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<br /> <br />--- (--)- <br />Site License Number <br />(Attorney' General Use Only) <br />sm - 17996 <br /> <br />NORTH DAKOTA GAMES OF CHANCE <br />SITE AtrrBORIZATION <br /> <br />Dc;~-'~~;--:;:.'1 ::c <5C]I;1,')Cf;Cl." :;~(;;..~t <br /> <br />" '.0"" <br />.... -., -J ~. '" <br /> <br />is hereby authorized to conduct games of <br /> <br />(Name of Organization) <br />chance under the license granted by the Attorney General of the State of North <br />Dakota at the location known as ~,ri c: ,l...~;;,-"~l all ~:-..ll the address of <br />which is:II..iri. :)t. ~~:~~~-=J :','.D. ~c~",2~1 j:~';.JS <br />(Street) (City) (Zip Code) (County) <br />Date(s} authorized: Beginning Ending <br />Specific location of gaming operations within facility: .d" ,'~ Si..SL:G <br />. -II~ t i ~1'1 e ~...C~., 8l' 1.c .]f.,: 1 Oil BE'. S C:.:,-!:.e Il t <br />Number of twenty-one tables: I: on8 <br /> <br />RESTRICTIONS: (To be completed ma.x 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 />Date <br /> <br />(Signature of City/County Auditor) <br /> <br />~-~I,01 <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 />sm - 17996 <br /> <br />NORTH DAKOTA GAMES OF CHANCE <br />SITS AtrrBORIZATION <br /> <br />Ue...Ter+\-N5. ~Nc..ORPQQAT'ed is hereby authorized to conduct games of <br />(Name of Organization) <br />chance under the license granted by the Attorney General of the State of North <br />Dakota at the location known as BRo N (..0 ~A-R the address of <br />which is: to') mAIN ~T C-h"FF'e~ 580'lG LASS <br />(Street) (City) (Zip Code) (County) <br />Date (a) authorized: Beginning ,-/-C"1 Ending (g-30"O~ <br />Specific location of gaming operations within facility: Loll ~ ~4t< <br /> <br />Number of twenty-one tables: NONe.. <br /> <br />RESTRICTIONS: (To be completed ma.x 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 />5,;).1-01 <br /> <br />(Attorney General) <br /> <br />Date <br /> <br />(Signature of City/County Auditor) <br /> <br />Date <br /> <br />Routing: White & Canary - Attorney General <br /> <br />pink - To be retained by City/County <br />