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- Minnesota Lawful Gambling Lease for Bingo Activity - LG222 Name of Legal '?'Nner of Premises Street Address City Zip Daytime Phone GOt.-. 0 IE '5",~ DO w '377G CONNE'U/( ARv~)-I,,-u 551/?-- ( 1,,/'- ) &'71 -17C-'f Name of Lessor Street Address City Zip Daytime Phone . (If same as legal owner, write in "SAME") "5AME" ( ) Name of Leased Premises Street Address City Zip Daytime Phone POT O'60LO '377(" CONNt';L.L'1' AROteN Hnl..s 5511l- ( &.31 ) 1/ Z4 Name of Lessee (name of organization leasing the premises) GCB license no_ of organization Daytime Phone LI6/-I, BiZ. I <0 A. DE IN'C. 02."]4-/ ( IRI't ) fp;,6,cSII Rent Information Rent for bingo and all other gambling activities conducted The total rent may not be based on a percentage of receipts during a bingo occasion may not exceed" from lawful gambling or attendance at a bingo occasion. . An organization may not pay rent to itself or to any of its $200 per occasion for up to 6,000 square feet; affiliates for space used forthe conduct of lawful gambling. $300 per occasion for up to 12,000 square feet; or $400 per occasion for more than 12,000 square feet. Rent to be paid per bingo occasion $ '300,"'" (If no rent is to be paid, indicate -0-) Sketch and Dimensions of Leased Area Sketch: For all areas being leased for the conduct of For Premises Permit Renewai Applications Only: If no gambling and storage of gambling product at this premises, changes have been made at the site, you do not have attach a skelch (drawing) showing: (1) the leased area(s), to complete this section or provide a sketch. : ." and (2) the dimensions. :' Dimensions The leased areas are: feet by feet for a total of square feel, feet by feet for a total of square feet. feet by feet for a total of square feet. . Storage feet by feet for a total of square feet. Storage feet by feet for a total of square feet Combined total square feet. Times and Days of Bingo Occasions Enter bingo days and times below. Circle a.m. or p,m. after each beginning and ending time, A bingo occasion must continue for at least 1-112 hours (90 minutes) but cannot exceed four (4) consecutive hours, and at least 15 bingo games must be held at each occasion. An organization (as a whole) may not conduct more than ten (10) bingo occasions each week, Begins at Z:OO (a.m.t@) Ends at Lj.: 00 (a.m.(@ On Day of Week F'1i I Oil Y Begins at ,:1' (a,m.@.) Ends at "l:rJO (a.m.~ On Day of Week FRIDA'r' Begins at q:/) (a.m.lp,m.) Ends at II' 00 (am.l@ On Day of Week Fgl DAY Begins at /1: /) (a.m.lp,m,) Ends al /: 00 ~Ipm,) On Day of Week FRIDA'\' Begins at (a.m.lp.m.) Ends at (a.m.lp.m.) On Day of Week Begins at (a.m.lp,m.) Ends at (a.m.lp,m,) On Day of Week Begins at (a,m.lp.m.) Ends at (a.m.lp,m,) On Day of Week Begins at (a.m.lp,m.) Ends at (a.m.lp.m,) On Day of Week Begins at (a.m.lp.m,) Ends at (a,m.lp.m.) On Day of Week Begins al (a.m.lp.m.) Ends at (a,m.lp.m.) On Day of Week Term of Lease Amended Lease Only The term of this lease agreement will be concurrent with the If this is an amended lease showing changes occurring during premises permit Issued by the Gambling Control Board, unless the term of the current premises permit, write In the date that . terminated sooner by mutual consent of the lessor and lessee. the changes will be effective _1---1_. Both parties that signed the lease must initial and date all changes. Page t of2 Rev. 8/97