Laserfiche WebLink
<br />Jun 28 05 12:38p Red River Valle~ Fair <br />Uti/~71U5 .UN U6:48 YAA 7U1 ~41 57Z8 CASlS CUUNTY cuJ~'~uu~~2 6909 p.l <br />If.IUU", <br /> <br />~~ . . <br /> <br />.. . . _ S"1.\1"n;Hllo.ro~i~1ll-. <br /> <br />APPLICATION FOR A LOCAL PERMIT OR CHARITY LOCAL PERMIT~c ~f!A ,,-~.' <br />OFFICE oF' ATTORNEY GENERAl l/VIi" o..,ei-il. o.PPIlf:O~ ~1Y1 <br />SFN 9338 (07--20D3) <br />./2 -.io Application for: l,I{J Local Permit <br />Name of NDlJ1)roIIt OrganiZation · I . J /"\ <br />f"A-....9.p moor neail. ~loU_f\te. t'(';~~ i=J;nc . <br />Person :WOnsible. for the Gaming ..,~._. .1, l"fld~g Disbursement of Netlni::ome <br />. ~,'h L e r f.-(:'r\ - . <br />CIty <br /> <br />.,; <br /> <br /> <br /> <br />Busi7t: <br /> <br />Maili"9 AddAlSS (If different) <br /> <br /> <br />CIty <br /> <br /> <br />( Site Address <br />\.~__~s (01 LJ::.s t }hA i <br />Slate Zip Code CcIunty <br />On\: E;) b SJ{r;-78" e/t.5:5 <br />. PckBr, iwen"ly.one, and Pacldl_h.el$ may be ConduclBd only by a Charily LcC:aI Permtt. <br />OCalendar Raftl. 0 Sports Pool 0 Paker. 0 Twenty-one. 0 ~cIewI1eelS. <br /> <br />DESCRIPTION AND RETA1L VALUE OF PRIZES TO BE AWARDED <br /> <br />Game Type <br /> <br />Description, of PrIze <br /> <br />Retail Value of <br />Prize <br />5>0. (>;) <br /> <br /> <br />e. <br /> <br />Intended use of gaming procet,ds: <br /> <br />..~ <br /> <br />Game Type Description of Pra Relail value of <br />Prize <br /> S <br />.. <br />- <br /> Total: :md!)tiJ~/j/jr? <br /> <br />5' nD w ~~'~ r () t.) e '1\~,,-js . <br /> <br />Does the orgama1lon presendy have a state gamin,g liCll!nse? ~NO Dves. If "Yes,- ~e organization is not ~ fer lI:ocaI pennt or charilY 1cc:aJ <br />permit" Bnd should ca. II\e Office r:Jf AtfDmey Gener.ll at 1-aO~40. . <br /> <br />Has :he organiz1tiOn l'etlaiYlld OIl d1arily I~I permit from ~s or anatler cl1y or CIClunty fa" the fiscal year July 1lhrgugh June 301 ~ No Dves - If "Ves: <br />!he organiZa1ion does not qualify for a local penTllt 01' ~~.~I pennll .!'. <br /> <br />Has !he organization reoeiwd a IDeal pem1it frtlmthis'cra.ilotner dty or county for Ihe fisCal year-July 1lhl'OUgh June 301 XNa. Dves - If-Yes,' <br />indic:a1e the t:l13l value of... prizes previously awarded: $. .;. :: . This amourrl. is part of !he total pr;ze limit of S1z.mP~er year. <br /> <br />. I <br /> <br /> <br /> <br />J8uslnes5 Phone Number r <br />~/-~~""3j;&j <br /> <br />Date <br />. -~j'- tJ.s- <br />