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CITY OF' ROSEVILLE. <br />GAMBLING LICENSE APPLICATION <br />O wr + N r O APPLYING O ! ]EXEMPTION i! STATE <br />SAE ORGANIZATION American Cancer, Society <br />ADDRESS OF ORGANIZATION r <br />LOCATION OF AI <br />DATE (S) OF GAMBLING <br />ACTIVITY <br />I en raffl�eld off at a specified date. <br />be on display for, some, weeks and, t,h <br />DOLLAR TOTAL PRIZES O AWARDED <br />to be cionstiru�ctelid with donated, • <br />Potential assessment at $1000.00 <br />i e Children's i <br />NAME <br />OF PERSON APPLYING F'OI R <br />LICENSE <br />Annie h, Field S,ervices, D io rector AND <br />J� l f <br />Carvier, Marketing 1i <br />Rosedale <br />Center <br />SIGNATURE I APPLICANT <br />DATE OF' APPLICATION February 27, 199f <br />LICENSE FEE $ 5*010 <br />WITHIN TEN (1,0i) DAYS OF FILING ANY REPORTS WITH" THE CHARITABLE <br />GAMBLING CONTROL B4OARDi THE <br />ORGANIZATION I FILE A COPY OF <br />REPORTS OF ii O AS REQUIRED B <br />1250060 OF THE CITY CODE* <br />r <br />+r .r <br />