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East <br />STATE OF MINNESOTA <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWAL APPLICATION <br />LG214PPR PRINTED:03 /13/95 <br />FOR BOARD USE ONLY <br />AMT PAID <br />CHECK NO. <br />DATE <br />LICENSE NUMBER: A- 01474 -003 'EFFECTIVE DATE: 09/01/93 .`EXPIRATION DATE: 08 /31/95 <br />AME OF ORGANIZATION: Lake Owasso Residence Shoreview Vol Council <br />GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />Market Place Ctr <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 />MEP Inc <br />• 801 Marquette Ave <br />Minneapolis MN 55402 <br />NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />Martin Krogman <br />SQUARE FEET PER MONTH: 0 .4,1-• AMOUNT PAID FOR RENT PER MONTH: SQUARE FEET PER OCCASION: itecQ, �� o1Qg AMOUNT PAID PER OCCASION : 238 <br />BINGO ACTIVITY <br />';BINGO IS CONDUCTED ON THIS PREMISES: Yes IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />STORAGE ADDRESS <br />2900 N Rice St <br />;Little Canada MN 55113 <br />BANK INFORMATION <br />1stBank of Little Canada <br />102850 Rice St <br />Little Canada MN 55113 <br />GAMBLING BANK ACCOUNT NUMBER: 10511514 <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 />Betty M. Strohbeen 465 E. Little Canada Rd.. Little Canada, Mn 55117 <br />Gambling manager <br />Luella E. Haussner 4045 Hodgson Rd.. Shoreview. Mn. 55126 <br />Vice President <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 4 <br />