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responsible for interruptions of the use of the described facilities for reasons beyond its control, and reserves the right to cancel this penult for reasons of public safety or convenience. I represent and agree that I have read and understand the attached Rental Rules & Regulations regarding the use of the Old Fire Hall, including cancellation procedures, liabilities and responsibilities assumed, times and curfews, and maximum room capacities. I further understand that this is only an application for use which provides me with no assumed or implied rights for use until written approval is received. I further understand that fees are refundable only in accordance with City policies recited in the Old Fire Hall Rental Rules and Regulations. Specifically, and without limiting the generality of the foregoing, the holder of this permit agrees to save, defend any claims resulting from the use of these facilities, and hold harmless the City for any damages to City personnel, facilities, equipment, or other City property or damages to the property and/or person of any third party, resulting from the use authorized hereby. The City shall not be liable for damage to the property of any person participating in the activities authorized hereby, nor shall it be liable for the death or injury of any such person occurring as a result of the use of the facilities authorized hereby. Signature of Applicant Date Make checks payable to the City of Little Canada. Office Use Only Rental Fee Damage Deposit Deposit Returned Key # Approved _ Disapproved Reason for Disapproval By: Signature 3/04 9 6 Date: