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<br /> ----- <br /> FOR BOARD USE ONLY <br /> FEE <br /> CHECK <br /> 1NITIALS <br /> LG214 DATE . <br /> ~i~esota Lawful Gambling <br /> (9/5/90) Premise Permit Application - Part 1 <br /> (}rg,il'it~~!!9:9i;!pf9!;I!~~9P;i..'.ill!.....;? .....,.,."....'...;:'.:,";.\.,.,'!!!;ilii(.:\!,..i',;))1.....,....:.... ,.,.,.'1;:;...;\......1111.. - <br /> LifaJ Name of ~anlZatlOn' . <br /> ational ultiple Sclerosis Society, North Star Chapter <br /> Business Address of Organization ~ Street or P. 0 Box (Do not use address of gambling manager) <br /> 2344 Nicollet Avenue. Suite 280 <br /> City State Zip ,Code County Business phone number <br /> Minneapolis Ninnesota 55404 Hennepin (612)) 870-1500 <br /> Name of chief executive officer (cannot be gambling manager) Title Business phone number <br /> Willard M. Munger, Jr Executive Director II 61~ 870-1500 <br /> Address of chief executive officer ~ Street or P. o. Box <br /> 2344 Nicollet Avenue, Suite' 280 <br /> City State Zip Code County <br /> Minneapolis Minnesota 55404 Hennepin <br /> Class of Premiae Permit <br /> o Class A - Bingo. Raffias, Paddlawheels, Tipboards, Pull-labs . <br /> 'Gl Class B - Haffles, Paddlewheals, Tipboards, P"II,tabs The class of premise permit <br /> ,0 Class C - Bingo only must be reflected by class of <br /> o Class 0 - Raffias only the, organization license. <br /> Bingo Occasions <br /> , Uclass Aor C.,fllI j,p.,daya!lI1dbeglnning andendlng hours of bingo occasions: . <br /> . .No moret,han',sl'ven'pingo oCcas'lo~s may be conducted b:ran lm!anlzatlon per week;. <br /> .. . - - - '.'- <br /> . ..- <br /> Day Beg1nnlngJEndlng Houl'1l Day Beg1nnlngJEndlng Hours Day Beginning IEndlng Hours <br /> to - to - to <br /> to - to - to <br /> to <br /> Status of Premise Permit - check one: <br /> 0 New premise - Fill in ~ organization premise permit number . <br /> GI Renewal of existing premise permit - Fill in comDlete premise permit number <br /> 0 Prexiously expired premise permit ~ Fill in comolete'premise permit number <br /> , <br /> - <br />