SAN DIEGO PUBLIC LIBRARY
APPLICATION FOR ALCOHOLIC BEVERAGE USE

I the undersigned, do hereby agree that I will abide by the policies governing the use of this facility and I will be responsible for any damages to the facility or equipment caused by the occupancy of our organization to the premises.

ORGANIZATION

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APPLICANT'S SIGNATURE

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APPLICANT'S FULL NAME

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APPLICANT'S POSITION IN THE ORGANIZATION

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DATE OF BIRTH ___/___/___

CA. DRIVER'S LICENSE _________________________

PRESENT ADDRESS

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TELEPHONE: BUS: _______________________

HOME: _______________________

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______ APPROVED   ______ DISAPPROVED
DATE	________________________________

REVIEWED BY

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City of San Diego Risk Management Department

AUTHORIZED BY

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San Diego Public Library

Attach "San Diego Public Library Application for Use of Branch Meeting Rooms" to Library Community Meeting Room(s) Reservation Application, along with certificate of insurance, security guard contract and copy of ABC Permit, if applicable.