City Use Only. Alcohol Permit approved? Yes No Receive valid insurance rider? Yes No Date received: Park or Facility: Type of alcohol use approved: Date of event/function: Time: Name of Permittee: Limitations/Conditions of Alcohol Permit: X , 202 City Manager (or designee) Date X , 202 Police Chief (or designee) Date • Alcoholic beverages shall be consumed only inside of Xxxxxx Lodge. No alcoholic beverages shall be permitted to be consumed or possessed in open containers outside of Xxxxxx Lodge unless approved by City Council. • No alcoholic beverage shall be provided to, consumed by or possessed by any person under the age of 21 years old.
City Use Only. Park/Facility Permit approved? Yes No If yes, which park or facility? Use approved for: Date of event/function Time: Name Limitations/Conditions of Park/Facility Permit: X City Manager (or designee) Date X Witness Date Entered on Facility Calendar Rental Fee Check # * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Alcohol Permit approved? Yes No If yes, which park or Facility? Type of alcohol use approved: Date of event/function Time: Name Limitations/Conditions of Alcohol Permit: X City Manager (or designee) Date X Police Chief (or designee) Date
City Use Only. Alcohol Permit approved? Yes No Did receive valid insurance rider? Yes No Date received: If yes, which park or Facility? Type of alcohol use approved: Date of event/function Time: Name Limitations/Conditions of Alcohol Permit: X City Manager (or designee) Date X Police Chief (or designee) Date • Alcoholic beverages shall be consumed only inside of Xxxxxx Lodge. No alcoholic beverages shall be permitted to be consumed or possessed in open containers outside of Xxxxxx Lodge. • No alcoholic beverage shall be provided to or possessed by any person under the age of 21 years old.
City Use Only. (SEAL) Mayor
City Use Only. In the presence of:
City Use Only. City may use and execute the Software only for purposes 43 specifically set forth in this Agreement.
City Use Only. Paid Charged Amount: Date Signature of Employee checking out tables: Signature of Employee Date Signature and Date picnic tables returned: Signature of Employee Date Date picnic tables to be picked up delivered: Anticipate return date: Person responsible for xxxx: Delivery Address (within City Limits): Billing Address: Contact Phone Number:
