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CITY OF ROSEVILLE <br />GAMBLING LICENSE APPLICATION <br />(FOR ORGANIZATIONSAPPLYING FOR EXEMPTION FROM STATE LICENSING) <br />�4 �� MI 1' � 1 <br />�� St. Rose of Lima Catholic Church <br />TelephoneNumber 651-645-9389 <br />Address 2048 Haml�te Ave. Ai. <br />Organization's Purpose catho�ic church <br />���3�iG EVENT INFORNiATION <br />New Or Have Previously Applied � <br />LocationofEventinRoseville st. Rose of Lima <br />Date of Gambling Activity ���t��� t�5, 2005 <br />Estimated Time o f Activity I�:�4 �r► - 3:30 nm <br />Dollar Amount of Total Prizes to be Awarded ��' ��� �� <br />Funds Will be Used for Pari sh operating expenses <br />� � Y k ti <br />Name Sue Reiaa.rt <br />TelephoneNumber <br />Signature �� � .. r� ��� <br />Date 9/7/(#5 <br />LICENSE FEE $25 . 00 <br />WITHIN TEN (10) DAYS OF FILING ANY REPORTS WITH THE CHARITABLE <br />GAMBLING CONTROL BOARD, THE ORGANIZATION SHALL FILE A COPY OF SUCH <br />REPORTS WITH TI� CITY OF ROSEVILLE, AS REQUIRED BY SECTION 125.0600F <br />THE CITY CODE. <br />C � wpd <br />