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<br />/' Minnesota Lawful Gambling . <br />.. Lease for Bingo Activity - LG222 <br />Name I Legal Ownerorp em is Street Address <br />, ' <br /> <br /> <br />Name 01 Lessor Street Address <br />(II same as legal owner. write in -SAME") <br /> <br /> <br />Name of Leased premises StreetAddress <br /> <br />"P..+ 0 Gol.!. 17(... C..,_~...II <br />Name 01 Lessee (name 01 organization leasing the premises) <br />, <br />t.. '2.\ Fe","~"'-+I 01"\0 <br /> <br />Rent Information <br /> <br />Rent for bingo and all other gambling activities conducted <br />during a bingo occasion may not exceed: <br />(1) $200 per occasion for up to 6,000 square feet: <br />(2) $300 per occasion for up to 12.000 square feet: <br />(3) $400 per occasion for more than 12,000 square feet; <br />or <br />(4) $25 per occasion for bingo conducted in. a bar (regard- <br />less of the square lootage) - organization must. <br />conduct another form of lawful gambling. and the <br />premises must serve intoxicating liquor or 3.2 percent <br />malt beverages. <br /> <br /> <br />Zip <br /> <br />Zip <br /> <br />City Zip <br /> <br />f+""J~H,lls 55/11- <br />Ge8 license no. 01 organization <br /> <br />A- e>t./1."II.C'" <br /> <br />( ) <br />Daytime Phone <br />( fD 5 f ) '-3 /_, <br />Daytime Phone <br />( "'~, ) &.; 3 -;I.j, <br /> <br /> <br />The total rent may not be based on a percentage of <br />receipts from lawful gambling or attendance at a bingo <br />occasion. <br /> <br />An organization may not pay rent to itself or to any of its <br />affiliates for space used for the conduct of lawful gam- <br />bling. <br /> <br />Rent to be paid per bingo occasion S <br />(If no rent is to be paid. indicate -0-) <br /> <br />. <br /> <br />Sketch and Dimensions of Leased Area <br /> <br />* <br />300. <br /> <br />Skelch: For all areas being leased for the conduct of <br />gambling and storage of gambling product at this premises, <br />attach a sketch (drawing) showing: (1) the leased area(s), <br />and (2) the dimensions. <br /> <br />Dimensions <br />The leased areas are: <br /> <br />Storage <br />Storage <br /> <br />feet by <br /> <br />feet by <br /> <br />feet by <br /> <br />feet by <br /> <br />feet by <br /> <br />Times and Days of Bingo Occasions <br /> <br />. ~;.. -'..." -, ., - .. . . . <br />F~rPremises PermiIRenew..IAppiic:atlons Only: If no <br />'chinges have been made al the site, you do. not have' <br />'to'completSthi.. section or provide a sketch; ... . ... ..... <br />\.;(j,;j:H>>:::-...... ".,' '", .' - . -', <br /> <br />feet for a total of <br />feel for a total of <br />feet for a total of <br />feet for a total of <br />feet for a total of <br />Combined total '1.'" e> o.J <br /> <br />square feel <br />square feet. <br />square feet. <br />square feet. <br />square feet <br />square feet. <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 1-112 hours (90 minutes) but cannot exceed four (4) consecutive hours, and at least 15 bingo games must be h.eld <br />at each occasion. An organization (as a whole) may not conduct more than ten (10) bingo occasions each week. <br /> <br />~ <br /> <br />Beainnina/Endina Hours <br /> <br />~ <br /> <br />~ <br /> <br />Beainnina/En.dino Hours <br /> <br />'j i <br /> <br />Beainnina/Endina Hnurs <br /> <br />to <br /> <br />.. <br /> <br />to <br /> <br />to <br /> <br />to <br /> <br />to <br /> <br />to <br /> <br />to <br /> <br />to <br /> <br />to <br /> <br />to <br /> <br />Term of Lease <br /> <br />The term of this lease agreement will be concurrent with the <br />premises permit issued by the Gambling Conlrol80ard. unless <br />terminated sooner by mutual consent of the lessor and lessee. <br /> <br />Amended Lease Only <br /> <br />If this is an amended lease showing changes occurring during <br />the term of the current premises permit, write in the date thaI <br />the changes will be effective ---...1_'_' Both parties <br />that signed the lease must initial and date all changes. <br /> <br />Page 1012 <br />1/99 <br />