HomeMy WebLinkAbout4.j. Gambling Premise Approval for Kodiaks ' CITY OF ROSEMOUNT
EXECUTIVE SITIVIlVIARY FOR ACTION
CITY COUNCIL MEETING DATE: MARCH 21, 1995
AGENDA ITEM: GAMBLING PRIIVIISE PERMIT AGENDA SECTION:
APPLICATION - MPLS. WEST SUBURBAN JR. KODIAKS CONSENT
PREPARED SY: SUSAN M. WALSI� AGENDA j��� � � �
ADMINISTRATIVE ASSISTANT � �
ATTACHIVIENT5: RESOLiJTION, APPLICATION APPROVED BY:
Attached for Ciry Council review and consideration is an application for a Gambling Premises Permit from
the Minneapolis West Suburban Junior Kodiaks. The Kodiaks have submitted a new application since the
Knights of Columbus not�ed Last Call Bar and Grill that it will no longer be a gambling organization
effective March 31, 1995. Therefore, Last Call and the Kodiaks would like to have the premises
application approved by the City Council effective April 1, 1995.
Steve FIawkins of the Kodiaks will be providing to me on Monda.y, March 20, 1995 a memorandum
outlining how gambling proceeds will be spent. Mr. I3awkins is very sensitive to the council and
community's desires to keep gambling proceeds in Rosemount. I believe he will specifically address how
much ice time they wish to purchase, the percentage of proceeds that will stay in the Rosemount area and
that a local board decide how the proceeds will be spent. I will provide you this information prior to the
Council meeting.
The Minneapolis West Suburban 7unior Kodiaks have gambling premises permits in three locations in
Minneapolis. I contacted a staff inember from the City of Minneapolis who advised there have been no
problems with their gambling operations. I also verified the Kodiaks are licensed with the state gambling
board through December 31, 1996.
It is my recommendation the Kodiaks be allowed to operate their charitable gambling operation in
Rosemount.
RECONIlVI�NDED ACTION:
MOTION TO ADOPT A RESOLUTION APPROVING A MINNESOTA LAWFUL GAMBLING
PRIIVIISES PERMIT APPLICATION
ACTION TAKEN:
CITY OF ROSIIVIOUNT
DAKOTA COUNTY, MINNESOTA
RESOLUTION 1994
A RESOLUTION APPROVING A 112INN�SOTA LAWFUL
GAMBLING PRIIVIISES PERMIT APPLICATION
WHEREAS, the Ciry Council of the City of Rosemount received a Premises Permit
Application from Minneapolis West Suburban Junior Kodiaks to conduct lawful gambling
within the City of Rosemount at La.st Call Bar & Grill, 14550 South Robert Trail; and
NOW, THEREFORE BE IT RESOLVED, that the City Council of the City of
Rosemount approves the Premises Permit Application submitted by Minneapolis West
Suburban Junior Kodiaks for the conduct of lawful gambling at Last Call Bar & Grill,
14550 South Robert Trail, during the period of April 1, 1995, through December 31, 1996.
DATED this 21 st day of March, 1995.
E. B. McMenomy, Mayor
ATTFST:
Susan M. Walsh, City Clerk
Motion by: Seconded by:
Voted in favor:
Voted against:
Rc�r / 2 r � � � -S'`x'�"r<.. Fe.�r �G� .S �" C,Cl/ 1 �G►�'
U ��
Z � � = � sr°��'~ ��' '� �U s�s� .s R�b�,-t rr �
�� r -� - .
� 3 x s` ' �� �� �-.�-,-
Is' sf vS� w�o��r M�► SsvlvK
Ju�h'* Ly s�,�<,�. 1-1-r ,
� ��/�w�� ( =1T� -
�
J � I CJ��L I S}j✓4'�.� r.?4�
C�»'1�J��/1 C�'f V
�
� ^
c..
0 -�-
L .�
�k�� `"
c� j� p���
�'��
---- -------�._...----- -
— _4_—._� ..___( _ __.__..__._.._. _._ __.._-------�.
dLJ,� O� �O a ��� aOLi rQ
d �� v d t d ` � o � � o �y d
L .
.�
��.
� �1
`
h
�" �+
� V
c.� s
"� � i K�,
c� o o. o o �o o �,,o �,r
:� , �;; ;. . ... . '',:� V �'�,�~� � � U � p d O o
r� . � � „ ,� .
� + ��`S'.� `
. �r � � �_ _._, . �C3�r 2
���� ;�.��J - ��I r� b �
. zx � � x3 �
4
• � �
�;, -�' C: � t v+ ry
i
b�'
V
�YG�o���we c f
l
:
� � _ _,..__..� ._. . _ _. .. _ . _ _
�, � .
, f-- ... ... - - _..----- — .
�;•,r01it QJJy"
v
..:.:::.:r..
>
���" . t
....r-- .
.�r�• . •
���-.a .,,, ,
���''°'�' ` FOR BOARD USE ONLY
::.:s.e...
��;._LG214 BASE#
X�. ,.nr�+�+� PP#
.,�,'�e,
;;�'���.:_ FEE
,.�,,.,,�..._..
�'��"_� - CHECK
Miruiesata Lawfut Gambling
f .��-.� Premises Pernait Application - Part 1 of 2 �"��s
DATE
+;.!..::w�r.a>r..».�rr.a.+M:mr.x::f«::xw�,r�:rnfr+.>w>+rr .s.+r;c.;;��,^.,"?^>)»...,• ...e;M!{»x;,emo»».Y?�??";�'.'�i.x.,n,;rr»ry .,�:3»'`�'.�d??:":!:'3?:•... •;""yyy�?f'fpµq?r;,�?."••yr'
. ........... ..............................................:.:•:�?°?°'-::.... . .............%%'.yr;�;°°....,......,.o......:..:;..........;,r.., � ��+ , r,.. :.. .",.,yy. -::
......... ....,............................:...:..�..:•.,,.....a ..........,a,t-.:.:::}.....v... .... ......�........u G..{, .:.l.+:... .f :•,:.•....f,.•:%. ;..e:yv::';;:�:i:6;';:::::::yi;;::::
............ ,...:.. ............r.;....,Y-::•, •,.�...v:•.o.. ..:ti;;::v,.:•>:>:..,. ...+r4•;;.::..�:.....a,.W .� /�i,u..:.
........... ...�.....r.... ...... .. ... f. . ., .u•".....•' 4:::
.,..-.�:..;��....... .....,.::..,-:... ,:.i.r.r;•;g.,w..•rk-.,... ,......:::: . .:..
�.�..�.�..�.'°'....-...�.::s.�:.,».:.... .•:,c•: r•.•�.;�.,� f�s . „�:•�:;':;• . , : ::
..�:............ ..�.. ' �
..,..........,: :. .....,, y,.,� . ........
................. :::..... � .��::. ..�:::<.::. , rn.,..,ut,as,a ,., .
. . . � . ...�i..:c?co%•.r:.r .. ....:Et...woo..:3tt?�,•r...3.•>X•.T�;..f..>R>X:?r. "... fA;: ..'r.rn•:,•.�+�.�.+�.�+i�N. ,fi;,.o•y...;�!%;;i�:;`a,'w::',x.�,::::r•k�:''i�:�:;.::i::;;;i;;::.'•
. .;a...•::::::.:,Y,.2�,.',.,.,'�,,.R.. ...Y.:.... ,.�., r.+..:•. •..y,"�.,.��`?l°:.. ..S?wi::ct•.:::::.r..;..,:..::•;::r:>:::::�:::c:>:
. ,+,rF:::r:;;t•:••::�.= •':�Yr.`.�.: ,,.x•`.•:��:rr.ao:::�..f •.::a:.,y,,.:..... ..r:.y.;..... �;
i: .:::.:•�:��:t: :.'.s;•:,.,..::.::;:'•';$•.'•F''::;r:,..»r:...,.:..,r•:.,.x�.:..�...,.:�.:..n�v.s.<-.:......h,:;:r.:.;::::..;::...:.•.•:..:<!..a_w.
: : �.�? ."... �'�CQ�t7tL�::>::<<>:;<:>:::>:,,::<.::<:.:�.:::.::::::.::<>.;;>.;>�.....................:;<-'.....................,....................................... .. .
... _ _
Ciass cf premises pertnit
_.�_ � Renewal � - (d�eefc one)
Organization base I'�cense number � A(5400) Pul{-tabs,tipboards,paddlewheels,raffles,bingo
Premises permit number g] B($250) Puil-tabs,tipboards,paddlewheels,raffles
� N� ❑ C($200) &ngo oniy
❑ �($150) Raffles oniy
_ _.._ .;:<;,,,:.�,.:,
^:h:{{tiiny,.;{:r{..;.vid::i:0::'r'r i`i:?::;:,+.?i•:
:.v.•:rr:tt.v.ve.�.uv..v.u:xn•:x::n•::x:r�::::::i:•nw��x�:?yv'i�:::r:x:::r.vr:nr.....rvv..:::':rc:... .�:.,-:{�:.;
,x,.1:!^r:.iii'?:::::??:{ry}y}:i.:.4�L..;xr..::LL?xryi;m�:•;•;ijj;:xr ...................w:n�....v:::::.....:................ ...v:.................... • ..
'.'�.....v................... . ..:........ :.................:...:..ui::::i::::;.:.i':w::......::::. .... ....... ...........:::': ' . . "'.::.�:...:
......... ...... . .... .;:........:.... .�:.::i..:.::::•:::::::::..?:.,-,-....... .....:....:•......:^v.......:..v'.:.......;;{::v:::m:ry{::::ry};:::}::j'i:;iii:}i}ii:�iii::... ....
. ...v...........I........ .a..........F... /� /�
.................................... ............ .. ............. , ' .
: . ' . :::�.• v.: �.��4��/lM...i::�.�::'i}:-Y:v:i::i::iTii::i:::i:i�r.�::::?:L::::':'.::�::::i:i::::i,..i:i:::::::•,::.i'C:iii:u::::i:ij::i`ji:�j:Ci':.::•,:i:::i:`:ii>::..iv�::�'�i::�,::::::?::v::v:.-::::::5:.::i:::•:.::ti:::::i'::'::::�.:.�. ... .:.
�'�QTIiZtCtitTA Ti,f;�'ITi ..:::. ::.::._ :..•:.::::::..;•::.,.. . .<:..
,
Name of Organization
NI I NNEAPOLI S ��JEST SUBl1RBAN I IN T(lR KOTI T AKS
Business Address of Organization-Street or P.O Box(Do not use the address of your gambling manager)
1404 CENTRAL AVENUE N,E,
C�ty gtatg Zip Code County Daytime phone number
MINNEAPO S �4 ' -
Name af chief executive officer(cannot be your gambling manager) Title Daytime phone number
MARK ZACHMANN C,E.O, 61_2 ?420-3081
singo occasions
If applying for a class A or C permit, f3ll in days and begtruzing&ending hours of bingo occasions:
No more than seven bingo occasions may be conducted by your organizatian per week.
Day Beginning/Ending Hours Day BegitsningJEnding Hours Day Beginning/Ending Hours
t,o to tO
� to to
tn If biago�v�l not be conduct�d.check here �
„f.::..<,:;:;:.:::.::.,:.::,...:;.;:<,...;:::.::..::.;:.::;:.:::<:,..;;:;�::::<.,,::::.,:;.:>:.:,>;;:.::::>:;:;.;:::«:..::�>:::;<.>:.:;:;::::<:>::;::;;,:;;:;:;::>:;.;.:::�::«;:;<�::.::�;:;<;:::;<:�;;::.::.;�:;;:.;::;:>;:.;;::>;:.:.;;;;;:.:>::,_.»>.:::»,::::�::�::�:>;::;::.;:..:;.;>::>:�::.:;:.;;:.:.;;:.:;.>;>::::;:<�::<:;.;;::.:;:;:
. ....:..... . . .. , ... .:, .:., . .. :;;:>s::;::;:z:>;:.>:.>s:>:;.;:::::::»::>::>;::».::.;:.:,.;>;:;.::::;,;::�:><:>;::.:s:::>:.;:::>::::<:;::<::.:;r:.;:
_ S�OIi: . ........ :;:::»:<:;::;:::<�::>�:»:::;::::::>:;::::«:;:;:::::>:«::;;>::;::;:;;<>;;<>:::<:;<::.;;;::::;;<;;;;;:>;:;::.::;:>:;:><:;
<Gamb Prem�ses;Inform.. .::....:. ::::::::.:::..::..:::::;:::.:;..:..:.::.�:.::<;.::::::<:<:::�:::::::.:::«:;;:::::;:<�:�>:>:�:::::>:::::<::>:>;.::..::::�<:;:::::::<:;.:>_��<.::... :�. - <..:::
� _..... ,, .: ,:.. :__.. .__ . .... . ........ . ......
ame of establishment where gamblin will be conducted Sueet Address(do not use a post office box number)
LAST CALL BAR & GPI�I 14��0 � �OB RT TR. R�ISFM� INT 55068
Is the premises located within ciry Gmits? p Yes �No If no,is township �organized 0 unorganized p unincarporated
City and Counry where gambling premises is located OR Township and Counry where gambling premises is bcated if outside of ciry Cmits
ROSEMOUNT �,,�COT,�i I
Name and address of legal owner of premises Ciry State Z�p Code
RQ�EMOUNT PLAZA C0. PO BOX W ST PAUL MN 5511�
Does your organization awn the build�ng where the gambling wiU be conducted? Q YES � NO
If no,attact�the folbwing_ ,
• a copy of the{ease(tortn LG202)with terms for at least o�e year.
• a copy of a sketch of the floor plan with dmensions,showing what portion is being leased.
A leasa and sketch are not reguired br Ctass D app6cacons.
.......... _.._... . .. .. ..........::::.::::::::::.:....:::.::......:.:,.:.....
.:::•....,.:::.,..;_::::::;.. ............::..::.
... ......_ _.. .: .... ...... .. ......::........ .::........::.�:. :::�•:.......::.:::.
::..;.::.. ;::- .. ;>;• �:.. ; _ � ;:
. . ;:.: ... ,>.. ..: :
..:. � � .: �'
AC�C�rCSB Of StOI"d�C SpBC@ Of'gA211b�I1g eQL1�pII1CII� ; C1e nat use a PO lioxnumbec
� Address Ciry Siate Zip code
1404 CENTRAL AVENUE P�,E, MINNEAPOLIS, MN 55413
._.. - . . .� -,
- Miru�esata La:ufut Gambling �
,
� ��- -� �:-� Presnise Permit Application - Part 2 of 2 �
ri•.t+.a'ewail�•.�.�. � .
tse.-.ystr�••,.,�;. . .
.-:�i-.... . �.'_ .. .. .... .vv •• rii:xx::::n::. l:;::::..::?:}:.... /v"::':x::}};y;v._.r...�:r:::::nx::.:��•:•�asY..x}.wt
.C.-.v ...i. .v�vw+.. . b!f]N/ .•'f.�ii........... .......::•:::..�:::::•:�.:v�: �::::.i::i'.'.........
.. ..�_a . ..... ..........................v..;...::.�:::vr..,v,-.... :�::.. �...fiMt.'3:?..AOC•. �....... ...:.......................y
. .....................r.r........... ........r......r.....Y.t .... ... .......... ..n. .......:•:...:�:::::�:..::T:r::::w:::::.:.:::::...........:........ ............ ...................... r..,ry..
. _ _ .� :r x.r%. ..%...............f..........n...-::::................... R ..�:�::?w.�.+.5. ....... f�'�..... ..
� "!�.A' ..... ... . ...... .. ............ r ...v . ...lit:..:::�v:::::::::.�:.�::�':::::::::�:�iiiiiii:v::::.._::::.:n�::::::::::::::::vn.:::::":::v::::::::.......:::....
...._..__ .l�...Y..;.: ::....... ... . .. .......... ,. :... .... �? .. .... v.. .v.......... •�:::.:.....'f`,'W„4r'
. . � _ .
.'�f` ...:�
.}�: !4$/!.f'•::::v'lx'.4i:v%%::2iit�i:i::r:ii>''�:::iii::.iiiii'6?.�::i:i:{:?TiY:..,.�'i:+�>::;$ii.'-:?;;!j�iii:;;:i:;�$;::::iiiii:;�{iii:ji;'ii::•i:i:;:..
���:�ambung�sarJr�ccounr rn�orrr�ateoir �.:.: .:>: ;::- ;. _ ::.:
,.l��'r Bank Name 8ank Acaouot Number
:�j.4�� FI RSTAR BANK - 846-302109
s ry P
- 2401 LOWRY AVENOE N.E, MIN�dEAPOLIS MN 55418
.. iiJ•:4J}nxi
•�r„n};{��u---
• .v.•v:�.�vr.•.vxx.•�{4hG' .:.........::�..:. .......:.S�l+w: .. ;.u.. ..;:...:a.......tv:.n.. :....w..... .,yyy iii:�i.
�,.,....;��rlfJ� BfX�il7f�JCflBK�:.r;;`;�:#:•;••:r::.v.:::.,:. .
•.;:r..,.,<:•::::::.�:........:..... �p� �/�/�p�Q����:Q�':......:..;�• :,..._�_..,_.�..
. .. .vY.�%r.}w.�::r•v';niie:.�x::::nq �iww_�wwF. ' ' � �i.3.v..}vf:r.ii•n�
. ......:i.r.:�3:::.:::r:::::.�;:.!�-w"�f .......... ..................::.� ..rr. :::x::v:u{::::::::.::::::::....
.n...l.. . ............. ... ............ ......... ....... . :hi-.r.v..i•::invvlt.. .� •.O'..... ........... v:-:..
. . ...........0......................... . . .�::::: ....... ...... ....... ........x.)Y//S.. .�.. ;`nv. .......... . '....: :�N'4 v:..;...,-:�f�
J r.,-;....�.;f;�; ..........r.............�......�......,;. �... � ,-:.:.'::::�:^:'•;i'ii�� ... .
:::�:};..; .. ....
.::•::............... ......i.... •.......::+�$.w:r: ........r... ......... . . .: �f�' .{ ....:..{•:::iii::J$:::i;i_;:::;iiYiii}:>.;r��yi ::?dim
:vfH/i:i:.::n.........::::v.;••,-{y....:......yX4:::v............ :w��. . . . j�� ...... ...:..::...
...::
-i:{;.ii?f� f�:+iY. �
� \ ?������V��/L/QI{/.•�wi�r�:i}i:•i:��:r::�:.�::n•::�..:.......... ..... :....
......�.i'�.::':i:.:::::�::^,{s...r..........:iS?`fir:.
��8(ft@ IHSS �IDB
PETER CHRZANAK 708 QUINCY ST NE GAM�LING MA►VAGER
KAREN CASSERLY 3941 MAIN ST NE ASSI�T, GAMBLING MANAGER
......................................................:.::::::.�:,......,.. :.:..�.::.k:.H N:.:vs.nw:w�vN.:..�.:.:..:::::::::::::::.;.:::.::::::::::::.;:.::..:�::::::<.::.::.:>::::::::.::::.::.:::<::.::::.:.:.:::.:::::.>:.::.:>:.:::.::.:::..::::.::::::.:::::..::.::
. ... ............................................. ........�,. ......�....... ......... ....
.......... . .........n...... ....... ...... .......................
.... .... .................... ......{.............r.. .....
.................. . . .....�... ... ........: :::......... ..................:................:::::.:..�:::::::::.........................................
�.:::�:.:::.::::.::.�::.:::::::::::::::::.::..:�:::::::.:.:::::.�:::.�::::.;_:;::::.:.:::,.
..... :.:...:.;.:::::::.�:: . ....:....:::.:.::::.::.::.::::..::_:::::.::::.::..:.....:::.�::.::.::::::.:.::...:.:�::.::::::.:..:::.::::::::::
:r:.::::.:: .::..::..:.::::. .:::::::::::....::.::...:::�:.:::.:..::..::..:...::::.:::::...,::.::::::..::.:<.:::.:..::..:.::.:::::.:.::
knowled eYnent ............. .............:........:... .. ... ....
Ac ::::.�:.:...:,:.::......................
g .......:::.,::;::.:.:.:<:�:::.<:::::
::.::..:.:: .._ _,.. :.. __ ::.: ._ �... _,,..:::..::..:....::......:..,
,. _
Gambling Site Au o tion •I am the chief executive officer of the organizatiort;
I hereby consent that local law enforesment o�cers,the •�assume full responsibility for the fair and lawful opera-
board or agerrts of the board,or the commissioner of tion of all activities to be conducted;
revenue or public safery,or agents of the commissioners, .�Will familiarize myself wi#h the laws of Minrtesata
may enter the premises to enfarce the law. governing lawfui gambling and rules of the board and
Bank Records Information agree,if licensed,to abide by thosa laws and rules,
The board is authorized to inspeci the bank records of the inciuding amendments to them;
gambling ar.cour�t whenever necessary to futfll •any changes in application information will be subm�tted
requirements of current gambling ntles and law. to the board and local unit of government within 10 days
Oath of the change;and
1 declare that: •I understand that failure to provide required information
•I have read this application and alt infiormation submitted or providing false or misleading info�maiion may result in
to the board is true, accurate and compiete; the denial or revocation of the license.
•all other required information has been fully disclosed;
Sign ture of chief executive officer Date
3�`-�-� s
�:::�li::�:<::i'<~>:::.::<::�»:>:�«:<�z'>:::::::�:>:?:»:::::«:>:::':':::>:`:>::;:`::<``::::;>:::..::<:.;:>;:;<:`::;<;:::;::;:;:�:.:>:.:.�;><::>�:�:::>:<::::::><:'::`"<_<::::::>:<::::::3>`;::�; .
::;:..::�: ' � '
rl:oca� Government Acknowtedgerrzer= . .:, ..:: , .
; _.. : _ :... . _. _ .
4, 4 M���f the local unit of aovemmenYs resotution ao-
1. The city'must sign this application'rf the gambling prem- Qrovina this ao�lication must be attached to this a�olication.
ises is bcated within ary limits. 5. If this appl'ication is denied by the local unit of govemment,
2. The county••AND township"must sign this app!'�cation if �should not be submitted to the Gambling Control Board.
the gambling premises is bcated within a township.
3. The bcal unit government(city or county)musi pass a 7ownship: By signature below,the township acknowledges
resolution specifically approving or denying this appl'ic,ation. �at the organizaY�on is app�ying for a premises permit within
township limits.
Cit ' or Count " Townshi "
Ci Coy�n Name Township Name
ty ���" ry a Gf �
Signatur erson re iving appli 'on Signature oi person receiving application
T � I Dada Received Tide I Date Received
_ �/� 9�'
.
ReEer to the insuuctions for required attachmencs.
Mail to: Gambling Control Board
Rosewood Plaza Soutfi,3rd Floor
1711 W.County Road B
RosevUle,MN 55113 1G214(Part 2)
�a��rz�s>>
r.yyN�'1!hiM:;�R.-.._.�
YiyG�aC��� � � . ' .....
R �„4,5,.5,.,�-� �
r"A'���.. V � � .
���'-.�:'� � �".
`�� �R��LG202 . _..
� .- x ��z�.� Minnesota Lawful Gcmtbling .
r ,�_� ��`. LEASE AGREEMENT _ .
4-�-Q��y._,r-.. , . . ..
..r—++a.�s-. . . . � .
•a. 4�4Propert�.Owner/lessor'InfO/�I7iififYh 1+ � . . i u-..�..� i-t �s�..�. wh.tKyv'i�r� -�
.. � .�wla.G„ � . .'.T,. .
V-- Name of I,egal Owner of Property Street Addras City Zip Daytime Phone
- ROS MOUNT PLAZA CO PO BOX 18144 W .ST PAUL�"'�SQ68`'c61y 450-9569
. . . -Name of Laisor Street Addrcss Ciry �p �Y��p��
�. ��'" �r�,;s�y m�y nac�w��►��m�Legal Ovmer of the Property)
� � C.R. INCORPORATED 14550 S , ROBERT TR ROSEMOUNT �1 2>3 2 2-1 3 3 3
�� �' Name of Leased Premises Street Address Ciry Zip Daytime Phone
LAST CALL BA� & GRILL 14550 S ROBERT TR ROSEMOUNT-5S06&���� 3��_1333
Name of Lessce(Name of Organization Leasing the premises) GCB Lieense#of Organization Daytime Phone
MINNEAPOLIS WEST SUBURBAN JUNIOR KODIAKS �-03867 � _ gg
_ ;:�Gamblin Ac ' and Rent In ormation - `'
w b' :. h�'�7'.. .f : ._:
.: .
,.
,.
. ,. ._
5: �.:r
Type of gambling activity that will be conducted at this gambling prcmises(Chxk all that apply to this gambiing prcmises)
Q Bingo �Raftles �] Paddlew6eels �]Pull-tabs �Tipbosrds
Rent Infom�adon(See Rule 78b 1.0060, Subp 2D) Indicate the rents paid by your organizacion to the lessor.
Class A and C premises perneits rent per bingo oceasion: Cla.0 B and D premises p�rmits rrret Per month:
Rent for bingo and all other gambling activities conducted Rent for forms of lawful gambling aetivity other than bingo
during that bingo occasion may not exceed: may not excxd a maximum of S1000 per month.
5200 for up to 6,000 square fee�
� 5300 for up to 12,000 square feefi and
5400 for more than 12,000 squarc feet
Rent to be paid per bingo occasion S Rcnt to be paid per month S
Rent may not be based on a percentage of receipts fmm lawful gambling or attendance at a bingo occasiou.
An org�nizarion may noi pay rent to itxlf or to any of its affiliates for space used for t6e conduct of lawful gambling.
Effective Date for Amended Lease Agreements
Please Gst the effective date on which the amendments to the original lease will take place.
List dimensions of all areas leased by your organization foc gambling ac6vity on this premises:
The leased areas are: ��•�n feet by feet for a total of �l.r HT square fxt
Tw� fcet by fcet for a total of S I X ::quare feek
. feetby FIVE fa�fo�a���ofFIFTEEPJ ��fa�
fxt by � feet fo�a total of square feet
Combined total square footage
Submit a sketch (drswin� of the gambiing petmises. This must show the locstion of your organizadons leased areas for the
wnduct of law�ful gambling inciuding arcas te�sed for storage of your gambling product on this gambiing prcmises. Be surc to
write the dimensions of the leascd areas on the si:etch. 'r[-�nt�tE�vsto�s o,t txE s�grcx�tusr sE t� sa.�tE as asovE
Times and Dsys of Bingo Occasions (for Class A or C premises permits}. If you checked bingo activity above,you must fdl in
the bingo days and times below. Circle am. or p.m. aftcr each beginning and ending time. A bingo occasion must continue for at
least 1-1/Z hours(90 minutes)but cannot exceed four(4)consecutive houn and at least 15 bingo games must be held at each
oecasion. An organization(as a whole) may not conduct morc than seven(7)bingo cecasions cach wcrk.
Begins At (a.m.�p.m.) Ends At (a.mJp.m.) On Day of Vlizek
Btgins At (a.m./p.m.) Ends AC (amJp.m.) On Day of Vlicck
� Begins At (a.mJp.m.) Ends AG (s.m./p.mJ On Day of Wcek
Begins Atc (a.mJp.m.) Ends At: (a.m.Jp.m.) On Day of Weck
Begins At (a.m./p.m.) Ends At (a.mJp.m.) On Day of Week
Begins At: (a.m./p.m.) Ends At: (s.m./p.m.) On Day of Week
Begins At: (a.m.'p.m.) Ends At: (a.m./p.m.) On Day of Week
. . .� : . „ ��
�� �
u
LG202 -
. By agreeing to the ternu oj this lease, it is mutuatly agned tlrat: �°�� -
.. _::�,�_:..
- 'When leasing from a Gcrnsed bingo hall,the ta4sor must be legal owncr of the property.
_�:
. :
. ,. __._.-�e ovma of the properry or the lea�or may�t m�e gunblin8 at d�e�i�. . } - '
___ . !The lwsar of tlu premixs.ltis or her immediaoe fmn�7Y.a�anY agenb or employoes of du l�ee may not pertiap�Ue .__ __
�plsyecs in the conduct of lawfvl gambling on d�e k��ed premixs. -- .
'The les�r and the lessx do not have a di�ect or indirect 6nancial inter�t in the distn'butia►a manufscdue of gambGng -
___.___.._ �uipment
'The lessor of the premises will aUow the Bosrd or agents of the Boacd,the Commissioner of Public Safe/y or aga�tt of
the eommissioner,or the Commissioner of Revrnue or agenis of the cortunissiona,and law cnforeement pezsonnd te
. .--_ -- inspect the premisa at any reasonable time,and perrnit the organization to canduct lawful gambling at the p�emixs �------
aecording to the terms of this lease. The lessor may not impose any conditions on the organization re8arding distn'butas
of gambling equipment,scrvic�s>or the use of pro6ts.
•The organiza6on must obtain an organization license,gambting manager lieense and a premises pennit from the
Crambling Control Board. The mganiza6on will be respons�ble for comPlyinB with the laws and rutes of lawful gambling
•The ternt of the lease shall be concument with the premises pertnit
•The organization must have,at the gambting premises,a current inventory of gambiing equipment,a skeOch with �
dimcnsions of the prcmises available for review, and a cicar physical separation or divider between the lessoe's gambling
equipment and the lesso�s business equipment
•The organization will be responsible for ensuring that the lessors business aclivities ace not conducted on the leased
premises.
'The leasc shal! be terminated immediately for any illegal gambting violations occurring on the prcmises.
•The lessor of the premises shall provide the lessee access to the permittcd pizmises during any time reasonabte and
necessary to conduct lawful gambiing on the premises and as agceed upon in this lcase.
•The lessor shall not modify,tcrminate or refuse to tcnew this lease in whole or in part because the otganization teported
to a state or loeal law rnforcemcnt authority or the Board the occurrence at the site of illegal gambling aetivity in which
the organization did not participate.
•(Write in any otha conditions or restrictions that will be included es part of the lease. Attach additional sheets if
necessary)
" $IOOO ,OO PER MONTH SITE RENTAL $100.00 PFR MONTH FOR SFrLIRTTy
�150 �00 PER MONTH FOR TRASH REr�o�a� TWO YEAR LEASE �
T(� UnTT� THTS fnNTRnrT� l'IRTTTFtU �JLD�Y '`�OT�CE M��ST RF �TVFN RY
MPLS W, SUBURBA�a JR, KOIIIAKS OR C, R, INCOftPORA��D.
This lease is the total and only agrecment between tha Iessor and the organization eonducting lawful gambiing activities.
There is no othcr agn:cmcnt and no other eonsidera6on required betwern the pnrties as to the lawful gambting and otha •
-- -- matters related to this lease. Any changes in this]ease must be submitted to the GambGng Control Board within 10 days }
of the efiange. 3
S' re of Lasor Date Signaturo o[Organization Otftciat(lessee) Date
� 3���lqf � 3r���Qs-- ;
TiNe o r Signato Title of Lessee ignatory
PRESIDENT C,E,.O.
A rnpy of this lease and a sketch, w�ith dimensions must be snbmitted�rlt6 the prrmises permlt application, p�emises
permit applicallon renew�al o�w�hen aay cbanges in the ksse agmment occur.
Pmsumt b M�n Sbt 13.U1 Subd.2 you arc haeby usCoackd tbat C�e intomueoa requeued on dtis Cam+nD ba u+ed by the GmDtin Cantrol8ard to detaum�s yaur qu�66ocon+to be 6+volved'n hwEd reabiing
aario�a►a�+�«�,,,a r�.�+e u,.c.�em+g ca+a�+ea.a r�+a�.,�.e.���a+�.�.e��ty�r�e.K ax�+e m�m�y a,�;�t�,.e��H��syan Re..m,�ty u�
�nr«�.o�n,nK c.�+em+s c�co►e�a a,.y na a�,nk m a�+�x y�y�sne�.�+�a.�,�,m•r+�d�m�y�.�a��ty ur a�.o«��aK c,.me�:�c,a,a�e�a.+u
e�.wam�sr�.�o«�
- Upon re�rivi��L�AW BunbM�g heaae.��PPhe�eon d�b A�'�bY Y���P��dm.Ria b roeawig a 6caaa tps appiiouon 6�Cam�Eon(w�lh U�s aemption Ofyar�rms md��kas w�ie6 ue pubtie) � .
� j�oamdaed prin0e data on e�viduds�nd w�Da m�Lbia aJY b d+e(o�o+�'+n�C�nb1uK CaoEialBa�n!maabm.sh�of We Gm�b�Canhd Boad�rEo+e�+ak a�p�mt ieq�mn tlut tlrcylave�a+aa b tEe
iiiamueat tse M6mesoa Dep�mnmt oCPubtie Safery.tlu Muu+e�aa Ananry Cma�l d+e Muuwad Coamm�ionas of A�ua�.FeuMe,u�d RevmoG iha Alemeota f.e�l�dva NditaS a�6r�rl yd
i+sanuatil ta^�tint RH++����Y�B�+�•P��+tO P�P�^�P��m aast aoda,od+a i�vidu�b ot a�eM.ia tlut may ba�Qeci6ally�utl�aiad by�uee seMae a feded lnv m E�ve raeas to wch
6�faem�OoM1 s�vidu�la md�genaes Cat w�hich I�«a kgJ adc uuhatm�ne+v ua a aE�m�L otthe nfotm�0a�alCv d�is 4000a w�a pre+t . � . .
Hearing impairrd individuals using a TDD may all the Minnesota Relay Smice at 1-800-627-3329.