Laserfiche WebLink
[s) Zte? Al Z 0 WAN ill <br />rm-91 <br />CITY OF ROSEVILLE <br />APPLICATION FOR GAMBLING PREMISES PERMIT BINGO HALL <br />DATE <br />.�Z5,ZF 0 <br />I EVV <br />GAMBLING MANAGER INFORMATION <br />NAME �z I A)16 <br />DATE OF' B IRTH <br />TYPE OF GAMBLING <br />BINGO PULL TABS RAFFLES TIP BOARDS PADDLE WHEEL. <br />DATE OF PERMIT EXPIRATION (IF RENEWAL) <br />COMPLETED FORM IS CRITICAL TO A THOROUGH APPLICATION AND TIMELY <br />COUNCIL ACTION <br />