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<br />......'-."----- <br /> <br />:....,I',~"~,..,'.,~' <br /> <br />,~ <br /> <br />~.~. <br />... ,{~.;\:,::.::,...."\,~. <br />1'I14""1^ """~":" <br />,~\H(..!-c - "\);i ii <br />"\\~\''''''-!t; ~'/':/i <br />~!)<-::, ,'!\./"'t~// <br />. '~''i''--, ~\o.~/ <br />"~y <br /> <br />,"1:~h :..~ ~'..' <br /> <br />--- (--) <br />Site License Number <br />(Attorney General Use Only) <br />SFN - 17996 <br /> <br />~~: ... .. ,i;, <br /> <br />NORTH DAKOTA GAMES OF CHANCE <br />SITE. AUTHORIZATION <br /> <br />The Arc, Upper Velley, Inc. <br /> <br />(Name of Organization) <br />chance under the license granted by. the Attorney General of the <br />Dakota at the location known as Club 94 <br />which is: 15568 37th St SE Casss lton <br />(Street) (C'tYl <br />Date(s) authorized, Beginning '7- -06 <br />Specific location of gaming operations within <br /> <br />is hereby authorized to conduct games of <br /> <br />58012 <br />(Zip Code) <br />Ending 6-30-07 <br />facility, Sw ...orner <br /> <br />State of North <br />the address of <br />Cass <br />(County) <br /> <br />Number of twenty-one tables: une <br /> <br />RESTRrcr'rONS: (To be completed am,z 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 />,,1 0- <br />W ,. ..f-~, :,4(;"'; '::1. 15 i& <br />(Signature of .City!counsy AuditQ~) Date <br />\, <br />Routing: White & Canary -~:k.ttorney General Pink - To be'retained by City/cbuMtV i~'(.11JI:: ;yi! <br />v-"I'), I y~(. vi <br />\!),cV;'-.w'J!..!(i (Iv. -::\'iIJ? i"f'~i:' <br /> <br />,~:- ~ <br />,."i~~ <br /> <br /> <br />;,. <br /> <br />." - <br />