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Minn�eisota Charitable Gambling Control, Board <br />GAMBLING LICENSE APPLICATIC-"84 <br />(Class <br />GAMBLING SITE AUTHORIZATION <br />By 'my signature bellow,, local law enforcement oif Ficers or agents of the Board are hereby <br />authorized to enter upon the site,, at any time gambling is being conducted, to observe <br />t gambling ndl to enfoirce the I-aw for any unauthorized game or Practice, <br />BANK RECORDS AUTHORIZATION <br />By my signature below lo the Board is hereby authorized to inspect the bank records Of the I <br />Ceneral, Gambling Bank, Account whenever necessary to fulfill requirements of current gamblini;� <br />rules. and law M At I <br />r <br />.01,211111 <br />I hiereby declare that <br />I have re-ad this application and all information submitted to the 13oard; <br />2M1 Ail,l information, subim,itteld is true, accuriate, and complete; <br />P <br />3,91 all other relqluireld information has been fully disclosed ,-1 <br />4's I am the, chief executive oifficier olf the organization; <br />5 1 ass umie full ries �ponsibi ili t y, fair the fair and I aw f ul operation of all activities to be <br />c a n d u, cl, t e d <br />61,0 <br />will familiarize myself with the laws of the State of Minnesota respecting gambling <br />andl rule,s of t Board and agree, if licensed, to abide by those laws and rules, <br />including amenidments thereto., <br />Official, Legal Name of Organization <br />Americar, Leq'I <br />ion Unit #8 AUX <br />ACKNOWLEDGEMENT or NOTICE' B,Y LOCA,L GOVERNING BODY <br />I <br />hereby acknowledge recelpt of a copy of this application. By acknowledging receipt, I <br />admit Ihualvingl been served with notice that this application will be reviewed by the <br />IL am <br />Charitabile Gambling Control Board and I f approved by the, Saardp will bec e effective 30 <br />days f rom the date of receipt (noted' be owe ) t unless a, resolution of the local governing <br />body is passed which, specifically disallows such activity and a copy of that resolution is <br />rielceived by the Charitable Gambling Control Board within 30 days of the below noted date. <br />LOCAL GOVERNING BODY <br />CC-0I0001-011 (12/84) White - Board <br />ORGANIZATION <br />Name of Representative for Gambling License Applicant <br />(serving noticie) <br />