Laserfiche WebLink
MINNESOTA LAWFUL GAMBLING 5/13 Page 1 of 2 <br /> LG230 Application to Conduct Off-site Gambling No Fee <br /> Organization Information <br /> Organization name New Brighton Eagles#3718 License number 00541 <br /> Address 563 Old Hwy. 8 NW city New Brighton MN zip aode 55112 <br /> County Ramsey <br /> Gambling manager name Keith Englund _ Daytime phone <br /> 612-275-4102 <br /> Gambling Activity <br /> 1. Twelve off-site events are allowed each calendar year not to exceed a total of 36 days. <br /> from 08 0�13 to 0j 1�13 <br /> 2. Check the type of games that will be conducted. <br /> raffle x pull-tabs bingo tipboards paddlewheel <br /> Gambling Premises <br /> 3. Name of location where gambling activity will be conducted Long Lake Regional Park <br /> 4. County [where gambling activity will be conducted Ramsey <br /> 5. Street address and city [or township] 1500 Old Hwy 8 NW, New Brighton Zip code 55112 <br /> • Do not use a post office box. <br /> • If no street address, write in road designations. Example: 3 miles east of Hwy 63 on County Road 42. <br /> 6. Does your organization own the gambling premises? <br /> Yes If yes, a lease is not required. <br /> X No If no,the lease agreement below must be completed, and signed by the lessor. <br /> Lease Agreement for Off-site Activity A lease agreement is not required for raffles. <br /> 7. Rent to be paid for the leased area 0 If none, write "0." <br /> 8. All obligations and agreements between the organization and the lessor are listed below or attached. <br /> • Any attachments must be dated and signed by both the lessor and lessee. <br /> • This lease and any attachments is the total and only agreement between the lessor and the organization <br /> conducting lawful gambling activities. <br /> • Other terms, if any None <br /> 9. Lessor's signature Date—J1 <br /> Print lessor's name <br /> CONTINUE TO PAGE 2 <br />