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ADDRESS OF ORGANIZATION ICF-7 X � � ��` � � .,+ \) <br />LOCATION OF GAMBLING ACTIVITY-, <br />DATE (S) OF GAMBLING ACTIVITY *3 1 1.., tk fK4_ Cz <br />SIGNATURE OF AP'P'LICANT <br />r <br />LICENSE FEE $ 51 * �00 <br />'WITHIN 'TEN (10) DAYS, OF' FILING ANY REPORTS WITH THE CHARITABLE <br />GAMBLING CONTROL BOARD, THE ORGANIZATION <br />REPORTS SUCH AS REQUIRED <br />125,01060, OF THE CITY CODE. <br />limlo <br />