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LOCATION OF GAMBLING <br />DATE BLIND <br />} r <br />SIGNATURE OF APPLICANT <br />a� <br />jv <br />I <br />I <br />I <br />DATE OF APPLICATION <br />I <br />LICENSE FEE $ 5 o 1 <br />WITHIN TEN (10) DAYS OF FILING ANY REPORTS, WITH" THE CHARITABLE <br />GAMBLING CONTROL BOARD,, THE ORGANIZATION SHALL FILE A COPY OF <br />SUCH REPORTS WITH THE CITY' OF' ROSEVILLEr AS REQUIRED BY' SECTION <br />125s060 OF THE CITY CODE, <br />M�_4 ` i . <br />sm <br />I <br />w., <br />R <br />y aro <br />x <br />SIGNATURE OF APPLICANT <br />a� <br />jv <br />I <br />I <br />I <br />DATE OF APPLICATION <br />I <br />LICENSE FEE $ 5 o 1 <br />WITHIN TEN (10) DAYS OF FILING ANY REPORTS, WITH" THE CHARITABLE <br />GAMBLING CONTROL BOARD,, THE ORGANIZATION SHALL FILE A COPY OF <br />SUCH REPORTS WITH THE CITY' OF' ROSEVILLEr AS REQUIRED BY' SECTION <br />125s060 OF THE CITY CODE, <br />M�_4 ` i . <br />sm <br />