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Minnesota Lawful Gambling <br />Lease for Pull -Tab, Paddlewheel, Tipboard, and/or Raffle Activity - LG221 <br />Name of Legal Owner of Premises Street Address City State Zip Daytime Phone <br />JAMES & SHARON TULGR.EN 2500 RICE ST LITTLE CANADA MN 55113 4818738 <br />Name of Lessor Street Address City State Zip Daytime Phone <br />(If same as legal owner, write in "SAME") <br />SAME <br />Name of Leased Premises Street Address City Zip Daytime Phone <br />BRADY'S 2500 RICE ST LITTLE CANADA 55113 6514841367 <br />Name of Lessee (name of organization leasing the premises) GCB license no. of organization Daytime Phone <br />LITTLE CANADA CANADIAN DAYS 1304219 651 484 5904 <br />Rent Information <br />• Total rent cannot exceed $1,000 per month for all <br />non -bingo activity for this premises. <br />• For bingo activity, use lease form LG222. <br />• For pull -tab dispensing machines, use lease form <br />LG223. <br />• An organization may not pay rent to itself or to <br />any of its affiliates for space used for the conduct <br />of lawful gambling. <br />Rent to be paid per month $ <br />of no rent is to be paid, indicate -0-) <br />1,000.00 <br />Sketch and Dimensions of Leased Area <br />Sketch: For all areas being leased for the conduct <br />of gambling and storage of gambling product at this <br />premises, attach a sketch (drawing) showing: (1) the <br />leased area(s), and (2) the dimensions. <br />Dimensions <br />The leased areas are: 6 feet by <br />feet by <br />Storage <br />Storage <br />feet by <br />feet by <br />feet by <br />For Premises Permit Renewal Applications Only: If no <br />changes have been made at the site, you do not have to <br />complete this section or provide a sketch. <br />6 <br />feet for a total of 3 6 square feet. <br />feet for a total of square feet. <br />feet for a total of square feet. <br />feet for a total of square feet. <br />feet for a total of square feet. <br />Combined total 36 square feet. <br />Lawful Gambling Activity <br />Type of gambling activity that will be conducted at this gambling premises. Check all that apply. <br />Paddlewheels <br />x <br />Pull -Tabs <br />Raffles <br />1 1 <br />Tipboards <br />Term of Lease <br />Amended Lease Only <br />The term of this lease agreement will be concurrent with <br />the premises permit issued by the Gambling Control <br />Board, unless terminated sooner by mutual consent of <br />the lessor and lessee. <br />If this is an amended lease showing changes occur- <br />ring during the term of the current premises permit, <br />write in the date that the changes will be effective <br />/ / Both parties that signed the lease <br />must initial and date all changes. <br />Questions on this form should be directed to the Licensing <br />Section of the Gambling Control Board (Board) at 651 -639- <br />4000. This publication will be made available in alternative <br />format (i.e. large print, Braille) upon request. Hearing impaired <br />individuals using a TTY may call the Minnesota Relay Service <br />at 1 -800- 627 -3529 and ask to place a call to 651 -639 -4000. <br />2 <br />The information requested on this form will become public <br />information when received by the Board, and will be used to <br />determine your compliance with Minnesota statutes and rules <br />governing lawful gambling activities. <br />Page 1 of 2 • <br />1/99 <br />