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:214PPR PRINTED: <br /> <br />iENSE <br /> <br /> STATE OF MINN~SOTA <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWALAPPLICATION <br /> <br />IFOR BOARD USE ONLYI <br /> <br />I AMT PAID <br /> <br />N-GM. ER: B-01203-004 EFFECTIVE DATE: 08/01/97 EXPIRATION DATE: 07/31/99 <br /> <br />'~ME OF ORGANIZATION: Lions R~m,ey Club <br />I GAMBLIN~ PREMISES iNFORHATION <br /> <br />eOF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br /> <br /> r Bowl <br />?20 Riverdale Dr NW <br /> 55303 <br /> Anoka IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br /> <br />I:S YOUR ORGANIZATION OWN THIS SITE?: No <br /> NO, LIST THE LESSOR: <br />rthy Holm <br />0 180th Ave <br />~c~er MI~ 55308 <br /> <br />OF PROPERTY OWNER (WHEN NOT LESSOR): <br /> <br />FEET PER MONT~{: 56 <br />FEET PER OCCASION: 0 <br /> <br />LESSOR INFOPd~ATZON <br /> <br />AMOUNT PAID FOR RENT PER MONTH: 1000 <br />AMOUNT PAID PER OCCASION: 0 <br /> <br /> BIN~OACTIVITY <br />IGOIS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> <br /> Bank Anoka <br />wy 47 & 167th Ave NW <br /> ey ~ 55303 <br /> <br /> LING BA/~KACCOUNTNUMBER: 003858333803 <br /> <br />STORAGE ADDRESS <br /> <br />BA/TK INFOP/~ATION <br /> <br />~THE LINES PROVIDED'BELOW LIST THE NAME, ADDRESS Al%~ TITLE OF AT LEAST TWO PERSONS <br />~FHORIZED TO SIGN CHECKS AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. <br />'HE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br /> <br />(BE SURE TO COMPLETE THE REVERSE SIDE OF T~IS ~PPLICATZON) <br /> <br />f S <br /> FORMWILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br /> <br /> <br />