club <br /> <br />Expiration Date: 7/31/2001 <br /> <br />Gambling Premises Information <br /> <br />I <br />I <br />I <br /> <br />Name of the establishment where gambling will be conducted <br /> <br />McDuffs <br />16659 St Francis Blvd <br />Ramsey, MN 55303 <br />County: Anoka <br /> <br />Note: Our records show the premises <br /> is located within the city limits <br /> <br />Lessor Information <br /> <br />!'I <br /> <br />Name of the property owner (If different): <br /> <br /> .~ /C/'?O t..4~e 6ce.'5; · PP <br /> <br />Square footage leased per month: t./g_ <br />Rent paid per month: ~t? ~ o o -~ <br />Square footage leased per bingo occasion: <br />Rent paid per bingo occasion: /., ~ <br /> <br /> Bingo Activity <br />Our records indicate that Bingo is not conducted on these premises. <br /> <br />I <br />I <br /> <br />Storage Information <br /> <br /> I <br />'1 <br /> <br />Bank Information <br /> <br /> L/.Y'H J~..~ ~: Gambling Bank t~ $/4 t'2~ ~ )L <br /> <br />On the lines provided below list the name, address and title of at least two persons authorized to sign checks and make deposits <br />and withdraw'ds for the gambllng account. The organization's treasurer may not handle gambling funds. <br /> <br /> Name . Address City, State, Zip Code Title <br /> <br />(Be sure to complete the reverse side of this application) <br /> <br />This tbrm will be made available in alternative format (ie. large print, braille) upon request. Page 1 of 2 (Continued on Back) <br /> <br /> <br />