Laserfiche WebLink
MINNESOTA LAWFUL GAMBLING <br />LG230 Application to Conduct Off-site Gambling <br />5/13 Page 1 of 2 <br />No Fee <br />Organization Information <br />Organization name Little Canada Canadian Days <br />Address 208 Nature Way city Little Canada <br />County Ramsey <br />Gambling manager name Dotty Norgard <br />License number B04219 <br />MN Zip code 55117 <br />Daytime phone 651-587-6864 <br />ambling Activity <br />1. Twelve off-site events are allowed each calendar year not to exceed a total of 36 days. <br />from 7 /31 /15 to 8 /2 /15 <br />2. Check the type of games that will be conducted. <br />raffle X pull -tabs X bingo tipboards paddlewheel <br />Gambling Premises <br />3. Name of location where gambling activity will be conducted Spooner Park <br />4. County [where gambling activity will be conducted Ramsey <br />5. Street address and city [or township] 350 Eli Road, Little Canada <br />Zip code 55117 <br />• Do not use a post office box. <br />• If no street address, write in road designations. Example: 3 miles east of Hwy 63 on County Road 42. <br />6. Does your organization own the gambling premises? <br />Yes If yes, a lease is not required. <br />X No If no, the lease agreement below must be completed, and signed by the lessor. <br />Lease Agreement for :Off-site Activi <br />lease agreement isnot required for raffles. <br />7. Rent to be paid for the leased area 0 If none, write "O." <br />8. All obligations and agreements between the organization and the lessor are listed below or attached. <br />• Any attachments must be dated and signed by both the lessor and lessee. <br />• This lease and any attachments is the total and only agreement between the lessor and the organization <br />conducting lawful gambling activities. <br />• Other terms, if any <br />9. Lessor's signatur <br />Print lessor's nor <br />ity of Little Canada <br />CONTINUE TO PAGE 2 <br />Date / <br />