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�f �Lil <br />D G L II I <br />C- I: \ T Ii,R <br />AM e"4k-s 505 E. Central Ave. ,Santa Ana, CA 92707 (714) 481-9600 <br />Telephone & contact person at that location: Sylvia Vazquez 714-565-2644 <br />Do you need room for a dance floor? No <br />Other (available) requests: No <br />I, City of Santa Ana, Community Development Ahency , the rental applicant, swear that all <br />the above information is true. If the information in this questionnaire is found to be untrue, the <br />Operations Manager has the right to cancel any contract between the applicant and Delhi <br />Community Center. <br />This questionnaire in itself is not a contract for rental, but a separate component included and <br />part of the rental contract. <br />`ill &--" u.f, <br />Signature <br />APPROVED AS TO FORM <br />LISA E. STORCK <br />Assistant City Attorney <br />OF <br />CITY <br />F�APO/� <br />DAVID N. REAM/// <br />City Manager <br />2 <br />Date <br />ATTEST: <br />MARIA D. HUIZAR <br />CLERK OF THE COUNCIL <br />