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ACKNOWLEDGMENT
<br /> GAMBOLING PREMISES AUTHORIZATION
<br /> I HEREBY-GIVE CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THE GAMBLING CONTROL BOARD, OR AGENTS
<br /> OF THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONERS~
<br /> TO ENTER THE PREMISES TO ENFORCE THE LAW. .
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<br /> BANK RECORDS INFORMATION'. . · ' " . ' .'.' ' ': ' '
<br /> THE GAMBLING CONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK REcoRDs OF THE GAMBLING ACCOUNT
<br /> WHENEVER NECES~ARY TO FULFILL REQUIREMENTs OF cURRENT G;~-MBLING RULES AND STATUTEs~ ' '~ '
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<br />'I H VE T IS APPLICATION ZN O _ U Tf0.'_ SUBMITTED TO T O BLING. .',.CONTROL'BO
<br /> · ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE;,. '. . · - :'. '.' .'- i.
<br /> · ALL OTHER REQUIRED' INFORMATION HAS BEEN FULLY DISCLOSED, ' : ' . . '.. , . ''
<br /> · I'AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; .... ' . '-'.' '.~-' '. - ." .'
<br /> · I ASSUME ~ULL RESPONSIBILITY FOR THE FAIR AND LAWFUL 'OPERATION' OF ALL GAMBLING
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<br /> · ACTIVITIES TO BE. CONDUCTED; · . ": .... :,. ':::' .,; .;:~.' '.:.:'?........ ' .~ .' .:..'.. .~ ' '.... .
<br /> I wILY. FAMILI~IZ~ ~YSELF wIT. T~ LAWS OF' ~INNEsOT~ GOVEP. NIN~ '~FUL GAMBLzNG AND RUn~S
<br /> OF THE GAMBLING CONTROL BOARD ~ND AGREE,... iF. iS.SUED.~ PREMISES. PERMIT, TO ABIDE· THOSE LAWS
<br /> AND' RULES, INCLUDING AMENDMENTS TO THEH~" ' 'i: "."" ''; .... ':i~i .-';:':. ':" ":-.> '..% !:'.': i'i',!' :.-:.1;:".','I'' ;,' .-'..' . .'
<br />· r~,~. C~GES ZN APPnICATION INFO~TION ,Z+.L 'SS' SUS~ITTEn TO T.E OAMBLiN~ CO~TROr" BOA~n. AND '
<br /> . LOCAL' UNIT' OF GOVERN~NT' WIthIN TEN DAYS OF. T~E 'Cm~'~GE,' -'..:.).'.' '.: '. i:..:'... ~:':!~;, .:. ,.': ' --".',:. ' .
<br /> I UNDERSTAND THAT FAILURE TO PROVIDE REQUI'RED INFORMATION OR 'PROVIDING FALSE OR MISLEADING '
<br /> INFORMATION MAY RESULT' IN THE DENIAL OR REVocATIoN OF THE PREMISES PERMIT...i : ~.
<br /> · ' . ., .._------------~ ....... .' ' .L~ ~-7, '"
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<br /> 1. THE CITY* MUST SIGN THIS APPLICATION IF.THE GAMBLING PREMiSES:-IS LOCATED..WITHIN CITY .. ' ."
<br /> LIMITS ..... ..' .' ....,..,,.' :, '... -" "..:,!~:.~.'..;~,...':,.-...:.~',.q. ...... ': ....... ,'. ........ :..:..'... ,,._. ',, .,'.-:' i'J.' .... .::,,,: ...... :'i?,';.i"". :' :'...' .,.i.h.:, ::':":..',
<br />2. THE COUNTY** AND ToWN~HIP** 'MUST"SIG~:'THIS A~LIcATION'IF THE GAMBLING pREMIsE~: I'S ..... ":'
<br /> .' LOCATED WITHIN A' TOWNSHIP :.-[.:, '..' <":; -~ ' ,.J':: ~:'.~./:.~ ;~i'-":J.:i";:~;'-..~ .( ' , i'...q..!~',-:: '.,...., ;. ;.: !i:,:.',~...:,;-)::.",. ?..""'.~.~i';~;~i'??,:i-,' ::.' .: ..' '~
<br /> 3. i.-FOR TOWNSHIPS THAT ARE uNOR~A~I~.~".'O~'' U~i'~oRp'~T~D,. THE' '~UNTY~*:'I~"REQUiRED':'TO.'.'~TTAC~.
<br /> A' LETTER 'TO THIS' APPLICATION 'INDICATING THE -.ToWNsHIPS .STATUSi',': '" ''' ~:' ' ' ' ' ' ~ .: ' '' '' Ir n '
<br /> 4A THE:LOCAL UNIT OF GOVERNMENT '(CiTy-O~"0~UNT~)":?MU~ PASS .A;RESoLuTION sP'EcIFICALL¥..i:[;.i·:,:i,' "i" '
<br /> :" "AppRovING OR DENYING' THINS APPLICATION;'.:'" :'):')' .' :-' ":::".:: ':!-:...':. >'''" J,: 'i, ." :. :..:..::-::.i(.:.i:,':::'f/ :_i:.:,.~ .,.",.,..':).'-'.
<br /> 5.' A' COPY OP THE. LoCAL-UNIT OF GOVERNMENT "S kESO~u'TiO~' APPRov~N~' ~HY'§ 'A'~P~IC~TION '~'ST 'BE i' .'
<br /> · .':" ~TTACHED TO THIS' APPL~CA~ION.'::::-:q~:~- '(:.:,>. (:",'.,":,':://:~.:,~;,,.';, T .:'!....'..~/,?i':':i.,:.".'h:'~.;.' -: i.'.','['/. ;'.
<br /> . TO'. TH~ GAMbLInG CONTROn BOmU: >'/' : .-:..: :'.'.".': ,~".'-.; :.'"'::':.::'.~: :'.:: .;'.:'... ~'(':::.'::-', ': ':':::'-:?',"'!~:..'~:::,i";"'?,.,'?:.! ": :':.. ,:-.::'.;:/'..':.:(:.::,.':'..'..i. '
<br />· O~S~ZP,. -;'.:' ": _, :' ', - .'.': .:': '~--"..'- ":::'--ii:';' :' '>'"." ,' :"- ':'. ~i::-'.::!::::f:,'):!.;';-" ~.i.:'!-A:::,' :~.~'!~"~'!':/!~-i.:::~'"!' :~"'ii~>:,:'~ -;'~:'.::! ";:'~:' :'):',:': ")."- ."
<br /> SIGNATURE'"BE~W,' TN~. 'TOWNSHIP AcK~6WLEDGE'S T~':'T'~'"o~G~NIzATi0N."L~'"~PP~,~'i~G"POR' ~"":' ':.~-.
<br />BY
<br />PREMISES PERMIT WITHIN'. TOWNSHIP' LIMITS..'- ':': '.'~?.Z:' :'.;'."-:'::'-.·:. ':-.:"'!:""·:-:::i'i.<~.::-.,::.:~.;:~-:!i,:i,;~::;,~(::'.'-:-~,.. :'·::j..':,::"~;i.. '.%.- 4:-:/: :.'.i:':' ,'; .'
<br /> : : :.: ,: ..::::.' ... ...'"'( :;-::::i,,:':.",..: :::: '., :;: :.:, :..; : :,&>.!: :.?. .i '.:.: :.
<br />CITY OR '~0~'~ '%u,~ : :_'>-. :.':' ':.: ",'. ':':-":~:> ....:ii:..:.::>":'::::. I'::, TO~'S~=P 'N~': .'":)..'.::?/ :'t..%':::::'?/. ,' .... '..".
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<br /> ' ._ ~,,.'.'... .::' :'.'.',' ...... ').'; '. '>.'.'.. : '..-'. · " .. . ~'2,!:,",.:..-,... ,),i,:::,!...'.: :.~:~..'-'. .
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<br />-.,' 'REFER TO THE CHECKLIST FO~'REQUI~ED ATTACHMENTS I
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<br />MAIL TO~ GAM]~LING CONTROL BOARD
<br />1711 W COUNTY I~D.B.-.SUITE 300 S
<br /> ROSEVILLE,. M~ 55113
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