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LG202 (9/6/90) Premises Information Minnesota Lawful Gambling Lease Agreement Name of Legal Owner of Gambling Premise (lessor) Name and Address of Leased Premises Address City/Zip Code Phone (;)<Y/ i / / G fG -37"; i�4 u (7/4/)( Address City/Zip Code V e 5-R- 41 %) / C; /Q1 �(i Jr/m • .5 .S 7 Name of Organization Leasing the Premises (lessee) License Number, if known / l r o r r i � / l , < s < ciLt7 Co $ c /tci- Gambling Activity The lawful gambling activity which the organization will conduct is (check all that apply): 1 1 bingo OZn raffles 1 1 paddlewheels Rent Information (See Rules 7860.0090, Subp 3) Class A and C premise permits: Rent for bingo and all other gambling activities conducted during that bingo occasion may not exceed: $200 for up to 6,000 square feet; $300 for up to 12,000 square feet; and $400 for more than 12,000 square feet. Rent to be paid per bingo occasion $ 1 pull tabs t 1 tipboards Class B and 0 premise permits: Rent for gambling activities not including bingo may not exceed $24 per square foot per month, with a maximum of $600. $ Rent may not be based on a percentage of receipts, profits from lawful gambling, or on the number of participated attending a bingo occasion. An organization may not pay rent to itseif or to any of its atfiliaties for space used for the conduct of lawful gambling. Premises Description The area leased within the premises is feet by feet, for a total of /9 AFC square feet. feet by feet, for a total of square feet. feet by feet, for a total of square feet. Attach a sketch which identifies the location of the leased premises when a portion of a building is the leased premises. That sketch must include the dimensions of the leased premises. Effective Dates The lease will go into effect at 12:01 Ia.m. on- 2no -'-c4 3 197, and will end at 12:00 a.m. on r1 2'�cii. V /y G/ 19 g i , for a period of orMytear. ! 44 / Times and Days of Bingo Activity (11 none, Indicate WA) The bingo occasions will be held: from (hours) (a.m. /p.m.) to from (hours) (a.m. /p.m.) to from (hours) (a.m. /p.m.) to from (hours) (a.m. /p.m.) to from (hours) (a.m. /p.m.) to from (hours) (a.m. /p.m.) to from (hours) (a.m. /p.m.) to Page E WA (a.m. /p.m.) on (days of week) (a.m. /p.m.) on (days of week) (a.m. /p.m.) on (days of week) (a.m. /p.m.) on (days of week) (a.m. /p.m.) on (days of week) (a.m. /p.m.) on (days of week) (a.m. /p.m.) on (days of week) 31