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CCP 11-15-2004
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CCP 11-15-2004
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5/8/2007 1:19:51 PM
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11/14/2006 3:36:36 PM
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<br />~ <br />~HlLLS <br /> <br />CITY OF ARDEN HILLS <br />1245 West Highway 96 <br />Arden Hills, Minnesota 55112 <br />Phone: 651.634.5120 <br />Fax: 651.634.5137 <br /> <br />Date Reserved <br /> <br />Today's Date <br /> <br /> <br />Room Requested <br /> <br />e <br /> <br />CITY HALL MEETING ROOM RENTAL APP <br />Please call 651.634.5120 <br /> <br />ORGANIZATION <br /> <br />Name/Organization <br /> <br />Contact Person <br /> <br />Phone <br /> <br />C_l <br /> <br />Street Addrcss <br /> <br />City, State, ZIP <br /> <br />Email Address <br /> <br />Nature of Event <br /> <br />$10 <br />$100 <br />staff approval.) <br /> <br />Arrival Time <br /> <br />Completion Time <br /> <br />Small <br />Conf. Rm. <br />(8 max) <br />no charge <br /> <br />no charge <br /> <br />no charge <br />$10 <br /> <br />$15 <br /> <br />$25 <br /> <br />$30 <br /> <br />Estimated Attendance <br /> <br />PRIORITY USERS L <br />1. Any Arden <br />2. Anyrela <br />Rest <br />3. ~ <br />4. ...AI! <br />5. <br />6. <br />7. <br />8. <br /> <br />By signing this <br />and agree to all po <br />City Hall including a <br /> <br />All fees must be paid by casb or cbeck. <br />NO CREDIT CARDS ACCEPTED. <br /> <br />DETAIL ROOM SET-UP/ROOM REQUESTED <br /> <br />Applicant Signature _ <br />Date <br />Staff Signature <br />Date <br /> <br />Comm. <br />Rm. <br /> <br />~ <br />no ch. <br />no charge <br />no charge <br />$50 <br />$60 <br />$100 <br />$120 <br /> <br />Office Use Onty <br />Meeting Room Fee <br />Amount of Deposit/Fee Received <br />Other Charges <br />Building Inspection Sign Off: <br />o Deposit ma."\! be returned <br /> <br />o Check/Receipt #. <br />0$100.00 Deposit <br />o Check/Receipt # <br /> <br />o Deposit ($ of this portion thereof) should not be returned for the following reason (.<,): <br /> <br />Copies. <br /> <br />o Operarions & Maintenance <br /> <br />o Administration <br /> <br />o Recreation <br /> <br />
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