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STATE OF MINNESOTA <br /> GAMBLING CONTROL BOARD <br /> PREMZSES PERMZT RENEWAL APPLICATION <br /> <br />, . -_ . . . ~: .-..~'~J"..-~- . i~ ..' ~ <br /> <br />FOR BOARD' U~E ONLY <br /> <br />AMT PAID <br /> <br />CHECK NO. <br />DATE "· <br /> <br />~ICENSE"NUMBE~: B 01203-004 :,,:.:~. "EFFECTIVE DATE: 08/01/95" .... ' EXPIRATION DATE: 07/31/97:' <br /> <br />~ OF' : n R~ e ' '" <br /> <br /> · ?.-' :.-? ?.~-".! .... -.:.- <br />.gA~4E OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED ",'.' "' ' '." <br />super : BSwl. .::: > /. :,. ;. :? ~ . ;.:.: s',~ ...,.. '.'.. ,'.~, '- "~ 'i"?/.''':~'~ i' ,:','":' . . ;:~_'__...'~ .' ~.'..-. '~.j./"-.:--.i, ..i.-.'/.,.~., '.. <br />67 20% Ri~dale:: Dr' "~TWi '::/..-.' <br /> <br />COUR~ ' Anok& '-. --." . ~" !S THE PREMISES LO~J~TED WITHIN T~ CITY LIMITS?: Y . <br /> <br />BINGO IS CONDUCTED.ON THIS PREMISES: No <br /> <br /> BINGO ACTIVITY .... <br />~F YES, REFER TO INSTRUCTIONS:FOR. . . REQUIRED.ATTACP~gENT ' <br /> <br /> · .: ....:'-. ,.~.'--- - :.. ~ -.. :"- .'-- 4,' - '":/'~.' .j:' . , ' .... . . :"" .... ' ' -... ' .."~ ·; ' ~. .~ ".., ' :? ~:l{.~;'< ,':,2~; '.' .-.' <br />GA1v[B1~IhTG B'A~'A'0COT31~ ~ER; '§858333803 :' '"': ~" "' '"' ............. '-" .... ' : ' ":" ........ ' <br /> ·. .'.;-.-., ::. ::.::~_ .'-.-".','" .:~??. ': ';~': '¥.(,,: ('..L..,-',, .:.'- .:".' . '_'._ -." -" -...." "... - ..... · .. ""? ~.- ..... :' '". · '". ..... -.·-.:' ". '"" ". - ': ::--'~...,]-', ,.;:--..' :"'~';: ::'"' :<.~:~,-,~'~'"'~ '--,,,"' . <br />ON THE '~i~S' PRovID~.D"BELOW LIsT THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS..:-:':. <br />AUTHORIZED TO. SIGN CHECKS AND MAKE.DEPOSITS AND WITHDP3%WALS FOR THE GAMBLING ACCOUNT. <br />THE ORGANIZATION'S TREASURER MAY NOT H3~NDLE .GAMBLING FUNDS. : .... . <br /> <br /> ' . · (Bm s~E TO COZ~PL]~'~E TH~: RSVERSE S'"~'~ 0~' 'TH~S <br /> <br />THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FOP_MAT (I.E. LA/tGE PRINT, BP~Ai~LE) UPON REQUEST <br /> <br /> <br />