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� Minnesota Law�Fu[ Gambling <br />9'�'"°� �LG�OOR) Lawful Gambling License Renewal Application <br />CGIIL•�I <br />. Corrections should be made directly on this application <br />'' Submit one check for a1) renewal fees made payable to State of Minnesota <br />�c�rc�ar:xa�l�n requirements: ��� � <br />�. An annual organization license fee of $350 is required. <br />� _.. .....-- -�------ <br />Organization license 3162 Current license term <br />"' � Chedc this box Ifyour � � American Business Wom�ns Chapt Lady S4ipper <br />��{ organ¢ation quat.�eEes for the � <br />Iwalverof the Ofg8111Z8tI0111icense , _ . . __ .... .. " ' <br />Fee d�llned In Minnesota StatUte i <br />� 349.16 Su6d. G <br />�? <br />IC.`r r•: t e� x I <br />Iabove Ifthere <br />I IS a tllange In � <br />E th2 CEO Of I <br />� Treasurer <br />listed. A <br />� �•.:ii�,:�rUk I <br />� becompieted � <br />� for each new , <br />� ��' 4i�k� � <br />� it has already � <br />I hc:er� <br />, subn,�ted. 4 <br />CEO: <br />Treasurer <br />Gidget Marie Bailey <br />��,.� —. <br />r_ ' _ _ -. _ <br />---- • •s-°� -- --.. <br />Kenneth S Dammar� <br />u:.M�a�s�� <br />L_� <br />- — ---......_�...._..__._ ...I <br />--- .--.___.__._._—_ .._._..._� <br />8/1 /2003 to 7/31 /2005 <br />Ramsey County <br />; Premises permitrequirements: �" --�-- _� .�...-.....- <br />� 1. An annua� premises permit fFee of $150, <br />� 2. A separate resolution of approval including the site address from the local unit of government, (The local unit of <br />i government does not sign this renewal application) and <br />�"k. '. L.G215 lease agreement for each site your organization does not own is required. <br />__ ._. � <br />1I <br />._._.i <br />� I�� Il U 111 b@ I" 003 ���k..this.l�.ax..if..this..site..has_bQ.en.d.i.scn.otin.ue.d..nr....uvil.l no.t..b�..r.e.n.e�re�_........I "'�'� �'� •}hr <br />Flahertys Arden Bowl <br />1273 W Co Rd E� Arden Hills, MN 55112 Rarnsey County <br />� ciry jurisdiction, or —county jurisdiction <br />Site owned by organization N <br />Is bin o conducted b our or anization?Y 1 r� I f yes, the attached list of the daysand beginning and ending <br />9 Y Y g hours of your binqa occasions must be updated and returned. � <br />Gambling account: . ___. ... .. _.._ _ _..� <br />� <br />Check this box if this site has been discontinued or will not.,h�...c.ene��d... � 1�'�'� <br />SZte num�er 005 ,, _ <br />Scooters �� <br />755 �ac�son St St. Paul, MN 55117 Ramsey County <br />_„_ city jurisdiction, or — countyjurisdiction <br />Site owned by organization N <br />I f yes, the attached list of the days and beginning and ending <br />IS blllg0 COIIdUCt@d by yOUI" 01"galllZatl0ll? � ��'� •-- hours ofvour hinQO occasions must be uodated and returned. <br />Gambling account: <br />_, <br />� <br />