Laserfiche WebLink
. r <br />05/07/2003 14:^2 6516385203 <br />UarON2003 1B:48 m' Froo-CITY OF OROIIO <br />GRAYxSTIMSO <br />48S22484III <br />PAGE 02 <br />TMOl P.002/001 F-727 <br />' / <br />Date Received Jo3 <br />S10.00 Fee_____________ <br />CityofOrono <br />Application for Gambling Activity <br />m <br />□ Frerabes Renewal <br />Effective Datci: <br />I Oae^PayLawftdi^^l^Eiw^t <br />a Bingo <br />□ Paddlewheeb <br />□ Fnll-Tabe <br />to^Raffle <br />o Tfpboards <br />I <br />Address <br />Phone I. <br />T7_ Pbuutg M»J *s^l 13. <br />>^3 <br />Applicant <br />Affilieiion with Organization <br />Address — <br />Phone ■ <br />Establishment^Vher* GamblingwOllie Co^ucted KJUAML\a^ <br />AddressCP-KD ijll. \)^fvgJVLX) <br />Property Owner CL<-^ ' <br />Gambling Manager <br />(midillc) <br />Phone ^_______________ <br />Name/Description ofEvent w\JtAjr <br />(loO <br />m <br />M— <br />Required Submittals: <br />|xa''^^Copy of permit application from the Minnesota State Oambling Control Board <br />''Or Sketch plan of area being leased for gambling activi^ <br />The Orono Chief of Poliw shall have 30 dMjt^htelue^vestlsate and make a recommendadm punuant to Orooo <br />Muflieipal Code Sectioa5.23,9ub^(D).n^W|lenm:edapplicaathcrebyagreaibtheeoadidoos quoted in Seetioo <br />5.23 of ^e Otono Municipal jgo^ldjad any ada1y>^apwirenicna the CUya^ff may have; <br />Date:-^/ 1 I 0-SSignature of applicant; <br />2750 Kritay Pvkway, P.O. Box 66, Cry sal Bqr, MN 55323 <br />Phone: 952-249-4600 / Fax: 952-249^616/v^'ww.ci.oronoann.ut