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northwest STATE OF MINNESOTA. <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWAL APPLICATION <br />=,G214PPR PRINTED:10/11/95 <br />(FOR BOARD USE ONLY <br />(AMT PAID <br />ICRECK NO. <br />(DATE <br />-JICENSE NUMBER: B-00011-001 <br />EFFECTIVE DATE: 04/01/94 EXPIRATION DATE: 03/31/96 <br />TAME OF ORGANIZATION: VFW Post 6583 Aux Lino Lakes <br />GAMBLING PREMISES INFORMATION <br />TAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />7FW Post 6583 <br />1868 Lake Dr <br />ino Lakes 55014 <br />.OUNTY Anoka IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br />LESSOR INFORMATION <br />)OES YOUR ORGANIZATION OWN THIS SITE?: No <br />EF NO, LIST THE LESSOR: <br />TFW Post 6583 <br />/868 Lake Dr <br />.ino Lakes MN 55014 <br />TAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />;QUARE FEET PER MONTH: 40 AMOUNT PAID FOR RENT PER MONTH: 0 <br />SQUARE FEET PER OCCASION: <br />AMOUNT PAID PER OCCASION: 0 <br />BINGO ACTIVITY <br />3INGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />STORAGE ADDRESS <br />'868 Lake Dr <br />,ino Lakes MN 55014 <br />BANK INFORMATION <br />'irstar Bank <br />'984 Lake Dr <br />.ino Lakes MN 55014 <br />3AMBLING BANK ACCOUNT NUMBER: 3003389 <br />)N 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 />'HE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. <br />11 /e G.4 , cke p% 7s, R 7‘ L./1 Ke 9/ .4 0/) 1/11.-s s yym .S .ca I L y,eS <br />C114OyS /3/SLK/7�y 1ic17 J4Nt ).10,6 LAKe-s fl -j i/ G9mB1011 mcg <br />(BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br />'HIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br />