Laserfiche WebLink
<br />I' <br />1st STATE OF MINNESOTA IFOR BOARD USE ONLY I <br /> GAMBLING CONTROL BOARD I AMT PAID I <br /> PREMISES PERMIT RENEWAL APPLICATION I CHECK NO. I <br />PR PRINTED:10/30/95 I DATE I <br /> NUMBER: A-00489-006 EFFECTIVE DATE: 05/01/94 EXPIRATION DATE: 04/30/96 <br />lirE OF ORGANIZATION: Church of St Mary Romanian Orthodox St Paul <br /> GAMBLING PREMISES INFORMATION <br />jl:E OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />den Hills Bingo Hall <br />3776 Connelly Ave <br />Iden Hills 55112 <br />COUNTY Ramsey IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br />II LESSOR INFORMATION <br />ES YOUR ORGANIZATION OWN THIS SITE?: No <br />IF NO, LIST THE LESSOR: <br />It 0 Gold <br />76 Connelly <br />Arden Hills MIl 55112 <br />~E OF PROPERTY OWNER (WHEN NOT LESSOR) : <br />oldie Siedow <br />~ FEET PER MONTH: 0 AMOUNT PAID FOR RENT PER MONTH: 0 <br /> FEET PER OCCASION: 4~g ;f AMOUNT PAID PER OCCASION: 300 <br />liNGO IS CONDUCTED ON THIS PREMISES: BINGO ACTIVITY <br /> Yes IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> STORAGE ADDRESS <br />1176 Connelly Ave <br />den Hills MIl 55112 <br />Ilrstar Roseville Bank BANK INFORMATION <br />2100 N Snelling <br />IseVille MIl 55113 <br />GAMBLING BANK ACCOUNT NUMBER: 372000306 <br />THE LINES PROVIDED BELOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS <br />HORIZED TO SIGN CHECKS AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. <br />THE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br />I <br /> ~lanciu CEO 2816 McKinle St NE M ls MN 55418 <br />James Caoeti, Gamblinq Manaaer 925 18th Ave N South St Paul, ~;N 55075 <br /> (BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br />rIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br />