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1993_1011_packet
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1993_1011_packet
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10/13/2011 10:17:47 AM
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STATE OF RlWNZSCTA USE <br /> amimma awTRCL BoAiw ANT FA,TD <br /> 4pj1r.5j10 FUrlr M pLXc -r0jf =Is= Iwo i <br /> I,O214PPR PRINTED t 07/13/93 DATE --- <br /> LICEN02 USER. h-03191 001 ZFFZCTI DATA-.@ 0110119 EXPIRATION DATEir 12 f J 1 j93 <br /> F <br /> MAKE OF ORGANIZATION: Nockey Roseville Youth ASSOC <br /> SAMIN9 PREMISES INMMION <br /> KUM OF ESTABLISFINENT ARE OA LINO WILL BE CONDUCTED <br /> Knights of Cal=bus <br /> 8555 Sanalling Ave N P <br /> Raseville SS 113 <br /> x <br /> COUNTY RAMEY IS THE PREMISES L4MTZD WITHIN CITY LIMITS?: Y <br /> LESSOR INRMION <br /> DOZS YOUR ORGANIZATION OWN THIS SITE?t No <br /> IF NO, FIST THE LESSOR t - :lei _ <br /> Nazareth Bldg Assoc <br /> 2355 Swilling Ave � z <br /> Roseville UK SS113 r <br /> r . <br /> NAME OF PROPERTY OWNER J THEN NOT LESSON)t <br /> SQUARE FEET PER MONTH: D AMOUNT PAID FOR RENT PER MONTH: =-1) <br /> SQUARE FEET PER OCCAS ION t 7219 AMUNT PAID PER OCCAS ION t <br /> BINGO ACTIVIX <br /> BINGO 15 CONDUCTED ON THIS PREMISES** Yes <br /> RAGE ADORESR <br /> 2555 SaillLng Ave X <br /> Roseville NN 5511" <br /> BANK ON <br /> Roseville 0mmunitir Rank <br /> 15 1 W Cty Rd C Roseville <br /> Roseville MN 55115 <br /> OILING BANE ACCOUNT DER s 2000594 rT <br /> ON THE LIIIZS PPJDVIDED'B&L0Wr LIST Nom# ADDRESS AND TITLE OF AT LEAST TWO PERSONS _ <br /> ADTHOR.I ZED TO SIGN CHECKS AND XMM DEPOSITS AND NITHDRRWALS FOR TBE GAMBLING ACCOUNT. <br /> VM ORGANIZATION'S -TREARDRER NAY NOT HANDLE GAMBLING FADS. r r <br /> &.ril Barash 203 West Skillman, Roseville, Nn 55113 Gambling iMiana er <br /> Paul Bauer 2479 Dunlap Street Roseville, NO 5,5113 � CEO � <br /> Ap <br /> (W SURE TO COiMILETE TRZ SE SION OF 2SI S APPLICATION) <br /> THIS FORK WILL BCE XADE AVAIL IN ALTERNATM FORKAT (1.E* LARGE PRINT] BRAILLE) UPON RXMST <br />
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