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Gambling <br />Control <br />Minnesota Lawful Gambling <br />(LG200R) Lawful Gambling License Renewal Application <br />Corrections should be made directly on this application <br />Submit one check for all renewal fees, payable to State of Minnesota <br />[Organization requirements: <br />1. An annual organization license fee of $350 is required. <br />Board Use Only <br />Authorization: 4219 <br />Organization: <br />CEO: <br />Treasurer: <br />Canadian Days Little Canada <br />515 E Little Canada Rd, Little Canada, MN <br />Raymond G Hanson <br />699 Labore Rd, St. Paul, MN 55117 <br />Anne Pechmann <br />735 Keller Pkwy, Little Canada, MN 55117 <br />LAnnual Goal for Charitable Contributions 4L3 <br />Current license term: 4/1/2004 to 3/31/2006 <br />Renewing license term: 4/1/2006 to 3/30/2008 <br />Li Check this hox if your I <br />[organization qualifies for I <br />the waiver of the $350 <br />organization license fee <br />defined in MN Statute <br />349.16 Subd. 6 <br />(651)484 -8846 <br />O/O <br />(612)484 -2177 <br />County of Ramsey <br />(651)765 -9074 <br />Premises permit requirements: <br />1. An annual premises permit fee of $150, <br />2. A separate resolution of approval including the site address from the local unit of government, (The local unit of <br />government does not sign this renewal application) and <br />3. A LG215 lease agreement for each site your organization does not own is required. <br />Site number 003 Check this box if this site has been discontinued or will not be renewed. 'II <br />Greater St. Paul Bowling Assoc <br />61 W Little Canada Rd, Little Canada, MN 55117 <br />1---- Township of (if applicable) <br />Organization owns this site: N <br />Does your organization conduct bingo at this site? Y <br />Is the resolution of approval attached? N If yes, the attached list of the days and beginning and ending hours of your <br />• bingo occasions must be updated and returned. <br />Board Use Only <br />Ramsey County <br />Gambling account # 105187039406 <br />US Bank <br />2850 Rice St, Little Canada, MN 55113 <br />Site number 004 <br />Bradys <br />2500 Rice St, Little Canada, MN 55113 <br />Township of (if applicable) <br />Organization owns this site: N <br />Does your organization conduct bingo at this site? Y /4?) <br />—1 <br />Is the resolution of approval attached? / N If yes, the attached list of the days and beginning and ending hours of your <br />bingo occasions must be updated and returned. <br />=1 Check this box if this site has been discontinued or will not be renewed. I <br />Board Use Only <br />Ramsey County <br />Gambling account # 105187039406 <br />US Bank <br />2850 Rice St, Little Canada, MN 55113 <br />2 <br />