Agenda - Council - 11/09/1993 - Laserfiche WebLink

Home

A C KN O~'IJ_ LKAME~T GAMBI, IN(; PI~EMISES AlrrHOI~IZATION I HEREBY GIV~ CONSENT TO LOCAL LAW ENFORCE~NT OFFICERS, THE G~ELING CONTROL BO~, OR AGENTS OF THE BO~ OR T~ CO~ISSIONER OF ~N~ OR PUBLIC SAFETY, OR AGENTS OF THE CO~IESIONERS, ~ ENTER T~ P~MISES TO ENFORCE THE ~W. T~ G~LING CONTROL BO~ IS AUTHORIZED TO INSPECT THE B~K ~CO~S OF THE G~BLING ACCOUNT ~ENE~R NECESS~Y TO FULFILL ~QUI~NTS OF CU~NT G~BLING RULES ~D STATUTES. I DECLAR~ THAT: ' · I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD; ' ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE;; · ALL OTHER REQUIi~ED INFORMATION HAS BEEN FULLY DISCLOSED; · I AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION~ · I ASSUME FULL R~SPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING ACTIVITIES TO BE CONDUCTED; I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE G~MBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERNIT, TO ABIDE THOSE LAWS AND RULES, INCLUDING AMENDMENTS TO 'THEM; · ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHIN TEN DAYS OF THE 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. OF CHIEF EIECUTIVE OFFICER DATE I/OCAL GOVERNMENT ACKNOWI2~DGMEN~ I. THE CITY* MUST SIGN THIS i~PPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS. 2. THE COUNTY** ARD TOWNSHIP** MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN A TOWNSHIP. 3o FOR TOWNSHIPS THAT ARE UNORGANIZED OR UNINCORPORATED,~HE COUNTY** IS REQUIRED TO ATTACH A LETTER TO THIS APPLICATION INDICATING TH~ TOWNSHIPS STATUS. 4. TH]~ LOCAL UNIT OF GOVERNHENT (CITY OR OOUNTY) MUST PASS A RESOLUTION SPECIFICALLY APPROVING OR DENYING THIS APPLICATION. 5. A COPY OF THE LOCAL UNIT OF GOVERNMENT'S Pd~SOLUTION APPROVING THIS APPLICATION MUST BE ATTACKED TO THIS APPLICATION. 6. IF THIS APPLICATION IS DENIED BY THE LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED TO THE GAMBLING CONTROL BOARD. TOWNSHIP: BY SIGNATUP. E BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A PP~MISES PERHIT WITHIN TOWNSHIP LIMITS. CITY* OR COUNTY** TOWNSHIP** CITY OR COUNTY NAME TOWNSHIP NAME SiGN~TD-RE"OF PERSON P. ECEIVING APPLICATION' '. ...... ' ~R .~_.~ ~IST FOR ~QUI~D A~AC~S · -- '-: '~' '.~::' .~' ..... : ..... 1711"-W CO~-~'B _ SUI~ 300 ~L-' '/" ~' :'[' "~" .... ' ..... ~" "::"~'~"'~'"~ ~: ')' ROS~IT,T.~ 55113 ..... ~ .... SiGNATUP. E' OF PERSON RECEIVING APPLICATION DATE !RECEIVED