Laserfiche WebLink
-0 1 #: <br />A 1 0 'on, <br />r .-; <br />�111t' Charitable Ga,mbling Control Bd <br />ICI _'w R,m N-475 Griggs-�Midway Bldg <br />rrt4P� 1821 University Avenue <br />*1JP4Vj"'%' St. Paul . MN' 55,104-3383 <br />GAMBLING LICENSE APLICATIO <br />(Class A, B, or 10 1 <br />rOR BOARD USE ONLY <br />INSTRUCT IO'NS t I* PRINT' OiR TYPE',* <br />2 Bring ciom�pilet,ed application to local, governing body, obtain signature and date an all copies, <br />and leave goldenrod copy.. Applicant keeps, pink copy and sends remaining copies to above <br />address ., <br />3. Changes in ap lication information must be submitted within 10 dD_Y_S a[Ler <br />--thp car ang <br />TVDe of Application: <br />j ry <br />19 <br />Glass A, - Fee $100.00 (Bingo, Raffles, Paddlewheels, , Tipboards, Pull-Tabs) <br />C1 Class 8 - Fee S 50s00 (Raffles, , Paddlewheels, Tipboardlsq, PWI-Tabs) <br />0 Class C - Fee, $, 50,P00 Mingio on1y) <br />Make checks, payable to Minnesota Charitable Gambling Contral Board. <br />