Laserfiche WebLink
LG214PPR Printed: 3/15/2001 <br />State of Minnesota <br />Gambling Control Board <br />Premises Permit Renewal Application <br />For Board Use Only <br />Amt. Pd <br />Check it <br />License Number.- 05967 -001 <br />Effective Date: 9/1/1999 Expiration Date: 8/31/2001 <br />Name of Organization: Little Canada Historical Society T n r <br />Gambling Premises Information <br />Name of the establishment where gambling will be conducted <br />Market Place Ctr <br />2900 Rice St <br />Little Canada, MN 55113 <br />County: Ramsey <br />Note: Our records show the premises <br />is located within the city Ihnits <br />Name of the property owner (If different): <br />Market Place Center LLC <br />6440 Flying Cloud Drive <br />Eden Prairie MN 55344 <br />Lessor Information <br />Note: Our records indicate that the <br />organization owns this premises NO <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 />tl <br />Our records indicate that Bingo is not conducted o <br />Bingo Activity <br />n these premises. <br />Bingo Conducted <br />Storage Information <br />All Bingo Paper and Pull Tab Boxes Stored Here <br />on Premises <br />US Bank <br />2850 Rice St <br />Little Canada, MN 55113 <br />On the lines provided below list the name, <br />and withdrawals for the gambling account. <br />Bank Information <br />Gambling Bank <br />Account Number: 104756667408 <br />address and title of at least two persons authorized to sign checks and snake deposits <br />The organization's treasurer may not handle gambling funds. <br />Name Address City, State, Zip Code <br />Robert Anderson <br />Kathleen Hanson <br />xni,n TscMd.- <br />Leona Morel An <br />838 Black Oaks Lan <br />699 LaBore Rd <br />i„si shryer 4t/e.. <br />I i 2 Bluwood Ave. <br />(Be sure to complete <br />This form will be made available in alternative form <br />S <br />e AnokaMN5530 <br />t Paul MN 55117 <br />IK•sev7/tt r» SS //) <br />Little CanadaMN <br />Title <br />3 Gambling Mgr <br />e reverse side of this application) <br />Page 74 <br />Sec y, <br />-80(0r4 )V nKI1 «" <br />Board Member <br />Page 1 of 2 (Continued on Back) <br />