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<br /> <br />---( ) <br />Site Lice~ Numbe;-- <br />(Attorney General Use Only) <br />SFN - 17996 <br /> <br />NORTH DAKOTA GAMES OF CHANCE <br />SITE AUTHORIZATION <br /> <br />l>e.- "'"l"-e ro"t-tJ ~ l !'oJ e.on...po QA- "l-le.d <br />(Name of Organization) <br />chance under the license granted by the Attorney General of the <br />Dakota at the location known as 13a...o ~ c..O ~ M <br />which is: ~O'l /y\A\1'.1 SJ Ch.o.-FJ;e.e... S frU'1c, <br />(Street) (City) (Zip Code) <br />Date(s) authorized: Beginning (-I-OS Ending 6-3(,)-0(, <br />Specific location of gaming operations within facility: 4 I R2.~ ~AQ. <br /> <br />is hereby authorized to conduct games of <br /> <br />State of North <br />the address of <br />CAS) <br />(County) <br /> <br />Number of twenty-one tables: 1'10 N ~ <br /> <br />RESTRICTIONS: (To be completed QNIiI if restrictions are set by local governing <br />body) <br />1. Days of week of gaming operations <br />2. Hours of gaming <br />3. List ~ specific game prohibited <br /> <br />(Attorney General) <br /> <br />(Signature of City/County Auditor) <br /> <br />Date <br /> <br />Date <br /> <br />Routing: White & Canary - Attorney General <br /> <br />Pink - To be retained by City/County <br /> <br /> <br />--- (--) <br />Site License Number <br />(Attorney General Use Only) <br />SFN - 17996 <br /> <br />NORTH DAKOTA GAMES OF CHANCE <br />SITE AUTHORIZATION <br /> <br />The Arc, Upper Valley, Inc. <br /> <br />(Name of Organization) <br />chance under the license granted <br />Dakota at the location known as <br />which is: 15568 37th St SE <br />(Street) <br />Date(s) authorized: <br />Specific location of <br />SW Corner <br />Number of twenty-one tables: <br /> <br />is hereby authorized to conduct games of <br /> <br />by the Attorney General of the State of North <br />Club 94 the address of <br />Casselton 58012 Cass <br />(City) (Zip Code) (County) <br />Beginning 7-1-2005 Ending 6-30-2006 <br />gaming operations within facility: <br /> <br />2ln~ <br /> <br />RESTRICTIONS: (To be completed QHLX if restrictions are set by local governing <br />body) <br />1. Days of week of gaming operations <br />2. Hours of gaming <br />3. List ~ specific game prohibited <br /> <br />(Signature of City/County Auditor) <br /> <br />Date <br /> <br />(Attorney General) <br /> <br />Date <br /> <br />Routing: White & Canary - Attorney General <br /> <br />Pink - To be retained by City/County <br />