Laserfiche WebLink
State of Minnesota <br /> Gambling Control Board <br />Premises Permit Renewal Application <br /> <br />For Board Use Only <br /> <br />Am~ Pd <br /> <br />Check # <br />Date <br /> <br />LG214PPR Printed: 3/5/2001 <br />License Number:B-01203-007 Effective Date: 8/1/1999 Expiration Date: 7/31/2001 <br /> <br />Name of Organization: Ramsey Lions Club <br /> <br /> Gambling Premises Information <br /> <br />Name of the establishment where gambling will be conducted <br /> <br />M & L Liquor <br />5900 167th Ave NW <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 />John Nieswaag <br />2301 Oakwood Dr <br />Mounds View, MN 55112 <br />Name of the property owner (If different): <br /> <br />Square footage leased per month: <br /> <br />Rent paid per month: <br />Square footage leased per bingo occasion: <br />Rent paid per bingo occasion: <br /> <br /> 20 <br /> <br />550 <br /> <br /> Bingo Activity <br />Our records indicate that Bingo is not conducted on these premises. <br /> <br />Storage Information <br /> <br /> Bank Information <br /> <br />1st Ano~a/ ['¥'f~ /74tf'"'/~ Gambling B~k <br />H~ 4~7th Ave NW id4r'~ J'~ Account Number:- <br />Ra~~ 55303 ~/~o~ ~/~ / <br /> <br />On the lines provided below list ~e name, address md title of at least ~o pe~ons authori~d to si~ chec~ and make deposits <br />and with~awfls tbr the g~bling accost. The orga~zation's tmmumr may not handle gambl~g hnds. <br /> <br /> Name ~ Address Ci~, Stme, Zip Code Title <br /> <br />(Be sure to complete the reverse side of this application) <br /> <br />This form will be made available in alternative format (ie. large print, braille) upon request. <br /> <br />Page 1 of 2 (Continued on Back) <br /> -85- <br /> <br /> <br />