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ATTACHMENT "B" <br /> j <br /> ANAHEIM-GARDEN GROVE-ORANGE <br /> NET 4 FIRE TRAINING CENTER <br /> 2400 East Orangewood Avenue <br /> Anaheim, CA 92806 <br /> Application for Use of Net 4 Fire Training Center <br /> Name of Agency: City of Santa Ana Fire Department <br /> Applicant Relationship to Organization: Fire Chief <br /> Name and Title: William J. Reimer, Fire Chief <br /> Address' 1439 S. Broadway Santa Ana, CA 92707 (714) 834-4125 <br /> Street CityZip Telephone <br /> Date(s) - Hour(s)• August 26, 1985, 0800 hours to open end <br /> Note: Attach schedule if request_ is for more than single use. <br /> Nature of Event (Explain fully; use reverse side if necessary): <br /> Specific beginning dates as per attached schedule <br /> i <br /> I <br /> i <br /> Estimated Attendance: 30 <br /> Will you charge a fee to attendees? Yes Now <br /> EQUIPMENT NEEDED <br /> Chairs - Theater Style Coffee Urns <br /> - Chairs & Tables - Banquet Style Assembly Table <br /> P.A. System (a) on Floor (b) on Stage Movie Screen <br /> Special Equipment Required (list below) <br /> 1. NONE 4. <br /> 2. 5. <br /> 6 <br /> 3. . <br /> I, the undersigned, on behalf of the above-mentioned agency, do hereby agree that <br /> we will abide by the policies governing the use of this facility as set forth, and <br /> b the Facility Management, and will sp ifical <br /> all others as set forth y y <br /> responsibility for any damage to the facility, furniture r e pme aused by th , <br /> occupancy of said premises by our organization. <br /> Signed: <br /> Dated. Jul v 19 <br /> Witnessed: <br /> APPLICANT: DO NOT FILL IN BELOW THIS LINE <br /> THIS FORA VOID UNTIL PROPERLY FILLED OUT BELOW AND SIGNED BY AUTHORIZED PERSONNEL <br /> Approved _ Disapproved Area Assigned: <br /> Reason if disapproved <br /> Special considerations and/or arrangements <br /> horize Signature <br /> Note: Any further requirements and/or arrangements regarding this a plication, <br /> please contact the FTC Office at (714) 634-4084.. <br /> L <br /> Form 001 <br />