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CCP 03-29-2004
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CCP 03-29-2004
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5/8/2007 1:19:28 PM
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11/14/2006 3:34:25 PM
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<br /> <br />I-~~I <br />Lawful Gambling License Renewal Application <br />LG200R <br /> <br />Org Owns Site: N <br />Site Name: Blue Fox Bar & Grill <br />Street Address: 3833 Lexington Ave N, Arden Hills, MN <br />County: Ramsey <br />Bank Name: Firstar Bank <br />Address: 4061 Lexington Ave N, Arden Hills, MN <br />Gambling Acct #: 244643601 <br /> <br />Current License: <br />Organization: <br />Business Address: <br />Org Phone: <br />County: <br /> <br />Chief Executive Officer: <br />Home Address: <br />Phone: <br />Date of Birth: <br />Social Security #: <br /> <br />Organization Treasurer: <br />Home Address: <br />Phone: <br />Date of Birth: <br />Social Security #: <br /> <br />Site#: <br />4 <br /> <br />. <br /> <br />4/1/2002 to 3/31/2004 <br />Light Brigade Inc <br />4990 E Turtle ln, Shoreview, MN 55126 <br />(612)633-1501 <br />Ramsey <br /> <br />John L C1aseman <br />1504 W Hwy 96, Arden Hills, MN 55112 <br />(651)484-8935 <br />1/1/1800 (f-:Z 3-[ 7" cf'-f <br />- .....-0- tf 7" Y 'f l{:3 7 I <br /> <br />Gary D Engen <br />2765 LaPort Dr, Mounds View, MN 55112 <br />(763)786-8755 <br />11/27/1943 <br />'(-77-50 -9033 <br /> <br />~,-------------~ <br />r IWe wi~ not be --".enewing thi~ite _ -.J <br /> <br />I Board Use Only <br /> <br />55112 <br /> <br />55126 <br />
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