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I ' 2 ' <br />Vtinnesota Charitable Gambling Control Board <br /> <br />GAME~LING LICENSE APPLICATION <br /> (Class A, B, or C) <br /> <br />GAMBLING SITE AUTHORIZATION <br /> <br />By my signature below, local law enforcement officers or agents of the Board ate hereby <br />authorized to enter upon the lite, It any time gambling ia being conducted, to obeerve <br />the gambling and to enforce the Law for any unluthorized game or practice. <br /> <br />BANK RECORDS AUTHORZZATION <br /> <br />By my signature below, the Board is hereby authorized to inspect the bank records of the <br />General Gambling Bank Account whenever neceeaary to fulfill requirements of current gsmbIln <br />rulee and law. <br /> <br />OATH <br /> <br />I hereby declare that <br /> <br />1. I have reed this application and all information 8ubmltted to the Board; <br />2. AIl information submitted is true, accurate, and complete; <br />3. ell other required information has been fully disclosed; I em the chief executive officer of the organization; <br /> I lesule full tesponmibility for the fair and lawful operation of all activities to be <br /> conducted; <br />&. I will familiarize myself ,ith the laws of the State of Minnesota respecting gambling <br /> and rules of the Board and agree, if licensed, to abide by those laws and rules, <br /> including amendments thereto. <br /> <br />Official, Legal Name of 0tganizatio~ <br /> Cystic Fibrosis Foundation -l~inn. Chapter <br />5ign~be a~/~d by~~~ier Ex~u[ive Officer) <br />Title <br /> ~estdent o~ ~o~d <br /> <br />Date <br /> March 17, 1986 <br /> <br />ACKNOYLKDGEMENT OF NOTICE BY LOCAL GOVERNING BODY <br /> <br />I hereby acknowledge receipt of a copy of this application. By acknowledging receipt, I <br />admit having been served with notice that this application will be reviewed by the <br />Charitable Gambling Control Board and if approved by the Board, will become effective 30 <br />days from the date of receipt (noted below), unless a resolution of the local governing <br />body is passed which specifically disallows such activity and a copy of that resolution is <br />received by the Charitable Gambling Control Board lithin 20 days of the below noted date. <br /> <br />LOCAL GOVERNING BODY <br /> <br />Name of Local Governing Body <br /> City~f Ramsey <br />S ignet~l~//b f P~r ag n/~e '.~j/App~e/~ i o n <br /> Date ReceiVed (This'is date [ro~hich the 20 day <br /> approve] begine) ~ ~ ~... <br /> <br />ORGANIZATION <br /> <br />Name of Representative f~ Gambling License <br />(serving notice) ~ ~.~ Applicant <br /> <br />CC-OOOOI-01 (12/86) kl~ite - Board <br /> <br /> <br />