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DtH)l-l002 OltilM rroKlTY Of OKNO ♦89224MIII T<S90 P.002/<)C3 M94 <br />. V* <br />Dile Rtcdvcd <br />%lO.WTu___1/ <br />City of Orono <br />AppUcation for Gambllns Activity <br />a FrmlsttlUntirtl <br />r(Mttv*OttC9:jSt( <br />a OnOoe*D^r Lawftil Gambliog Exempt <br />Effccthe Date: ^ ^t~ <br />□ Biage <br />O Paddicwheds <br />□ PuU-Tabs <br />^ Raffle <br />o Tipbearda <br />Orpnizatien 0(o*\n ^Wrw^A^Har./ ~Tn~0 <br />Address CJLr^ f ^ <br />Phone Z ’ <br />Applicant Al/ufU T. A kv//i aA^/'/ <br />Affiliation with Orgiaizadon r\r,c^.-^ <br />Address 1 Tri/i b-» 11<< <br />Phone Q 6? - Mnt-<^sesg ____________ <br />EstablUbment TVliere GanibllBg will bo Conducted ^icy\o jUiddle <br />Address /o g^ /<) U 0 r. t ^n_u 1>J^ JUJ /- <br />Pfopofty Owner __Ofor\Q <;r6ir>/» ( AuS-r.'ri- <br />OamblingManaaer vUg-rv^ 4: <br />Phone <br />Namc<*Desctiption of Event AilA - <br />0«o <br />•^LChA V~ <br />Da>'(s) of Operatidn "<k.^ < ■a>i“_____ <br />Hours of Operation IZ' cp - M •' c c> <br />Required Submlttab: <br />^ Copy of permit application from the Minnesota State Gambling Control Board <br />Sketch plan of ama being leased for gambling activity <br />9.23 or the Orono Municiptl Copied any addMenalreq’Jirencatt the C% I <br />Signature of applicant: ^ ^ (y ^Date: /“Z-/ <br />2750 Kelley Prttwiy, P.O. Bm 66. CtyiU! Bey. M>l 55323 <br />fhono: »52-24e-MOO/Fm: 9S2-24e-4aiS/wwwxLorono.ttnu <br />1 <br />I