Agenda - Council - 09/27/1994 - Laserfiche WebLink

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Name: Address:. Representing Organize ion to use the lower level CITY OF RAMSEY MUNICIPAL CENTER USE PERMIT Date: Phone (W): (H): t~ouncil Chambers (circle one) of the Ramsey Municipal Center on (date) between the hours of and 'b has permission for the purpose of. Fees must be ! p;fid al time of application. Hours of Use: '7:00 a.m. Io 10:30 p.m. $20.00 per event (resid¢int) $40.00 per event (non-r~-sident) $10.00 per event / 12 m~nth lease (resident) $20.00 per event / 12 mdnth lease (non-resident) $75.00 damage deposit ({'esident and non-resident) $15.00 key deposit (resi4ent and non-resident) Receipt #: Amount: Receipt #: Amount: Receipt #: Amount: Receipt #: Amount: Receipt #: Amount: Receipt #: Amount: --'"' Total Amount: Key No. THE USE OF THESE FA WITH OR WITHOUT PI: 1, the undersigned, have this application. I underst liability for damages. 1 Police Department. h is the City of Ramsey harmll those individuals. User Signature: Key returned on: Initials: CILITLES REPRESENTS A PRIVILEGE AND MAY BE REVOKED AT ANY TIME :IOR NOTICE BY THE CITY COUNCIL OR CITY ADMINISTRATOR. :ad and understand the Priorities of Use and Rules of Use listed on the reverse side of md that a violation of these rules may result in forfeiture of any deposits and additional so understand that I am responsible to report an), vandalism or abuse to the Ramsey ..,reed by the parties hereto that those individuals included in the above group will hold :ss for any damages or personal injury incurred as a result of the use of this facility by CITY OF RAMSEY: Date: FOR CITY USE ONLY: Inspected By: Comments: Copy of permit to: Administrative Services Finarice Office .By: Date: