Agenda - Council - 06/09/1998 - Laserfiche WebLink

Home

Minnesota Lawful Garrubling Pr mise Permit Application - Part 2 of 2 Bank Name Bank Account Number ~nk A~ress Ci~ Na~e A~ss . "' G~bItn~ Slt~ ~O~On % t:;, :. ,.: i .;;::. '1 am the chief ex~e offi~r of the organ~atbn; : ' . . I herebY. ~ent that ~ law enf0~ce'ment offi~rs, the ' -1 assume full res~ns~i~ for the fair and la~u~ o~ra- · ' '" "~ard or agents of the ~ard, or the ~mmissioner of . tion of all a~ies to be ~ndu~ed; .- "'reveo. ue or pub!~ safa~, or agents of the ~mm~sbnem, ' _.1 will familiarize myself with the laws of MinneSota maY entbr the premises to enforce the law. ' ;' '. ;. T.' i~ '~"/: ~: ' governing la,u] gambling and rules of the ~ard and B~k Records Tn~o~a~on . agree. ~ li~nsed, to abide by those lawg and roles. Thb ~a'rd is amho~ed to inspe~ the bank r~rds of the '.": including amendments to them; ' ga~bJi~" ~um"whenever nece~a~ to fu~l[ .7 ~.,;~'~ ..~ -any.changes in a~lication information will be subm~ed .- requiremen~ of Current gambling roles and law. '" to the ~ard ~d b~[ un~ of government w~h[n 10 days ..... :" ;'" .... :..I understand that failure to provide required information · I have read this applicalbn and all informatbn subm~ed or p~viding faae or misleading information may resu[t in to the ~ard is true. ~urate a~ ~m~ete; "' the denial or rev~tbn of the iicensel · ~11 other required information has been fully disclose; . I I I I I I I I I i I Signature43f chief executive officer · . · Date. · - , · -"." . ' ',, : ' :' .' ':" 4.' A cody of the loca! unit of oovernment's resolution . ..;..:, 1,.,:.The city ~m. usl.sign th. is. applic.atk~n irt.he gambling prem, . prey no this eeo cation must be attached to this aool cation. · '::.. ~es..,~s located .w. ithln city hm.i!s;._, il. '; ;.:'.. '::i ~" "'~i.: "'iI,':':~ . 5. If this app cation is denied by the local unit of government, z Ine county AND township must s~jn this app~cahon n ;' · ..... "ii should not be submitted to the Gambling Control Board. the ga ,mbting pr~.mises'is bcated within 'a township. ,~... i, .-.:,..': :.-,-.'~ -~ ,, ~., ,. '...: .' :.~ , ...;.,. ..... .- .. ':., "3. The local unit government (city. or county) must pas~ a ';' ;. '~wn'shlp.; BY SignatUr'e'beloW~ the:{~wnship a~noWledges resolution sp~cificaliy approving pr denying this application. ' that the organization is applying for a premises I~ermit within . !.~' , ~ :',, .' .._ . ._; ~..' ~.;-¢... ~:..,· : .."; ,, , ..... ' .... . . ...~ .... - · ; I I I City or County Name - '~ '. "" ;' Signature o! person receiving applica~on , ' Signature of person receMng application Ti~e ' I Date Received ' Date Received ReJer to lhe instructions for required attachments. "' I Mail to: Gambling Conlrol Board Ro~.ewood Plmza South, 3rd Freer 1711 W. County Road B Rosevllle, IIN 55113 LO214(Part 2)