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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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w <br /> BTATJr OF NXNNZSOTA FOR BOARD USE ONL <br /> GANBZXNG CONTROL BOARD ANA' PAID <br /> PR xsjcs Pjr i:r m JLL APPLXC ZON c9scK mo• <br /> Lr d`14PPR PRINTED*U 7/13/9 3 DATE <br /> LICENSE NUNSER t A-00070-mgft NFFECTIVE DATE: 01/01/%% ExpipATioN DATE: 12/31 <br /> NAME OF oRGANI ZAT ION t Skating Roseville KLdwaY Club <br /> ghmaiNa I szs IN—F—ORNATION <br /> NAME OF NSTASLI SHMENT WHERE GAMBLING WILL BE CONDUCTED <br /> Knights of Colusbus <br /> 2555 Snelling ATe N <br /> Roseville .35113 <br /> COUNTY Rawzy IS w PI VISES LOCATED WITHIN THE CITY LIMITS?* Y <br /> LXSSO I�R ATION <br /> i <br /> DOES YOUR ORGANISATION OWN THIS SITE?: We <br /> 17 NO p LIST THE LESSOR: <br /> 11azareth Bldg Assoc <br /> 2535 Sne11 ing Aire N <br /> Roseville UK 55113 <br /> NAME Off' PROPERTY DER (WHEN NOT LESSOR),* <br /> SQUARE F EET PER MONTH: 0 AM0UNT PAIN FOR DENT PER MONTH: � <br /> 1RE FEET P39R OCCASION: A � AMOUNT PAID PER OCCASIONt 300 <br /> ]JINGO <br /> SINGO IS CONDUCTED ON THIS PREMISES: Yes <br /> §ZQAMLZ ADDRES 9 <br /> 3555 Snelling Ave W <br /> Roseville NN 55113' T <br /> INMRKATXOX <br /> Roseville City Rank <br /> 1301 W County M C ;Y <br /> Roseville mK 55113 <br /> GMBL I N(; gANx <br /> ACCOUNT R: 2000602 <br /> ON THE LIKES PROVIDED SEI f j, LIST THE MUM ADDRESS AND TITLE OF AT LEAST TWO PERSONS <br /> AUTHORIZED TC SIGN CHECKS AND mAxic UNPOSITS AND WITHDRAWALS FOR THE GALLING ACCOUNT. <br /> THE ORGANIZATIONIS TREASURED NAY NOT RMLE GAMBLING F=S d1 <br /> Ads <br /> And r- 0*lu P" <br /> Arklm a jim I&9� <br /> tm a r <br /> (W RARE TO OMeMMM PF 12 TERSE SIDE OF TSIS A'PPLICATI <br /> Tt3IS p0RX wILL SE MADE AVAILRBLE IN ALTERNATIVE FORMAT (10 E+ LARGE PRINT, BRAILLE) USN QUEST <br />
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