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Minnesota Lawful Gambling <br />Bingo Hall License Application (LG300) - Part 2 <br />�Jatf1'�: <br />I declare that this application is correct and complete to the best of my knowledge and belief. I will familiarize myself with the <br />laws of the state of Minnesota and rules of the Board regarding gambling and agree, if licensed, to abide by those laws and <br />rules, including amendments to them. Changes in the information submitted in this application will be submitted to the Board <br />and local governmgrit unit within test days er the change occurs. <br />9. Signature o ,ch executive offi of th sor <br />10. Name of person completing this form <br />ELIZABETH O'DONNELL <br />Date Name (please print) Title <br />4/5/93 THOMAS SHORT MANAGING DIRECTOR <br />Title Phone <br />(6141 483 -2943 <br />BUILDING MANAGER /SECT. <br />.i acai Government Aeawleciger�zertt <br />1. The city must sign if the bingo hall is located within city limits. <br />2. The county •• AND township— must sign if the bingo hall is located within a township. <br />3. The local government (city or county) must pass a resolution specifically approving or denying the application. <br />4. A copy of the resolution approving the application must be attached to the application. <br />5. An application which is denied by the local governing body should not be submitted to the Gambling Control Division. <br />• Form LG300, Bingo Hall License Application, Parts 1 and 2 <br />Form LG302, Bingo Hall Occasion List <br />• Form LG315, Bingo Hall Personnel Information (for each person listed in item 4 and S on form LG300) <br />• Form LG316, Bingo Hall Affidavit, (for each person listed in item 4 and 5 on form LG300) <br />• Check for license fee of $2,500, made payable to "State of Minnesota" <br />Were tn. A2al,e'4.p; <br />GCtrlittt itt f1# # r f#}T£'t3itis <br />Department of Gaming <br />Gambling Control Board <br />Rosewood Plaza South, 3rd Floor <br />1711 W. County Road B <br />Roseville, MN 55113 <br />Page 55 <br />TOWnshlp Sy signature below, the township <br />acknowledges that the organization is applying for <br />a bingo hall license within township limits. <br />City* or County ** <br />Township** <br />11. City or county name <br />LITTLE CANADA <br />12. Township name <br />Signatur of p /son recei ' g application <br />//I <br />Signature of.person receiving application <br />Title / <br />h—>ti <br />to received <br />.3 -9N3 <br />Title - Township official Date received <br />Name of person delivering application to local govemment <br />Is township? organized unorganized unincorporated <br />• Form LG300, Bingo Hall License Application, Parts 1 and 2 <br />Form LG302, Bingo Hall Occasion List <br />• Form LG315, Bingo Hall Personnel Information (for each person listed in item 4 and S on form LG300) <br />• Form LG316, Bingo Hall Affidavit, (for each person listed in item 4 and 5 on form LG300) <br />• Check for license fee of $2,500, made payable to "State of Minnesota" <br />Were tn. A2al,e'4.p; <br />GCtrlittt itt f1# # r f#}T£'t3itis <br />Department of Gaming <br />Gambling Control Board <br />Rosewood Plaza South, 3rd Floor <br />1711 W. County Road B <br />Roseville, MN 55113 <br />Page 55 <br />