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'1 <br /> <br />I, uth STATE OF MINNESOTA <br /> GAMBLING CONTROL BOARD <br /> PREMISES PERMIT RENEWAL APPLICATION <br />1~214PPR PRINTED:05/10/95 <br /> <br />FOR BOARD USE ONLYI <br />AMT PAID __ <br />CHECK NO. <br /> <br /> DATE <br /> <br />LICENSE NUMBER: B-03035-001 EFFECTIVE DATE: il/01/93 EXPIRATION DATE: 10/31/95 <br />~ OF 0RGANIZATION:'Ho~key'Anoka Area Aeeoc i .--'- -- <br /> <br /> · O~INO. PREMISEs INFORMATION' <br /> <br /> OF ESTABLiSHHENT NHERE GAMBLING WILL' BE cONDucTED:- <br />McDuff S: Eatery & Pub ,'. :;'"" '- ""- " "-" :'" ~-''' ' <br /> <br /> . <br /> Si; Franc£a Blvd. . . :,,. .... ~ ...... ~.,'.,~.. ...... .. . , ,-,~':, . .~. .... :~ :: .... . <br />ILmse¥..:.- 7:,:.':"': 55303... <br /> ...... ':'" "'~ ' <br /> .:.. -. ~,~: ,-..:',.'>.'.:,..':. :. ,' .:,..., .:: ,'::.-':.-?'....,,, .... -. :..~::. ,..;,!.'. :: .:. .... ~,' .::.. ..... ,.,:..:,... : ::.f.: .: .... -.'..-::.:.: : ...-~". <br /> )UNT~::.(:'An~k~..':.:'. .... IS THE PREHISES 'LOCATED WITHIN THE cITY LIHITS?: Y <br /> <br /> ' ......... ' ' "¥'..-,' .... ~':.:.,'~,"~:"':'::F.~':;:' ........... ....- .. . ';:i' ,.::'t.~'; ~;::7:::-'. ":'"~":"-~;' ION ~:';- ;~:"::':' ' '": :'''' .' '~- '--"::J--' ~ '.:J~ -~: <br /> <br />UARE FEET. PER 'OCCASION: ' · ' "0 , :' ":""-'f": :.'" ' AMOUNT PAID PER OCCASION: ' 0 <br /> <br /> ';'' ........ ' 'REFER TO INSTRUCTIOffS FOR:RE UfP~D ATTACHMENT <br />BINGO IS CONDUCTED ON THIS PREMISES.~ No-IF yES~ Q <br /> <br />OH ~.'a~. LINES ~ROVIDEI) BE%OW LIST THE NAHE,"ADDRESS AND T~TLE OF ~T LEAST .~O PERSONS <br /> <br /> .. .,.,:.~ ..... ................... , ...... .~,.~ :,....... . .....~ ............. .. <br /> <br />lIS <br /> <br /> '~ .' (BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br />FORM~.,. WI'LL BE MADE AVAILABLE IN'ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPO~QUEST <br /> <br /> <br />