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LG202 (10/28/92) Premises Information Name and Address of Lessor Address c :r ca f UT( Ca,. ad Name of Legal Owner of Gambling Premises S.a Minnesota Lawful Gambling Lease Agreement Name and Address of Leased Premises Address City/Zip Code Phone L:tticG.L, (sty.) 7'3I-.9/77 City/Zip Code Phone ( ) Address City/Zip Code S r h � , I< J L =1, 11„ L C., , ) (t1 t,J S Q ? 1 Namb of Organization Leasing the Premises (lessee) NOr I h �..,- �wr•L1w y a 1 L it c .c., 1111 _ • Gambling Activi.ty The lawful gambling activity which the organization will conduct is (check all that apply): I 1 bingo 1 1 raffles 1 1 paddlewheels Cgl pull -tabs 1 1 tipboards License Number, if known 014 ?5 Rent Information (See Rules 7861.0060, Subp 2D) Class A and C premises 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 $ Class B and D premises permits: Rent for gambling activities not including bingo is a maximum of $1000 per month. Rent to be paid per month $ — 0 — Rent may not be based on a percentage of receipts, profits from lawful gambling, or on the number of participants attending 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. Premises Description The area(s) leased within the premises are o20 feet by -4/0 feet, for a total of 840 square feet. feet by feet, for a total of square feet. feet by feet, for a total of square feet. 070 X UO I Combined total square feet , Sketch �e.e- 74. 6reR fe4)-71' Attach a sketch which shows the location and dimensions of the leased areas. Effective Dates The lease will go into effect at 12:01 a.m. on Aug /S/ 19 44,/ and will end at 12:00 a.m. on 19 Q y, for a period of at least one year. 0 Times and Days of Bingo Activity (If none, indicate N /A) ED N/A The bingo occasions will be held (a maximum of 7 bingo occasions per organization): from (hours) (a.m. /p.m.) to (a.mJp.m.) on (days of week) from (hours) (a.m. /p.m.) to ( a.mJp.m.) on (days of week) from (hours) (a.m. /p.m.) to ( a.mJp.m.) on (days of week) from (hours) (a.m. /p.m.) to ( a.mJp.m.) on (days of week) from (hours) (a.m. /p.m.) to ( a.mJp.m.) on (days of week) from (hours) (a.m. /p.m.) to ( a.mJp.m.) on (days of week) from (hours) (a.m. /p.m.) to ( a.mJp.m.) on (days of week) Page 18