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LG202 <br /> <br /> Minnesota Lawful Gambling <br /> <br />Lease Agreement <br /> <br />Name and Address of Lessor Address City/Zip ~'~ <br /> <br />Name of Legal Owner of Gambling Premise Address City/Zip Code <br /> <br />N~me and Address of Leased Premise§ <br /> city/zii ' code <br /> <br />Name of Organization Leasing the Premises (lessee) <br /> <br /> Phone <br /> <br /> Phone <br /> <br />~umb~r, i~ known <br /> <br />The lawful gambling activity which the organization will conduct is (check all that apply): <br /> <br /> i---] bingo [~r raffles I~ paddlewheels ~ pull-tabs ~tipboards <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />Rent InfOllnation (See Rules 7860.0090, Subp 3) <br /> Class A and C premise permits: <br /> Rent for bingo and all other gambling activities conducted <br /> during that bingo occasion may not exceed: <br /> $200 for up to 6,000 square feet; <br /> $300 for up to 12,000 square feet; and <br /> $400 for more than 12,000 square feet. <br /> <br />Rent to be paid per binqo occasion $ <br /> <br /> Class B and D premise permits: <br />Rent for gambling activities not including bingo <br />may not exceed $24 per square foot per month, <br />with a maximum of $600 per month. <br /> <br />Rent to be paid per month <br /> <br />Rent may not be based on a percentage of receipts, profits from lawful gambling, or on the number of <br />participants attending a bingo occasion. <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 /> <br />The area leased within the premises is [.O feet by tO <br /> <br />feet, for a total of ~ square feet. <br />feet, for a total of~<1~ square feet. <br /> <br />I <br />I <br /> <br /> [~..3 feet by ~ <br /> ~ feet by [(2) feet, for a total of ~ square feet. <br />Attach a sketch which identifies the location of the leased premises when a portion of a building is the leased premises. <br />That sketch must include the dimensions of the leased premises. <br /> <br />The lease will go into effect at12:01a.m, on ! k.~39/ 19~/ , and will end at12:00 a.m. on ~/ C3~---~ <br />19 ~, for a period of one year. <br /> <br />The bingo occasions will be held: <br /> <br />I <br />I <br /> <br />from (hours) (a.m./p.m.) to -- (a.m./p.m.) on (days of week) <br />from (hours) (a.m./p.m.) to (a.m./p.m.) on (days of week) <br />from (hours) (a.m./p.m.) to (a.m./p.m.) on (days of week) <br />from (hours) (a.m./p.m.) to (a.m./p.m.) on (days of week) <br />from (hours) (a.m./p.m.) to (a.m./p.m.) on (days of week) <br />from (hours) (a.m./p.m.) to (a.m./p.m.) on (days of week) <br />from (hours). (a.m./p.m.) to (a.m./p.m.) on (days of week) <br /> <br /> <br />