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LG214PPR Printed: 10/18/2001 <br /> <br /> State of Minnesota <br /> Gambling Control Board <br />Premises Permit Renewal Application <br /> <br />For Board Use Only <br /> <br />Amt Pd <br />Check # <br /> <br />License Number:B-02926-006 Effective Date: 3/1/2000 Expiration Date: 2/28/2002 <br /> <br />Name of Organization: Anoka Ice Arena Assoc <br /> <br /> Gambling Premises Information <br /> <br />Name of the establishment where gambling will be conducted <br /> <br />Diamonds Sports Bar & Grill <br />7550 Hwy t0 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 />Name of the property owner (If different): <br /> <br />Lessor Information <br /> <br />Square footage leased per month: .¢,¢tm¢ <br />Rent paid per month: ~/*me( <br />Square footage leased per bingo occasion: <br />Rent paid per bingo occasion: <br /> <br /> Bingo Act!vi~ <br />Our records indicate that Bingo(~onducted on these premises. <br /> <br />14882 Xkimo St <br />Ramsey, MN -55303 <br /> <br />Storage Information <br />,o, ~,.~-. ,4. <br />q/l~ <br />~raof~r r~ ,,.,. ~ ~ <br /> Bank Information <br /> <br />1st National Bank of Elk River <br />1121 W Hwy 10 <br />Anoka, MN 55303 <br /> <br />Gambling Bank <br />Account Number: <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 and <br />withdrawals for the gambling account. The organization's treasurer may not handle gambling funds. <br /> <br />Name Address City, State, Zip Code Title <br /> <br />Rick Sterling Wesp 855 Jefferson St Anoka, MN 55303 <br /> <br />I <br />I <br />I <br />I <br /> <br />I <br /> <br />(Be sure to complete the reverse side of this application) <br /> <br />_T~._form will be made available in alternative format (ie. large print, braille) upon request. Page I of 2 (Continued on Back) <br /> <br /> <br />