The person desiring a permit to hold a public dance shall make application to the Mayor in the following form:
The Mayor: Sir: The undersigned, on behalf of hereby makes application for a permit to give a public dance at No. Street, on , 20 . It is hereby expressly agreed that such dance shall be conducted in strict accord with the provisions of law regulating public dances and public halls, and the undersigned agrees that the permit is given and accepted subject to the provisions of this application and that he shall be held responsible for any violation of any provisions of law or ordinance regulating such public dance. The owner or lessee of the premises in which such dance is to be held, is , No. Street (Avenue). Name Occupation Address |
(1963 Code §733.09)