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- 2 - <br />Minnesota Charitable Gambling Control Board <br />GAM€9LING LICENSE APPLICATION <br />(Class A, 13, or C) <br />GAMBLING SITE AUTHORIZATION <br />By my signature below, local law enforcement officers or agents of the Board are hereby <br />authorized to enter upon the site, at any time gambling is being 'conducted, to observe <br />the gambling and to enforce the law.for any unauthorized game or practice. <br />BANK RECORDS AUTHORIZATION <br />By my signature below, the Board is hereby authorized to inspect the bank records of the <br />General Gambling Bank Account whenever necessary to fulfill requirements of current gamblinc <br />rules and law. <br />OATH • <br />I hereby declare that . <br />1.. I have read this application and all information submitted to the Boardp <br />2. All information submitted is true, accurate, and complete; <br />3.. al.. other required information. has been fully disclosed•, <br />4. I am the chief 'executive officer of the' organization; . <br />5. I assume full responsibility for the fair and lawful operation. of ail activities to be <br />conducted; . <br />6. I will familiarize myself with the laws of the State of Minnesota respecting gambling <br />and rules'of the Board and agree, if licensed, to abide by those laws 'and rules, • <br />including amendments thereto. .. . <br />Official, Legal Name of Organization <br />Nidway Llans Club, Inc. <br />Signature...Must - by gigged by Chief Executive Officer). <br />• <br />Title . <br />President <br />Dote <br />October 25, 1985 <br />ACKNOWLEDGEMENT OF NOTICE BY LOCAL GOVERNING BODY <br />I hereby acknowledge receipt of o copy of this application. By ecknowledging.:receipt,::l <br />• admit having bean . served with notice that this application will be. reviewed by the <br />Charitable Gambling Control Board and :.if approved by: the Board, will become effective 30.... <br />day's /from the date of recei pt (noted below), unless a resolution or the local governing <br />body is gagged which specifirally.dieallow.s such ectiv.ity, and a copy of,that resolution.is. <br />received by: the Charitable.Gombling...Cuntrol Board within 30 daye'of the below'npted.datef, <br />1.00AI. GOVERNING BODY <br />Name of Local Governing Body �„,ri"GC C•W, +q,9 <br />i.af ?l, City Council ...l :tii'r.n,". <br />Sign;3t.uro of/person Recoiiyijg App1'.atian <br />•hate Received (This is date from which the 30 day <br />approval begins) Pi <br />.� 1985 <br />O V <br />s <br />CG- 00001 -01 (12/84)• <br />White - Board <br />ORGANIZATION: <br />Name of Representative for Gambling License Applicant <br />ng notice) Pn'trtck 11. Doharty ... <br />Cenary -+ - ' •k - Applicant .. Goldenrod - Governing <br />(dat <br />