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Minnesota Lawful Gambling LG222 Lease for Bingo Activity . . . A me W-NlfFI C I/Z Page 1 of2 6101 Name of legal Owner of Premises Street Address Go iu.- Name of lessor Street Address (If same as legal owner, write in "SAME") City (lq1~ Ltl City State Zip L 1-1 State Zip Daytine Phon'( 7(,3) o Daytime Phone Name of Leased Premises Zip Daytime Phone (, d) SOl\. t3t. /71- Daytime Phone Street Address City v " Organization License Number Rent Infonnation Rent for bingo and all other gambling activities conducted during a bingo occasion may not exceed: (1) $200 per occasion for up to 6,000 square feet; (2) $300 per occasion.for up to 12,000 square feet; (3) $400 per occasion for more than 12,000 square feet; (4) $25 per occasion for bingo conducted at anytime in a bar (regardless of the square footage) , organization must conduct another form of lawful gambling, and the premises must serve intoxicat- ing 6quor or 3.2 percent mall beverages; or CifJt2.c - { (5) $25 per day for noon hour bingo conducted between 11 :00 a.m. and 2:00 p.m. on a leased premises (regardless of the square footage), and the premises must haVe a license for the sale of intoxicating beverages on the premises under chapter 340A. The total rent may not be based on a percentage of receipts from lawful gambling or attendance at a bingo occasion. An organization may not pay rent to IIsell or to any of its affiliates for space used for the conduct of lawful gambling. Rent to be paid per bingo occasion $ (If no rent is to be paid, indicate .{)-) <><> ~OD ,- Sketch and Dimensions of Leased Area For Premises Permit Renewal Applications Only: If no changes have been made at the site, you do not have to complete this section or provide a sketch. Sketch: For all areas being leased for the conduct of gambfing and storage of gambling product at this premises, attach a sketch (drawing) showing: (1) the leased area(s), and (2) the dimensions. The leased areas are: Storage Storage feet by feet by feet by feet by feet by feet fur a total of square feel. feet for a total of square feet feet for a total of square feel. feet for a total of square feel. feet for a total of square feet. Combined total ~ (. t.{ t' square feel. Times and Days of Bingo Occasions Enter bingo days and times below. A bingo occasion must continue fur 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. Dav Beainnina/Endino Hours Day BeainninalEndino Hours .5~ {/-I"" to {(Poo T"t2- (1<90 to :L{ 00 s.~ /1190 to ) / c> C> ~ ){6'0 to 2-$&,;> 5ULl,..L... l{oD to 2300 to Dav Beainnina/Endina Hours 'fHu ~ I<{oo to 2{""" 'Zl<p,,", to 7-3 D D to to Noon Hour Bingo Only !@y Beoinnina/Endina Hours Dav Beoinnino/Endina Hours Dav Beainnina/Endino Hours to to to to to to to Amended Lease Only If this is an amended tease Showing changes occurring during the term of the current premises perml, write in the date that the changes will be effective ~_'_. 80th parties that signed the lease must initial and date all changes.