Laserfiche WebLink
lip, <br />#* OW <br />Minnewft fill CTd=thUngI <br />PlrIe le Ple--'-&, I Pilicatiou �, Paft, 2 <br />A16%, it <br />Nam wW Ad&"& O*TW of Pmn"Isi arf MM Zp <br />Aft I n <br />57.�-,qjs <br />can, ft Izai aw me blj ik the gambfingwil tie []YES NO <br />NOTF.- Organi=tions may not m thismseives rent N they own the building or have a holding company. A letter must be sub- <br />mitted showing: rent paymerft as zeroi fmm gambling funds N thie Ia rganizabion'3 holding company owns the premise& The <br />letter must be, signed by this Ic h1efex9cuW@-vffi=r.) 01 IV <br />Renee <br />is : i nol <br />* a copy of the lidaie with tenrm fcr one year'. <br />* a copy at a, sketch of thile floor p(an wfth daimilensions, showing what ;nrtion is bel'M leasedw <br />A lease andi sketch are �not rieWired for Class D apipflcantionsw <br />Foir g=bfing with bingo <br />MOW <br />Fair, gambling without blingo $ coo r.0 Art, 40 <br />TotW square footage leased :1 (3 <br />MIN <br />-Addrou, of =oragil 3 d g,mohnig <br />state Zip ciod a <br />5 5 E MI C* dreq <br />1181 IV seep= 0 1 <br />— - --------- <br />Bwk Nanw Bank Aciiimunt Number <br />IRI �40 x C. V, 40, cles 14 13, A <br />BWK Aodlres Mate ip COM <br />01 <br />C3 %, 4c <br />Na",r a1O"J9$v Wd 0TW ;4=07S -IM"IMad,201 vgrr =9=S Wid InUxia MOO.= W1[rxv WW& <br />