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<br />f . <br /> <br />t.l.tl,[I,ff 1\ <br /> <br />,- '/2- <br /> <br />:a'st <br /> <br />STATE OF MINNESOTA <br />GAMBLING CORTROL BOARD <br />PREMISBS PBRMIT RBNm\!AL APPLICATION <br /> <br />IFOR BOARD USB <br />I AMT PAID <br />I CHECK NO, <br />\ DATE <br /> <br />ONLY I <br />I <br />I <br />I <br /> <br />PR PRINTED: <br /> <br /> <br />SE NUMBER: B-03l62-003 <br /> <br />EFFECTIVE DATE: 08/01/97 <br /> <br />EXPIRATION DATE: 07/31/99 <br /> <br />lAME OF ORGANIZATION: American Business Womens Chapt Lady Slipper Roseville <br /> <br />GAMBLING PRIlMISBS INFORMATION <br /> <br />rAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />'lahertys Arden Bowl <br />.273 W Co Rd B <br />~den Hills 55112 <br /> <br />~UNTY Ramsey IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br /> <br />LBSSOR INFORMATION <br /> <br />lOES YOUR ORGANIZATION OWN THIS SITE?: No <br />:F NO, LIST THE LESSOR: <br />'lahertys Arden Bowl Inc <br />l273 W Co Rd B <br />~den Hills MN 55112 <br /> <br />lAME OF PROPERTY OWNER (WHEN NOT LESSOR) : <br /> <br /> <br />o <br /> <br />AMOUNT PAID FOR RENT PER MONTH: 1000 <br />AMOUNT PAID PER OCCASION: 0 <br /> <br />FEET PER MONTH: <br />FEET PER OCCASION: <br /> <br />28 <br /> <br />BINGO ACTIVITY <br />lINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> <br />L525 Alameda St & <br />~t Paul MN 55117 <br /> <br />P Damman <br />Route 4 Box. 86 <br />Pine City MN 55063 <br /> <br />STORAGB ADDRESS <br /> <br />BANK INFORMATION <br /> <br />~orwest Bank Minnesota <br />L220 W CO Rd B <br />~den Hills MN 55112 <br /> <br />lAMBLING BANK ACCOUNT NUMBER: 3528255745 <br /> <br />ON THB LINES PROVIDBD BBLOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS <br />P.UTHORIZED TO SIGN CHECKS AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT, <br />rilE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br /> <br />Debra Burchett 632 Redwood Lane New Brighton MN 55112 <br /> <br />\ . <br /> <br />President <br />~ .' . <br /> <br />Sharon Sibell <br /> <br />5043 Madison NE <br /> <br />Mpls. MN 55421 <br /> <br />Gamblinq Manaqer <br />Asst" 'Manaqer <br /> <br />Marlyn Damman <br /> <br />2700 N Dale #208 Roseville MN 55113 <br /> <br />-- <br /> <br />(BB SURE TO COMPLETE THB REVERSB SIDB OF THIS APPLICATION) <br /> <br />THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I,E, LARGE PRINT, BRAILLE) UPON REQUEST <br />