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FOR BOARD USE ONLY <br />AMT PAID_ <br />CHECK NO. <br /> <br /> t tral ~ STATE OF MINNESOTA <br /> GAMBLING CONTROL BOARD " <br /> FREMISES PERMIT RENEWAL APPLICATION <br />'I14PPR PRINTED:02/08/95i <br />;LICENSE NUMBER: B-01203-0~7 EFFECTIVE DATE: 07/01/94 EXPIRATION DATE: 07/31/95 <br /> OF ORGANIZATION: Lions Ramsey Club <br /> <br /> GAMBLING PREMISES INFORMATION <br />L OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />~ & L Liquor : . <br />)0 167th Ave NW <br /> <br /> ~sey 55303 . <br /> <br />IS THE PRE. MISES LOCATED WITHIN THE CITY LIMITS?: Y <br /> <br />C~UNTY Anoka ~ <br /> <br />DOES YOUR ORGANIZATION OWN THIS SITE?: No <br />NO,' LIST .THE LESSOR: ' ":" <br />2301 Oakwood Dr":" ' '': " " ' '" <br /> ds View MN 55112 .~ <br /> OF PROPERTY OWNER' (WHEN NOT LESSOR): <br /> <br />ARE FEET PER MONTH: 20 <br />SQUARE FEET PER OCCASION: 0 ' <br /> <br />LESSOR INFORMATION <br /> <br />AMOUNT PAID .FOR RENT PER MONTH: 500 <br />AMOUNT PAID PER OCCASION: 0 <br /> <br /> ': '" "" :' ' ' ' )'" BINGO ACTIVITY <br />BINGO IS CONDUCTED ON THI~ PREMISES: NO <br /> <br />IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> <br />I : '< '" sToRAGE ADDRESS ' ' <br />Ramsey MN 55303' " <br /> <br /> 47 & 167th Ave NW .. <br /> se¥ MN 55303 ' <br />GAMBLING, BANK ACCOUNT NUMBER: 003858333803 ': ..... ' .... ': ' ": .... ; :' <br /> <br /> THE 'LINES PROVIDED BELqW LIST THE NAME'; ~DREss AND TITLE OF AT LEAST' TWO PERSONS <br />AUTHORIZED TO SIGN CHECKS:iAN'D'.MAKE DEPOSITS AND 'WITHDRAWALS FOR' THE GAMBLING ACCOUNT.'' <br />ORGANIZATION'S TREASU ~ER ~MAY NOT HANDLE' GAMBLING FUNDS. ' ' <br /> <br /> (BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br />liS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br /> <br /> <br />