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APPLICATION FOR DANCE PERNUT <br />City of Colton <br />ORGANIZATION REQUESTING DANCE PERMIT zenc/e l4 ylieio 'p, G% <br />INDIVIDUAL REQUESTING DANCE PERMIT .1 ods P JfetI1GK 4 <br />v <br />DATE OF DANCE fri .SRS T]ME: Fro To__ l &w <br />PERSON IN CHARGE <br />ADDRESS l0 40. �� Uprrlen %�,v �A PHONE 909 - 78�- 3666 <br />LOCATION OF DANCE <br />IF YOUTH DANCE, HOW MANY ADULTS WILL SUPERVISE <br />ADMISSION CHARGE: (If Any) <br />Per Person <br />Per Couple <br />APPROXIMATE NUMBER OF PERSONS TO ATTEND fid- Qa <br />WILL ALCOHOL BE SERVED? <br />SIGNATURE OF APPLICANT: <br />PHONE 9z71_7A I -.?&* Oo <br />APPROVED BY COUNCIL ON MOTION OF <br />SECONDED BY AND CARRIED, SUBJECT <br />TO RATIFICATION OF THE CHIEF OF POLICE. <br />APPROVED <br />BUSINESS LICENSE FORMS / DANCE PERMIT <br />DATE <br />