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Minnesota Charitable Gambling Control Board <br />GAMBLING LICEME APPLICATION <br />(Class A, B, or C) <br />GAMBLING, SITE AUTHORIZATION <br />By may a igna, tu r�ie bel, ow j loic'a 1 law ein f orcemen t a f f ice ris, a r agent 9 a f the Board are hereby <br />authorized to enter upoin the site, at any time gambling is being conducted, to observe <br />the gambling and to enf'o,rce the 1aw, f'oir any unauthiorized gamie or practice,*, <br />BA,NiK RECORDS AUTHORIZATION <br />By my signeture below, the Board is hereby authorized to inspect the bqnk records of the <br />General Gambling Bank Account whenever necessary to fulfi,ll, requirements of current gamblinc <br />rules and law. <br />or <br />Aa 11 <br />L <br />I hiereby declare that <br />I have read this application and all information submitted to the Board; <br />124 <br />All information su'bmitte'd is true, accurate, , and complete; <br />3. all, other required infor ation has been fully disclosed; <br />4,9, 1 am t,he chief executive officer of the organization; <br />5. 1 assume full responsi,bility fur t,he fair and lawfu l. operation of all activities to be <br />conducted; <br />6e 1 will familiarize myself with th�e laws of t,he State, of Minnesota respecting gambling <br />and rulies, of the Board and agree, i if licenseld7 t,o abide biy those laws and rules, <br />including amendments thieretoe <br />of "Cial, Legal, Name of Organization <br />46-L Awpp� <br />Sig . se dust be signed by 0)W Exec"Utive Officer) <br />le, ..... WL <br />ACKNOWLEDGEMENT Or NOTICE BY LDC'A,L GOVERNING BODY' <br />