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State of Minnesota <br />Gambling Control Board <br />Premises Permit Renewal Application <br />LG214PPR Printed: 9 /5/2001 <br />For Board Use Only <br />Aunt. Pd <br />Check # <br />License Number:B- 04219 -001 <br />Effective Date: 4/1/2000 Expiration Date: 3/31/2002 <br />Name of Organization: Canadian Days Little Canada <br />Gambling Premises Information <br />Name of the establishment where gambling will be conducted <br />C'G <br />Venetian Inn <br />2814 Rice St <br />St. Paul, MN 55113 <br />County: Ramsey <br />Note: Our records show the premises <br />is located within the city limits <br />Lessor Information j_ <br />79-, t. 1, -4r) 1 ®LLt K-_ ,4, e. d <br />Name of the property owner (If different): <br />egfat.64e -/ <br />Square footage leased per month: <br />Rent paid per month: <br />Square footage leased per bingo occasion: <br />Rent paid per bingo occasion: <br />Bingo Activity <br />Our records indicate that Bingo is not conducted on these premises. <br />Storage Information <br />2814 Rice St <br />St. Paul, MN 55113 <br />1st Bank East <br />2850 Rice St <br />St. Paul, MN 55113 <br />Bank Information <br />Gambling Bank <br />Account Number: 105187039406 <br />On the lines provided below list the name, address and title of at least two persons authorized to sign checks and make deposits and <br />withdrawals for the gambling account. The organization's treasurer may not handle gambling funds. <br />Name <br />Address <br />City, State, Zip Code <br />Title <br />Mary Ann Mildred OKane <br />90 LaBore Ave <br />Little Canada, MN 55117 <br />John OKane <br />90 LaBore Ave <br />Little Canada, MN 55117 <br />John °Kane <br />90 LaBore Ave <br />Little Canada, MN 55117 <br />(Be sure to complete the reverse side of this application) <br />This form will be made available in alternative format (ie. large print, braille) upon request. <br />Page 1 of 2 (Continued on Back) <br />