Laserfiche WebLink
<br />,0 <br />i<t-,$? <br /> <br />I <br />I <br />I <br />I <br />L_ <br /> <br />Minnesota Lawful Gambling <br /> <br />LG215 Lease for Lawful Gamblin <br /> <br />Check applicable item: <br />_1. Lease for new application. Submit with new premises permit application. <br />.K.2. Renewed lease. Submit with premises permit renewal. <br />_3. New owner. Effective date .--! ~_ Submit new or amended lease within 10 days after new lessor assumes ownership. <br />___.4 Amended lease <br /> <br /> <br />6/07 <br />Page 1 of 2 <br /> <br />. Crle~k ttls ',~nanqe{ s ~ne lease <br /> <br />R_~(!T <br /> <br />C'hCj('-'!SP':::. - :~("'-;F <br /> <br />fV+,-,~;'it)3 <br /> <br />L\r:p <br /> <br />~r':o'K~e <br /> <br />')ti'\e~ <br /> <br />. :)ats rnar -j"i8(\gesMi;i 08 etteCP',if <br />t' ,9urr 08!i:!8S: T"fi!)S' initiai ;:;fr;<~ '.late ai ';.ha nge.':: <br />. Submit chan es at least 10 days before the effective dale or trie cnange <br /> <br />Organization name : License number <br /> <br />'Cuc..P Brole .5ec/~ C4.-..5 I <br />Name of leased premises <br />kz:;~ :S <br /> <br /> <br />Street address <br /> <br />Daytime phone <br />~-:JO$'- ~ <br />, Zip D;;lytime phone <br />!G5b5t3 ~51-~.J-7T / <br />City ! State Zip Daytime phone <br />c-e~,.,_4J/C--!111/ iY'~&8 ~51-I"$:J -77'f'/ <br />City State Zip Daytime phone <br /> <br />70 'tl!3 ~(..oh-,-",,'#~ ~ <br />Business/street address <br /> <br />l5-o38rt:JO <br />City State <br />eevf-v&:h/lc MN <br /> <br />Name of legal owner of premises, <br /> <br />J Ct. A. Q. f.(./ i:..- ';J/ fide.- <br />Name of lessor (if same as legal <br />owner, write in "SAME") <br />...?Q./Jf-e z::::.--. <br />Check (-oJ) all activities that will be conducted <br /> <br /> <br />Pull-tabs _Pull-tabs with dispensing device _ Trpboards <br /> <br />/-. Pull-tab, Tipboard, and Paddlewheel. Rent (Nolea$6l"eQWedforrQff\es.) .. <br /> <br />Booth operation - sales of gambling equipment by an employee Bar operation - sales of gambling equipment within a leased <br />(or volunteer) of a licensed organIzation within a separate enclosure premises by an employee of the lessor from a common area where <br />that is distinct from areas where food and beverages are sold. food and beverages are also sold. <br />r ~ ~ --- ~..._o:_"'"""'":~ -.- ---~~~~~ ~..~~---~,......,~ .......__________________...._0:_ ~ ___~___~ <br />'.. ..' ... ..' .... '.' ...... D... o. .e. ..$.Y.p....JJ. r.. .q......a...a. ..n.j.z.,.~."i.on. .'. 0... R. .. .~...n.y. . .0. t." e. X.'. ~.r.Oll. 'nlAtian...... .... ~~mClu.~9. .a.I1t.I>.u.n.9.... d.. . ....... ... ....... .'. ........ . ..... ....."1.. <br />. ...... .d..........fromaboothoperationaUhislocation? . 4; Yes.. _______No d.......... ....d.. .d. .' <br />---------------- -------~----~---~ <br /> <br />If you answered yes to the question above, rent limits are If you answered no to the question above, rent limits are <br />based on the following combinations of operation: based on the following combinations 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 />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 month 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 I {) % <br /> <br />Option B: When gross profits are $4,000 or less per month, $0 to <br />$400 per month may be paid. Amount to be paid $ <br /> <br />Option C: $0 to $400 per month on the first $4,000 of gross <br />profit. Amount to be paid $ <br />Plus, 0% to 10% of the gross profits may be paid per month on <br />gross profits over $4,000. Percentage to be paid % <br /> <br />Bingo Rent <br /> <br />Option 0: 0 to 10% of the gross profits per month from all lawful <br />gambling activities held during bingo occasions, exduding bar bingo. <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 % <br /> <br />Option B: When gross profits are $1,000 or less per month, $0 <br />to $200 per month may be paid. Amount to be paid $ <br /> <br />Option C: $0 to $200 per month on the first $1,000 of gross <br />profits. Amount to be paid $ . <br />Plus, 0% to. 20% of the gross profits may be paid per month on <br />gross profits over $1,000. Percentage to be paid 0/0 <br /> <br />Bar Bing() Rent <br /> <br />X 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 <br />110% of a comparable cost per square foot for leased space, as <br />approved by the director of the Gambling Control Board. No rent may be <br />paid for bar 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 />New BingoActivity <br /> <br />For any new bingo activity not previously <br />induded in a Premises Permit Application, <br />attach a separate sheet of paper listing the <br />days and hours that bingo will be conducted. <br /> <br />;)1 <br />