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<br />. - <br /> <br />-Q <br />"Ii~:'.....::.i"'~ <br />.'" :':':':~'.':-;~" <br />II. z~.:.. ..<'~) <br />J~~ ..,a. . 1 \ <br />,iliff. ;<.1\ <br />\\~\ '![,~. I..: <br />'<:~~ ~ . <br />'W'~~~., <br /> <br />~u~m i ~ f 10.00 .. L - ';on-P-a <br />p0L~at7Ie, in GJf (;unJ:u ()vjrf: <br />APPLICATION FORA LOCAL PERMIT OR CHARITY LOCAL PERMIT vVl1h CoY)tr)&t~ apfhaN-! <br />OFFICE OF ATTORNEY GENERAL <br />SFN 9338 (07-2003) <br />Application for: <br /> <br />p1 ~'ltt Vtt1f&.'&) ,1 <br />(), \6 ili,r blh,-t . <br /> <br />~ <br />Local Permit <br /> <br />.. <br /> <br />rity Local Permit (one event per year) <br /> <br />Date(s) of Activity <br />June 2008 <br /> <br />to <br /> <br />Sept 2008 <br /> <br />Name of Non-profit Organization <br />ED RIVER VALLEY FAIR ASSOCIATION <br /> <br />Person Responsible for the Gaming Operation, Including Disbursement of Net Income <br />Bryan K Schulz <br /> <br />Business Address <br />1201 W Main Ave <br /> <br />Mailing Address (If different) <br />POBox 797 <br /> <br />nile <br />Gen Mgr <br /> <br />Business Phone Number <br />701 282=2200 <br /> <br />Zip Code <br />58078 <br />Zip Code <br />58078 <br /> <br />State <br /> <br />Name of Site Wlere Game(s) will be Conducted <br />West Fargo, Red River Valley Speedw <br /> <br />City <br />West Fargo <br />City <br /> <br />West Far 0 <br />Site Address <br />y 1201 W Main Ave <br /> <br />Zip Code County <br /> <br />ND 58078 Cass <br />. Poker. Twenty-one, and Paddlewheels may be Conducted only by a Charity Local Permit. <br />IiJCalendar Raffle 0 Sports Pool 0 Poker. 0 Twenty-one. <br /> <br />ND <br />State <br />ND <br /> <br />City <br /> <br /> <br /> <br />o <br />Check the Game(s) to be Conducted: <br />o Bingo 0 Raffle <br /> <br />o Paddlewheels . <br /> <br />DESCRIPTION AND RETAIL VALUE OF PRIZES TO BE AWARDED <br /> <br />Game Type Description of Prize Retail Value of <br /> Prize <br /> ~ach raftll <br />50/50 Raffle 1/2 of money varies <br /> taken in will dependi <br /> h", rr ; n", ,.., => '.7 => " -'- -f- <br /> collect <br /> <br /> Game Type Description of Prize Retail Value of <br /> Prize <br />c <br />C <br /> CUml $12.000 per yelll) <br /> Total: $ 0.00 <br /> <br />Intended uses of gaming proceeds: <br /> <br />Monev raised will qo back to offset driver payoffs <br /> <br />Does the organization presently have a state gaming license? KI No 0 Yes - If "Yes," the organization is not eligible for a local permit or charity local <br />permit and should call the Office of Attorney General at 1-800-326-9240. <br /> <br />Has the organization received a charity local permit from this or another city or county for the fiscal year July 1 through June 30? KI No 0 Yes _ If "Yes,. <br />the OIganizalion does not quaRfy for a local permit or charity local permit <br /> <br />I permit from this or another city or county for the fiscal year July 1 through June 30? )(] No 0 Yes _ If "Yes,- <br />. This amount is part of the total prize Um" of $12,000 per )'8sr. <br /> <br /> <br />Date Tille <br />5/29/2008 General Manager <br /> <br />BUf~ P~~~u~,O 0 <br />