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E� I�LS <br />C�ty of Arden Hills <br />12451Nest Highway 96 <br />Arden Hills, Minnesota 55112 <br />Phone: 651.792.7800 <br />Fax: 651.634.5� 37 <br />www.ci.arden-hills.mn.us <br />201� �xem t Charitable Gan� lin <br />b <br />l� g <br />A lication Form <br />�� <br />. <br />In o rmatio n(all fields are r�equired) <br />�usiness Name: Fishing for Life —�.Ze�ewing Hope Resources <br />301 S� 5� Av. S. Minneapolis,1�1N 5540� <br />Properiy Address: 1�1"o�th Heights Lutheran Church <br />� 7fl0 Highway 9fi West, Arden Hills, I�ZN 55112 <br />Date of Event: <br />Gambl�n t e: Raff�e May 11, 20 � 0 6:00 io 9:00 p. �. <br />g Yp ._----_____.____.._.._.�._.___.._...___�.__.__._..__..---__...�_..__.____.__ ................_-------,-�--....._..__...._...._._.......__....__.-�------------- --- -- --- <br />Loca� Contact: <br />Business Phone: <br />Email Address. <br />Federal ID#: <br />C�ris Armstrong <br />_ .___�__...___.__._......___..____._._.__..,._.___....__._,_.._.._..__._._---.... <br />612-408-3198 <br />_.___._.__. .._..._. W _.._._.._.....____.___..__�___.__.-_-- <br />Chris@fishingforlife. org <br />43-�058434 <br />Business Fax: <br />Website Address: <br />Please submit the following %rrr�s with your application: <br />*I'roof of �on-profit status <br />*Correspondence with event details and description of orgar�izatio� <br />*Form LG220 Premise Permit Applica.tion <br />._._ _...._. ._...__.____...____._._..-----_.......______._ <br />Fishingforlife.�rg <br />X <br />X <br />X <br />� <br />A�thorized S �gnature--- ��S''O �. r I)ate � � � � <br />-�---�--_. .._.. ._ .____._...----------�--....__.. _...__ ......__..._._..--_---._......... _ .-- -- _ _._ ... -�- -- _. _ ._ . _ . f . __ . _. _.._ _.__. .--. <br />