01-23-2002 Council Agenda - Laserfiche WebLink

Home Browse Search

State of Minnesota Gambling Control Board Premises Permit Renewal Application LG214PPR Printed: 9 /5/2001 For Board Use Only Amt. Pd Check ti License Number:B- 04219 -003 Effective Date: 12/1/2000 Expiration Date: 3/31/2002 Name of Organization: Canadian Days Little Canada Gambling Premises Information Name of the establishment where gambling will be conducted Saxon Bowling Lanes 61 W Little Canada Rd Little Canada, MN 55117 County: Ramsey Note: Our records show the premises is located within the city limits AMF BOWLING 8100 AMF DR. MECHAaNICSVILLE, :.r:, VA 231 1 1 Name of the property owner (If different): Lessor Information Square footage leased per month: & 0 //- f-3 r14, °O S Rent paid per month: " r',�T ` / `° Square footage leased per bingo occasion: Rent paid per bingo occasion: Bingo Activity Our records indicate that Bingo is not conducted on these premises. Storage Information 61 W Little Canada Rd Little Canada, MN 55117 1st Bank -East &13 6}4, k Li/0e deina_ 2850 Rice St St. Paul, MN 55113 Bank Information Gambling Bank Account Number: 105187039406 On the lines provided below list the name, address and title of at least two persons authorized to sign checks and make deposits and withdrawals for the gambling account. The organization's treasurer may not handle gambling funds. Name Address City, State, Zip Code Title Mary Ann Mildred OKane 90 LaBore Ave Little Canada, MN 55117 64on.Si 41,9 1,-, 7 John OKane 90 LaBore Ave Little Canada, MN 55117 *sF a'am.9, An- John- OKane- c,M S,rh Ne sovl 90- LaBore -Ate 1 z /_e hore ,�'<Q Little Canada, MN 55117 ] ,C-- / �sl�C If • Oro (Be sure to complete the reverse side of this application) This form will be made available in alternative format (ie. large print, braille) upon request. Page 1 of 2 (Continued on Back)