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Minnesota Charitable Gambling Control Board <br />9104 Surnmit State B Buflding� <br />310 4th Aven�ue, South <br />Minneapolis, MINI 5154115 <br />(612) 341 -76716 <br />INSTRUCTIONS:I 1. IForm must be completed by, owner of site. <br />Submit to above addlress at least, 60 days prior to date Icf occasion. <br />3. IPIRINT or, TYPE. <br />Name of Ownier of Site <br />Nazareth, Building Association <br />8, siniess Address <br />15515, North Snelling Avenue <br />IL <br />REQUEST FOR <br />I <br />IN U41-JAMMAIFLU ' ' 1 ' � <br />Address, of Site (for which waiver is requested) <br />2555, North Snelling Avenue <br />City, State,, Zip <br />]Roseville,, MN 55113 <br />Counity <br />Ramsey <br />4 <br />are <br />Organizationts) for which Additional Occas* tons Required <br />Official, Legal Name Address — City, State, Zip <br />Knights Of C0lUMbUS 2555 North Sn,elliing Avenue <br />0IMG%qM MIA <br />Ika LU4 V Js JL X4 V Ot U 4 L &W 5 CV -I.L.L it! jF DIM 3 3 JLIJ <br />a <br />(organ izati-on has separately applied <br />License No. <br />vitty Leasing Site <br />#!�Oft - S.....• . - -.' - I - <br />Off icial, Legal Name Address — City, tate, Zip License No. <br />3Knights, of C"olumbus Council '2555 North Snel incr Avenue A4-00698-IL <br />PR <br />4L't%Jl * -v 4au L IF jMN4 L .3 <br />American Liegion, Ladies �283 Foribes, St. Paul., MN-55102 <br />Give r,easlions for the necessity of more than four bingo ocic�asions per week. <br />ayi-Irz <br />State, why allowinig., additional bingo occasions is consistent with a. Preventing commercialization of gambling; b. Insuring the integrity of <br />operations; c. Plroviiding for the use Iof the net profits only for lawful purposes. <br />See attachment <br />