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a <br /> ACKNOWLEDGMENT, <br /> BY �� ODNSSNT TO LOCAL LAW R O�`F I�R�S� THH GBLING CONTROL BOA1�D o OR ZNTS <br /> OF• -7g BOARD IP OR THE 0MI S S I ONER OF RMNUB OR PUBLIC SA7ZTY r OR AG&NTS OF TH$ �I <br /> TO 4TER THB PRENISBS-TO ENFORCE THB LAWS <br /> BANK JLZCORDS ION <br /> THE GAMBLING CONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT <br /> WHZNZVZR 1 GSSSARY TO FULFILL REQU I S GAMBLING RULES AND STATUTES O . .v. <br /> I DECLARE TEMS <br /> e I HAVZ READ THIS APPLICATION AND ALL INFORMATION SUBKITTED TO GAMBLING CONTROL BOARD; <br /> ALL INFLATION IS TRUE# ACCURATE AND COMPLETE;; <br /> • <br /> MX OTHER I UIRED INF�ORMATIoN HAS BEEN FULLY DISCLOSED; <br /> r <br /> I AR THE CHIEF EXSCUTIVR OFFICER OF THE ORGANIZATION 1 <br /> I AS SUS FULL RESPONS IBILITY FOR, THE FAIR AND LAWFDL OPERATION OF ALL GAMBLING <br /> AOTIFITIES TO BE CONDU <br /> "r z <br /> I WILL FAMILIARIZE MYSELF WITH THB LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES ___•��_. <br /> F THE GALLING CONTROL RR' U 1 go rF I SSU'BU A FREMIS$S PZ ►L IT r TO A,BIUR THOSE IBS ..AND RULZSj, I NGLUD I NG AMENDNZNTS TO THEM; <br /> IM APPLICATION INFO�TION WILL BE SUBMITTED TO TM GAMBLING L ANY CHARGES <br /> . _ w <br /> iL UNIT OF GovZRNMNT WITHIN TEN DAYS OF THS CF2mE <br /> * I UNDERSTAND THAT FAILURE TO PRIDE REQUIRED INFORMATION OR PROVIDING FALSE KISLXADIAG . <br /> INFORMATION MAY SULT IN TIE DENIAL OR TIC ' PREMISES RMIT# <br /> S• <br /> OF <br /> SI �E - <br /> _ t: <br /> ................................................. <br /> - ' <br /> CITY* MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES Is DATED WITHIN CITY <br /> LIMITS* <br /> COUNTY" T NSHIP * �+lUST SIGN THIS APPLICATION IF THS GAMBLING PREMISES IS <br /> 2* .:. <br /> DATED WITHIN A TOWNSHIP• <br /> T UNOGN� UNNO TED* T is REQUIRED TO ATTAR _�.� <br /> I• FOR TOWNSHIPS THA <br /> A <br /> LE A TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS• ., <br /> (CITY OR COUNTY) MUST PASS A RESOLUTION SPEOI F I DALLY <br /> 4* LOCAL UNIT OF <br /> APPROVING OR DENYING THIS APPLICATIONS <br /> R <br /> so -�-.._ <br /> LVAMD TO THIS-AEFLICIkTi OC - <br /> 6a IF THIS APFL <br /> IOATION IS DENIED BY THB LOCAL UNIT OF GMRK=NTr IT SHOULD NOT HE 5UBK1TT3D+ _-- <br /> To THB GAMBLING CONTROL BOARDS <br /> IP# <br /> By TUB VELOWs THE TMSKI P ACKNOWLEW2S THAT THE ORGANI S.AT ION is hpnylwG rm A + <br /> PREMISES �T WITHIN TOWNSHIP LIMITS R •R ,.r <br /> GATT* OR ## <br /> m <br /> OR <br /> City Of Roseville <br /> BIG OF FENS RECEIVING <br /> 1FPLIOATI SI OF RECEIVING AFPLIOATICN <br /> RSCRI%W <br /> 3 <br /> MTE R2=IUD ,Ti= DATE <br /> TITLZ <br /> I t <br /> } 4 .J <br /> r <br /> •x.- <br /> - .., t i • _ • -Fes••; -. Y# St I1 <br /> .S <br /> �r <br /> Y <br />