Agenda - Council - 08/08/1995 - Laserfiche WebLink

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i ACKNOWLEDGMENT ;AMBLING PREMIsEs AUTHORIZATION i HEREBY GIVEI CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THE GAMBLING CONTROL BOARD~ OR AGENTS )F THE BOARD,i OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS O? THE COMMISSIONERS, ?O ENTER THE PREMISES TO ENFORCE THE LAW. ~%NK R~CORDS INFORMATION ~HE GAMBLING iCONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT fHENEVER NECESSARY TO FULFILL REQUIREMENTS OF CURRENT GAMBLING RULES AND STATUTES. [ DECLARE THAT: . I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD; · 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 FAMILIARIZE 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, iINCLUDING AMENDMENTS TO THEM; . . . o 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. LOCAL GOVERNMENT ACKNOWLEDGMENT . 1. THE CITY? MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS. 2." THE COUNTY** AND TOWNSHIP** MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN A TOWNSHIP. 3. FOR TOWNSHIPS THAT A~E UNORGANIZED OR UNINCORPORATED, THE 'COUNTY** IS REQUIRED TO ATTACH A LETTE~ TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS. ' " 4. THE LOCA~'~ UNIT OF GOVERNMENT (CITY OR COUNTY) MUST PASS A RESOLUTION SPECIFICALLY APPROVING OR DENYING THIS APPLICATION. '' 5o A COPY OFi THE LOCAL UNIT OF GOVERNMENT'S RESOLUTION APPROVING THIS APPLICATION MUST BE ATTACHEd TO THIS APPLICATION. .. 6o IF THIS ~PPLICAT~ON IS DENIED~BY THE; LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED TO THE GAMBLING CONTROL BOARD. ': TOWNSHIPI i - · ' · ' BY SIGNATURE BELOW, THE'TOWNSHIP ACKNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A PREMISES PERMIT WITHIN'TOWNSHIP LIMITS. · -', : '. CO~** '.';"' ." '~'.. .' ...': ", ' ': ' " TOWNSHIP**. "..',i".. .':'. "'- ' ,, i .: . ". CITY* OR CI~TY~ OR coUNT~ 'N~A~iE.i.iii':: ' '' .' · ' ' ' ..:' :. [ TOWNSHIP NAME' I ','.. ". "L "i ..... ~:..~SO~~.::~PLICATIONS I' 'S,GNATuRE OF p~RsON RECEIVING APPLICATION ': :"' ':.... "'.'i' '":.~.!..1::.1!(" ' ... :'"-' ,' "-. "-.: TITLE i DATE RECEIVED .. [ TITLE DATE RECEIVED MAIL TGI GA/~BLING CONTROL BOARD 1711 W COU1TTY RD B - SUITE 300 S ROSEVILLE, MI~ 55113 I I I I I I