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W220 ��� f� fn e „� �nrrt Permit <br /> r_ <br /> ; <br /> ... ,xv__ v.n - <br /> xx <br /> ------------------------- <br /> x r r <br /> flf„ tff tltxixif� f (tt <br /> r=: rpriocfassed in s t z� <br /> thpEoWan <br /> condwis ...=o-.3 gambling orf 29 x.. , fewer close. and .. q, received„ed 3 dap S nure , .."efe the _dtr L r.. <br /> „ t <br /> j. �. tr:ea.:.z.. has than ,rr,:; ,'�"„. H., s._',S <" >.:s .„x....s fce' is .f fry xti'verafhal We .xuw ... $!50” <br /> •,” <br /> < t <br /> . ., :x for Its ..az #�..: :tom <br /> Dye E 'z ��F ," r r <br /> e.,, „4... a r w <br /> t ti r. ". ...::Hf 1 ley .."..: n K 6505390900,,1 -- �sts "rrr .... <br /> �.s t z` a Mfr <br /> 1111, <br /> -:9"39-Ps <br /> . ''r _.... ___........................... <br /> r," any" r <br /> any- <br /> tSam <br /> -- t£- <br /> r <br /> or Executive OHIcer r,r rib r= ........................... <br /> , <br /> ..a3'€".?..,wili be,.rn„.ri..r„; .„to*=A Ad'."r...... ...., es.. A100410 Wa0ag <br /> oiif p ..: „..-________•_____________....................... ...... ."..........,... ______::::::::::. _.......... .:..... <br /> ETVR; <br /> w.. x of hka4vailt a.,r gar ek z.: <br /> rrrrrrrrr: <br /> ,...---- <br /> ., rrf r. <br /> '�+.r NOT.:::"'...:.`..r; < :�.h.r.".Asi..., .."t exempt status,..„< .Word!x..,c..t..x...y a.x, r'v: ..number, _ they ........... .."...,.,.,.,.. <br /> t <br /> } current calendar year Certificate of Good Standirig <br /> t: Don't have a copy? obtaln this certificate from, <br /> PIN Secretary of State, Business Services Division Sec'fetsay CW Raw” a r r."„ < 4m:,,,„wler_° <br /> 60 Empire Drive, Suite 100 <br /> £ , <br /> St PM4 MN 5 103 6510960901 aw twil wee1077351-6767 <br /> ww w <br /> IRS income tax exemption(561(c))letter in your organization's name <br /> Don't have a copy? To obtain a copy of your federal lneerre tax exempt letter, have an organization after contort the H <br /> xxxxxxxx# <br /> IRS tall free at 1-877-82 9-5500, <br /> Affiliate of national,stativerlde,or international parent nonprofit organ zat€ n chart r <br /> if your organization falls under,a parent organization, attach copies of both of the fellovvin : <br /> 1. IRS letter ahrrwMg your parent organization is a nonprofit 501(c) rrrgiankatiea with a group ruling" and <br /> 7.: the charter or letter from your parent organization recognizing your organization as a sutrerdir:atc, <br /> x n..n <br /> v v v.v xxxxxv_ <br /> will b <br /> - � -Hf� : drawing ralli take acw) ... ....... .. ---______ ....... ........ ________ ...... ......... . <br /> Check one-, <br /> r: f ..:........ <br /> .._ ziph county: <br /> �r <br /> Township: it= <br /> Zip: County: <br /> ; <br /> .. , x.xs. .x%,1 <.„.- v,wuM :.. x...„' r:< x„, „ K¢�: t.. z` ............__ _________ <br /> o rrr u. .t.r. ......_ _ .................... <br /> t <br /> Check each type of gambling activity that your”organizatkin will conduct: <br /> d <br /> Naga a q � e <br /> �, 3 ra x"x:a 3'rr� r`� �: bingo }, Wards, r a: s a �.. z�, r <br /> UA he~•, i t d oYs v air- 'r 3 et 3 g r `'': P x” d # cardsrz ei ton <br /> r b.� ..'x,r,xr of�°xr '� ....... .t z n. oE bingo <br /> S <br /> H <br /> x E <br /> ......:. .....-..frarr=v 11 err <r„=> ..r.; ft:.�..,x..,...x::",.r "" x x....e-- r„ '� r <br /> 83 <br />