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LG202 <br />(09/05/95) <br />Minnesota Lawful Gambling <br />LEASE AGREEMENT FOR <br />PULL -TAB, PADDLEWHEEL, TIPBOARD, AND/OR RAFFLE <br />ACTIVITY AT A PERMITTED PREMISES <br />ner/Lessor Infornuuto <br />Name of Legal Owner of Property <br />gm Z'c, <br />Street Address <br />Name of Lessor <br />Coo7 /o4i* <br />Street Address <br />(This may or may not be the same as the Legal Owner of the Property) <br />�•� ' Mtfc_ <br />Name of Leased Premises <br />17e cif e_ <br />City <br />ip <br />33-27/V <br />j0/Z•go/4e5 <br />City' <br />Zip <br />Daytime Phone <br />(C/Z) V8Y — ?7e6.5-- <br />Daytime <br />7exDaytime Phone <br />COo7 .S/ce3s .P.0 /.K6, ‘zS 6-75z/T (6/4 ger-278 <br />Street Address City Zip Daytime Phone <br />Coor i�'ssac <br />X42 �a Lies (c/i) - YPces <br />Name of Lessee (Name of Organization Leasing the premises) <br />GCB License # of Organization Daytime Phone <br />&& 8'v& 03800 <br />Type of gambling activity (check all that apply) that will be conducted at this gambling premises. <br />altafftes Paddlewheels ,'Pull -tabs , Z'ipboards <br />Total rent cannot exceed S1,000 per month for all non -bingo lease agreements with your organization for this gambling premises. <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 />Rent to be paid per month $ <br />Qo <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: <br />6 feet by 8 feet for a total of e fe square feet. <br />/0 feet by / feet for a total of / (C' square feet <br />feet by feet for a total of square feet. <br />feet by feet for a total of square feet. <br />Storage feet by feet for a total of square feet. <br />Storage feet by feet for a total of square feet. <br />Combined total Z, p T square footage <br />Submit a sketch (drawing) of the gambling premises. 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 thc sketch. THE DIMENSIONS ON THE SKETCH MUST BE THE SAME AS THOSE LISTED ABOVE. <br />MN Statute 349.18 Subd 1 states that thc 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 occuring during the term of your current premises permit. <br />Effective Date for Amended Lease Agreements /0 y l f %w <br />