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LG202 <br />(10/28/92) <br />............................ ............ ........ <br />Premises Information <br />Name and Address of Lessor <br />Minnesota Lawful Gambling <br />Lease Agreement <br />Kati ,tu. 23■' ia <br />Name of Legal Owner of Gambling Premises v Address • City/Zip Code Phone <br />\4t v,l J 740eetAtet. mot. ,` ,csi/7( (-/A) 5/14 10&-. <br />Name and Address of Leased Premises ./Address Cityllip Code <br />(/. hoar .1/.941 .. 4i . PeiW ti 4- X € tnut ` 2i t, S574.3 <br />Name of Organization Leasing the Premises (lessee) License Number, if known <br />/ �/ tr 6-7L4.iti- d <br />Address City/Zip Code hone <br />gs e. -&t e.-% v/ /( /Ja ¥f4 -G /2o <br />Gambling Activity <br />The lawful gambling activity which the organization will conduct is (check all that apply): <br />I bingo 1 1 raffles I 1 paddlewheels f.75-pull-tabs I I tipboards <br />Rent Information (See Rules 7861.0060, Subp 2D) <br />Class A and C premises permits: <br />Rent for bingo and all other gambling activities conducted <br />during that bingo occasion may not exceed: <br />$200 for up to 6,000 square feet; <br />$300 for up to 12,000 square feet; and <br />$400 for more than 12,000 square feet. <br />Rent to be paid per bingo occasion $ <br />Class B and D premises permits: <br />Rent for gambling activities not including bingo <br />is a maximum of $1000 per month. <br />Rent to be paid per month $ <br />Rent may not be based on a percentage of receipts, profits from lawful gambling, or on the number of <br />participants attending a bingo occasion. <br />An organization may not pay rent to itself or to any of its affiliates for space used for the conduct of lawful gambling. <br />Premises Description <br />The area(s) leased within the premises are 3' feet by <br />4/- feet by <br />feet by <br />Sketch <br />/0 <br />feet, for a total of 41O <br />feet, for a total of 40 <br />feet, for a total of <br />square feet. <br />square feet. <br />square feet. <br />Combined total 80 square feet <br />Attach a sketch which shows the location and dimensions of the leased areas. <br />Effective Dates <br />The lease will go into effect at 12:01 a.m. on .... /........ 19 Li' and will end at 12:00 a.m. on /71-4.2zati,3/ <br />19 €9,..5- for a period of at least one year. <br />Times and Days of Bingo Activity (If none, indicate WA) N/A <br />The bingo occasions will be held (a maximum of 7 bingo occasions per organization): <br />from (hours) (a.m. /p.m.) to <br />from (hours) (a.m. /p.m.) to <br />from (hours) (a.mJp.m.) to <br />from (hours) (a.mJp.m.) to <br />from (hours) (a.m. /p.m.) to <br />from (hours) (a.m. /p.m.) to <br />from (hours) (a.m. /p.m.) to <br />(a.mJp.m.) on (days of week) <br />(a.mJp.m.) on (days of week) <br />(a.mJp.m.) on (days of week) <br />(a.mJp.m.) on (days of week) <br />(a.mJp.m.) on (days of week) <br />(a.mJp.m.) on (days of week) <br />(a.m./p.m.) on (days of week) <br />Page 3 <br />