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l 1 CG 202(9/89) Lawful Gambling Lease Agreement • Premises Information Name of legal premises owner(lessor) Address City/Zip Code Phone City of St. Anthony, 3301 Silver Lake Road, St. Anthony 55418 789-8881 Name of sublessor(if any) Address Cityr7p Code Phone Name and address of leased premises Address ny p Code Stonehouse Bar & Lounge, 2700 Hwy. 88 St. Anthony 55418 Name of organization leasing the premises ssee License Number,d known St. Anthony Sports Boosters Gambling Activity The lawful gambling activity ty which the organization will conduct are(check all that apply): pbingo p raffles =paddlewheels M-1 pull-tabs =tlpboards Rent Information (See Rules 7860.0090,Subp 3) Class A and C licenses: Class B and D licenses: Rent for bingo and all other gambling activities conducted Rent for gambling activities not including bingo during that bingo occasion may not exceed: may not exceed$24 per square foot per month, $200 for up to 6,000 square feet; with a maximum of$600. $300 for up to 12,000 square feet;and $400 for more than 12,000 square feet. is Rent to be paid per bingo occasion $ Rent to be paid per month $ 600.00 Rent may not be based on a percentage of receipts or profits from lawful gambling. Premises Description The area leased within the premises is 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 am.on 19 .and will end at 12:00 a.m.on 19 for a period of one year. Times and Days of Bingo Activity (ff none,indicate N/A) N/A The bingo occasions will be held: from(hours) (a.m./p.m.) to (am./p.m.) on(days of week) from(hours) (am./p.m.) to (am./p.m.)on(days of week) from(hours) (a.m./p.m.) to (am./p.m.) on(days of week) from(hours) (a.m./p.m.) to (am./p.m.)on(days of week) • from(hours) (a.m./p.m.) to (am./p.m.) on(days of week) from(hours) (a.m./p.m.) to (a.m./p.m.)on(days of week)