<br />
<br />Minnesota Lawful Gambling
<br />LG215 Lease for Lawful Gamblin
<br />. Sbeelliddnlss
<br />.,.....
<br />o ~~.(
<br />Name of Iassor. Sbeelliddnlss
<br />(If same as legal owner, write In ..SAME~).
<br />K~d""r( r' q".E?;~.:~t 'GfZ-
<br />Nameofleasedpramlses Sln>elliddnlss
<br />/(4~ ~:S ~~~e.. -1M ., ''i,,.;r,
<br />Name of (organIzation'-lngl\lepnllll.....) , ."
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<br />
<br />
<br />Sale
<br />I'YV 5'S-01
<br />Sale
<br />
<br />5/04
<br />Page 10(2
<br />~ Daytime pima
<br />Cryj ?$3 1B8ro
<br />~ " Daytime pima
<br />
<br />e.....k-'d~-f..{l ~..k...r//1&- /'(1/ ~;;t?$. 'tJ.1-t>J,I!;.
<br />OW ~ DayIlme phone
<br />~,,/fe /l,v .r.:lOJ8 :r. -~n /&>77
<br />0rga1lzaIlqn Iloen8enumber , . Daytime phone
<br />
<br />';;.1.-;',';>
<br />
<br />Rent Information
<br />(for ad:Mty iJ1V)lMng pulHabs. tlpboanls. padd/ewheeIs, III1d'puII-tab dlspensilig cIaOOes. No IoIIse l'!qU1n!d for rallies,)
<br />- ....-. salesd'll"mblng equipment by 10 ...~ (ar' --. .........-.,......of gambling "'lulpmontWllNn a leased
<br />'IOIun12tr) of. _ _nlzallon wIIl~ a '"""'"'" ."dosun!lhat II '... .......... by an ernpIovee rI tI1e...... from . a>mmon al9 wf1ere
<br />~~r~~~~~~~~~~_~____~~~~_~________,
<br />.' . _ Do.- your orguJutIon OR any aa... orpnIzatIon c>>nduct MJIIIIIn1l
<br />. ..' f,,,n.. booth~ atltlklocatlon? _V. ,..k::::.fIo '
<br />L_____~-___-~---~-------__~~--~------~
<br />If you answered yes 10 the questlon above, rent IIm1l1 iI/1! . Jfyou answered no,fu ttoe l\Iiesl!OlI above. rent IImlIs "'"
<br />based on tlie tOIlov,ing comblnirt!ons d operation: based on thefolJoMng ~ of ope;aIk.n:
<br />Bootll operation BaroperatfofJ. " "." ....
<br />- IIootiI operation and pull-tab dispensing devItll - Bar cperalIon WIlI1 puI~ cIlspensIng devltll
<br />- BoolhOperatlonlindbaroPerau<;n' . ." . Pull-tabdf5Peno;lngclevlceOnly'
<br />IIootiI operatfon, bat operation, and pull-tab dlspenslrig device
<br />lhe.~~'!1rerita~li1ayi1oc~lhe~;' Thl_mlmrent~rnaY';;;"exa!elItI1ellmlls
<br />estabI~ undei' Iollnilesota.SIatute 349.18, &lbcl.1(bl{ 4). es.tIbllshed UIIllerI;Vnrlesola Statute 349.18,SUbcI. 1(bl{4).
<br />1h~ Iimlt~~bf~i;2094t$$(7.~O In'loIal permoirth Thellmtasllf~ 1, 20041$ ~In IIllal per month
<br />farallorgilnlzlltlonsatthlsJll""'lSes.. forallcrganIZallCOl!at~~ .
<br />;'; -~
<br />Com",~", ~,!lpl:lQn: . Compl__ Oplfon:
<br />~on.'. .~'O!P..!l\'ll>'llf ti1jJj.l'(lSS profits per month. . OptIon A: 010 20'11o afd1e llJ!l5S profits per month.
<br />~tageto~re'~;~% .... . . PertenlagetDbepald' E-% '
<br />" : ;;:;::~::",: "':,:':;\'ttf': :'.'.',~ ~:':<,':~; ;,::",; ,,' ~,'" ,,-", ,,' "", ,'., ',- _ ~ ',;:~:' 0/>.,_ ,', ::';,)~;i;~,:,J:' :w>-_,..- ,;. ->" ;',C''',;'';,:-',' ;, .c." .
<br />Option B: wne,j~ profits are $4.000 or less ~ 11'1OIlth, $0 100ptlciri Bf When gra;s prCIftsare $1,000 or less per month, $0 III
<br />$4OOperl1lO!'ljli'may~'paicl.'~lx>liepald$ "", $201)'Perll1onIlHI,aybepalcl;ArnOOritlobepald$ .
<br />, _'_,' ~ "'\';~"~~:~~i.-~:,{:':~,::r;;"':>~,"::.?' ., ,,',"-'.;:~~;:_':.,\>'/E<',,;~;:-,}>:::, ,_-, <:,/,.- ...
<br />OptlQn ~ $O.lQl!I!O,Permontl1 maybii paid 6!1~"I'$t$4,OO(I: q~c: $OtofmO per monll\lll8Y be paid on thellrst $1.000
<br />~~":~~~ij~!e~~k/t '~:';':.isilt\!'l"~Jofl!t~~~tp!!e~,$ ..... monit.",,' Plus 0'11o In.
<br />-. .'., ~Pt~+~..j>lI..PI'[. . C"g.+~;" m;.,.~\,!~!!'li!Y. ~W '. , gnsprollts
<br />over $~,OOO;' ~to bil'iiakI OC'" .', %' ~'j~"""'''''''' cQVei'$I,!Jll!l" ~tI!be palO'"'II>
<br />ar~II-ta."bsactl~';MtI'-ta'. bs""'W" ~~~~ng~L'."'- 11':':':"':'" .""':Y:," '.'0'''.>..''''''<';'''''' ' ., .0'
<br />VPlJII -"" '"''''''''''_ _,_ ........_ -'C:.I'aCIClIeWIleel'hd.'ti.heei.Withtable
<br />. ,.. ,.,. . Rctntlnformatlon:\Blngo .0'
<br />Blngoancl!Cl!:JIarBInI/O~lons ,..,/ ,... '..Nooit'tlourlllngcl........._.
<br />=~.:.::~rln1a~~:ero::,~:v~; . .'Rerit'1rIaY riOt~;'~$25w day for noon hour
<br />. $200 per ocrasIOn fcl. up In 6,000 squar. fellI: blI1gQ., t;CIld~ "~1!lSI 11 a.m. and 2 p.m. at a
<br />. $300 peroa:aslOn fui up In 12.ooo~ filet ~ wIIIl a license for tile sale of IntnxIcaIIng
<br />. $400 per oc:tasIonfor mote II1an 1~OO(jSqOiJnl.reet' ." '''~ontheprer''-
<br />. $25 per DCX:IIS!OO ~r ~~bIngocondu~;t~l!iit'~.~". Rent to Ill! paid per liIngo ~ $
<br />ba'(Fe!1~rdless,~.,~~e).y'1l!r,~~,:, ...,e.c,^"",,',,'\.1.'.i,'\ \..... . '.
<br />must tIlridlid: an,ol!jlir fQnn ,of Iawf\!!Jli1Il]!lJl!illtilr.J!l.}:lle ,r. FGi~-=bIrlIO~IiGI:~I.IY:'
<br />~-=:.~ ~ng liquor ~ ~'~0", .1,,~'~'.P1"'-""7r.It~~. I
<br />" ...... . "'.;" . ,." '.' ' .. """.I~..~.~n,>1l. .JlIlIlOI!!:......tfIe I
<br />Rent to be paldpefl1lngo 0Gt:aSI0n $ . , .. ': "~lIndllaintMt"'wlllbliiliindo""""
<br />. .',.' -":';"'...' .-~. ".,"H ;~..J.'~: ""'L-.;;.;.;:,..;...,__:..;.....;;.;.;.",;w',.~"~/-'~~.:-.~;,,;,;,,,;.__..J
<br />Am d d...Jfll1lsl!>an....,dedlollse"'-fng.~OCCJningd~rlng lBII\aflheaarorltprem/$f;lJllll'll1!t, partfes
<br />." en e tI1atsIgriMttleleaoiemusl:I~~dIlIeaD~gils:Oilingein\ilstbe'su~lx>ltiitGliiTtiIiigOx1lnllBoan:l
<br />'Lease ,!,,"'10.~ jIrio.1o lhe change;" WrIte In lhediate.lllatlhedtangGSwII txi.~~~_'
<br />Only..,.". ..'''..,' I"" .'..' ",', ". '. .' "
<br />LesSor . . Date , o.....n/zatIcn ""'" .
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