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<br /> Minnesota Lawful Gambling , V'" '. .- LG3J2
<br /> I Bingo Hall Occasion List 5/95
<br /> f' :ncomplete, false, or misleading applica:lo,n information may result in denial cf a license
<br /> ~ingo Hall Information'__________'~_~_,___________~_
<br /> 61090 HaJ: Name O(,t, 0 ~ GalA '________
<br /> I Add.ess . C I ' W J~ . II !)r
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<br /> ,::;:ctati:!:J S:neC\!le Yes 0 No ~ (!f }'es. sub:rllt a Ca!enda,~ \',::h the name cf ~r5' Qjgai,zat,or,\s)
<br /> I concl'Jct,ng b:'1go on ea:::;r: cay.)
<br /> Schedule1
<br /> --~.
<br /> I I Nc:r1e o~ O'gai1:zatiorl i O;gan;Zak),'i's Premises Perrr:it or I ho'....'rs of
<br /> I Cc.'lcuct:ng S;ngc Occasiois I Exemption Perrllt I\:umber or ! Binga
<br /> iExclua'ed Authorization S;.'!go Oa:e21 ' 3
<br /> Occas;o1S
<br /> I Sunday I t-h, I'
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<br /> I Monday /
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<br /> \, ,- ,', , ,
<br /> I luesday
<br /> I I 1'- I' I,
<br /> Wednesday ,
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<br /> I - -
<br /> Thursday '- ,- .- ,-
<br /> I Friday
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<br /> Saturday
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<br /> " I' .' I' \, " " M,
<br /> I 1 No more than 21 bingo occasions are permitted at each hall Mail this form (0: Gambling Control Board
<br /> per week, Suite 300 South
<br /> 2 If the organization does not yet have a number, write "permit 1711 W. County Road B
<br /> (or exemption) applied for," Roseville, MN 55113
<br /> :3 Enter the starting and ending tirr.es for each occasion (for
<br /> I example, 7,9 p,m" 3:30,6 pm.), A bingo occasion must be The information requested on this form will be used by the
<br /> at least 90 minutes and no more than four hours long.
<br /> ~hangeS in the above information must be submitted in writing Gambling Control Board to determine compliance with Minne-
<br /> sota statutes and rules governing lavvful gambling activities. All
<br /> the Board within ten days, A change occurs if an organiza. info rmation supplied on this form wili become public informa,
<br /> ion conducts bingo on a day and time other than that renected tion when received by the Gambling Control Board, This form
<br /> on the Bingo Hall Occasion List, or if an organiza~;on is added will be made available in alternative format (I,e, large print,
<br /> or deleted on the schedule, Braille) upon request.
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