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Minnesota Lawful Gambling �,� �-G215 Lease for Lawful Gambling Activity �� f�r2 �r�anizatior€ name �r�rscw�lli. �,�t� �'caiai.�i `dame of leased premises _ � ��!4 `, .-• i i i};�,] ri� . . � Li46f18@�111Ct•lbBf Dapl:ne uliti7r.t I ;I� :k�;r ,��- ' �t�f1�1��-+]� ��-��.�s��[�_ ��L i � i i7y �.�;� Roseville � � � ��Y�� 99 �� amenflegalowneroforemise$I Businesslstreetaddress C� Yv in�C�z��at� v }� � �llrl�'in1AV �"�' � ouessor (it same as iegai tsusinessisi , write in "SAME) �� Zip Zip 612-781-37184 �heck all activities that will be cnndur�ed: X X X __Pull-tabs �ull-tabs w[th dispensing devlC2 Tpbaards _ Paddlewhee[ ,�Paddlev+rhe�f with table _Bir�go a Pull-tab, Tipboard, and Paddlewheel Rent i'{� lease required for raffles.} r bingo ��vtN 7�� tlo�+ .�3i�s ai c�m4F�sg �u�+riwt �r an ��v��:� 9N. oa�e-aall0� -'3iG r,t ain�+tip eC�u�r•t wt11ri a�4 tCr J4%ftIX� � N iiq�y�}q,� U{�erii�F'I e,khhl } fepa°ate tii�S�es.iee ; re�sq; Y�r an cmploy�? ad ttag I� irom ,k oCi�irron 3R'E ►+'FR'f� �rat �c •i�na�rcr� areaswhere fee�3 an�y I.*.eraryes dr� �'��. ltoa ar�b �'�� e � r.�. r � a L^ C2oes your 4roanization OR anv oth.er organiaation conduct dam�sling from a booth operation at this location? Yes Nn �----�..�.�r—T---------�—� ��—��-----------J If you answered�$Sto the questionabove, rent limits are taased on the following combinationsof operation: - Booth operation �O[�1� p�7E?reil�orl S��i piF��taU d�rF+�rXJ C��CEs - � ,': �¢�aR`�� a� di�!' �p�r�ti.., - t�:,' o�erat•+�, i.._• r�er,iucai� and p�lll•laf� �asper'�s� d�YxG Tli� •irrxyllunZ i��IVn�d fii�4f v�it (�;si'C�'6 ; 7; �'"� � C�I �s mot�ly ftra:rpeu��iz� �i i''�S rirt�n°.�9�. CtimpEete one option: {?ptiot� A: 0 to 10% of the gross profits per month. i>erce�stageto be paid % S7�pi�on S: Wr�1 i�� l�i��ts ixe f•7. 7C�? ::i �€� �� rnb€It�, i0 te �QO � rr�rdfn may be �a�d. A-r�,r,� �.:• l� paic3 4�. �ptinn C: $0 to $400 per month may be paid on the first $4,000 �f yi:� :pi::fR. p� ��f�=to be paid $ . Plus 0% to :10% oFihe gross profits may be paid per month on gross profits Over $4,000. Percentageto be paid °/n Bingo Rent �R�an�; o��t0�oid,egras��o-afitsp�rr��F�a�nsil-a•,+rul �I�W'dFfla[f11�k'eshe�t{ �r'i�•'•;irax��Yr��iiri�,rxi�u_Pryl�lr�l�i�, Percentage to be paid % I�you answered �1(� to the questionabove, rent limits are based on the folfowinq combinations of operatian: . Baroperation : Bar operation with pull-tab dispensingdevice - Pull-tabdispensingdeviceonly �'+�. max�rnurri rxrrt aGowe�i fr�y ��t dac�d #z5c� n kd� � �i IQ�I� f�i �1'• �3'{��J?:lT�i�!!;eC'�iS�i�'C�7u925. Completeoneoption: OptionA: �to20%ofthegrossprofitspermonth. Percentageto be paid % 0 pt io n B: When gross profits are $1,000 or less per month, $0 I to $200 per month may be paid. Amountto be paid $ OptionC: $Oto$200permonthmaybepaidonthefirst$1,000 of gross profits. Amountto be paid $ . Plus 0% to 20% of the grossprofits may be paid per month on grossprofits over$1,000. Percentagetobepaid �ir Bar Bingo Rent �uvtivn f; h`ra �l m�r �� p�a�ur�� �_� i_'�r�`�i i r- d b�'. Optinn E: Arate based on a cost per square foot not to exceed 110% ofacomparablecostpersquarefootforleasedspace, asapprovedby thedirector of the Gambling Control Board. No rent may be paid for bar �� F, �, bingo. Ratetobepaid �_ ��- f.ripersquarefoot. • •'•ra�gr_ t��¢a�3Ctt'k�r��t��.��{ T[�elessormustatCachdo�utnentatlon,veri�iec�bytheorganization, to � ��mapr��i�$Pprn�rrA�a�l�rsticn, l confirm thecomparable rate and all applicable coststo be paid by the I attach a separate sheet �, i�.i;.��• listing the organizationtothelessnr. Ldaysandhoursthatbingowillbeconducted. � � m�nde€� 4.B�.S� O�Ey �f tr.� �s a�� 4�:� �•1•i �r,ii k� cir�rn�es CCt��rfig duri!r�!Et� kcrart ��I'� {1'IT�`� �?r.ri�s�€��rrr��, �ft �� �!�.�5 ��;•. y j �� ' id� �� `� �]iY� r�:�. .p�� •.iL'��f :S, I� tiL^.O =� I: ��.'�i i3$�.��rFE`tfE} � ��'4�.r' -'�;G�`F t� �'YY.�� 9�� atl�a�h�Odxy��+�*�=xT�:�ltiar+�. �;�ite��r�d'ate[�fknr.erur�rsw+l��1f�� _' s �... s — . Lessor -�..,„ , Date__ Organization