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LOCA N' OF , ill +O'B'E , <br />It th* mbli y <br />� <br />a city d must thec the n that the � <br />check +gym the cUntv ht <br />tali n this application awed the aI 1i�t an,,i <br />11 <br />oflftl4di Is not required _ p the <br />apl <br />appillei3tJon is adicnowleftod with no Wafflng <br />__,1rhe application ackowkmiged withi no waking <br />er <br />i <br />The iiIlaftn Is ai&mWedgWi wfti a dal <br />appli a o'n 1,, acknowledged w� a 0 day <br />f <br />.0 <br />, <br />rod, and iallms ,i Boar' In, 1� a I <br />Permilt ~, 30 days (60 days for iii lot claw city). <br />r Mfaftion irs diemielid.l <br />"' appliftition, Is den led. d. Ri <br />Pri nt count iv name <br />slon"um or county, Pemnmal remiving appllicat►'m <br />i inn IwIng applicatIon <br />Titift 4P h <br />cloptioldal) NSHM W Or the townSA10A, I <br />suftOW Mat this aM is & $Or axampted <br />PrInt nshI <br />I, <br />y <br />CHIEF V OFFICER' SIGNATURE <br />rr, <br />.� <br />� I <br />kII <br />TW <br />Mat 0v iffhaWat hPiwit wX be to <br />-MAt"ard wMin days of Me dcade, of ow am <br />Chief exemitive ffi a n <br />M <br />11m l�+ +e a p+er' a p l i ain au�r eat a bing activity.; <br />Pla s n a l'ia l report and rIcardkee "I <br />One dad garnibling a i lty <br />.W <br />required <br />two or more consecutive days of oarnblino activity <br />roan a1 report fuirm and Instructlonso will w <br />asch day aI raffia drawing is 1held <br />bd with, your � n u this online <br />� ��yR <br />1Il l available a <br />�I Application �yI <br />," Itthi <br />brm <br />��rr /� y� <br />�,i - atAte�mn.us. MAth n I"0 days 'K f the <br />1 cdoy of your proof 'of nonprofit status, and <br />activity datte, , CDrnpjeW and raturin the <br />appillmOm Aw for, each event <br />finsincial Mport forms to the Gambling <br />Make check payable to "State at M'i�nrrresiot .'" <br />C01hitrra'll M, <br />I�' iii W4 ur�u u <br />Taa ambling Control rd <br />u'�I�Va �T" ■1s i.1v <br />iu <br />th Ucensi � ' S w <br />1711 W est County Rcmid 01, Suits 300 South <br />COmtmal Board at 651 -*6319-P4, <br />RnsqM1W MN 551t:3I <br />n <br />y R <br />'i .R4�u.r� �iuR�uwn� ar.J1�1� rarY� rrr.rr�...rrn rrr a.rr..r.��... ■.i_. �.....�L_...._.. _.. _�1LiL. ___� _..�_.. �I anR �I <br />