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Minnesota Charitable Gambling Control Board CANDLING LICENSE APPLICATION <br />(Class A, B, or C) <br />GAMBLING SITE AUTHORIZATION <br />By my signature below, local lam enforcement officers or agents of the Board ere hereby <br />authorized to enter upon the aita, at any time gemb Ling IN berug cunduutad, to ob66r.0 <br />its gambling and to or -force tha law for any „r.a�thcrared goat or practice. <br />BANK RECORDS AUTHORIZATION <br />!: s_acet:: re b_Ity, the eeard It °areby authorized to Inspect the bank records of the <br />Corozal Gambling Bank .Account whenever ntcaesery to fulfill requirements of current gambit <br />rules and low. <br />OAT" <br />1 hsroby declare that <br />1. 1 have read this application and all information submitted to the Bootd; <br />1. All information submitted in true, accurate, end complete; <br />). all other required information has been fully disclosed; <br />e. 1 am the chief e.scutive officer of the organization; <br />5. 1 assume full responsibility for the fair and lawful operation of all activt ties to b. <br />conducted; <br />6. 1 will fosiliarize myself with the laws of the State of Minnesota respecting gambling <br />and rules of the Board and agree, if licensed, to abide by those less and rule•, <br />Including amendments thereto. <br />Off Irma), Legal NOW Of Drganrtatlon <br />;,Y' • r. t,.,l M1-. .. 'Iwil of rawc. 7m_ <br />in 4iof Executive Officer) <br />Title <br />ACKNOWLEDGEMENT Of NOTici BY LOCAL GOVERNING BODY <br />1 hereby acknowledge receipt of a copy of this application. Cy acknowledging rectipt, 1 <br />admit hav,ng been nerved with notice that this application will be reviewed by the <br />Cheritamle Gambling Control Board and if approved by the Board, will become effective 50 <br />days from the date of receipt (noted below), unless a resolution of the local governing <br />body to passed which specifically disallows such activity and a copy of that resolution Is <br />received by the rharilabl• Gambling Control Board within 30 days of the below noted date. <br />1 'et a of person Baeaiving Application <br />I <br />„et• scalp 1 to date Rs which the 50 day <br />approval bpine) <br />ORGANIZATION <br />Name of Ripe native for Gambling License Applicant <br />iNr.tng <br />CS-00001-01 ( !") Milts - Wstd Conari Roard Pink - Applicant Goldenrod - Governing <br />(dot, antry) Body <br />