g. Permits/raffles, fireworks - Laserfiche WebLink

Name of Non-profit Organization II~o$ APPLICATION FOR A LOCAL PERMIT OR CHARITY LOCAL PERMIT" OFFICE OF ATTORNEY GENERAL SFN 9338 (02-2002) Applicatio, for: J~[ local Permit '~.[Charity Local Permt one evem peryeary'~-~2.2~qb Date(s) of Activity.~ Title ~ ~ ~ ~ BusJn~ Phone Name of Site Where Game(s) will be Conducted Check the Game(s) to be Conducted: * Poker, Twenty-one, and Paddlewheets m; Site Address II 705- 3Z~ State Zip Code [] Bingo [] Raffle [--lCalendar Raffle DESCRIPTION AND RETAIL VALUE OF PRIZES TO BE AWARDED i rate Z~p Cede CountT/) ~ be Conducted onty by a Charity Local Pe m~ P~ [] Sports Pool [] Poker ' [] Twenty-one ' [] Paddlewheels ' Game Type Description of Prize Retail Value of Pdze Game Type Description of Prize Retail Value of Prfze r (Limit $6.000 per year} Total: J$/~ ~4/, 4 o Does the organization presently have a s~ta gaming li~nse? ~ No ~ Yes - If"Yes." the organization is not eligible for a Io~1 pe~it or chad~ Io~1 pe~ and should ~11 the Offi~ of AEorney General at 1-800-326-9240. Has the organization re~[ved a ~ari~ Io~1 pe~it from this or another d~ or ~un~ for the fls~J year July 1 through June 307 ~ No ~Yes- If "Yes." the organ~ation does not quaii~ for a Io~1 pe~it or chad~ Io~1 perm,. Hasthe~rganizat~nre~eda~pe~t~mth~s~ran~erci~rc~un~f~rthe~sca~yearJu~y1thr~ughJune3~? ~No ~Yes- If"Yes," indicate the total value of all prizes previously awarded: $ . ~is amount s par of the total prize limit of $6,000 per year. S~~aticATc~'ve Official .3 SUGGESTED MOTION: Move to approve raffle permit for St. Benedict Catholic Church to be held September 15, 2002, at St. Benedict Catholic Church in Horace, North Dakota.