Agenda - Council - 08/24/1999 - Laserfiche WebLink

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ACKNOWLEDG74ENT I GAMBLIN~ PREMISES AUT"HORIZATION I HEREBY GIVE CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THE GA/4BLING CONTROL BOARD, OR AGEN OF THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS~ TO ENTER THE PREMISES TO ENFORCE THE LAW. BANK RECORDS INFORMATION THE GAMBLING CONTROL BOARD IS AUT}{ORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT WHEN'EVER NECESSARY TO FULFILL REQUIREMENTS OF CUIRRENT GAMBLING RULES AND STATUTES. I DECLARE TI'fAT: I HAVE READ THIS APPLICATION ~ ALL INFORMATION SUBMITTED-TO THE GAMBLING CONTROL BOARD; ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE;; · ALL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED; I A24 THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; I ASSLD4E FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GA/~BLING ACTIVITIES TO BE CONDUCTED; I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RLILES OF THE GAMBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERMIT, TO A~BIDE THOSE LAWS AND RULES, INCLUDING AF[ENDMENTS TO THEM; A/TY CH3~NGES IN APPLICATION INFOR]VIATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND LOCAL UNIT OF GOVEP,/~MENT WITHIN TEN DAYS OF THE CHANGE; I I/NDERSTA/gD THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE PREMISES PERMIT. LOCAL G'OVE~ ACKNOWLEDGMENT 1. THE CITY* MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS. 2. THE COUNTY** ~ TOWNSHIP** MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN A TOWNSHIP. 3. FOR TOWNSHIPS THAT ARE UNORGANIZED OR UNINCORPORATED, THE COUNTY** IS REQUIRED TO ATTACH A LETTER TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS. 4. THE LOCAL UNIT OF GOVERNMENT (CITY OR COUNTY) ~gJST PASS A RESOLUTION SPECIFICALLY APPROVING OR DENYING THIS APPLICATION. 5. A COPY OF THE LOCAL UNIT OF GOVEP, bTMENT'S'RESOLUTION APPROVING THIS APPLICATION MUST BE TO THE GAMBLING CONTROL BOARD. TOWNSHIP: BY SIGNATURE BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORGAigIZATION IS APPLYING FOR A PREMISES PERMIT WITHIN TOWNSHIP LIMITS. ATTACHED TO THIS APPLICATION. IF THIS APPLICATION IS DENIED BY THE LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED TOWNSHIP** CITY* OR COUATTY** CITY OR COUlqTY NAME SIGNATURE OF FELON ~ECEIVING APPLICATION TITLE DATE RECEIVED TOWNSHIP NAME SIGNATURE OF PERSON RECEIVING APPLICATION TITLE DATE RECEIVED REFER TO THE C~ECKLIST FOR REQUIRED ATTACHMENTS MAIL TO: GA/,IBLING CONTROL BOA.RD 1711 W COU1T~Y RD B SUITE 300 S ROSEVILLE, M/~ 55113 180