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<br />. <br /> <br />/ Minnesota Lawful Gambling <br />Lease for Bingo Activity - LG222 <br />Name of Legal Owner of Premises Street Address City Zip Daytime Phone <br />.:~."j~ ~ "'~'-~d ,.-' " <-,~. <br />..'..L-II...... <.-.... -,1___ c....... ~)71Io<..' Lc",I\(l\~: .....\.. I, -'J,'I.i! ) <br />Name of Lessor Street Address City Zip Daytime Phone <br />(If same as legal owner, write in "SAME") <br /> <br />'Pet C G'.,,,,~'77c' C-.",~,o.l(l !-!."L,_k,/I,>",:-( c:- 1":',-'-'- <br />Name of Leased Premises Street Address City Zip Daytime Phone <br /> <br />(. I ,-~_ t ~ I'i, I -< ! 7 c:; I r "f c. . '( . '__ ) <br />Name of Lessee (name of organization leasing the premises) GCBlicense no. of organization Daytime Phone <br /> <br />.: -:..! ~c....,' l~_T"";._. ~L'.,( rr C l;J.'/! (~~/ ::... ) (- ~~- -:;"',-'..:. <br /> <br />Rent Information <br /> <br />Rent for bingo and all other gambling activities conducted The total rent may not be based on a percentage of receipts <br />during a bingo occasion may not exceed: from lawful gambling or attendance at a bingo occasion. <br />. An organization may not pay rent to Itself or to any of its <br />$200 per occasion for up to 6,000 square feet; affiliates for space used far the conduct of lawful gambling. <br />$300 per occasion for up to 12,000 square feet; or <br />, Rent to be paid per bingo occasion $ <br />$400 per occasion for more than 12,000 square feet. (If no rent is to be paid, indicate -0-) <br /> <br />Sketch and Dimensions of Leased Area. <br /> <br />Sketch: For all areas being leased for the conduct of For Premises Permit Renewal Applications Only: I! no <br />gambling and storage of gambling product at this premises, changes have been made atthesite., you do not have.. <br />attach a sketch (drawing) showing: (1) the leased area(s), to complete this section or provide a sketch, <br />and (2) the dimensions. <br /> <br />Dimensions <br />The leased areas are: feet by feet for a total of square feet. <br /> <br />feet by feet for a total of square feet. <br /> <br />feet by feet for a total of square feet. <br /> <br />Storage feet by feet for a total of square feet. <br /> <br />Storage feet by feet for a total of square feet. <br /> <br />Combined total square feet. <br /> <br />Times and Days of Bingo Occasions <br /> <br />Enter bingo days and times below, Circle a.m. or p.m. after each beginning and ending time. A bingo occasion must continue <br />for at least 1-1'2 hours (90 minutes) but cannot exceed four (4) consecutive hours, and at least 15 bingo games must be held <br />at each occasion. An organization (as a whole) may not conduct more than ten (10J bingo occasions each week. <br /> <br />Begins at (a.m./p.m.J Ends at (a.m./p.m.) On Day of Week <br /> <br />Begins at (a.m./p.m.) Ends at (a,m./p.m.) On Day of Week <br /> <br />Begins at (a.m./p.m.) Ends at (a.m./p.m.) On Day of Week <br /> <br />Begins at (a.m./p.m.) Ends at (a.m./p.m.) On Day of Week <br /> <br />Begins at (a.m./p.m.) Ends at (a.m./p.m.) On Day of Week <br /> <br />Begins at (a.m./p,m.) Ends at (a.m./p.m.) On Day of Week <br /> <br />Begins at (a.m./p.m.) Ends at (a.m1p.m.J On Day of Week <br /> <br />Begins at (a.m1p,m.) Ends at (a.m1p.m.J On Day of Week <br /> <br />Begins at (a.m./p.m.) Ends at (a.m1p.m.J On Day of Week <br /> <br />Begins at (a.m./p.m,) Ends at (a.m1p.m.J On Day of Week <br /> <br />Term of Lease Amended Lease Only <br /> <br />The term of this lease agreement wilt be concurrent with the If this is an amended lease Showing changes occurring during <br />premises penmit issued by the Gambling Control Board, unless the term of the current premises permit, write in the date that <br />terminated sooner by mutual consent of the lessor and lessee. the changes will be effective _'_'_, Both parties <br />that signed the lease must initial and date all changes. <br /> <br />Page 1 of2 <br />Rev, 8197 <br />