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west'"'."" ..... "~' ' - STATE OF'MINNESOTA IFoR BOARD USE ONLYI <br /> <br />LICENSe.' 'mmmER?.'~-0Z203-00? ' .EFFECTIVE DATE: 08/0~/.~5'" <br /> <br />OF"ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED - .. .' .'. -. ' . -~- ..... <br /> <br /> "~' ~,"?~';":'.~::":':":~ ....· ......... ~,-~ ' ..... ; '~ .... LESSOR INFORMATIO.N. ..... : - .- ..... <br /> <br /> · "" ' ";:'"' '.5'"'?"~;/~ ";'":"" ...... : ..... ' "~'~ ' " 'D ''"'' 7-'~',.','"~';/:'J.;' '" ~ · ... z~.' .... .:.: ,- _ .... ',.. ,- -, ': ... -,' .. - .... <br /> <br />· , · .:~ - ~.. :.~. ,.~.,;z.-,~..-.~ .:.. . - .. -: .,-.. . , .,.. .... . ',.. ~ -..,..- , :': ' ...' .- ' ..'.~. ;"-'.'-.- .:'-:'. '.', .... .:'.', ] ',?L:;_..) .... .'~ ." ' ' , ' <br /> <br />SQUARE~ FEET;'PER MONTH:. 20.,'(1'.' - .... ;'; -... ::"-{[;:":;' AMOUNT PAID FOR RENT PER MONTH: 500 <br /> <br />SQUARE FEET"PER OCdASION: 0 · ' '': ' ' '' '- ':_ AMOUNT PAID' PER OCCASION'S".."" :" "' 0 <br /> <br />~iNso is Co~uc'TE~' ON'THIS"¢a~~IsEs: <br /> <br /> BINGO ACTIVITY <br />iF YES, REFER TO'INSTRUCTIONS FOR REQUIRE'D'ATTAcHMENT <br /> <br />~HORIZED' TO SZGN CHECKS'~ ~ DEPOS;TS ~ WIT~W~S FOR. THE G~2~ ............... <br />THE-'ORG~IZ~TION' S TRE~S~ER ~Y NOT -~LE 'G~LING ~S. . .' - .. <br /> <br />THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FOR_MAT <br /> - ,.- . - . . - . - . , ~- . :"~, ~' ?'. . ..~. ~ <br /> <br />(I.E. LARGE PRINT, BRAILLE).UPON REQUEST <br /> <br /> <br />