|
~L~G': ~R~I~E'S.'~'~aORIZ'~T=ON :i"- ').:i/~-.:%).:I~ .::~, :..:~'~'F. C¢~ ~'~'' V' ~" ': -': .::':...:<4:/'.' '-'~' :" "-.-". - . ~." ·
<br />i:/:~BY..GI~, CO~SE~ TO LO~ ~W ENFORCE~ OFF~CE~S, ~E G~LING C0~ROL BO~,-.~ OR AGE. S
<br />
<br />THE'fG~5 ING [~:.C0~ROL :' BO~..' [ S.; ~HORI ZED-, TO j ~NSPEC~ j ~:; ~_ ~CO~S D OFx::~E ]~:G~L~NG. ~cc0~
<br />
<br /> '? ......:t '.-' =' ? ~..- ?;~' '. '?'~ .-.: './ .'.'.' ",:~ ~ ..... =.~%/~ ~:..'.~.:.';% ¢,;-~,'Q~".J=+¢.¢-c:k ,~'~J ".~%~-?Y'<:.'~,.%'< -'~, L=."~ ~ a:_-.~¢' =:-' '? J.~f'.['~k¢':".-'.' :.~ ',~,~'< '..-=:'j < .~<..='.-L'L' '/ C" '.~ .'
<br />
<br />· ii ~"RE~ THIS APPLICATION ~:.~' iNFO~TION'S~MITTED TO ~E G~LING'CO~ROL BO~;
<br /> ..... ' '" · ' '."," ' ' ·-;'u:~;'-.":-'?,~:~%'.:~> --:..~'~'.-'~." '.%"J~k' .%:.~'~ '/.}" ~-~'~{.~'-,;:-~'w~,-.~-~.~'~ ~' ~ _
<br />, .. ~..: ¢~Fq~ZO~ ZS :X~ C,.~CC~¢~. ~ ?. Cg~F%~W,',..~ -:::':~ ~,~.?-,':,".:~ :'.~.:::..?.~ ~:e.?~>:~.
<br />;" ~LUbTHER'.REQUIRED INFO~TION]'~ ~BEEN~`~LY.~D~SCL~SED;j~>:~:~;(../:~.:~:`.:.¢3?~..~?;~.~[~:%~/...[~`:~``~`~
<br />
<br />· ' I. M~'~'. ~h' ~sPoNSIBILIW.: FOR; T~ FAIR ~ ,~W~: OPE~TION. OF. ~L" G~LING "'
<br /> ,: ~-T- '-" ' '~C ~WT~S' 'OT: ~--.CO U E~--~'CT"D~' :C-""~Y:'''-~,~ ~:, ~ ~.~' '~. :' '"'-" ~''~ "'~ ~'' ' ~''~ ~'"~' '"": '"" "" '~: '~ ........ ~"' ': :'''~ >' ~' '~:~
<br />· '}I>.WIL~ F~ILI~IZE ~SEL~ WI~ ~: ~WS,-OF.:-.~I~SOTA GO~ING.. ~W~ G~LING ~ ,.R~ES
<br />
<br />i: ~'.[~ES :,:'IN: kppLI ~'I~N' "IN~6~TI 6N . wi'LL.~.BE:{'['S~T~..T8 '~,.~,~L!~G....: c9~.9L,:(.~:
<br />
<br />['.:'. I "~ERST~: ~T FAILLE.: TO; PRgVIDE, REQUI~D:::INF0~TION.'.0R · PROVIDING..'
<br />
<br />3." FOR TO.SHIPS ~T ~E ~ORG~IZED. OR.'~INCORPOMTED, ~E CO~Y**"IS REQUIRED TO ATTACH
<br />5:L'?A COPY- ~P"~'THE'LOC~ ~IT OF' ~O~E~'S~'RESOL~ION ~PROVING ~IS APPLICATION ~ST-BE.
<br />
<br /> ' ': ~ } ,' ".' .' '-.'... ' : '":,':?'.v '. -:"::: . .' : ';: :-':' ,::'.;. --.! ':' .?-... ;-: 7./-'.::i-
<br /> '; ';-:?:. ~ .'; '.. . ': .? '.: . . I ~-, ~*'.*:~ -. ':' :..:. ~- -' ~.- '-- t .( i'~ - '~: '*) *':.-"' ' '::~f'-? ~;: %':~f::?:'c' ',:. * '- .
<br />
<br />· X-.';'.'. ' '"" :"' ' :: "'- ' · ":-: REFER TO THE CHECKLIST' FOR REQUIRED ATTAC}~XENTS--'-'~ .':J.-:: ....
<br /> ' .. · .::..': .. -_~ '. MAIL' TO:: ~AMBr,iNG CONTROr, BOARD
<br /> "[}':. -':" "~ ': - ': "': . -., ';"v:-." .:?~i';. 17il- W' C~UNTYr. R~ "B'/~[- SUITE '300.: S,'-}',.}'(,!,i'.':.. '.
<br /> · '" ROSEVILLE,' MN
<br />
<br />
<br />
|