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CITY OF ROSEMOUNT
DAKOTA COUNTY, MINNESOTA
RESOLUTION 2003 -
A RESOLUTION APPROVING A GAMBLING PREMISES
PERMIT RENEWAL APPLICATION FOR
AMERICAN LEGION, POST 65
NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Rosemount,
Dakota County, Minnesota, hereby approves the Gambling Premises Permit Renewal Application
submitted by the American Legion, Post 65 to conduct charitable gambling at Rosemount
American Legion, 14590 Burma Avenue, Rosemount, Minnesota for the period of September 1,
2003 to September 1, 2005.
ADOPTED this 7th day of August, 2003 by the City Council of the City of Rosemount.
William H. Droste, Mayor
ATTEST:
Linda Jentink, City Clerk
CERTIFICATION
I hereby certify that the foregoing is a true and correct copy of a resolution presented to and
adopted by the City Council of Rosemount at a duly authorized meeting thereof, held on the 7th
day of August, 2003, as disclosed by the records of said City in my possession.
(SEAL)
Linda Jentink, Rosemount City Clerk
Motion by: Second by:
Voted in favor:
Voted against:
Member(s) absent:
State of Minnesota For Board Use Only
Gambling Control Board f
Amt. Pd
Premises Permit Renewal Application
Check #
LG214PPR Printed: 2/5/2003
License Number: A- 01253 -001 Effective Date: 9/1/2001 Expiration Date: 8/31/2003
Name of Organization: American Legion Post 65 Rosemount
Gambling Premises Information
Name of the establishment where gambling will be conducted
Am Legion Post 65 Note: Our records show the premises
14590 Burma Ave W is located within the city limits
Rosemount, MN 55068
County: Dakota
Lessor Information
' Note: Our records indicate that the
organization owns this premises
Bingo Activity
Our records indicate that Bingo is conducted on these premises. Please refer to the instructions for required at
Storage Information
2000 Old Co Rd 34th PI
Burnsville, MN 55337
Bank Information
Vermillion State Bank Gambling Bank
3410 151st St W Account Number: 31368
Rosemount, MN 55068
On the lines provided below list the name, address and title of at least two persons authorized to sign checks and make deposits and
withdrawals for the gambling account The organization's treasurer may not handle gambling funds.
Name Address City, State, Zip Code Title
Robert Joseph Femrite
4476 Ln
Eagan, MN 55123
(Be sure to complete the reverse side of this application)
This form will be made available in alternative format (ie. large print, braille) upon request. Page 1 of 2 (Continued on Back)