Laserfiche WebLink
LG214 <br />(9/5/9% <br />Legal Name of Organization <br />St. Joseph's Society for Charity Inc. <br />Business Address of Organization - Street cc P. 0 Box (Do not use address of gambling manager) <br />2940 Rice Street <br />City <br />Little Canada <br />Minnesota Lawful Gambling <br />Premise Permit Application - Part 1 <br />:o• ruta <br />FOR BOARD USE ONLY <br />FEE <br />INITIALS <br />DATE <br />State <br />Mn. <br />Name of chief executive officer (cannot be gambling manager) <br />Linda Johnson <br />Address of chief executive officer - Street or P. 0. Box <br />2815 Lakeside Court <br />City <br />Little Canada <br />Zp Cade <br />55113 <br />Tide <br />C.E.O. <br />County Business phone number <br />Ramsey (612 482 -1057 <br />Business phone number <br />(61.2 482 -1057 <br />State <br />Mn <br />Zip Code <br />55117 <br />County <br />Ramsey <br />Type f)t Application <br />Class of Premise Permit <br />❑ Cass A — Bingo, Raffles, Paddlewheels, Tipboards, Pull -tabs <br />❑ Class B — Raffles, Paddlewheels, Tipboards, Pull -tabs <br />❑ Class C — Bingo only <br />❑ Class D — Raffles only <br />The class of premise permit <br />must be reflected by class of <br />the organization !!cane. <br />Bingo Occasions <br />If class A or C. fill in days and beginning and ending hours of bingo occasions: <br />No more than seven bingo occasions may be conducted by an organization per week. <br />Day Beginning/Ending Hours Day Beginning/Ending Hours Day Beginning /Ending Hours <br />en; <br />to <br />to <br />to <br />'vIII not be. conducted cheer <br />to to <br />to <br />Status of Premise Permit - check one: <br />❑ New premise — P111 in base organization premise permit number <br />❑ Renewal of existing premise permit — Fiji in cvmolete premise permit number A -00465-008 <br />❑ Previously expired premise permit — Fill in complete premise permit number <br />Page 5 <br />