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West <br />LG214PPR PRINTED: <br />STATE OF MINNESOTA <br />GAMBLING CONTROL BOARD <br />PREMISES PERMIT RENEWAL APPLICATION <br />IFOR BOARD USE ONLY <br />AMT PAID <br />CHECK NO. <br />IDATE <br />LICENSE NUMBER: A- 00003 -001 EFFECTIVE DATE: 05/01/96 EXPIRATION DATE: 04/30/98 <br />NAME OF ORGANIZATION: VFW Post 6583 Lino Lakes <br />GAMBLING PREMISES INFORMATION <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />VFW Post 6583 <br />7868 Lake Dr <br />Lino Lakes 550142138 <br />COUNTY Anoka IS THE PREMISES LOCATED WITHIN THE CITY LIMITS ?: Y <br />LESSOR INFORMATION <br />DOES YOUR ORGANIZATION OWN THIS SITE ?: Yes <br />IF NO, LIST THE LESSOR: <br />NAME OF PROPERTY OWNER (WHEN NOT LESSOR): <br />SQUARE FEET PER MONTH: 0 AMOUNT PAID FOR RENT PER MONTH: 0 <br />SQUARE FEET PER OCCASION: 0 AMOUNT PAID PER OCCASION: 0 <br />BINGO ACTIVITY <br />BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br />STORAGE ADDRESS <br />7868 Lake Dr <br />Lino Lakes MN 550142138 <br />BANK INFORMATION <br />Firstar <br />7984 Lake Dr <br />Lino Lake MN 550142138 <br />GAMBLING BANK ACCOUNT NUMBER: 3000225 <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 />01\Q; 0 A , K s /L/t----A - 732,2 5u $c-7 R Uc . L'1* <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 />