05-28-2003 Council Agenda - Laserfiche WebLink

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Minnesota Lawful Gambling LG222 Lease for Bingo Activity Page 1 oft 6/01 Name of Legal Owner of Premises Street Address i o3 City State Zip Daytime Phone «arkefPIoee eenrtPN l0.34/6- 4I&ggL /nd0n. rHo 5.135/ 9..5 &-792/ -/6& / Name of Lessor Street Address City State Zip Daytime Phone (If same as legal owner, write in "SAME ") Same_ Name of Leased Premises /� Street Address City Zip Daytime Phone «ar/f4.t PIcne ( rfep &946ErF. 5i. 1,1 /He (aivaAmu 537/3 csn /z63 Name of Lessee (name of organ¢ation leasing the premises) Orgatation License Number prne ne 1,a Kt nuasst5 Pe y id eDPe V a/zii1ee r 6fiteh f Id- 6/474 -6G 5 45/ - 3/241-366, 7 Rent Information Rent for bingo and all other gambling activities conducted during a bingo occasion may not exceed: (1) $200 per occasion for up to 6,000 square feet; (2 ) $300 per occasion for up to 12,000 square feet; (3) $400 per occasion for more than 12,000 square feet; (4) $25 per occasion for bingo conducted at anytime in a bar (regardless of the square footage) , organation must conduct another form of lawful gambling, and the premises must serve intoxicat- ing liquor or 3.2 percent malt beverages; or (5) $25 per day for noon hour bingo conducted between 11:00 a.m. and 2:00 p.m. on a leased premises (regardless of the square footage), and the premises must have a license for the sale of intoxicating beverages on the premises under chapter 340A. • The total rent may not be based on a percentage of receipts from lawful gambling or attendance at a bingo occasion. • An organization may not pay rent to itself or to any of its affiliates for space used for the conduct of lawful gambling. Rent to be paid per bingo occasion $ 9 �/ (If no rent is to be paid, indicate -0 -) n% 5 g J l Sketch and Dimensions of Leased Area Sketch: For all areas being leased for the conduct of gambling and storage of gambling product at this premises, attach a sketch (drawing) showing: (1) the I ased atjea(s), and (2) the dimensions. 5,,e f-1' f d ( /jrea The leased areas are: feet by For Premises Permit Renewal Applications Only: If no changes have been made at the site, you do not have to complete this section or provide a sketch. �/ f/ (tire Skelcf h /6- G�"5J /ri.�CL�(�[, feet for a to of square Ye �0 feet by feet for a total of square feet. or ' feet by feet for a total of square feet. Storage feet by feet for a total of square feet. Storage feet by feet for a total of square feet. Combined total square feet. Times and Days of Bingo Occasions 4 ,e pt, }- -- f-•t/�t Enter bingo days and times below. A bingo occasion u continue fo at east (90 minutes) but cannot exceed four (4) consecutive hours, and at least 15 bingo games must be held at each occasion. An organization (as a whole) may not conduct more than ten (10) bingo occasions each week. Day, Beginning /Ending Hours Da Beginning/Ending Hours Day Beginning/Ending Hours gait; /& 3° to. /;aa l(l�r 7,'/g to 9.'0O to ?rl /b.'36 to i.6a 9'15 to /1 16 to to to to to Thou &w Wtcl l-11.uti4- 5a? 5u/u C9 lU,tV .Sassian/ /dal d4tUl'tt3wsc,aA) Ire 3en Noon Hour Bingo Only Day, Beginning/Ending Hours Day Beginning/Ending Hours Day Beginning/Ending Hours to to to to to to to Amended Lease If this is an amended lease showing Only premises permit, write ih the date Both parties that signed the lease changes occurring during the term of the current that the changes will be effective / / must initial and date all changes.