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LGZ02 <br />(09rosros) <br />Minnesota Lawful Gambling <br />LEASE AGREEMENT FOR <br />PULL -TAB, PADDLEWHEEL, TIPBOARIA AND/OR RAFFLE <br />ACTIVITY ATA PERMITTED PREMISES <br />Name of Legal Owner of Property <br />...Jame." /%71/i-er 72-5/ .'iv// hr. 4 / <br />L.) L -L , /77N ....s-...,---0.4. (64,2) 74W- 68/9 <br />Name of Lessor Street Address City Zip Daytime Phone <br />(This may or may not be the same as the Legal Owner of the Property) <br />ar...Ys 177; lick 7Bs/ Xiwl/ hr: L1 Lc.hesI <br />Street Address <br />City <br />Zip Daytime Phone <br />Name of Leased Premises <br />tae <br />Street Address <br />• <br />mN s -So/ y (6/4) 781-6(/9 <br />City Zip Daytime Phone <br />Name of Lessee <br />ame of Organization Leasing the premises) <br />�-� 1-0/Y(61.2) -74 3 — 7/40,6 <br />GCB License # of Organization Daytime Phone <br />Type of gambling activity (check all that apply) that will be conducted at this gambling premises. <br />,® Rattles ES Paddlewheels oPull-tabs Ea- Tipboards <br />Total rent cannot exceed S1,000 per month for all non -bingo lease agreements with your organization for this gambling premises. <br />An organhation may not pay rent to itself or to any of its affiliates for space used for the conduct of lawful gambling. <br />Rent to be paid per month S <br />List dimensions of all areas leased by your organization for the conduct of gambling activity checked above, including storage. <br />The leased areas are: feet by S feet for a total of 30 square feet <br />feet by feet fora total of square feet <br />feet by .. feet for a total of square feet. <br />feet by feet for a total of square feet <br />Storage „3 feet by . feet fora total of 6 square feet. <br />Storage feet by feet fora total of square feet <br />Combined total <br />36 <br />square footage <br />Subndt`a'sketch (drawing) of the' gambling prembes. ` This must show the location of your organization's leased area(s) for the conduct <br />of lawful gambling; including areas leased for storage of your gambling product on this gambling premises. Be sure to write'the dimensions <br />of the leased areas on the sketch. THE DIMENSIONS ON THE SIETCHMUST BE THE •SAME AS -THOSE LISTED ABOVE <br />MN Statute 349.18 Subdi 1 states that the. term of,the lease may not begin before the effective date of the premises permit and must expire <br />on the same day `that the premises permit expires. ONLY write an effective date in this area of the lease if this is a renegotiated lease <br />agreement oocuring during the teen of your current premises permit. <br />Effective Date for Amended Lease Agreements % / f / 96, <br />