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STATE OF MINNESOTA <br />GAMBLING CONTROL BOARD <br />PREMISE'S PERMIT RE&THWAL APPLICATION <br />4PPR PRINTED: <br />;NSE NUMBER: Br02002-025 <br />EFFECTIVE DATE: 03/01/96 <br />IFOR BOARD USE ONLY <br />JAMT PAID <br />CHECK ND. <br />J DA TE <br />EXPIRATION -DATE: 02/28/98 <br />OF ORGANIZATION: Climb St Paul <br />GAMBLING PREMISES INFORMATION <br />OF ESTABLISHMENT.WHERE GAMBLING WILL BE CONDUCTED <br />ithouse Grille & Bar <br />1 Hwy 10 NW ... .• <br />Bey 5.5303 . •. - •.. .. . • <br />ITY. Anoka-:.;•' IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br />LESSOR INFORMATION <br />3 YOUR'ORGANIZATION OWNnTHIS'SITE? <br />TO <br />I T THE,'LESSOR: <br />iyard Entertainment.' .. <br />r <br />Hwyr10� Nr4' .': �,':ix. '•n'•'a. ., ,•,: =: <br />mu- 55303' <br />3 eY: <br />OF% R RTY-OWNER. <br />'-'(WHEN NOT LES <br />SOR) � <br />UZE•.FEETv�PER MONTH:.:.."-:'- 72 <br />~, AMOUNT �7 0 _. . 0 0 <br />%RE •FEET•'PER OCCASION: ;' 0, AMOUNT PAID .PER,OCCASION <br />: 0 <br />r, :,:... <br />BINGO ACTIVITY ; .. '• ; .;,,...: r :,:. .•';''; <br />30 IS CONDUCTED. ON THIS PREMISES: No, IF YES, REFER'TO'INSTRUCTIONS FOR:REQUIRED^ATTACHMENT <br />STORAGE ADDRESS <br />N Robert <br />Paul MN 55101 <br />=-:.: :, •.. BANK INFORMATION ...: _ <br />IW1-25: fir; �Jia►��is l3tu.d .. . <br />tj S 530 3 <br />SLING BANK ACCOUNT NUMBER:.541210032 <br />rHE LINES PROVIDED BELOW/LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS, <br />30RIZED_.TO,SIGN.;.CHECKS.AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. <br />,ORGANIZATION IS TREASURER MAY NOT HANDLE GAMBLING FUNDS. - <br />�-�'i�J ��U'i`iZ�uS' SOU,•'� tiU �a•� Gn�`"' SI',�•. •,.. • ��� , ��L �. �h�la�r'_� ���iG� <br />MI ; <br />(BE SURE TO COMPLETE THS.REV$RSE SIDE OF THIS APPLICATION) <br />FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br />