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STATE OF MZ1FArESOTA <br /> GA24~LING CONTROL BOARD <br />PREMZSES PERI~IIT RENEWAL APPLICATION <br /> <br />BO D USE <br /> <br />I AMT PAID <br />I <br /> <br />mf~PR PRINTED: <br /> <br />NSE NL~ER': A-05138~017 EFFECTIVE DATE: 08/01/98 EXPIRATION DATE: 12/31/98 <br /> <br />ORGANIZATION:Outreach Acres <br /> Six <br /> ~A~iBLIN~ PREMISES INFORMATION <br /> <br /> I)F ESTABLISHMENT W~ERE GAMBLING WILL BE CONDUCTED <br />i ,thouse Grill and Bar <br /> 10 NW <br /> 55303 <br /> <br />A~.0ka <br /> <br />IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br /> <br /> -¥O -.%RS IZATION OW THIS SITE?: No <br />~ I,-LI~T~THE LESSOR: <br />i 'ard E~tertainment Inc <br /> 7 Hwy 1D' .NW <br /> I y ~.55303 <br /> <br /> E OF PROPERTY OWNER (WIqEN NOT LESSOR): <br /> <br /> IE FEET PER MONTH: 258 <br /> 'ARE FEET PER OCCASION: 5766 <br /> <br />LESSOR ~NFORMATiON <br /> <br />AMOUNT PAID FOR RENT PER MONTH: 1000 <br />AMOUNT PAID PER OCCASION: 200 <br /> <br />BINGO ACTIVITY <br /> <br />1~O ~S CONDUCTED ON THIS PREMISES: Yes IF. YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> STORAGE ADDRESS .. <br /> <br />I~Bush'S~ <br /> Win~. ~R~ 55066 <br /> <br /> LING B_ANK ACCOUNT NUMBER: 50797~900 <br /> I1 <br /> <br />F"rHE LINES PROVIDED BELOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS <br />~HORIZED TO SIGN CHECKS AND MAKE DEPOSITS ~ WITHDRAWALS FOR THE GAMBLING ACCOUNT. <br />IORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS <br /> <br /> (BE SURE TO COMPLETE THE REVERSE SIDE OF TKIS APPLICATION) <br />Is FO~M WILL BE M3~DE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LJ%RGE PRINT, BRAILLE) UPON REQUEST <br /> <br /> <br />