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

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~ ACKNOWLEDGMENT GAMBLING pREMIsEs AUTHORIZATION I HEREBY GIVE CONSENT TO LOCAL LAW ENFORCEMENT.OFFICERS, THE GAMBLING CONTROL BOARD, OR AGENTS OF THE BOARD; OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS, TO ENTER THE PREMISES TO ENFORCE THE LAW. B/kNK RECORDS i INFORMATION THE GAMBLINGI CONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT WHENEVER NECESSARY TO FULFILL REQUIREMENTS. OF CURRENT GAMBLING RULES AND STATUTES. I DECLARE T~IAT~ · 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 C~IEF EXECUTIVE OFFICER OF THE ORGANIZATION; .~ · I ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING ACTIVITIESI TO BE CONDUCTED; ,.'- ..,. .' , -, ..'i'.'..:..:, ~., :.' I WILL FAMILIARIZE MYSELF. WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL"GAM~LING AND RULES OF TH~ GAMBLING 'CONTROL BOARD AND AGREE, IF.. ISSUED A PREMISES ..PERMIT, TO ABIDE THOSE LAWS AND RULES, INCLUDING AMENDMENTS TO' THEM; ... -: .: -.'. ~.::.: ':',< i' ..: '..: -, ;:'-'u; :~L,'- -~ AN~ CHANGES IN APPLICATION I~FORMATION wILL~ BE} SUBMITTED TO THE GAMBLING' CONTROL BOARD AND LOCAL UNI~ OF.GOVERNMENT.WITHIN TEN DAYS OF TH,E.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. .. : i I I I I ! I I o ~E w oFF~ LOCAL GovERNMENT ACKNOWLEDGMENT , --., . 1. THE CITY* MUST SIGN THIS' APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS.I ....... . ..... 2. 'THE cOUNTY** AND TOWNSHIP** MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS ~ A TOWNSHIP. LOCATEDiWITHIN . 3. FOR TOWNSHIPS THAT ~ UNORGANIZED OR' UNINCORPORATED, THE COUNTY** 'IS REQUIRE? TO ATTACH ' A LETTER TO THIS APPLICATION INDICATINGTHE TowNsHIPS STATUS. 4. THE LOCAL UNIT OF GOVERNMENT (CITY OR COUNTY). MUST PASS A RESOLUTION SPECIFICALLy "APPROVING 'OR DENYING THIS APPLICATION.. . ..!..; . · ..... 5. A COPY OF THE LOCAL UNIT OF GOVERNMENT"S RESOLUTION APPROVING THIS APPLICATION MUST BE ATTACHED TO THIS APPLICATION. . .... 6. IF THIS'iAPPLICATION IS DENIED BY THE LOCAL UNIT OF GOVERNMENt, IT sHoULD NOT BE SUBMITTED ' TO THE GAMBLING CONTROL BOARD "' ... . ..,i. TOwNsHIP ! '"'~ BY SIGNATUR~ BELOW, THE TOWNSHIP AcKNoWLEDGES THAT. THE ORGANIZATION IS APPLYING FOR PREMISES PERMIT WITHIN TOWNSHIP LIMITS, " "- ' ~'3..'..!<'..>,... ~ : - ~:' :. ,'. . ,'' CITY* OR coUNTY,? . . : .... ' . ' ,'- ,... '...4'......~> '.t:.~ ~ .:~ ~" TOwNsHIp** <', 'i ........ ' ' · ..~<.~!.':q:.::~-!h'~i · I I I 2 4-~-~ ~" ~~~-~ ~..~.-,:.-'. i ,,'...,, .1'<.."-,.~ ..',.,,..'.". '.,..: . ,:- -':.' .-. . .,..' ' ~R TO ~ C~C~I'ST FOR ~QUI~D A~A~S ~IL TO~ G~LING COBOL BO~ 1711 W CO~Y ~ B - SUITE 300 S ROS~I~, ~ 55113 I ! I I