Agenda - Council - 07/13/1993 - Laserfiche WebLink

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~ .,.~.'.-BOlkRD~L-OI~T~E~{~OMMXSgIONE]~ OF~RL'VENUE O~ PUBLIC SAFET~,tOR A~E~S OF ~ ~~R ~OESS~Y ~ ~FI~ ~QUI~NTS OF OU~ G~LING R~ES ~ STAT~EZ. I DE~ ~T~ ; I ~ ~ THIs APPLICATION ~D ~ INFO~TION SUBMITTED TO THE G~BLING CONTROL · ~ INFO~TION IS T~UE~ ACCU~TE A~ COMPLETE~ · ~L OT~R ~QUI~D INFO~TION ~S BEEN F~Y DISCLOSED; ' '.I ~ T~ CHIEF E~TI~ OFFICER OF T~ ORG~IZATION; :'" ' ! ASSU~ F~ ~SPONSIBILI~ FOR T~ FAIR ~D ~ OPE~TION OF ~ G~LING A~IVITIES TO BE CO~U~ED; ' ~] .. ' I WILL F~ILI~IZE ~SELF WITH :THE ~WS OF MIN~SOTA GO~ING ~WF~ G~BLING ~ R~ES OF T~ G~LING CONTROL BO~ ~ AG~E,[ IF ISS~D A P~MISES PE~IT, TO ~IDE THOSE LAWS ~D R~ES, IN~ING ~ND~NTE TO T~M;. · ~Y. C~GES IN ~PLI~TION INFO~TION WILL BE SUBMITTED TO T~~' G~LING CONTROL BO~ LO~.~IT OF GO~NT WITHIN TEN DAYS OF T~ ~GE; ...... · I ~E~T~ T~T FAIL~ TO PROVIDE ~QUI~D I~O~TION OR PROVIDING F~SE OR MISLE~ING ' INFO~TION ~Y ~S~T IN T~ DENI~ OR ~VO~TION OF 'T~ P~MISES PE~IT. / 1."~/':T~cI~~ ~ST SIGN THIS' ~PLI~TION IF T~ G~LING P~MISES IS LOCATED WITHIN CIT~ LIMITS. 2. T~ CO~YJ~-'~"'TO~SHIP~'~ ~ST-SIGN THIS ~PLI~TION IF T~ G~BLING P~MISES IS LO~D WITHIN A TO. SHIP. 3. FOR TO. SHIPS T~T ~ ~ORG~IZED OR ~INCO~O~TED, T~ CO~** IS ~QUI~D TO ATTACH A LET~R TO T~IS ~PLI~TION I~I~TING T~ TO. SHIPS STATUS. 4. T~ LO~ ~IT OF GO~~ (CITY OR COUNTY) ~ST P~S A ~SOLUTION SPECIFI~Y ' -' ~PROV!NG OR DEWING THIS ~PLICATION~~' 5. A COPY OF T~ LOC~ ~IT OF GO~R~"S ~SOLUTION APPROVING THIS APPLICATION ~sT BE ATTACHED TO THIS APPLICATION. IF THIS APPLICATION IS DENIED BY THE'~LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTE.Z TO THE GAMBLING CONTROL BOARD. ' ..... ' ...... TOWNSHIP: BY SIGNATURE BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A PP, EMISES PERMIT WITHIN TOWNSHIP LIMITS. CITY*- OR-COUNTY** TOWNSHIP** SIGNAT0~LE ..... OF"PEP~SoN I~E~EIV~NG ~PLI'~TION':[:'~' I SIGNATD~P~E OF'~v.P~SoN RECEI~-~NG APPLICATION _.-, .... --, ::' DATE mSCEIVED?'."-'; - Tz'r '.'- .... ...... '- DATE CSIVED