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j Sast STATE OF MINNESOTA <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWAL APPLICATION <br />LG214PPR PRINTED :02/08/95 <br />ICENSE NUMBER: 8- 00864 -005 <br />FOR BOARD USE ONLY <br />AMT PAID <br />CHECK NO. <br />DATE <br />EFFECTIVE DATE: 04/01/94 <br />AME OF ORGANIZATION: Fire Little Canada Vol Dept -, <br />EXPIRATION DATE: 07/31/95 <br />GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />'Gordies Place <br />' 201 E Little Canada Rd <br />Little Canada 55117 <br />COUNTY Ramsey <br />IS THE PREMISES LOCATED WITHIN THE CITY LIMITS ?: Y <br />DOES YOUR ORGANIZATION OWN THIS SITE ?: No <br />F NO, LIST THE LESSOR:" <br />=;Gordies Inc <br />i'201 E Little Canada Rd <br />Little Canada MN 55117 <br />LESSOR INFORMATION <br />.NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />;;SQUARE FEET PER MONTH: 33 <br />?SQUARE FEET PER OCCASION: <br />AMOUNT PAID FOR RENT PER MONTH: 1000 <br />AMOUNT PAID PER OCCASION: 0 <br />pINGO ACTIVITY <br />9BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />`'325 E Little Canada Rd <br />'Little Canada MN 55117 <br />STORAGE ADDRESS <br />1st National Bank of Minnesota <br />;1800 Rice St <br />;Little Canada MN 55113 <br />;:GAMBLING BANK ACCOUNT NUMBER: <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 G. 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 <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 29 <br />