Agenda - Council - 05/27/1986 - Laserfiche WebLink

Home

-2- Mirmeso~a Charitable Gamblin~ Control Board GAMBLING LICENSE APPLICATION (Class A, B, or C) GARBLING SITE AUTHORIZATION By my signature below, local law enforcement officers or agents of the Board are hereby authorized to enter upon the site, At Any time gambling ia being conducted, to observe the gambling And to enforce the law for any unauthorized game or practice. BANK RECORD5 AUTHORIZATION By my signature below, the Board is hereby authorized to inspect the bank records of the General Cambling Bank Account whenever necessary to fulfill requirements of current gamb]in( rules and law. OATH I hereby declare that 1. I have read this application and all information submitted to the Board; 2. All information submitted is true, accurate, and complete; all other required information has been fully disclosed; I em the chief executive officer of the organization; 5. I assume full responsibility for the fair and lawful operation of ali activities to be conducted; 6. I will Familiarize myself with the laws of the State of Minnesota respecting gambling and rules of the Board and agree, if licensed, to abide by those laws and rules, including amendments thereto. Official, Legal Na~eof O~anization Ramsay Lions Club si~atur~ ~~~tive Officer) Title c~ President, Ramsay Lions Club )ate 16 Hay 1986 ACKNOMLEDGERENT OIr NOTICE BY LOCAL GOVERNING BODY I hereby acknowledge receipt of a copy of this application. By acknowledging receipt, I admit having been served with notice that this application will be reviewed by the Charitable Gambling Control Board and if approved by the Board, will become effective )0 days from the date of receipt (noted below), unless a resolution of the local governing body is passed which specifically disallows such activity and a copy of that resolution is received by the Charitable Gambling Control Board within )0 days of the below noted date. LOCAL GOVERNING BODY Date Received (This is dale from mdqich the ~0 clay approval begins ) ORGANIZATION Na~e of Representative fat Gambling License Applicant (servir~j notice) Cr_,-OODOJ-O1 (12/8.)