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. . -.. :~ ~City/Zip
<br /> -- '"'E'F~:?~':'~' Name of, Leasing the Premises (lessee)~'~:~,~:~;,-,~q..~:~::~:. ...... ,,..~:~: License Number, ~ known.,/~-'-~ .- .... '.: ~. '-
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<br /> ~ ..' · · : - ' The la~ul t t~ly wh~h ihs o~anaatDn wgl ~ndu~ h (check all that app ~): =- : ;'~:.'.?~7~-~ ',.<'"'. ' ~ .... ...
<br /> ~ . "::, '..:..~ ............. ... ,. . .. ,.-..:.:., - ...... - ..... · ....... -.~..-' ...... -.. .... - ... ........ ~",~'.,..~:3:!Lih~?i .... ~:'i .... " .'" '
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<br /> ~ .... ,...,.~ ..... Rent ~ ion (See Ru es 7860.0090, 8ubp 3)., ........... ~, ...? ~,....~: ~ ..... ~=.. ~.-~ ........ ~.: ..~ >, .,:~-.,;~:-¥:=.. =,=,:,-~.,- .... ...
<br /> m · .'.: .':~ . ..- y Class, ~ premises perm,s:'.; ~ :. '?f' :.2-;;. :'-~' 'g '~'-?: ':'- _.; ':;:;,. ,'- Class B and D premises permits:. : ./._ .
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<br />~ m i"})'~'~'~ ' : ' m , ~' ' .Rent for binge I other gambling a~ivitie~ ?~du~ed .~:~:~'/:.'~,-'}':' ~' ,: Rent for gambling a~ivities'not including bingo· ,.'-;.'.-';.: :'
<br /> · '.7 ;'.". '.' ." d uri~g that blt ~ion may not exceed: .:'" ;.:.'~;~'.;' ;::.' ' '/- T, is a m~imum of $1000 per month.·-:;:'-:..
<br /> · ' .'~.''.'. '~ · · :,~_ .,..*;~.~.~:~'; >¥-,' ""v' ' ', ' - ' ' , -..-;"-~":.'"""'
<br /> $200I~I
<br /> ~ . ' '.'. $300 for ~! ,000 square feet; and-¥'.' "~;.:- ?'?~,?;;'-:~"' ?g~"~'" ' ---'-' ' - '"~'- :' '"~' :;~""=': ~-'? ~;:"-.'~'-:'~:=":::"~": ;'~?':.:::-", ' '
<br /> . .' $400fo~ ~n12,000 square feeL ,. '::. -. ' " ' . .' ' . ' . ;,. .... : ' -"-
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<br /> Rent mayn0t b~ b~ed on m per~ntage of re~ipt~, proBts ~om la~l ~amblln~, or on the number of
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<br /> :' ..: . 'E , [ "~ , ' ' '-~,~'"~"~.'~ :; ~'~"'l'x-" ~ ' '" ' ' ; ~'-' i 't~ ' ' ..... ~ . ' .....
<br /> m An organ~atb~ ~a~,Qot pay rent to )tseu or lo any of ~s affmh~es for space used for the ~ndu~ of laMul gambhng.
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<br /> . ~ ~ ,,'"" ..,, f ." .,,...:,. , . ,.......:.:,:.....~............ ....... ~:E:?E:~:~::::¥:¥~:::¥ff~+:':':':':':+":':"'"'"'""~'"' ..........
<br /> ~ ~ .' ~ area(s) I~i~ Within the premises are ~v' feet by' i ~ '" feet for a total of" ' ~:~-' ~re fee~ ·
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<br /> :. ' .'-. , T~'. '. ~; "~": .. }', , ' ?'. ~.',., :.,} ; ' :..,;~.L'g;'~. ~:,.:: '~X:. ~!4',- ;~',,;.~ ...... - _-
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<br /> :S~etc~:.:.~~:.:.~ ............ ~:.:.~ ............................... ~ ........... : .........................................................................................................................................................................................................................................................................
<br /> , .E ~, , ..... - . ': ...... ,
<br /> -- . AAa~ a s~etO~h~h ~hows the [o~tlon ~nd d~mens~ns of the le~sed areas. · .... - ...... .' . -
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<br /> m . ....... ~-. '3 '- ............... -~,, ~ ......... ~-- ....A~..... ......... .L.... ........... :: ..........r.t ..... ... .. : :.........:.:: ." ..: .¥.-..-. ,. -...:',-...:.--..'-.-:-..- :":"" · ' .... ..": ..':: ' ":.3:.::.::: ' ". "~'.'
<br /> :-.-~:-:.3'. ':~.'.~?.T~e lease w~ll?~lnt~e~ at 12:01 a.m on 1 ~:. -. 19 ~, and w~ll end at 12:00 ~m. on
<br /> .... L~; ~'~':: ~::';~ 9~"- for ~'~r~ 'l'~f at leaa one" ea~ '~}~.---~~=~:~.,:~.:-:~ ... =: ~:-:~,:~:c~ ~;~:~=:_: .=.L=?~ ";~'~ ~~:~?~}:'~:,x:'L'.
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<br /> m .~:~ ~..=,..~ T~e bingo ~~'~11 be held (a m~mum of 7 bingo ~s~ons ~r or~an~atlon)'::~::: :=-':'~='~;~.-=:;'
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<br /> ~ .::.;;:?~: .,... from (hours) ~'~ ' t'" (a.m./p,m.) to ',:':~--::~:=,-:~.;,~,'-,, (~m.~.m.) on (days of week) ,- ...... .: ........ :' .~'.~'~ .'~':':'.::.'-,'-~'=:=.:~-;~-- '~ ....
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<br /> · :..'~..,... ~ .."~ ,":, ,:~/-,~. from. (hours), ~ .... ,- ~, (a m./D,,m.,~ to ................... ,(~m~D_~m.,) on ,(days_ of week). ~ '~" : .... ' ......... . . : '. ·
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<br /> ~ '-:':.-:~;.~'/~:?.':.'~': from (~6urs) ',-" ~''' :. '~ "" (a.m:/p.m3 to'~-~'~ ~4~.%'~'=:?~ (~:~.~.) on (days of ~eek)' ' :~ '¥v"
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<br /> . from (hours) ~ ~ (~.m./p.m.) to (~m./p.m.) on (days of week)
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<br />m. ?~,:;.i;:..."~.fr~m (hours)
<br /> '~':;:?'!i~?.~-,. fromm (hours)
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<br />i (a,m./p~m.) io ' ' (a.m./p.m.) on (days of week) ":': -"' '.'
<br />~ r(a.m./p.m.)·to.: "= r' = B'~ ' (a'm./p.m.)on (days of Week) .'
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