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Minnesota Lawful Gambling <br />Lease for Bingo Activity - LG222 <br />Name of Legal Owner of Prerises StreetAddress <br />. City <br />Zip <br />Daytime Phone <br />ona Ross, . to <br />1- w 10 AW 6m&Lxj <br />Es ---:!o3 <br />() q27- 21 <br />Name of Lessor Street Address <br />City <br />Zip <br />Daytime Phone <br />(If same as legal owner, writs in "SAME") <br />' <br />lo 12 q27-LV <br />> <br />Name of Leased Premises Street Address <br />City <br />Zip <br />Daytime Phone <br />(oDYI 4- Ecod 6241 Lhw <br />1D AJO 82hjaq <br />"`30 <br />( (o l z2 ) <br />Name of Lessee (name of organization leasing the premises) GCB license no. of organization <br />Daytime Phone <br />NoW- iCo r 4EC-09- <br />A--Oo� -odd <br />Rent Information <br />Rent for bingo and all other gambling activities conducted • The total rent may not be based on a percentage of receipts <br />during a bingo occasion may not exceed: from lawful gambling or attendance at a bingo occasion. <br />• An organization may not pay rent to itself or to any of its <br />$200 per occasion for up to 6,000 square feet; affiliates for space used for the conduct of lawful gambling. <br />$300 per occasion for up to 12,000 square feet; or o� <br />$400 per occasion for more than 12,000 square feet Rent to be paid per bingo occasion $ ZC�--occasion{If no rent is to be paid, indicate -0-) <br />Sketch and Dimensions of Leased Area <br />Sketch: For all areas being leased for the conduct of <br />t*i t 5i h t <br />For Premises PermttRenewaA i ppltca6ons �niy� elf no' <br />gambling and storage of gambling product at this premises, <br />ohaiiges havelbeenrymade at t,1�e"site,�you'do not have <br />attach a sketch (drawing) showing: (1) the leased area(s), <br />to complete thissecflon or provide a sketch !aiw',f� ;� t <br />and (2) the dimensions. <br />rawi�we "n°g ti2k3N�nW Js .w�.. YY41 riY y �M 1�1 2MIP 4 H! <br />Dimensions <br />The leased areas are: feet by <br />feet for a total of square feet. <br />feet by <br />feet for a total of square feet. <br />feet by <br />feet for a total of square feet. <br />Storage feet by <br />feet for a total of square feet. <br />Storage feet by <br />feet for a total of square feet. <br />Combined total square feet. <br />Times and Days ofBingo Occasions <br />Enter bingo days and times below. Circle a.m. or p.m. after each beginning and ending time. A bingo occasion must continue <br />for at least 1-1/2 hours (90 minutes) but cannot exceed four (4) consecutive hours, and at least 15 bingo games must be held <br />at each occasion. An organization (as a whole) may not conduct more than ten <br />(10) bingo occasions each week. <br />Begins at (0;A0 (a.m./ <br />Ends at (a.m./o� <br />On Day of week <br />Begins at (a.m./P� Ends at IQL4S (a.m./q� <br />On Day of Week <br />Begins at z)o(a.m. <br />Ends at g (a.m p.m. <br />On Day of Week DV�Q1-► Co. C f l/Yi <br />Begins at (a.m.49D <br />Ends at io (a.m./ rry <br />On Day of Week r` <br />Begins at (a.m. p.m. <br />Ends at 91 (a.m.jf� <br />On Day of Week <br />Begins at gqS (a. n. <br />Ends at ID (a.m. p.m.) <br />On Day of Week r` <br />Begins at (a.m./p.m.) <br />Ends at (a.mJp.m.) <br />On Day of Week <br />Begins at (a.mJp.m.) <br />Ends at (a.mJp.m.) <br />On Day of Week <br />Begins at (a.m./p.m.) <br />Ends at (a.m./p.m.) <br />On Day of Week <br />Begins at (a.m./p.m.) <br />Ends at (a.m./p.m.) <br />On Day of Week <br />i erm of Lease. Amenaea Lease Only <br />The term of this lease agreement will be concurrent with the If this is an amended lease showing changes occurring during <br />premises permit issued by the Gambling Control Board, unless the term of the current premises permit, write in the date that <br />terminated sooner by mutual consent of the lessor and lessee.- the changes will be effective / / . Both parties <br />that signed the lease must initial and date all changes. <br />rage 7 of 2 <br />Rev. 8197 <br />