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East STATE OF MINNESOTA <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWAL APPLICATION <br />LG214PPR PRINTED:10 /11/95 <br />'FOR BOARD USE ONLY <br />'AMT PAID <br />'CHECK NO. <br />'DATE <br />LICENSE NUMBER: D- 01878 -008 EFFECTIVE DATE: 04/01/94 EXPIRATION DATE: 03/31/96 <br />NAME OF ORGANIZATION: Lions St Paul North Ramsey 500th Club <br />GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />Venetian Inn <br />2814 Rice St <br />Little Canada 55117 <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 />James Vitale <br />2814 Rice St <br />Little Canada MN 55117 <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: 0 AMOUNT PAID PER OCCASION: 0 <br />BINGO ACTIVITY <br />BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />365 Koehler Rd <br />Vadnais Hgts MN 55127 <br />Firstar New Brighton State Bnk <br />Box 12001 <br />at Paul MN 55112 <br />GAMBLING BANK ACCOUNT NUMBER: 40768720 <br />STORAGE ADDRESS � , /mil �, 4 <br />/ r /-x- as7 2 7" <br />BANK INFORMATION <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 />f Z - /K tyv nat ernes r94' AM. i /P /j, • s s �3Tita' ,a. <br />j V greZifrnowi—p, <br />c Are, /`Y°ln. I G 7 602,,,AZAAreii fl e ,r��, 5 .fir2 -s <br />G r p r U < « ' / N - s 57 ?. c4 -1 r <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 10 <br />