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12-19-2007 Council Agenda
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12-19-2007 Council Agenda
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Minnesota Lawful Gambling <br />LG2I 5 Lease for Lawful Gambling Activit <br />6/07 <br />Page 1 of 2 <br />Check applicable item: <br />1. Lease for new application. <br />-. <br />Submit with new premises permit <br />premises permit renewal. <br />/ / Submit new or amended <br />application. <br />of <br />lease w hin 10 days after new lessor assumes ownership. <br />name Booth /bar Activity change Other <br />✓2. Renewed lease. Submit with <br />3. New owner. Effecztve date <br />4. .Amended lease <br />in the lease: Rent Premises <br />° Check the change(s) <br />° Date that changes will <br />• Both parties must initial <br />• Submit changes at !east <br />be effective / / <br />11 / / <br />44 � !� - 3J3 " �o <br />the change. J j JJ <br />and date all chances. <br />10 days before the effective date <br />Organization name License number Daytime phone <br />LrrTLP CA &Mt 0A CANADiA -AU 1)A-eis)_0d 0412/9 -064 bs1-766.403$f <br />Name of leased premises Street address City State Zip Daytime phone <br />BrA -Ou1S 2500 RtCE sites ( tinrcFCANAOA MN 5-s n3 <br />Name of legal owner of premises Business /street address City State Zip i Daytime phone <br />2500 RteE STieeeY uTrt CA-KM-DA 111H 55113 <br />Name of lessor (if same as legal <br />owner, write in "SAME") <br />5A-ME <br />Business /street address City State Zip i Daytime phone <br />Ch eck ( '1} all activities that will be conducted' <br />Y./Pull-tabs Pull-tabs with dispensing device Tipboards Paddlewheel with table Bingo bingo <br />_Paddlewheel _Bar <br />Pull -tab, Tipboard, and Paddlewheel Rent (No lease. required for raffles.) <br />Booth operation - sales of gambling <br />(or volunteer) of a licensed organization <br />that is distinct from areas where food <br />r Does <br />Li from <br />If you answered yes to the question <br />based on the following combinations <br />- Booth operation <br />- Booth operation and pull -tab dispensing <br />- Booth operation and bar operation <br />- Booth operation, bar operation, <br />The maximum rent allowed <br />per month for all organizations <br />COMPLETE ONE OPTION: <br />Option A: 0 to 10% of the gross <br />Percentage to be paid <br />equipment by an employee Bar operation - sales of gambling equipment within a leased <br />within a separate enclosure premises by an employee of the lessor from a common area where <br />and beverages are sold. food and beverages are also sold. <br />• • .. • • . • • • • • .. • • • • ••• • •. , condyct gambling <br />a booth operation atthis • Location? <br />above, rent limits are <br />of operation: <br />device <br />and pull -tab dispensing device <br />may not exceed $1,750 in total <br />at this premises, <br />profits per month. <br />o/o <br />If you <br />based <br />- Bar <br />- Bar <br />- Pull <br />The <br />per <br />CO u <br />tion <br />_Yes " -V No - <br />J <br />answered no to the question above, rent limits are <br />on the following combinations of operation: <br />operation <br />operation with pull -tab dispensing device <br />-tab dispensing device only <br />maximum rent allowed may not exceed $2,500 in total <br />month for all organizations at this premises. <br />*LEE ONE OPTION: <br />.: 0 to 20° /o of the gross profits per month. <br />Percentage <br />Option <br />to $200 <br />Option <br />profits. <br />Plus, <br />gross <br />to be paid 20 o/a <br />Option B: When gross profits are <br />$400 per month may be paid. Amount <br />Option C: $0 to $400 per month <br />profit. Amount to be paid $ <br />$4,000 or less per month, $0 to <br />to be paid $ <br />B: When gross profits are $1,000 or less per month, $0 <br />per month• may be paid. Amount to be paid $ <br />on the first $4,000 of gross <br />C: $0 to $200 per month on the first $1,000 of gross <br />Amount to be paid $ . <br />Plus, 0% to 10% of the gross profits may be paid per month on <br />gross profits over $4,000, Percentage to be paid % <br />0% to 20% of the gross profits may be paid per month on <br />profits over $1,000. Percentage to be paid oho <br />Bingo Rent <br />Bar Bingo Rent <br />Option D: 0 to 10% of the gross <br />gambling activities held during bingo <br />Percentage to be paid oho <br />profits per month from all lawful <br />occasions, excluding bar bingo. <br />per square foot, not to exceed <br />foot for leased space, as <br />Control Board. No rent may <br />$ per square foot. <br />be <br />to <br />— Option F: conducted ductedinabaidforbingo <br />conducted in a bar. <br />Option E: A rate based on a cost <br />110% of a comparable cost per square <br />approved by the director of the Gambling <br />paid for bar bingo. Rate to be paid <br />The lessor must attach documentation, <br />confirm the comparable rate and <br />organization to the lessor. <br />New Bingo Activity <br />For any new bingo activity not previously <br />included in a PremisesPermitAppl !cation, <br />attach a separate sheet of paper listing the <br />days and hours mat bingo wiii be cond ucted. <br />verified by the organization, <br />all applicable costs to be paid by the <br />
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