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����e��at� ��u� �amb�i�g :��gr��5ean�y�; <br />aa�,b���� �L���Q�� ����� �������r� L������ Renev�al ��pii��ti�r� <br />ContreY <br />��fca�s s�o�rlti be rrrac#e djr��cly an this applicati�n =----------------= " <br />Su€�r�rit ane check for ail renewai fees, payahle to State of Minnesota <br />-. .— ---._ ._� . __- __ ._ _._- - __ . . _ _-- - ... .. .. _. _ .. .. <br />_ - - . . _ ....._. . . _ _ ._ . _ . . .... .... .. .. ..�_. <br />�rgar�i�atio�a �s���rern�r�t�. Current license term: 4J1/20�4 ta 3f3�./�QQ6 <br />i, An annual organizatian license fee of $350 is required. Rer��wing if�ens� term: 4/J./2�Qfi to 3j30/2a08 ' <br />� _... .._ _ . <br />�EF��i�DCrZ1�101�� .��� � Checi� tttis box if your , <br />organixatlon qualifies fcsr <br />��'g3t�[��ti4BB�: B-D�le Club �612)4$9-�386 ��he waiver of the �350 <br />; organfzation license fee <br />� l4() � L?�{e St, Fio�e�i�fe, �i�i 551�3 C�uitty o� f�am5�� de��ned �r� �n�v stat�t� <br />349.I6 Subcf. 6 ' <br />iE(a� ��tara�� R �<<;�.� , <br />'ire�s�r�e�: Dar�i�! P ���?I <br />r�nn�,cai Gaal for Ci�ari�ahle Ca�tri�iu�ions — — — — °lc� — --f <br />�-----�----._..--_..---�._T..........--.__..........._...�� <br />--._._ .... ._ _ --- ---._ _ _ . .. ._ ___ _ __ - <br />_ _ _ _ - – _ _ . ._. . _. <br />; &�reto�i�es ��rmit r�q�airetner�ts: ' <br />> 1. An annuai premises permit fee of $iSQ, <br />2. A sepaeate resolutiar� Qf approVal �nclucl�ng the site address fram the iocal unit of government, (�"he lacal unit af <br />'; �av�rnment c�oes r�oi sig�t this renewaf applicatia�) and <br />; 3. A�G215 (ease agre��nent for �ach site yQUr o�ganiza�ion daes not own is required. <br />�1�� 11�tR'#N7�i ���. {`� Check this box If this site has been c��scon�anued or wiii nat be renew' _ �_ ........•-••.,, <br />2d. : Board Use Qn4Y : <br />� �d�� ��fil�7 <br />2100 hi Dal� St, Rosevill�� MN 55 i�t 3-...--. liamsey Ca�anty ----...__ _.. .. <br />�--�—TownsE�lp of (if app[icable) ��.,f')}`_�'_:(, �_____ �'�,r+nike9eetre �Rpi�iLl�� �` <br />Cirganiz�tion o�ns CR��s si����`-� <br />�7o�s your �rganizat€�n c�raduct bingo at ��tis si�e'? Y�_. <br />Ss the resni�ti�n af a�prov�l �'tiached7 Y�11�� �� y�s� the attached lEst of the dags and heginning and �nding 3�ot�r5 a€ your <br />pingo accasions must i�e updat�d anrJ returned. <br />