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LG202 Minnesota Lawful Gambling
<br /> (09/OS/95)
<br /> LEASE AGREEMENT FOR
<br /> PULL-TAB, PADDLEWHEEL, 77PBOA.RA AND/OR RAFFLE
<br /> AC77VITYAT A PERMITTED PREMISES
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<br /> Name of Legal Owner of Property Street Address S?ty Zip Daytime Phone
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<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
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<br /> Name of Lessee(Name of Organization Leasing the premises) GCB License#of Organization Daytime Phone
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<br /> Type of gambling activity(check all that apply)that will be conducted at this gambling premises.
<br /> 0 Rattles Q Paddlewheels Pull-tabs C3 Tipboards
<br /> Total rent cannot exceed 51,000 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 /> —7 Rent to be paid per month S gCO.Z
<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 feet for a total of oZ 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 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 o� L square footage
<br /> Submit a sketch(drawing)of the gambling prendses. 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 sKrrcH Must BE THE SAME AS THOSE USM ABOVL►
<br /> MN Statute 349.18 Subd I 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 occuring during the term of your current premises permit
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<br /> ” °, Effective Date for Amended Lease Agreements-
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