Laserfiche WebLink
IG214PPR PRINTED: <br /> <br /> STATE OF AfINNESOTA <br /> GA2~LING CONTROL BOA.RD <br />PREMISES PERMIT RENEWAL APPLICATION <br /> <br />BOARD USE ONLYI <br /> <br />AMT PAID <br /> <br />CHECK NO. <br />DATE <br /> <br /> LICENSE AYOMBER: B-03035-001 EFFECTIVE DATE: 11/01/97 <br />lAME OF ORGANIZATION: Hockey Anoka Area Assoc <br /> <br />EXPIRATION DATE: 10/31/99 <br /> <br /> GAMBLING PREMISES INFORMATION <br />IAME OF ESTA~BLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br /> McDuffs Eatery & Pub <br /> .6659 NW St Francis Blvd <br /> ~amsey 55303 <br /> <br />i'.OUNTY Anoka <br /> <br />IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br /> <br />OES YOI/R ORGANIZATION OWN THIS SITE?: No <br /> <br /> F NO, LIST THE LESSOR: <br /> erald Drum <br /> 21420 Lake George Dr <br />lak Grove MN 55313 <br /> <br /> NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />IQUARE~EET PER MONTH: 42 <br />QUARE FEET PER OCCASION: 0 <br /> <br />LESSOR IN%~ORMATION <br /> <br />AMOUNT PAID FOR RENT PER MONTH: 1000 <br />AMOUNT PAID PER OCCASION: 0 <br /> <br />BINGO IS CONDUCTED ON THIS PREMISES: No <br /> <br /> BINGO ACTIVITY <br />IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> <br />STORAGE ADDRESS <br /> <br /> 6800 Riverdale Dr NW <br />foka MN 55303 <br /> <br /> Norwest Bank <br />15 3rd Ave N <br /> <br /> oka MN 55303 <br /> <br />BANK INFORMATION <br /> <br />A~IBLING BANK ACCOUNT NUMBER: 125310100 <br /> <br /> N THE LINES PROVIDED BELOW LIST THE NA/~E, ADDRESS ~ TITLE OF AT LEAST TWO PERSONS <br /> AUHq{ORIZED TO SIGN CHECKS AND MA/CE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOLrNT. <br /> HE <br /> ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br /> <br />IHIS <br /> <br /> (BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br />FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BP~AILLE) UPON REQUEST <br /> <br /> <br />