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<br />gu}?m; t I'IO.(X) " ^ .. " , lOt) -ttee, <br />f~~aA1lt ~ WS~untu ~I+, <br />APPLICATION FOR A LOCAL PERMIT OR CHARITY LOCAL PERMIT wl~n Contyl~ tl(Jt'Jtart'1 <br />OFFICE OF ATTORN=Y GENERAL <br />SFN 9:J38 (07-2003) <br />Application for: <br /> <br />02/10/2009 19:13 <br /> <br />7012811787 <br /> <br /> <br />D Local Permit <br /> <br />WENNSOFT FARGO <br /> <br />PAGE 01/01 <br /> <br />.. Ef'(;harlty Local PermIt (OnB 81111nl par year) <br />Oatl(l) of Acllvlty <br />3/2. o~. <br /> <br /> <br />~'f Dll <br /> <br /> <br />to .31z.'f 0 <br />Business ~ Number <br />Ot -3' I... g'lt7 <br />State Zip Code <br />o 5 KO 4 7 <br />lip COCII <br /> <br />TItle <br /> <br />w <br /> <br /> <br />City <br /> <br /> <br />u..o11- LoU:S'R. 'iiIAdilress'y, 2- <br /> <br />stIle Zip CDds <br />\) 0'-11 <br />· Poker. Twenty..one, and Padlllewheels may be C~ only by. Charity L.ocal Permit. <br />qc.lenlllll' RllftIe CJ Spons 1"001 t2fF'(Iker. 0 1wentt-one. <br /> <br />Check !he Game(,) to be ConduGted: <br />o Bingo 0 RIIflIe <br /> <br />DESCRIPTION AND RETAIL VALUE OF PRIZES TO BE AWARDED <br /> <br />Game Type Description of Prize Retail Value of <br />Prize <br />1tXtc5 ~Q\ r.f.\s. ~ 1f!.D <br /> <br />AvE- <br />nly (!,A~ <br /> <br />.. <br />r. <br /> <br />o Paddlewneels. <br /> <br />I <br />I; <br /> <br />Game Type Description of Prize Reta.~~aIUEl of <br />. nze <br /> (l.irl11t1~ per,o.~ <br /> Total: $ 0.00 <br /> <br /> <br /><l"..,S <br /> <br />00llI1IlI mganlzallon pl'H8nlly hive a stilI glmlng Rama? ~D ette.. It "Yes."the orglnfzallan Is not englble for I lOCal permit or enlrlly local <br />permit and &hould can the Offlce 0' Attorney General a\ 1-800-328-9240. <br /> <br />Hal Iho organludon reoalwd a charfty local permIt from Ihfa or anoltlar r;lly (It CQ\l111y for trnl IJec:s1 year July 1 through JtmB ~O? r::rNo CJ YC3. If "Ye5," <br />the organlzallon does nol qllllify for aloelll permll or charily 10elll permlL <br /> <br />Hal tnll ollllnlO1lOl'l recelllld a local permit from this or another city or county for the liscal yair July 1 throUlJh June 30? ~ 0 VIIS . If "Ves." <br />lncllcale tile lotal YllUe of all prues preVIOUSly aWllrtllld: . . T1lfs emount Is pi" oftrJe rotl!l pr1z!l limit Of $12,OOOpat}'8l!lr. <br /> <br />