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: ~PLEGI~OVE' F~qF~lgS~EC~ ~ ~ ' <br /> <br />How would you like to be notified7 <br /> Fax <br /> <br /> 61-'9 4eJ'4 64~4 <br /> <br /> Date permit issued:.__ <br />Maple Grove Communi~ C~t~ <br /> <br />1295 ! Weaver Lake Road., M:ap/e Gr,:,ge,, MN 55369.9409 <br /> Maim 494..~00 Fax 494-6454 <br /> - RENTAl., REQUEST FORM · <br /> <br />Initial <br /> <br />D~ Phot~ #: <br /> <br />Fax Pho~ #: <br /> <br />Ev~g Phone #: <br /> <br />Acfivi~/gvmt:(ex..lou Sm{da's B~y Barry) <br /> <br />city, z~ <br /> <br />Ist ctmiee: Day D~: Time. <br /> <br />Day DaSa~: Tm,,e <br /> <br />Altema~ Day:. Dat~: Tim~ <br /> <br />'*If you art planning a regular, long term meeting (v~eM3,, monthby etc.) please attach an additional sheet listing <br />ALL dates and start and end times. ]~l~ase rnartc any dates with ~eeept~o~$ mgara~'ng attendance, set up etc. <br /> <br />Set up: (ehtn~ one) Ifyoa have · speeial set up need, pl*~ attach a diagram and any add/tionnJ im%rmafion <br />regarding tr~ set up to help ensure proper set up prior to event. <br /> <br />'xX X XXX <br /> <br />XXX XXX <br /> <br />C. onfereaee style (tables in a sqna~) <br /> XXX. X <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> I <br /> <br />I <br />I <br /> <br /> style with he. ad tabM for ~ <br /> <br />XXXXX XXXXX <br /> <br />~_! ~ up requests: (Be specific regarding any add/tlonM equipment needs you may <br /> <br />~).vevheM Projector ($I0) <br /> <br />~rv/vcR ($~) <br /> <br />O$1id~ Projector ($ I 0) DLCD l~o'_y~_~ ($25) <br /> <br />~~ Markers (FI~E) OEascl ($5) <br /> <br />~offe~, juice, ~ ~ ~ a~bl~ ~ v~ ~~. <br /> <br /> i~: D~: <br />~ ~: C~ ~e, (f~ 49~54)12951 Weav~ ~e ~, ~lc ~e, ~ 55369 <br /> <br />F.5OR~ARKSSOOM~MO~ ~OFOl~i ~'KI~TREQ~.D07. <br /> <br />I <br /> <br /> <br />