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State of Minnesota <br />Gambling Control Board <br />Premises Permit Renewal Application <br />LG214PPR Printed: 12/8/1999 <br />For Board Use Only <br />Amt. Pd <br />Check # <br />Date <br />License Number: A- 00003 -001 <br />Effective Date: 5/1/1998 Expiration Date: 4/30/2000 <br />Name of Organization: VFW Post 6583 Lino Lakes <br />Gambling Premises Information <br />Name of the establishment where gambling will be conducted <br />VFW Post 6583 <br />7868 Lake Dr <br />Lino Lakes, MN 55014 <br />County: Anoka <br />Note: Our records show the premises <br />is located within the city limits <br />Lessor Information <br />Note: Our records indicate that the <br />organization owns this premises <br />Bingo Activity <br />Our records indicate that Bingo is not conducted on these premises. <br />';q5 J *M- p7J vx <br />Firstar <br />7984 Lake Dr <br />Lino Lakes, MN 550142138 <br />Storage Information <br />�I v hk�51,n1 t.�N <br />cc(' pi <br />Bank Information <br />Gambling Bank <br />Account Number: <br />3000225 <br />On the lines provided below list the name, address and title of at least two persons authorized to sign checks and make deposits <br />and withdrawals for the gambling account. The organization's treasurer may not handle gambling funds. <br />Name <br />Address <br />City, State, Zip Code <br />Title <br />V kN 4/1/5ofl' <br />q 702 -1 c ' /f-tir NE <br />cifCL6 FiA, -E5 Wit. <br />C 5c <br />,0041-A ,pirp/ii I- <br />11172 i , prodir oi. ✓P .4, 0 , <br />5.0.7 -.. <br />r455 OifliE l...n4lM <br />67441044,e- ,cr► G -K, <br />(Be sure to complete the reverse side of this application) <br />This form will be made available in alternative format (ie. large print, braille) upon request. <br />Page 1 of 2 (Continued on Back) <br />