Agenda - Council - 05/27/1997 - Laserfiche WebLink

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CITY OF RAMSEY MUNICIPAL CENTER USE PERMIT Name: Date: Address: Phone (W): (H): Representing Organization has permission to use the lower level / Council Chambers (circle one) of the Ramsey Municipal Center on (date) between the hours of and for the purpose of I I I I I I Fees must be paid at time of application. $20.00 per event (resident) $40.00 per event (non-resident) $75.00 damage deposit (resident and non-resident) $15.00 key deposit (resident and non-resident) Hours of Use: 7:00 a.m. to 10:30 p.m. Receipt #:. Amount: Receipt #: Amount: Receipt #: Amount: Receipt #: Amount: Total Amount: Key No. Key returned on: Initials: THE USE OF THESE FACILITIES REPRESENTS A PRIVILEGE AND MAY BE REVOKED AT ANY TIME WITH OR WITHOUT PRIOR NOTICE BY THE CITY COUNClL OR CITY ADMINISTRATOR. I, the undersigned, have read and understand the Priorities of Use and Rules of Use listed on the reverse side of this application. I understand that a violation of these rules may result in forfeiture of any deposits and additional liability for damages. I also understand that I am responsible to report any vandalism or abuse to the Ramsey Police Department. It is agreed by the parties hereto that those individuals included in the above group will hold the City of Ramsey harmless for any damages or personal injury incurred as a result of the use of this facility by those individuals. User Signature: CITY OF RAMSEY: Date: By: FOR CITY USE ONLY: Inspected By: Date: Comments: Copy of permit to: User Administrative Services Finance Office ! I I I I I I I I I i I I