1997 AGN MAY 06 I14 - Laserfiche WebLink

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FOR DEPARTMENT USE ONLY Application For Facility Use Is: Remarks Approved Denied Y �. Approval Is Subject To Conditions Listed On Back Deposit Fee Date Paid 19 White - office - Date Processed 19 Yellow - Permittee Pink - facility Goldenrod - Public Works - CITY OF COLTON HUMAN SERVICES DEPARTMENT APPLICATION AND AGREEMENT FOR FACILITY USE CITY OF COLTON NEIGHBORHOOD SERVICES REQUEST FOR USE OF F 1-e m i ng Park Faality/Pooh Park (Circle One) ON (DATES) June 1 , 1997 FACILITIES AND EQUIPMENT REQUESTED We hereby certify that we shall be personally responsible, on behalf of our organization for any damage or unnecessary ❑ Multi -Use Room' ❑Banquet Tables # abuse of buildings, grounds or equipment through the use ❑ Activity Room ❑ Chairs # _ of said premises by our organization. -.- WE AGREE TO ABIDE BY AND ENFORCE THE RULES AND ❑ Community Room ❑ P.A. System REGULATIONS OF THE CITY OF COLTON AND CERTIFY THAT _ Other Fleming Park WE HAVE READ THE RULES AND REGULATIONS ON THE BACK ❑ Kitchen OF THIS APPLICATION. ❑ Baseball Diamond Name of Organization Colton First Baptist ❑ Pool Church Name (pie7l!�t�� TIME OF USE FROM 7:00 AM. P.M. Signature TO 5:00 Title Senior. Pastor. Address 1'58 Maria Court ' 1. Purpose of Activity: Church services and City, Zip Code Colton, 92324 Fami 1 y rn1t i na - Phone (daytime) C cing) R'7 ti-'1F7D _ 2. Expected Attendance: Adults 700 Date March 7 , 1.997 19 Youths 300 , 3. Is Activity Open to the Public: Yes xx No Mn„ 1 4. will Admission Be Charged: Yes No xx 5. Will Donations Be Accepted: Yes No xx If yes, what will the proceeds be used for? FOR DEPARTMENT USE ONLY Application For Facility Use Is: Remarks Approved Denied Y �. Approval Is Subject To Conditions Listed On Back Deposit Fee Date Paid 19 White - office - Date Processed 19 Yellow - Permittee Pink - facility Goldenrod - Public Works