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MOUNDS VIEW COMMUNITY CENTER <br /> FACILITY PERMIT <br /> City of Mounds View TYPE OF USE APPLYING FOR: ESTIMATED ATTENDANCE: CLASSIFICATIONS: <br /> 5394 Edgewood Dr. Room A Adults: Class I <br /> aunds View,MN 55112 Room C Youth: Class II <br /> 763-717-4040 Room D Class III <br /> 63-785-7055 Lobby I Full Gym Class IV <br /> www.ci.mounds-view.mn.us Lobby II Half Gym <br /> APPLICANT'S LAST NAME: FIRST NAME: <br /> ADDRESS: CITY: ZIP: <br /> PHONE: W: CELL: FAX: <br /> EMAIL ADDRESS: <br /> NAME OF GROUP: <br /> DESCRIBE INTENDED USE: <br /> Location Date(s) Start End Fees <br /> Time Time <br /> Total: <br /> Al Rules: <br /> Nlo food or beverage allowed on gym floor or in locker rooms. <br /> Absolutely no tape or sharp objects are allowed on the gym floor. <br /> Residents may not reserve the facility for non-residents. <br /> Reservations may not be made more than 12 months in advance by any group. <br /> [f payment is required this must be made 2 business days prior to the scheduled date. Rooms are not considered reserved until payment is <br /> -eceived. <br /> Weights for helium-filled balloons cannot be filled with birdseed,rice,sand or similar items. It is suggested to use candy,mints,metal washers, <br /> ;tone or brick. <br /> Decorations may not be attached to any walls,carpeting,flooring or the ceiling in any form. <br /> Decorations may not be hung from sprinkler heads (fire code regulation). <br /> Decorations may be taped to the underside of tables using only masking tape. Absolutely no other tape is allowed(i.e.duct tape,scotch tape,book binding,eat.). <br /> Rooms must be left with the same arrangement and condition as upon arrival. Unless specific arrangements have been made,room set-up will <br /> lot be made available by the Community Center Staff. Room set-up requests are the responsibility of the renter and need to be approved by the <br /> ommunity Center Director 2 business days prior to the scheduled event. <br /> Trash should be placed in designated containers. <br /> Drganized activities should conclude at the closing time stated on the permit. <br /> "Signature of Applicant: Date: <br /> USE ONLY ,. <br /> servation Made: Received By: Staff On Duty: <br /> User Fee: Deposit Fee: Check Number(s): Deposit Returned: Y N Date: <br /> 1/4/03 <br />