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2002-059 Council Resolution
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2002-059 Council Resolution
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11/30/2015 4:28:35 PM
Creation date
11/30/2015 2:39:37 PM
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City Council
Council Document Type
Resolutions
Meeting Date
06/24/2002
Council Meeting Type
Regular
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LG220 - Application for Exempt Permit <br />Organization Name <br />Local Unit of Government Acknowledgment <br />If the gambling premises is within city limits, the <br />city must sign this application. <br />On behalf of the city, I acknowledge this application. <br />Check the action that <br />the city is taking on this application. <br />0 The city approves the application with no <br />waiting period. <br />❑ <br />The city approves the application with a 30 day <br />waiting period, and allows the Board to issue a <br />permit after 30 days (60 days for a first class <br />city). <br />❑ The city denies the application. <br />Print name of city <br />(Signature of city personnel receiving application) <br />Title <br />Date / / <br />Page 2 of 2 <br />3/01 <br />If the gambling premises is located in a township, both <br />the county and township must sign this application. <br />On behalf of the county, I acknowledge this application. <br />Check the action that <br />the county is taking on this application. <br />DThe county approves the application with no <br />waiting period. <br />The county approves the application with a 30 day <br />waiting period, and allows the Board to issue a <br />permit after 30 days. <br />The county denies the application. <br />Print name of county <br />(Signature of county personnel receiving application) <br />Title <br />Date <br />TOWNSHIP: On behalf of the township, I acknowledge that <br />the organization is applying for exempted gambling activity <br />within the township limits. [A township has no statutory <br />authority to approve or deny an application (Minn. Stat. sec. <br />349.213, subd. 2).] <br />Print name of township <br />(Signature of township official acknowledging application) <br />Title <br />Date <br />Chief Executive Officer's Signature <br />The information provided in this applic is complete and accurate tp the best of my knowledge. <br />Chief executive officer's signature <br />Name (please print) Timothy J Morin <br />Date 5— / 9 Y_/ 0 Z <br />Mail Application and Attachments <br />At least 45 days prior to your scheduled activity date send: <br />• the completed application, <br />• a copy of your proof of nonprofit status, and <br />• a $25 application fee (make check payable to "State of Minnesota"). <br />Application fees are not prorated, refundable, or transferable. <br />Send to: Gambling Control Board <br />1711 West County Road B, Suite 300 South <br />Roseville, MN 55113 <br />If your application has not <br />been acknowledged by the <br />local unit of government or <br />has been denied, do not <br />send the application to the <br />Gambling Control Board. <br />
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