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-' '-- -'~: ~" '-' '. "..~.~..-.,.Z)f~,~-A ~ ..~,:~.' ~,~ ~,.~ff~:~:~e?-~:::f,~:~:.~:,~::~::~.:~:~-~;::~.~a~.:'~-' '::~.:.~.:-f,~.:~:r:::~ :::::::::::::::::::::::::::: <br /> <br />...... ~-.2 ....... Na~d~r~of~r ............ ~_: A~. .... ~ ~~ Pho~ ............ <br /> <br />' .., {'] ..... Na~ of Legal ~er of Galling Presses ~ Address .= .... n,~ ~de. Phone . , <br /> . - ~ ~, ~-: -" <br /> <br />. .~Q'~__ '72 :: Na~ and Addr~ ct Le~ed Pre,es ........... id Address ...... C~ Code <br /> <br /> :.~:.~';:: ~a~ of Organi~tion.[e~ing the PreSses (les~e) ,:.:, .~-... ' r~.. :. ~ ...... &: :'...-~.~ ~e~e Numar. <br /> :"'~ ..... ~-~ .- ..... ~ . . ~ ..... ~ ~ ~.~ ...... . ~-~. : ..................... <br /> <br />:':' : :. ;: ~ [ ~[ :~ : <br /> <br /> --. The la~ul ~a~lin9 a~ wh~h ~he o~an~ation ~11 condu~ ~ (check all lhat ~p~): <br /> <br /> .... :~ ............ : ..................................... ~: :':T. ' .............. <br /> <br />--~-,P': ........... C:lame A and C premieee permlta: ' -:. ...... <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 /> :. ~- J Rent to be paid per bingo occasion <br /> <br /> .... Cia~ B and D premisea permits: "' <br />Rent for gambling activities not including bingo <br />is a maximum of $1000 per month. <br /> <br />Rent to be paid per month $- ,/(~ ' <br /> <br /> Rent m~y ~'(~t be beSe~' o~-~'~erCent~ge of ~eipts, profi~ from la~ul galling, or on the numar of <br /> pa~ici~nts ~ending a bingo occ~ion.'~U:---. ............ .~.~,f .... ~':. ' . F ..... . ..... - ...... <br /> <br />........... ~.~he a~ea(s).le~ed .~in the pre,es are [~ t~t by'~' { ~ leer, for a total of ......... Bquare feet. ...... <br /> ....... ~ ~ ~ ~ ~ - ~ feet by~ ..... ...--. --fee~ for atoml of :': ......~' . .-'= squ~e feet."-:: -' <br /> ........................ ,- · . ..,. · - - :,-: ;-; ... feet byc'-' fee~ for a to~l of squ~e te~."[~ <br /> -.-.---' ~-~ .... :.~=-7~?~.~ .~.-~7': -~.-' 2.: ' '. ' ~ ..... ~.~..~~ .... r <br /> -'~ ~-. ".; ..... ":"::-u: -" ' .... .:~:: _.:.:1::. ~mbin~ to~l *quam~t~.~ <br /> <br /> Attach a sketch which shows 1he location and dimensions of the leased areas. - ....... :-_.~-- ... <br /> <br /> The lease will go into eflect at12'01 ~.m. on ~-u,_(~- I 19 ~r.~_. and wilt end at12'00 a. m on.- <br /> -'-'-- "~'.5" ' ' ' ' / ' ' '- ' <br /> <br /> _The bingo occasions will be held .-.(a maximum of 7 bingo occasions.per.organization): ................. <br /> -: ...... ":-="' :fmm'{h.°.urs} =--' ......... - (a-rrOp:m.') to- .... ~ ...... ;- "~--'' (a~m./p:rri:'),0'fi (days of week).· -: :: ":"--" ..... '" ...... ~--~.'~'- '~ '" <br /> [['.'-Q-_-.' '.'.": fron~ (l~ours)~-' = ......... (a.m/p.m.)";'" to'-- :="'-' '-'"~=' ..... - "-(a. rrdp.rru)~ ................ on (days---'": 'of .... week)' .......... .............. '* ....-~ . :~_.--::.~ .--~_".?'--u: ....... <br /> .--~: ..... . ": 7' ': ..... .-- -:_-::._ · .- . . .-..:'.- : .::. :.':.':'--T-.':'..-T ........ ~_,_..T~':. : ....... :: ":.' : _ '-.: ........ <br /> _--:__ .-....:.. : from (hours) -:' · (a.m/p.m.) to · (a~-n./p.m.) on"(days of week) - - '" <br /> ".:'.7'..-T::-:: .... :..'~'-TT :'-,._.--~-.~_~--~_;-.;:.__-:-. ''.v- .' '-.-; ...... ':'.:' :':-:-'i .-~-:: .:"'i=.~.-.:~C,- .~ ~-.'. ~-~,~:= ~-- - .......... : . -. <br />.............. .frO_~...(h~9_~rs) ..... :.'---~(a~_.n:u/p_:_m..)..tg,-C ?.--.--T.~...~_..'%..-...~_~.j~.rru) on (dag;~-of Week)'::-.:-- <br /> :::":='". :.... ...... "-'":::' -;": -:'.. ...... .... .... .... ..... "' (a'~.}krn'). oh'(days 0-f-;;eki::':: .... :'- ..... "' <br /> <br /> (a._...~p.m.) on (days of week) ........... '---".- .:-='"'=-' -:::-:'-'~::.::: . - <br /> :"~"---":-'~=~'='= f63~-(hours).- .................. (~6~/r~fi~-~6~-~.--~':'.--.:;-:::--~ (~':6'~)'~ (days"of'~ek)-: '. :- <br /> . .'._:...' .:-:. ~:,.-';:g-~;~;,-.,' ...... ~-; ..... ~.,,L,~-,'d:.~.'.,J_:-:..'~ .... : ....... - · ~__-,_.~.--::_.:~..-_--~.'. ..... :'.:-.-..:::.-.. . .. :-..;, ~. ..~ :-:., - ......... <br /> <br /> <br />