09-22-2004 Council Agenda - Laserfiche WebLink

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AUG. 31,2004 8:57AM GROOTWASSINK REAL ESTATE Minnesota Lawful Gambling L0302 Bingo Hall Occasion List Bingo Hall Information NO. 779 P. 7 7/03 Bingo hall name Address Rotating Schedule: Yes (If yes, submit a calendar with the name of the organization(s) conducting bingo on each day.) No Schedule.' 1 No more than 21 bingo occasions are permitted at each hall perweelc 2 lithe organization does not yet have a permit number, write permit (or exemption) applied for." ' Enter the starting and ending times for each occasion (for example, 7 -9 p.m., 3:30-6 p.m.). A bingo occasion must be at least 90 minutes and no more than four hours long. Changes in the above information must be submitted in writing to the Board within ten days if: 1. an organization conducts bingo on a day and time other than that reflected on the Bingo Hall Occasion List, or 2. an organization is added or deleted on the schedule. Mail this form to: Gambling Control Board Suite 300 South 1711 W. County Road B Roseville, MN 55113 9 Questions on th s form should be directed to the Gambling Control Board at 651 -639 -4000. If you use a TTY, call us by using the Minnesota Relay Service and ask to place a call to 651 - 639-4000. This, form will be made available in alternative format (i.e. large print, Braille) Upon request. The information requested on this form will become public information when received by the Board, and will be used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities. Name of organization conducting bingo occasions Organization's premises permit or exemption permit number or Excluded authorization bingo date Hours of bingo occasions' occasions' Sunday Ill / I Monday + �� ,11r- Tuesday ( Wednesday -- / J ,4 Thursday Friday Saturday 1 No more than 21 bingo occasions are permitted at each hall perweelc 2 lithe organization does not yet have a permit number, write permit (or exemption) applied for." ' Enter the starting and ending times for each occasion (for example, 7 -9 p.m., 3:30-6 p.m.). A bingo occasion must be at least 90 minutes and no more than four hours long. Changes in the above information must be submitted in writing to the Board within ten days if: 1. an organization conducts bingo on a day and time other than that reflected on the Bingo Hall Occasion List, or 2. an organization is added or deleted on the schedule. Mail this form to: Gambling Control Board Suite 300 South 1711 W. County Road B Roseville, MN 55113 9 Questions on th s form should be directed to the Gambling Control Board at 651 -639 -4000. If you use a TTY, call us by using the Minnesota Relay Service and ask to place a call to 651 - 639-4000. This, form will be made available in alternative format (i.e. large print, Braille) Upon request. The information requested on this form will become public information when received by the Board, and will be used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities.