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East STATE OF MINNESOTA <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWAL APPLICATION <br />LG214PPR PRINTED:02 /08/95 <br />FOR BOARD USE ONLY <br />AMT PAID <br />CHECK NO. <br />LICENSE NUMBER: B- 00864 -003 <br />EFFECTIVE DATE: 08/01/93 EXPIRATION DATE: 07 /31/95 <br />AGE OF ORGANIZATION: Fire Little Canada Vol Dept >'b <br />:GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />Boggsbreath Bar and Restr <br />2504 Rice St <br />-' ?'Little Canada <br />COUNTY Ramsey <br />55117 <br />IS THE PREMISES LOCATED WITHIN THE CITY LIMITS ?: Y <br />DOES YOUR ORGANIZATION OWN THIS <br />IF NO, LIST THE LESSOR: <br />Boggsbreath Enterprises Inc <br />2504 Rice St <br />Little Canada MN 55117 <br />LESSOR INFORMATION <br />NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />SQUARE FEET PER MONTH: 24 <br />SQUARE FEET PER OCCASION: <br />AMOUNT PAID FOR RENT PER MONTH: 1000 <br />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 />2504 Rice St <br />Little Canada MN 55117 <br />Firstar Banks <br />x 12001 <br />St Paul MN 55112 <br />GAMBLING BANK ACCOUNT NUMBER: 502289 <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 />Robert F. Johnson 2815 Lakeside Court, Little Canada, 55117 Gambling Manager <br />Richard E. Boss, III 57 E. Bryan, Little Canada, MN 55117 Fire Chief <br />'James Morelan 451 Eli Road, Little Canada, MN 55117 Assist. Fire Chief <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 24 <br />