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<br />.. <br /> <br />\1(, <br /> <br />Eas~ <br /> <br />STATB OF MINNBSOTA <br />GAMBLING CONTROL BOARD <br />PRllMISBS PERMIT RENEWAL APPLICATION <br /> <br />IFOR BOARD USE <br />IANT PAID <br />I CHECK NO. <br />I DATE <br /> <br />ONLY \ <br />i <br />I <br />I <br /> <br />LG214PPR PRINTED: <br /> <br />LICENSE NUMBER: B-02573-003 <br /> <br />EFFECTIVE DATE: 06/01/96 <br /> <br />EXPIRATION DATE: 05/31/98 <br /> <br />NAME OF ORGANIZATION: Chamber of Commerce New Brighton Mounds View Areaiew Ar <br /> <br />GAMBLING PREMISES INFORMATION <br /> <br />NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED <br />Main Event <br />790 W Co Rd 0 <br />New Brighton 55112 <br /> <br />COUNTY Ramsey <br /> <br />IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y <br /> <br />LESSOR INFORMATION <br /> <br />DOES YOUR ORGANIZATION OWN THIS SITE?: No <br />IF NO, LIST THE LESSOR: <br />Robert Stuart <br />3101 Old Hwy 8 #101 <br />Roseville MN 55113 <br /> <br />NAME OF PROPERTY OWNER (WHEN NOT LESSOR) : <br />Main Event <br /> <br />o <br /> <br />AMOUNT PAID FOR RENT PER MONTH: 1000 <br />AMOUNT PAID PER OCCASION: 0 <br /> <br />SQUARE FEET PER MONTH: <br />SQUARE FEET PER OCCASION: <br /> <br />36 <br /> <br />BINGO ACTIVITY <br />BINGO IS CONDUCTED ON THIS PREMISES: No IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT <br /> <br />STORAGE ADDRESS <br /> <br />959 5th Ave NW <br />New Brighton MN 55112 <br /> <br />BANK INFORMATION <br /> <br />Norwest Bank - New Brighton <br />1200 Silver Lake Rd <br />New Brighton MN 55112 <br /> <br />GAMBLING BANK ACCOUNT NUMBER: 3222228578 <br /> <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 /> <br />Ann Griffin AsGt G-'1lIIbling Managp.r 2206 293m h:me<,.i'M Isanti <br /> <br />C"lrol J!'rey <br /> <br />Piesinent <br /> <br />475 Hillto") Roseville ?1N <br /> <br />(BE SURE TO COMPLETE THE REVERSE SIDE OF THIS APPLICATION) <br /> <br />THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST <br /> <br />~~",. . .."---",.,.,,,..~,.._,.~~ <br />