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LG202 Minnesota Lawful Gambling <br /> to9iosrosl <br /> LEASE AGREEMENT FOR <br /> PULL-TAB, PADDLEWHEEL, TIPBOARD, AND/OR RAFFLE <br /> ACTIVITY AT A PERMITTED PREMISES <br /> ' J 4 1 - <br /> .1 S � la � al 1, '� , �} � Y 1 -r*'� � , K 6 r. � r s' f � �,J I� k <br /> 1 1 M 1 r.1 M } Y„ �r h�Yhll d <br /> II,Y Property OwnerlLessor Xnformahon R,` yy M I I I I� �4 JAI I+v11H 1 r4" :..' w+ <br /> Name of Legal Owner of Property Street Address City Zip Daytime Phone <br /> QA �4-Sr ✓fin o, br,- 41k9J 6(1 Aho, S-S Sii,? (b124 2.3 9, 885 <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 /> Name of Leased Premises Street Address City Zip Daytime Phone <br /> Sbn� <br /> Name of Lessee(Name of Organization Leasing the premises) GCB License#of Organization Daytime Phone <br /> O 29,L/5 <br /> .. .. p y' <br /> Rent Information <br /> NO <br /> 1 <br /> S li; IL Z. <br /> IFN Type of gambling activity(check all that apply)that will be conducted this gambling premises. <br /> Q Raffles Paddlewheels Pull-tabs Tipboards <br /> Total rent cannot exceed $1,000 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 S $QD•cxj <br /> List dimensions of all areas leased by your organization for the conduct of gambling activity checked above,including storage. <br /> 1 !� <br /> The leased areas are: feet by 3 r feet for a total of O` square feet. <br /> feet by feet for a total of square feet. <br /> feet by feet for a total of square feet <br /> feet by feet for a total of square fect <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 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 the sketch. THE DIMENSIONS ON THE SKETCH Must BE THE SAME AS THOSE LLWW ABOVE. <br /> NIN Statute 349.18 Subd 1 states that the tern 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 �_ <br />