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f"1 <br />3 a <br />C <br />230(8/89)� Aftnesota Lawful Gambling <br />Application for One=Day: <br />Off=Site Lawf�ul Gambling <br />Send in thills application at least 60, days before your gambling activity. <br />2 Ckyorlownship State 7jp Code <br />qf)w EIIII bi-qim Irstroot, AN <br />ii-aiW FIT <br />September 28,,- 1990 <br />4 Has your organiiza,+ ani cDnducted oiff-sitei gambling Nis year? Yes ta No if y W, what was date W event? <br />5 ICI e1 of chii�elf execOve ofter (pleaso I;w'inQ Signature of ch1*1 exec utivis officer to Phone Number <br />-I.-Greltia Wedel 1 <br />I Ihave received a copy, of this applicafion. This application will be reviewed by ft, Gambling Control Board and will become effdctiive 60 <br />days from, the date, of receipt by the city or couuntyl,, unless the local govemment passes a, resolution to specifically forbid the activity. A copy <br />of that, resolufion must be received by the Gambling Control Board within 60 days, of the date filled in below* <br />it ior County (to Ibe filled in for all applicants ) Township <br />Attach a copy of the lease for the, off-site location <br />11 Mail, this, application and a, copy, of the lease to: <br />"Department of Gaming - Gambling Control Division <br />Mail Station 3315 <br />St. Paul, MN 55146-33115 <br />