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STATE OF MINNESOTA <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWAL APPLICATION <br />LG214PPR PRINTED:11 /05/93 <br />FOR BOARD USE ONLY <br />AMT PAID <br />CHECK NO. <br />DATE <br />LICENSE NUMBER: A- 00393 -006 <br />EFFECTIVE DATEUS /U1 /y4 <br />�9 #@ EXPIRATION DATE: 04/30/20E <br />NAME OF ORGANIZATION: Cbarityrflus=Little Canada Charity Plus, Inc. <br />GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />'heMarket Place Center <br />2900 N Rice St <br />Little Canada 55113 <br />COUNTY Ramsey IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br />LESSOR INFORMATION <br />DOES YOUR ORGANIZATION OWN THIS SITE?: No <br />IF NO, LIST THE LESSOR: <br />MKP Inc <br />801 Marquette Ave. <br />Minneapolis MN 55402 <br />NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />SQUARE FEET PER MONTH: 0 AMOUNT PAID FOR RENT PER MONTH: 0 <br />SQUARE FEET PER OCCASION: FYfioo 11,208 AMOUNT PAID PER OCCASION:$260.122.r'`3= <br />BINGO ACTIVITY <br />BINGO IS CONDUCTED ON THIS PREMISES: Yes IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />2900 N Rice St <br />Little Canada MN 55113 <br />STORAGE ADDRESS <br />55 E. County Rd: B <br />Little Canada, MN 55117 <br />BANK INFORMATION <br />Norwest Bank <br />1220 W Co Rd E <br />Arden Hills MN 55112 <br />GAMBLING BANK ACCOUNT NUMBER: 2100144 / 8444474 <br />ON THE LINES PROVIDED BELOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS <br />AUTHORIZED TO SIGN CHECKS AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. <br />THE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br />Richard Pillsbury, C.E.O. 4200 Mcmenemy Rd., Vadnais Hts, MN 55117 <br />JoAnn M. Sherman, Gambling Manager, 2442 Rice St.*152, Little Canada, MN 55117 <br />Carol F. Vnuk, Director 1266 Eldridge Av. W. Roseville, MN 55113 <br />Michele A. Johnson, Secretary 14216 Underclift Ct., Andover, MN 55304 <br />(BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br />THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br />Page 45 <br />