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<br />I' r RECEIVED
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<br />. LG214' APR .31995 BASE'
<br />_ (7~,:I.. CIIY Of ARDEN HILLS PP #_
<br />l.ci~~~;_L .... "~.:) lIfinnesotaLGll!fitl~u;,.~;:,~,~:"';'c~: ...,.. =:,::~~~.:~~~;; Ii
<br />".., , . . ,,-'-Premises Permit-AppUcatioJL~Part:'Lof2-- c...._ ~...."~
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<br />I .. -.-,.- Pr8miselI penn~...._' m .... . --0 B ($2SO) Pu---.1ipboatds. padcIewMels, riIftIes...::.:.,- ._...
<br />. - ,. -.... . .~:". ::C,._,;
<br />~ - O..EJ$2OOl iJ.':'9"~'''~ '.:..... ~:~:'"::
<br />I' ".c".;>!'''''-.': - ". -.. .. . ."..,;"i.,- O.O(Sl~'_OnIy.~...~.~_:...-.:.s;::...;.:.:.;..;:;.;;;.~;i;
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<br />Earthstar. Pro e~In.c-....."~~''''';"".,-" ;-:..- ---.,'"",.:. ....~~........._.J:'--"~...........__.. '~_.~~._""'''"~~,-:.:,,:_~::;.::
<br />BusinessA~of~sn,et or, P.~ ... (... '."'l use 1Ile -. at your ng manager)"",~ ......m=,.cs:::;"""- ....,,:;.c+i~~
<br />I . l~8~~U~i"~~rs.it" :rAven~ue'~-#:.t~50.~::'~.~~"'l~ ._. , . ~,~~~*::.~,r'''~~fl! ~~:!.~t~ -~J!&:'~X.~~tlf-:,~
<br />. City:_-~h' ...'.....'. ..'Ji_.M.>~ .......Slal8. ..,_~..._.. ZipCode.....q~._ County". ""'"U.' " .. ...Oay1imephanen......-,._............
<br />. . __,"",_':1___, .'- .....al~-,IUl,.aH"-_."'....~~..~'Iv.>,. . .- "~.-~--~., - .' . .'.'ff,- ,... .-.-:~_.~y
<br />j.~v:'.St1.'.PauJ:::'~';h',.;,;,,~.:.:rk';;.,"..;,.~Mi:.rinesota;;.::.: 55104 .., '.ll:Ramse -. '.'",,''''i61'W1'64~~r.'1L~3"':~
<br />.. .~,:; Nam..otd1ie1 8l<lICllliIIe olfic:er (cannot be yell.. gaII1I:lling:!II"f'l'Q8f)?t;$,,,,,,,=..r: rdl.._~....,~.~~,,~ .",Oay1im."phon&llC.I1Ibe<'~j}';"". .
<br />I . J~:YiB~ttYfGree'l1cro;'~4"~~s:~:~~~tPi2~sid~ri~L;i'fJ:':~""''''''~'':''c 6 i~t82?Jj~~ .:
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<br />..,_.,"'''';>;;;Bfft..o-Oc.-....Rf0D8~~-.......,........~~,.,,,."'..... ...... . ,..,_,. _'.".'. ._ ._. "..,,,,,,-..,.,, '" .;..>.-.:T~.. '
<br />..,...:~'t. T'-~ .:-..~-;,...~,.T~~.iiil!i"'".;.~~i."ird.i~;i:.~~.~""".;:._....rlfn<r.....hoP,' ~...'af- ilf....';I'-~~ . -.
<br />...,:.:,....u..app..........ora: ~or.""'l""'.................dn:' !f",-;~ g., urs U""""6o~. --'.w.'
<br />I':'. -~-:-:i;,,,,,,. No more than seVeirbfiiiciii'CF.>dnn<rmay-be......cOriducted.JJx;~n.",...1i~Oriper~... ~..::x;;.....;
<br />" );~~..,.~: ~~~~:~}}~,;:~~~H,e;.*o, ...~~~:;Jt:'::~.~;B~J;~-:
<br />Sun T2:T5to.4:1S.pm~ _,Tues.'6:00 to.9:OOpm,>?r; ---=--.' i': lD-~. - . .~.
<br />I Sun"" 6~OO.lD'-9:00~~~ c. '-Tues'''''9~OO lD12~OO:P;;;'-':::'" '_:'.:':':::.- ...1:';.;-.''::::''. ....
<br />..' .~ ,,'.. ~."_. ..~,. ~..__.. ,--._ '-.' ....-..~...., ...... ;..;~..-,-.~- t--.~ _..'~
<br />Sun....:9:00 lD r.T ,,15 pm - Ifb~...m.Dlltbe.;...;d~~bere--D --_.~--..:...:...
<br />I r '-.---'-"-", , '~."- -:-- ......,...2-~ ": <..
<br />"'. .-. -- , . .. ~ ;,-
<br />~~ ........... ,.,,"~"; I ...... ( nol_apc:lSi~...... mm. ..,.",:-:,
<br />I Pot 'C' Gold 'Bingo. Hall. ..' ,..."..,,' ,776 {~ri':;np1 1''1'. .Av~nn'" . "-.. ...c....:'.....'" ,,:;u',.::;(:
<br />Is 1Ile premiseslocallld wilhin city limits? ,. CXI Y.s_ i.: Cl No . If no. is lCwlIShip ., Clorganized 0 unorganized 0 lI1incorporalIe
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<br />City and County whent gambling pnlrnises is loc:aIIId OR Township and County whent gambfing premises is located if outside of city Urnits
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<br />I Arden Hills, Ramsey H"".. T."" ''''. ..... . .. -
<br />. Nameandaddresaatlegalowneratpremises,....q,r:::,.City" . SlalB. "."ZipCode, ...rt:'.,; ..,;;
<br />. GoId.CrSi"edow-3 0 o'{-Jamrey-r;ake~Elirio~ Mi'nn=------.. 55042 .--------:-=.
<br />I Does your organizalion own lIle building wIlere Iile gambling will be conducled1 Cl YES ICiI NO
<br />II no, alIllch 1Ile loIlowing~'
<br />,_, c-..,..._--.,.. _~.._ . ~ ....~ _._'__m.._.__,. . -- -..-.----:------.~-
<br />,. a copy of 1Ile lease (form LG202) wilh.1IlmlS for al_,one year, .. ... . ._~"" "C"'''''.'1'o...
<br />..cr _ a copy of a sketch of 1Ile 1Ioor plan wilh dimensions. showWlg whal porlion is being leased. . . . . - ~
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<br />I - A lease and sl<etch are not """ired for Class 0 applicalions..
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<br />_ Ad'dt~~~'ijft7~~~!i!fa~6fi~~~~~~~~==~~'I!tWm~~~~tt*Wi;ilii;lfi~~ .
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<br />I 3776 Connelly Ave. Arden Hills Minn. 55112 .
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