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IFOR BOAR~_ USE ONLY <br />AMT PAID.. <br />CHECK NO. <br />DATE <br /> <br />Ist STATE OF MINNESOTA <br /> [ GAMBLING CONTROL BOARD <br /> ~REMISES PERMIT RENEWAL APPLICATION <br />R PRINTED:09/05/95~ <br />~CENSE NUMBER: B-02002-0~5 EFFECTIVE DATE: 05/01/94 EXPIRATION DATE: 02/29/96 <br /> <br />rOF ORGANIZATION: Cl. ,~mb 8t Paul <br /> <br /> r <br /> GAMBLING pREMISeS TNFORMATION <br /> <br /> gOF ESTABLISHMENT W/4~RE GAMBLING WILL BE CONDUCTED <br /> Shots Bar & Orill <br /> 6937 Hw~ l0 NW <br />u=se¥ 55~03 <br /> <br />COU~T~ ~oka <br />~ ~SSOR I~O~TION <br /> DOES YOUR ORG~IZATION O~~ THIS SITE?: No <br /> <br />~eF ~ 55303 <br /> <br /> OF PROPERTY O~ER (~EN NOT LESSOR): <br /> <br />IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br /> <br /> UARE FEET PER MONTH: ~ 88 <br />SQUARE FEET PER OCCASION~ <br /> £ <br /> <br />AMOUNT PAID FOR.RENT PER MONTH: 1000 <br />AMOUNT PAID PER OCCASION:- 0 <br /> <br />lINGO IS CONDUCTED ON TH] <br /> <br />I)0 N Robert <br />St Paul MN 55101 <br /> <br />iS PREMISES: No <br /> <br /> BINGO ACTIVITY. ' <br />IF YESt REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> <br />STORAGE ADDRESS <br /> <br />BANK INFORMATION <br /> <br />GAMBLING BANK ACCOUNT NUMBER: 8591686' <br /> <br />LINES PROVIDED BELOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS <br />AUTHORIZED TO SIGN CHECK~ AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. <br />~E ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br /> <br />f.~ BUR~ %"~ ~LETE THE REVERSE SIDE OF THIS ~PLIC~TZON) <br /> <br />FORM WILL BE MADE A_~AILABLE IN .ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) uPON REQUEST <br /> <br /> <br />