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Name of bingo hall <br />Knights of Columbus <br />I <br />Address, of bin�go hal�l <br />2 5 5 5 No Snelling ATenue No. Roseville, Minnesota <br />Acknowledgement of Notice by Local Governing Body <br />I hereby acknowledge receipt of a copy of the bingo, hall license application, as attachedo <br />By acknowledging receipt. I admit, having been served with notice that this application for a <br />bingo hall ficense will be reviewed by the Gambling Control Board and if approved by the Board, will <br />become effective 60 days from the date of receipt noted bel�ow unle,ss a resolution of the local govem- <br />ing body is passed which specifically disallows the litcensing of the bingo hall and a copy of that <br />resolution is receiveld by the Gambling Control, Board within 60 days of the date this application is <br />signed by the local', governing body. <br />INw a ie of city, or county (local g�oveir'nin body <br />evil ,e Al jv <br />S' nature of Person receiving application <br />lig <br />coal man Ncl -�- -ft am- 50 <br />If the bilingo hal�l is located within a township, the <br />tolwnship must sign the acknowledgement in <br />addition to the county. (f township is not ora-anize <br />cou�nty must indicate this information.) I <br />Name Iof township <br />Ros <br />Tate recelved (,60 waiting period begins, from this date <br />f% <br />I I 12D IS <br />Title <br />