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~" .~\ . r ~' \_ \-1 '........j"\L-' Minnesota Lawful Gambling LG222 Lease for Bingo Activity Page 1 of2 6/01 e Name of Legal Owner of Premises Street Address City State Zip Daytime Phone &..1.(,".. ~ S l,,-doL.-.> 'Un /l'11i. L" 1J1..~ MP <;S'i'{ '! U! .18<{O Name of Lessor Street Address City State Zip Daytime Phone (If same as legal owner, write in "SAME") S An'L. Name of Leased Premises Street Address City Zip Daytime Phone f. -r 0 G.~IJ 377L G:;./1 iWI( Jy~ 1+1/15 KP S-S'it 2.- q/-l71i Name of Lessee (name of organization leasing the premises) Organization license Number Daytime Phone )t. 11 A Ill/' I f. oM,IMt;ff...J ofT1f.,p",x C /I uJ.dl A- c~ If!!? '(Kf S-U-'(- Rent Information (5) $25 per day for noon hour bingo conducted between Rent for bingo and all other gambling activities conducted 11 :00 a.m. and 2:00 p.m. on a leased premises during a bingo occasion may not exceed: (regardiess of the square footage), and the premises (1) $200 per occasion for up to 6,000 square feet; must haVe a iicense for the sale of intoxicating (2) $300 per occasion .for up to 12,000 square feet; beverages on the premises under chapter 340A. . The total rent may not be based on a percentage of (3) $400 per occasion for more than 12,000 square receipts from lawful gambling or attendance at a feet; bingo occasion. (4) $25 per occasion for bingo conducted at anytime . An organization may not pay rent to ttseff or to any of in a bar (regardless of the square footage) , tts affiliates for space used for the conduct of lawful organization must conduct another fonn of lawful gambling. gambling, and the premises must serve intoxicat- Rent to be paid per bingo occasion $ "3 ~ ing liquor or 3.2 percent ma~ beverages; or (If no rent Is to be paid, indicate -0-) <90. Sketch and Dimensions of Leased Area For Premises Pennit Renewal Applications Only: If no Sketch: For all areas being ieased for the conduct of changes have been made at the site, you do not have gambling and storage of gambling product at this premises, to complete this section or provide a sketch. attach a sketch (drawing) showing: (1) the leased area(s), and (2) the dimensions. The leased areas are: feet by feet for a total of square feet. 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 sq uare feet. Combined total square feet. Times and Days of Bingo Occasions Enter bingo days and times belOw. A bingo occasion must continue 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 at each occasion. An organization (as a whole) may not conduct more than ten (10) bingo occasions each week. Q2Y Beainnina/Endina Hours Q2Y Beainnina/Endina Hours Dav Beainnina/Endina Hours 5AL I PM. to -4 PH /vb! {().I~to ,</-" to - S.1LC.. 7:/( f'" to q:/lf;' ~J 7.' 10;"'0 ..,:Ink - to 5..1:- <t:/( ,,,,, to 11;'( fH ~J r.'l(h4lo 'I.' If I'"' - to 5:ti- 1/:'11'" to p( /l H . Noon Hour Bingo Only Q2Y Beainnina/Endina Hours Q2Y Beainnina/Endina Hours Dav Beainnina/Endina Hours - to - to - to - to - to - to to Amended Lease If this is an amended lease showing changes occurring during the tenn of the current Only premises permtt, write in the date that the changes will be effective _'_1_. Both parties that signed the lease must initial and date all changes. e e