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BELIZE CITY COUNCIL

Application for Rental of Parks & Playgrounds

Ref: _________________ Date: _____/_____/_____

Name of Applicant: _______________________________________________________________

Name of Business: _______________________________________________________________

Address: _______________________________________________________________

Home Phone: ______________ Work Phone: ______________ Cell Phone: ___________________

Date for the use of the Park or Playgrounds: ________________ Time: _____________________

Which Park or Playground: _________________________________________________________

______________________
Signature of Applicant

FOR OFFICAL USE ONLY

Receipt #__________________________ Date: ___________________ Amount: $_______________________

Condition after the use of the parks or Playgrounds _____________________________________________________

s.

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