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Mounds View Parks & Rec FACILITY PERMIT CONTRA )C T Permit # : 477 Date : 08/29/96 Page 1 411 Customer: MARY SAARION Customer No: 000163 Address : 270 LITTLE JOHN DR. Phone # : 786-4438 ( ) Type: N City, St : CIRCLE PINES MN 55014 Agent : Agent ID: Title : Phone # : Event : Meeting Attendance : 0 : w Facility: Bel Rae Community Center-whole r cil ' ty ID: BEL BLDGS 1 Type : Community & Shelter Buildings one #1 : 784-0618 (612) Location: Bel Rae Community Center hone #2 : 786-4630 (612) 5394 Edgewood Dr MOUNDS VIEW MN 55112- Date Setup From To Ready Hours 08/29/96 09 : 00A 09 : 02 : OP 02 : 00P 5 . 00 5 . 00 Description -nit Qty Unit Fee Ext Fee Clean-up/ damage deposit E 1 . 00 $ 50 . 00 $ 50 . 00 Key deposit EA 1 . 00 $ 50 . 00 $ 50 . 00 Fee Sub-Total : $ 100 . 00 Grand Total Fees : $ 100 . 00 Total Payments : $ 100 . 00 Total Refunds : $ 0 . 00 Balance Due : $ 0 . 00 1 . Community Building Reservations are Scheduled and permit Granted with the Parks and Recreation staff at 784-0618 . 2 . A personal check is required from the person who is in charge of the community group . A $50 . 00 deposit for keys and a $50 . 00 clean-up/damage deposit is required. If keys are not returned the next working day, the deposit is retained. If additional clean-up is required, the amount of labor time necessary for clean-up will be retained. 3 . If either keys or clean-up deposit is forfeited, so is the opportunity for that same community group to use the Bel Rae Building in the future . 4 . Keys must be returned to the Parks and Recreation Department the next working day. 5 . Alcohol and smoking are prohibited in the Bel Rae Building. 6 . When leaving the premises, the following must be completed: • A. Sweep floors B. Pick up trash and litter, place in trach receptacles . C. Wipe off tables, chairs, counters, sinks and other facilities that were used by your group.