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East <br />LG214PPR PRINTED: <br />STATE OF MINNESOTA IFOR BOARD USE ONLY' <br />GAMBLING CONTROL BOARD IAMT PAID <br />PREMISES PERMIT RENEWAL APPLICATION ICHECK NO. <br />DATE <br />LICENSE NUMBER: 8- 00864 -003 EFFECTIVE DATE: 08/01/95 EXPIRATION DATE: 07/31/97 <br />NAME OF ORGANIZATION: Fire Little Canada Vol Dept <br />GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />Hoggsbreath Bar & Restaur <br />2504 Rice St <br />Little Canada 55117 <br />COUNTY Ramsey IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br />DOES YOUR ORGANIZATION OWN THIS SITE ?: No <br />IF NO, LIST THE LESSOR: <br />Hoggsbreath Enterprises Inc <br />2504 Rice St <br />Little Canada MN 55117 <br />NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />SQUARE FEET PER MONTH: <br />SQUARE FEET PER OCCASION: <br />LESSOR INFORMATION <br />24 AMOUNT PAID FOR RENT PER MONTH: 1000 <br />0 AMOUNT PAID PER OCCASION: 0 <br />BINGO ACTIVITY <br />BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />STORAGE ADDRESS <br />2504 Rice St <br />Little Canada MN 55117 <br />BANK INFORMATION <br />Firstar Banks <br />Box 12001 <br />St Paul MN 55112 <br />GAMBLING BANK ACCOUNT NUMBER: 502289 <br />ON THE LINES PROVIDED BELOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS <br />AUTHORIZED TO SIGN CHECKS AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. <br />THE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br />Robert G. Johnson 2815 Lakeside Court, Little Canada, MN Gambling Manager <br />Richard E. Boss, III 57 E. Bryan, Little Canada, MN Fire Chief <br />James Morelan <br />451 Eli Road, Little Canada, MN Ass. Fire Chief <br />(BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br />THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br />Page 123 <br />