Agenda - Council - 04/10/2007 - Laserfiche WebLink

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5/06 Minnesota Lawful Gambling LG215 Lease for Lawful Gamblina Activitv Pagelof2 Checkappflcableitem: _ 1. Leasefor new application. Submit with new premises pennitapplication. L 2. Renewed lease. Submit with premises pennit renewal. _ 3. Newowner. Submit new oramended lease within 10 days after new lessor assumes ownership. Date effective _1-'- _ 4. Amended lease . Checkthechange(s)inthelease: _Rent _Premises name _Boothlbar_Activitychange _Other Date that changes will be effective --.-J----1_ . Both parties must initial and date all changes. , . Submitchannes~;'ieast10da s riortothechan e. or:;;~ationname License number \ Daytime phone C/fA G f'JI;U) J b/~ '....e'-f L,'.)kJ ~SO-3~7c{ Nameofleasedpremises street address Cly state Zip Daylimephone JlA.;-l U. "or s-qou 1.'1.1< A""Wtf ~/"''-7 MN ,0--;0) U<;-7JH-S't Name of legal owo'er of premises Businesslstreetaddress Cly state Zip Daytime phone ~" ~. "';en"~. D rH)D 1'-"'-' 4. tw\ <LA"""" '- Iv!u I~,.."'''' ?J>),."I/V Name of lessor ([same as le'ga! Businesslstreetaddress ICIy state Zip' Daytimephone owner, write In 'SAME") :5'4........, ~kall activities that will be conducted: Pull-tabs _pulHabswith dispensing device _TIpboards _paddlewhee\ _Paddlewheel with table _Bingo _Bar bingo Pull-tab, Tipboard, and Paddlewheel Rent (No lease required for raffles.) Booth operation _ sales of gambling eqLJipment by an employee Bar operation - sales of gambling equipment within a leased [orvo!unteer) ofa licensed organlzationwithin a separate endosure premIses by en employee of the lessor from a common area where that is dIstinct from areas where food and beverages are sold. food and beverages are also sold. r------------------------------------' Does your organization OR any other organization condU~mbling from a booth ope.ratiGl\ at tl\is ~tion? _ \'e.s No L________________.~-.:.:.. __________________..1 If you al1S'Nered yes to the question above, rent limits are If you answered no to the question aboVe, rent limits are based on the following combinations of operation: based on the following combinations of operation: - Booth operation - Baropera!:lon - Booth operation and pUll-tab dispensing device - Bar operation with pull-tab dispensing device - Booth operation and bar operation - Pull-tab dispensing device only - Booth operation, bar operation, and pUll-tab dispensing device The maximum rent allowed may not exceed $1,750 in total The maximum rent allowed may not exceed $2,500 in total per month for all organizations at this premises. per month for all organizations at this premises. Complete one option: Complete one option: Option A: 0 to 10% of the gross profits per month. Option A: 0 to 20% of the gross profits per month. Percentage to be paid % Percentage to be paid .20 % , Option B: When gross profit$ are $4,000 or less per month, $0 to Option B: When gross profits are $1,000 or less per month, $0 $400 per month may be paid. Amount to be paid $ to $200 per month may be paid, Amountto be paid $ Option C: $0 to $400 per month may be paid on the first $4,000 Option C: $0 to $200 per month may be paid on the first $1,000 of gross profit. Amount to be paid $ Plus 0% to of gross profits. Amount to be paid $ . Plus 0% to 10% of the gross profits may be paid per month on gross profits 20% of the gross profits may be paid per month on gross profits over $4,000. Percentage to be paid % over $1,000. Percentage to be paid % Bingo Rent Bar Bingo Rent Option D: Oto 10% of the grossprofitspermonthfrom all lawful _ Option F: No rent may be paid for bingo gambling actiVities held durtng bingo occasions, exduding bar bingo. conducted in a bar. Percentage to be paid % Option E: A rate based on a cost per square foot not to exceed 110% of a comparable cost per square foot for leased space, as approved by New Bingo Activity the director of the Gambling COntrol Board. No rent may be paid for bar bingo. Rate to be paid $ persquarefoot For any new bingo activity not previously The lessor must attach documentation, verified by the organization, to induded in a Premises Permit Application, confirm the comparable rate and all applicable costs to be paid by the attach a separate sheetofpaperlistingthe organization to the lessor. days and hours that bingo will beconducted. -55-