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LG214 <br />Minnesota Latuf 11 Gambling <br />Premise Permit Application - Part 2 <br />�i" em$ If*tt;;�iLm�4Cff *i2l{UITIIBtiQII' z..•? r ,...,::. ".cc.:�;:�. ,.. ::<.: ....!; <br />Name of establishment where gambling will be conducted Street Address (do not use a post office box number) <br />Brady's 2500 Rice Street Little Canada MN 55113 <br />Is the premises looted within city limits? 1,2 yes O no <br />City and County where gambling premises is Iccated OR Township and County where gambling premises is located it outside of city limits <br />City of Little Canada <br />County of Ramey. <br />Name and Address of Legal Owner of Premises City State Zp Code <br />Brady's Inc. 2612 Edgerton Street Little Canada MN 55117 <br />Does the organization awn the hulloing where the gambling will he conducted? OYES El NO <br />NOTE Organizations may not pay themselves rant if they own the building or have a holding company. A latter must be sub- <br />mitted showing rent payments as zero from gambling funds it 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 />• acopy 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 appficantions. <br />For gambling with bingo $ Total square footage leased <br />For gambling without bingo $ 500.00 <br />Total square footage leased '36 sri f <br />Address of storage space of gambling equipment <br />Address City <br />2500 Rice Street . Little Canada <br />Bang Tt3FSITatibn <br />(aacn permitted gamoling promisee must have a separate chocking account) <br />Bank Name - Sank Account Number <br />First Bank - Little Canada 051 - 5590003 0S1- 1s13019 <br />Sank Address City State <br />2850 Rice Street Little Canada MN <br />State <br />Zp code <br />55113 <br />la Code <br />55113 <br />Name, adders, and ode or persons authorized to sign checks and make deposits and withdrawals. <br />Name <br />Address <br />Tide <br />Celeste Houle 1970 Case Street St P ni, MDr r r <br />Lloyd Walsh 4855 Debra Lane Shoreview, MN Vice President <br />JoAnn N. Sherman 2442 Rice Street #152 St. Paul, MN CA'mht incq Maylasin <br />Page 12 <br />