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EN7;10T-pl�pig 0 " A � <br />ADDRESS OF ORGANIZATION <br />(,-AOCATION OF GAMBLING, ACTIVITY e.,-.., <br />DATE (S) OF GAMBLING ACTIVITY <br />DOLLAR AMOUNT OF TOTAL PRIZES TO BE AWARDED <br />NAME OF PERSON APPLYING FOR LICENSE <br />e <br />el <br />TELEPHONE NUMBER OF APPLICANT P-mm- <br />SIGNATURE OF' APPLICANT—., <br />DATE OF APPLICATION' <br />1/10 <br />[-.'JICENSE 00 <br />WITHIN' TEN (10) DAYS 01F FILING ANY' REPORTS WITH THE CHARITABLE <br />GAMBLING CONTROL BOARD,, THE ORGANIZAT'ION SHALL FILE A COPY OF <br />SUCH REPORTS, WITH THE CITY OF ROSEVILLE,, AS REQUIRED BY SECTION <br />125*060 OF' THE CITY CODE. <br />