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East <br />LG214PPR PRINTED: <br />STATE OF MINNESOTA IFOR BOARD USE ONLYI <br />GAMBLING CONTROL BOARD IAMT PAID <br />PREMISES PERMIT RENEWAL APPLICATION ICHECK NO. <br />IDATE <br />LICENSE NUMBER: B- 04219 -002 <br />EFFECTIVE DATE: 04/01/96 EXPIRATION DATE: 03/31/98 <br />yNAME OF ORGANIZATION: Canadian Days Little Canada <br />GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />Beer Tent Spooner Park <br />Eli Rd <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 />City of Little Canada <br />Little Canada Rd <br />Little Canada MN 55117 <br />NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />SQUARE FEET PER MONTH: 64 <br />?';;SQUARE FEET PER OCCASION: 0 <br />LESSOR INFORMATION <br />AMOUNT PAID FOR RENT PER MONTH: <br />AMOUNT PAID PER OCCASION: <br />BINGO ACTIVITY <br />?BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />STORAGE ADDRESS <br />2814 Rice St <br />-- .Little Canada MN 55113 <br />BANK INFORMATION <br />1st Bank East <br />2850 Rice St <br />Little Canada MN 55117 <br />GAMBLING BANK ACCOUNT NUMBER: 105187039406 <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 />i +:„THE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br />Oa elf <br />4 S,nnq <br />hip if <br />4:G`% /nacres dBO <br />bZ7t/5 t yn e, <br />'// G . { 4w14 2i%!:, <br />a 4dd))JJ,p... <br />(BE SURE TO COMPLETE THE REVERSE SIDE OF TATS APPPLICATION) <br />THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br />Page 112 <br />