Agenda - Council - 05/23/1995 - Laserfiche WebLink

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: ACKNOWLEDGMENT NG PREMISES AUTHORIZATION HEREBY GIVE CONSENT TO LOCAL LAW ENFORCE~tENT OFFICERS, THE GAMBLING CONTROL BOARD, OR AGENTS 'THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS, ~ ENTER THE PREMISES TO ENFORCE THE LAW. 3IKRECORDS INFORMATION IE GAMBLIN~ CONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT [ENEVER NECESSARY TO FULFILL REQUIREMENTS OF CURRENT GAMBLING RULES AND STATUTES. DECLARE THA~: I HAVE READ,HIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL B~ARD; ALL INFORMATION'IS TRUE, ACCURATE AND COMPLETE;; ALL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED; I AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; I ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING ACTIVITIES TO BE CONDUCTED; I WILL FAMIDIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE GAMBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERMIT, TO ABIDE THOSE LAWS AND RULES~ INCLUDING AMENDMENTS TO THEM; ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHIN TEN DAYS OF THE CHANGE; I UNDERSTAND THAT FAILURE TO PROVIDE'REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE PREMISES PERMIT. THE CITY*:MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS. ': ' THE COUNT~** AND TOWNSHIP** MUST SI~N THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN A TOWNSHIP. FOR TOWNSHIPS THAT ARE UNORGANIZED OR UNINCORPORATED, THE COUNTY**. IS REQUIRED TO ATTACH' A LETTER TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS.' ' THE LOCAL] UNIT OF GOVERNMENT (CITY OR COUNTY) MUST PASS A RESOLUTION SPECIFICALLY APPROVING~OR DENYING THIS APPLICATION. ' ~ '- .' A COPY O~ THE LOCAL UNIT OF GOVERNMENT'S RESOLUTION APPROVING THIS APPLICATION MUST BE I I I I ATTACHED ~O THIS APPLICATION.. , ... · IF T~IS APPLICATION IS DENIED BY THE LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED TO THE G~LING CONTROL BOARD. ~ " OWNSHIP~ : SIGNATURE~BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORG. ANIZATION IS APPLYING FOR A REMISES PERMIT WITHIN TOWNSHIP LIMITS. ( ITY* OR CO~** . . : TOWNSHIP** ITY OR COUNTY NAME I TOWNSHIP NAME. " "':~ ' ' '' , I. ..... ' "" '""" "' . ". TURE oF:PERSON RECEIVING APPLICATION SIGNATURE OF PERSON RECEIVING APPLICATION £TLE . ' DATE RECEIVED REFER TO THE CHECKLIST FOR REQUIRED ATTAC~LHENTS MAIL TO~ GAMBLIN~ CONTROL BOkRD 1711 W COUNTY RD B - SUITE 300 S ROSEVILLE, MN 55113 DATE RECEIVED I I I I