Laserfiche WebLink
<br />LG202 <br />(Q9/OS/9S) <br /> <br />Minnesota Lawful Gambling <br />LEASE AGREEMENT FOR <br />PULL-TAB, PADDLEWHEEL, l1PBOARD, AND/OR RAFFLE <br />ACTIVITY AT A PERMITTED PREMISES <br /> <br /> <br />Name of Legal Owner of Property <br /> <br />Street Address <br /> <br />City Zip Daytime Phone <br />~~5 t I 0 ({~ I 7J ..., )." .. J7 C 'I <br />City Zip Daytime Phone <br /> <br />4 r.rh lA.' r c7 \J III ('v\C.l/\.: -'<c...~ r~ It\,..,d \A.. \1\..: k '6,'~,d",j<-e.. <br /> <br />Name of Lessor Street Address <br />(This mayor may not be the; same as the Legal (homer of the Property) <br /> <br />City <br />tv l- ...J <br /> <br />SS110 <br />L..-,ke <br />Zip <br /> <br />( c;. (2) '-f ).{., .) 10 " <br />Daytime Phone <br /> <br />('4 et ~ I,.;. ." Pe '-N n:r:- <br />Name of Leased Premises <br /> <br />~l..",,; +-c-;........ .J:~ l (".....c,.( <br />Street Address <br /> <br />l;.....' ~l\' k ,y, ~ <br /> <br />Cho. r" Pr\ 5 <br /> <br />). 3q '1 <br /> <br />i-=>o, 'Me. r <br /> <br />Dr \ v'€.... Dr ,/.')\;\\1; "l 5 s \ \ 2.- <br />GCB License # of Organization <br /> <br />012.. '" '5"1 - <br />(.. ) C 33 '1 <br />Daytime Phone <br /> <br />Name of Lessee (Name of Organization Leasing the premises) <br /> <br /> <br />,Re~tYnZ(}~~~Jrl "," <br /> <br />".'.., :i::i::~:>" '. <br /> <br /> <br />Lc...j:e <br /> <br />Qe'i, G,'\, <br /> <br />"C'.;j.:f>:,:,': ,. <br /> <br />T)-pe of gambling activity (cheek all that apply) that will be canducted at this gambling premises. <br />r2J Rafllu C8J Paddlewbeels [2! Pull.tabs C8J Tipboards <br /> <br />Total rent caonot exceed SI,OOO per month for aU noo-bingo lease agreements with your organization for tbis gambling premises. <br />An organization may Dot pay rent to its.elf or to any of its affiliates for space used for the conduct of lawful gambling. <br /> <br />I Rent to be paid per month $ 100 c;, c C; <br /> <br />List dimensions of all areas leased by your organization for the conduct of gambling activity checked above. including storage. <br /> <br />" <br /> <br />feet by <br />feet by <br />feet by <br />feet by <br />feet by <br />feet by <br /> <br />'1 <br /> <br />feet for a total of <br />feet for a total of <br />feet for a total of <br />feet for a total of <br />feet for a total of <br />feet for a total of <br /> <br />1....1 g <br /> <br />square feet. <br />square feet. <br />square feet. <br />square feel. <br />square feet. <br />square feet. <br /> <br />The leased areas are: <br /> <br />Storage <br />Storage <br /> <br />I Combined total <br /> <br />'i'i <br /> <br />square: footage <br /> <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 DIMF.."'stONS ON THE stcETCH MUST BE THE SAl'dE AS maSK usriD ABOVE. <br /> <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 arc:a of the lease if this is a renegotiated lease <br />agreement QCCuring during the term of your current pre:mises permit. <br /> <br />Effective Date for Amended Lease Aa=reements <br /> <br />/ <br /> <br />/ <br />