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<br />.. <br /> <br /> <br />LOCAL PERMIT OR CHARITY LOCAL-PERMIT <br />OFFICE OF ATTORNEY GENERAL <br />SFN 17926 (02-2002) <br /> <br />Type: <br /> <br />l6lLocal Permit <br /> <br />* 0 Charity Local Permit <br /> <br />~'1ITit Number <br /> <br />Name of Organization . <br />Minn-Kota Feline Club <br /> <br />Date(s) Authorized (Read instruction 2) <br /> <br />Contact Person <br />Joan Johnson <br /> <br />Mailing Address <br />1818 29th Avenue South <br /> <br />Business Phone Number <br />701-293-9249 <br />City <br />Fargo <br /> <br />Site Address <br /> <br /> <br />to 4 (2', / 06 <br />- Endin <br />Zjp Code <br />5t\103 <br /> <br />Site Name <br />Red River Valley Fairgrounds <br /> <br />1201 West Main Avenue <br />Stale Zjp Code I County <br />ND 5t\078 Cass <br /> <br />.. Poker, Twenty~one, and P~ddlewheeJs may be Conducted only by a Charity Local Permit. <br /> <br />City <br />West Fargo <br />Check the Game(s) Authorized: <br /> <br />o Bingo <br /> <br />jQl Raffle <br /> <br />o Calendar Raffle <br /> <br />o Sports Pool <br /> <br />o Poker" <br /> <br />o Twenty-one' <br /> <br />o Paddlewheels' <br /> <br />Restrictioll: <br /> <br />Requirement For a "Chality Local Pennit," the organization must file a "Report on a Charity local Peimit" with the city or county auditor and Office of <br />Attorney General within 30 days of the event. . <br /> <br />12/ 19 / 05 <br /> <br /> <br />IXJ County Auditor, Printed"Name of City or County Auditor <br />, Michael Montplaisir <br /> <br />Auditor Telephone .Number <br />701-241-5601 <br /> <br />Date <br /> <br />For a ":Iff1e or calendar raffle, read "Information Required to be Yr~printed pn a Standard Raffle Ticket" on }~e backside of the form. <br /> <br />INSTRUCTIONS: <br /> <br />After a city or county governing board has authorized an organization to receive a local permit or charity local <br />permit, the city or county auditor must complete this form. <br /> <br />1'. Enter the city or county assigned "Permit Number." <br /> <br />2. Enter the beginning and ending daters) for which the permit is authorized. <br /> <br />a. For other than a "calendar" raffle that may be authorized for January 1 to December 31, a local <br />permit or charity local P7rmit cannot be authorized beyond June 30. <br /> <br />b. For a "one time" raffle, the beginning and ending dates for "Date(s} Authorized" is the date of the <br />prize drawing. <br /> <br />c. A local permit can be issued for one or more events per year. <br /> <br />d. If a local permit is issued for more than one event, enter the date of the first event as the <br />"beginning" date and the date of the last event as the "ending" date. <br /> <br />e. A charity local permit may be issued for only one event within a fiscal year July 1 - June 30. <br /> <br />3. Enter any restriction placed on the organization, such as day.s of the week or 'designation of an area at Ii <br />site where games may be conducted. <br /> <br />4. Provide a "Report on a Charity local Permit" form to the organization. (If a Charity Local Permit, onlvl <br /> <br />5. Make two copies of the completed form. Provide the original form to the organization, keep one copy for <br />the file and, within fourteen days of issuance, mail a copy to: OFFICE OF ATTORNEY GENERAL; <br />LICENSING SECTION; 600 E BOULEVARD AVE.- DEPT 125; BISMARCK ND 58505-0040 <br />