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Lo214 <br />Minnesota Lawful Gambling <br />Premise Permit Application - Part 2 <br />aloha rtt ZPs.Ctn 4t'.s`�inntorma oIT .:.. :` .,,�t._x ." l..r.. '< <:> a,.:: .�tl: �., .fit: ��ss > : • <br />Name of establishment where gambling will be conduced Sheet Address (do not use a post office box number) <br />Venetian Inn 2814 Rice St. St Paul MN. 551"17 <br />Is the premises located within aty limits? ❑ yes Q no <br />aty and County where gambling premises is located OR Township and County where gambling premises is located if outside of aty omits <br />Little Canada <br />Mn. 55117 <br />Name and Address of Legal Owner of Premises <br />City <br />State Zip Code <br />Pascal D. Vitale 770 Carla Lane. Little Canadn Mn. 55117 <br />r i .u� ?. s i 1 <br />Dace tie orgamzaswn own the`tbu�dng where the gambling will he conduced? OYES VINO <br />NOTE: Organizations may not pay themselves rant if they own the building or have a holding company. A letter must be sub- <br />mitled showing rent payments as zero from gambling funds if the organization's holding company owns the premises. The <br />letter must be signed by the chief executive officer.) <br />If NO, attach the following: <br />Rent: <br />• a copy of the lease with terms for one year. <br />• a. copy of a sketch of the floor plan with dimensions, showing what portion is being leased. <br />A lease and sketch are not required for Class 0 appiicantions. <br />For gambling *ith bingo $ Total square footage leased /0/ & d d <br />For gambling wit ut bingo $ <br />Total square footage leased <br />Address of storage space of gambling equipment <br />.Above Address City <br />State <br />Tip code <br />Barik,information _. <br />( <br />(act <br />d•scn psrmht teC QamallnQ pnmuca mat have a separate utsckmQ account) <br />Bank Name Bank Account Number <br />Bank Address <br />City <br />State <br />Tup Cote <br />Name, adctess, and dee of persons authorized to sign checks and make deposits and withdrawals. <br />Name <br />Greg Nellie 1 Echo Del <br />Address' <br />• <br />D <br />Tide <br />J.L. <br />Suggs <br />902 Heritage CT. W. Vadnais Hts. Mn. <br />Asst G. mgr <br />Dri, John Hornsr <br />1107 W.Royal Oaks Dr. Shr. Mn. Sec. <br />c <br />Will open account at when licenses are issued <br />Page 33 <br />