Agenda - Council - 11/10/2003 - Laserfiche WebLink

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Minnesota Lawful Gambling LG215 Lease for Lawful Gambling Activity 6/03 Page ] of 2 Name of legal owner of prem~sos S~lreet address Name of le~ ~reet a~re~ (If same as legal owner, write in "SAME") Name of leas'~ pr~es ~eet address Name of le~ (org~ization le~ing the ~emis~) C,L4-m C~ly S~te Z~p Daytime phone C~ ~te ~ Da~i~ ph~e . C~ ~p Da~imephone %3- O~bati~ li~ nu~r / Da~[me phone Rent.-I~formation (~r actNity .involving pull,tabs, U_pp_~beards~ .pa_ ddlewb~el% and pulL-tab-disper~sing-device~--No-lease-required-for ~_'ffies.)' ' Booth :opeca_ .U_o.n_: ~]_es_o_f_ga'rn_b}ibg~_ ~p_me~tLby.an_employee:(or-.' -BaroPeratJon-;'sa ~l~.r ~Bli~ eq~[~-e~t within a .leased. c/6[b~e~)-0f a licensed organization within a separate endosure that Is ' premises by an e~_ pleyee,0f.~hi~ lessor from.:a common area where . distinct from areas where food and beverages are sold. food an. d._bey.~era~ are a__~:sol~ -- r .- 'Does ¥ouWorganiZab'on-OR any other o .rganizab~o.n conduct :gambling .. · ' · . .- · ~-a bootit operaUon-at this IocaUon? ~ Yes. based on the folloWing o~nbinaUons of operation? ':.B0oth ope'rp, tion . . Booth ol~ratbn and pulFtab drspen~ng device -- Booth operation and bar operation . - · Booth'operafion; bar 0Per3tion, and pull-fab dispensing device ..TI~. maximum refit:alloWed may notexceed $1,750 in [ol~l'lJe~ m°rith fo~ all organizations at this premises. Complete one option; OptiOn A: .0 to .10% 0fthe gross p..r0fits per month. Percentage to be paid __% Option B: When gross.profits are $,t,000 or le~s Per month, $400 per'month may be paid. Amount to be-paid $ Option C= $0 to CA00 per month may be ,paid on ~ first pr.gross profit. Amount to be paid $. /--:JOe, 0 O. ·Plus 0% to Z0% of.the gross Profits may be paid per month on gross pmr~ ~ver $4,000. Percentage to be paid / 'O % NOTE; ]:f there are ~ny other terms or cond~ons for rent-related expenses, they must be Identified on page 2. under Acknowledgment __~_~ PulF..labs PulFtabs wi~ dispensing device of Lease Te,rms and,are subject to'Board, approval. -, .. _~-i3Pboards . X_Pa_' ddlewfiee, I ~1 with, table Rent Information: Bingo _ " Bingo and/or Bar Bingo Occasions NeOn Hou¢ Bingo Occasions Rent for bingo and all other gambling activities conducted dudng a bingo occasion may not exceed: · $200 per occasion for up to 6,000 square feet · $300 per occasion for up to 12,000 square feet · $400 per occasion for more than 12,000 .square feet · $25 per occasion for bar bingo conducted at any time in a bar (regardless of square footage). Your organization must conduct another form of lawful gambling, and We premises must serve intoxicating liquor or 3.2 percent ~ you'anSWered i~Oto the question' above~ rant limits am based on the following combinatienS'ofoperationi - - BaroP%ation - ' i. ' Bar oper4.tion with pulFtabdiSpensJng device Pul!-tabdi .sp~. 'n<j dev~ o. nly " The n~dmdm n~¥al~ed may.~ exceed $2,000 in ' total per month for all'organizaUOh~ at ~is premises. :Amended Lease Only Complete one option: . - O.~on A: 0 to 20% of the gross profits ~r month. · Percentage to be paid - % . Option B: iWhen gr°SS-pmt'~ amis ~t,000' or leSS'Pe~ month, $0 to $200 per monW may be paid. A~_.ount to be paid $ OpUon C: $0 to $200 per month may.be paid on the first $1,000 of gross prot'~s. Amount to be paid.$ ' . Plus 0% to ~20% of the gross profits may be paid per month on gross profits over $1,000. perCentage.to be paid __%' Check all activil~es that wiil be conducted: For any new bingo activity not previously i_nduded in a Premises Permit Application, malt beverages, att;ach a separate sheet of paper listing the Rent to be paid per bingo occasion $ I days and hours that bingo will be COnducted. ~f thl~ IS an amended'lea,se shOWV~--~e3T:~-umng~ufing the term of the current premises permit, both paKde~- ' that signed the lease must initial and date all changes. Changes must be submitted to the Gambling Control Board at least 10 days prior to the change. Write in the date that the changes will be effective t.essor ..................... Date .... Organizaldon Date__ Rent may not exceed $25 per day for noon hour bingo conducted between 1! a.m. and 2 p.m. at a premises with a license for the sale of intoxicating beverages on the premises. Rent to be paid per bingo occas!on $