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1 <br />I <br />q <br />LG202 - Minnesota Lawful Gambling <br />(09105195) <br />LEASE AGREEMENT FOR <br />PULL -TAB, PADDLEWHEEL, TIPBOARD, AND/OR RAFTLE <br />ACTIVITY AT A PERMITTED PREMISES <br />Name of Legal Owner ofProparty Street Address City Zip Daytime Phone <br />32P A) ,Vla �-rJ �ihj1 F 9- 741,10/71e?•.l C �/:37 /.lug 1 _—inSe,/ 5S303 Ir'/-t. ) V,21-NO() <br />Name of Lessor Street Address city Zip Daytime Phone <br />(This may or may not be the same as the LcEal Owner of the Property) <br />(3ra t?1,�Ar�d r.v.�1P��ra; ��l►,�t� i �937 ,(%cc L) TSe� 5< <br />Name of Leased Premises Street Address City " <br />hC 21'� - AT e, &Ht tt, �3 a �'7_5 -7 dw/ le) d25C1 5S <br />Name of Lessee (Name of Organization g sey �•, /� �iCB�icnse # of Organization <br />Zip Daytime Phone <br />/Yo0 <br />Daytime Phone <br />Type of gambling activity (check all that apply) that will be conducted at this gambling premises. <br />in Raffles [a'Paddlewheels [ rPuIl-tabs Q Tipboards <br />Total rent cannot exceed S1,00 per month for all non -bingo lease agreements with your organization for this gambling premises. <br />An organization may not pay rent to itself or to any of its affiliates for space used for the conduct of lawful gambling. <br />Rent to be paid per month S /r OO D , Q a <br />List dimensions of all areas leased by your organization for the conduct of gambling activity checked above, including storage. <br />The leased areas are: C _ feet by <br />7 feet for a total of <br />square f=L <br />feet by <br />feet for a total of <br />square feet. <br />feet by <br />feet for a total of <br />square fecL <br />feet by <br />feet for a total of <br />square feet. <br />Storage feet by <br />feet for a total of <br />square feet. <br />Storage feet by <br />feet for a total of <br />square feet. <br />Combined total 7 02- square footage <br />Submit a sketch (drawing) of the gambling premises. This must show the location of your organization's leased arca(s) for the conduct <br />of lawful gambling, including areas leased for storage of your gambling product on.this gambling premises. Be sure to write the dimensions <br />of the Icas-d areas on the sketch. THE nu tEnrMONs ON THE SK=C:H MUST as. THE SAME As THOSE usrm ABOVE. <br />Ill Statute 349.18 Subd 1 states that the term of the lease may not begin before the'efIcctive date of the premises permit and must expire <br />on the same day that the premises permit expires. ONLY write an effective date in this area of the lease if this is a renegotiated lease <br />agreement oecuring during the term of your current premises permiL <br />Effective Date for Amended Lease Agreements. o <br />/a 7 <br />