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1 <br />LG202 <br />(OV26/94) <br />Minnesota Lawful Gambling <br />LEASE AGREEMENT <br />Property Owneror 7nfarmahon <br />Name of Legal Owner of Property Street Address City Zip Daytime Phone <br />454 ,Ajg,4t-� (043 5 ALV=, Io >QQrnSe.4 SS303 VPi-4)'/J1-' you <br />Name of Lessor Street Address City Zip Daytime Phone <br />' (This may or may not be the same as the Legal Owner of the Property) <br />�Al2ti,Y4 F,tl LrtuTZr I a; ►uinga 6937 A 44nj /0 SS3CL 3 (GJaJ ya 1--/UO?4 <br />Name of Leased Premises Street Address city Zip Daytime Phone <br />t o w � 5'3 w 0 5S'303 (41X VQ -J <br />Name o Lessee (Name of Organization Leasing the premises) GCB License # of Organization Daytime Phone <br />'/d <br />Type of gambling activity that will be conducted at this gambling premises (Cheek all that apply to this gambling premises) <br />Cj Bingo []Ykjifries addlewbeels �ull-tabs ( ipboards <br />Rent Information (See Mule 7861.0060, Subp 2D) Indicate the rents paid by your organization to the lessor. <br />Class A and C premises permits rent per bingo occasion: Clan Band D premises permits rent per month. <br />Rent for bingo and all other gambling activities conducted Rent for forms of lawful gambling activity other than bingo <br />during that bingo occasion may not•axeoc& may not exceed a maximum of S1000 per month. <br />S200 for up to 6,000 square feet; <br />S300 for up to 12,000 square feet; and <br />S400 for more than 12,000 square feet. <br />Rent to be paid per bingo occasion S Rent to be paid per month S <br />Rent may not be based on a percentage of receipts from lawful gambling or attendance at it bingo occasion . <br />An organization may not pay rent to itself or to sny of its affiliates for space used for the conduct of lawful gambling. <br />Effective Date for Amended Lease Agreements <br />Please list the effective date on which the amendments to the original lease will take place. <br />List dimensions of all areas leased by your organization for gambling activity on this premises: <br />r <br />The leased areas are: i feat by g r feet for a total of square feet. <br />feet by fat for a total of square feet <br />feet by feet for a total of square feet <br />feet by feet for a total of square feet. <br />Combined total square footage <br />Submit a sketch (drawing) of the gambling premises. This must show the location of your organizations leased areas for the <br />conduct of lawful gambling including areas leased for storage of your gambling product on this gambling prcmiscs. Be sure to <br />write the dimensions of the leased areas on the sketch. THE DIMENSIONS OM.THE SKETCH MUST BE. TFM SAMEAS aBOVE. <br />Times and Days or Bingo Occasions (for class A or C premises permits). If you checked bingo activity above, you must fill in <br />the bingo days and times below. Circle a.m. or p.m. after each beginning and ending time. A bingo occasion must continue for at <br />least 1-1/'_' hours (90 minutes) but cannot exceed four (4) consecutive hours and at least 15 bingo games must be held at each <br />occasion. An organization (as a whole) may not conduct more than seven (7) bingo occasions each week <br />Begins At (a.mJp.m.) Ends At (a.mJp.m.) On Day of Week <br />Begins At (a.mJp.m.) Ends At (a.mJp.m.) On Day of Week <br />Begins At: (a.mJp.m.) Ends At (a.mJp.m.) On Day of Week <br />Begins At: (a.mJp.m.) Ends At (a.mJp.m.) On Day of Week <br />Begins At - - (a.mJp.m.) Ends At .. _ (a.mJp.m.): On.Day of Week <br />Begins At: . (a:rriJp.m.) Eridi At"" " ' (a.mJp.m:), Ori:Day of Week- <br />.. .. n_..... Ar ... ... a.... , .!". r' ...• .•1`, :. i:.f!-:rw.+.lV7[�nbL:ik.r�..•.Y.l.�?. 4:�+^v cAf.•"o"S•y. <br />. (.m'/p:m`.j+.•En"'ds•At' (ii�mJp.''in.)'.tOn•Da'yofWcck. <br />