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2006-07-12 CC Packet
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2006-07-12 CC Packet
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<br />Minnesota Lawful Gambling <br />LG215 Lease for Lawful Gambling Activity <br /> <br />8/05 <br />Page 1 of 2 <br /> <br />Organization name <br />IJce:e.R /3r~oic- .5~..LP/c <br /> <br />License number <br /> <br />Daytime phone <br /> <br />cb' 13 -0 3g~o t.".f7-t/tr-72Zjl-- <br />Name of leased premises Street address City State Zip Daytime phone <br /> <br />WisC?..."vS p-.u.~ ~ ;J.",j 70 r~ lp -I{ /t.,z, CC,tt:kr-~I/c- MN 53'Z')3B ~1~<:-,j-Y '/~Tr <br />Name of legal owner of premises Business/street address City State Zip ! Daytime phone <br />:r;,4A. /7~~~.// 77~'i' WH Ih:- L.,<..t~ /..~ {~ ;0/)'../ 10PIY!~-5l~6>J''-$tlfi <br />Name of lessor (if same as legal Business/street address Qty State Zip Daytime phone <br />~wner. writejn "SAME") t" . f! P .// /1'1/ I~S& /4~"-'Z _IIP~ <br />ffi:#1t&'X J1:~~/~~rfe..L 6Yftcr!"i-{/T...."'J!k/2, Ce~~t::/"/t'c 17~ i7'./1 <1'/ {.o/ <br /> <br />Ch~k all activities that will be conducted: , <br />~ull-tabs _Pull-tabs with dispensing device _Tipboards XPaddlewheel _Paddlewheel with table _Bingo _Bar bingo <br /> <br />Pull-tab, Tipboard, and Paddlewheel Rent (No lease required for raffles.) <br /> <br />Booth operation - sales of gambling equipment by an employee Bar operation - sales of gambling equipment within a leased <br />(or volunteer) of a licensed organization Within a separate enclosure premises by an employee of the lessor from a common area where <br />that is distinct from areas where food and beverages are sold. food and beverages are also sold. <br /> <br />r-------Do~~U~~an~tiO~RanYOfuer~ani~tion~ndu~ambling-------, <br />from a booth operation at this location? Yes No <br />L______________________~_____________~ <br /> <br />If you answered yes to the question above, rent limits are If you answered no to the ques~iQn above, rent limits are <br />based on the following combinations of operation: based on the following combinatio\ls of operation: <br />- Booth operation - Bar operation <br />- Booth operation and pull-tab dispensing device - Bar operation with pull-tab dispensing device <br />- Booth operation and bar operation - Pull-tab dispensing device only <br />- Booth operation, bar operation, and pull-tab dispensing device <br /> <br />,f <br /> <br />The maximum rent allowed may not exceed $1,750 in total <br />per month for all organizations at this premises. <br /> <br />The maximum rent allowed may not exceed $2,500 in total <br />per mont~ for all organizations at this premiseS. <br /> <br />Complete one option: <br />Option A: 0 to 10% of the gross profits per month. <br />Percentage to be paid % <br /> <br />Complete one option: <br />Option A: 0 to 20% of the gross profits per month. <br />Percentage to be paid It!:) % <br /> <br />Option B: When gross profits are $4,000 or less per month, $0 to Option B: When gross profits are $1,000 or less per month, $0 <br />$400 per month may be paid. Amount to be paid $ to $200 per month may be paid. Amount to be paid $ <br /> <br />Option C: $0 to $400 per month may be paid on the first $4,000 <br />of gross profit. Amount to be paid $ Plus 0% to <br />10% of the gross profits may be paid per month on gross profits <br />over $4,000. Percentage to be paid % <br /> <br />Option C: $0 to $200 per month may be paid on the first $1,000 <br />of gross profits. Amount to be paid $ . Plus 0% to <br />20% of the gross profits may be paid per month on gross profits <br />over $1,000. Percentage to be paid % <br /> <br />Bingo Rent <br /> <br />Option 0: 0 to 10% ofthe gross profits per month from all lawful <br />gambling activities held during bingo occasions, excluding bar bingo. <br />Percentage to be paid _% <br /> <br />Bar Bingo Rent <br /> <br />_ Option F: No rent may be paid for bingo .. <br />conducted in a bar. <br /> <br />Option E: A rate based on a cost per square foot not to exceed 110% <br />of a comparable cost per square foot for leased space, as approved by <br />the director of the Gambling Control Board. No rent may be paid for bar <br />bingo. Rate to be paid $ per square foot. <br />The lessor must attach documentation, verified by the organization, to <br />confirm the comparable rate and all applicable costs to be paid by the <br />organization to the lessor. <br /> <br />r------.------, <br />For any new bingo activity not previously <br />I included in a Premises Permit Application, I <br />I attach a separate sheet of paper listing the I <br />days and hours that bingo will be conducted. <br />L____________~ <br /> <br />Amended <br />Lease <br />Only <br /> <br />If this is an amended lease showing changes occurring during the term of the current premises permit, both parties <br />that signed the lease must initial and date all changes. Changes must be submitted to the Gambling Control Board <br />at least 10 days prior to the change. Write in the date that the changes will be effective --1--1_. <br /> <br />Lessor Date Organization Date <br /> <br />4-Lt <br />
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