822.12 APPLICATION FORM.

   Any person desiring a permit to hold a public dance or public ball shall use the following form of application, a copy of which shall be secured from the Director of Finance:

APPLICATION

         North Royalton                 19            

Director of Finance

   Sir: The undersigned, on behalf of        , hereby makes application for a permit to give a public dance at No.             Street, on 19  . It is hereby expressly agreed that said dance shall be conducted in strict accord with the provisions of law regulating public dances and public balls, 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 provision of law or ordinance regulating such public dance. The owner or lessee of the premises in which such dance is to be held is

                      ADDRESS NO.                        Streets (Avenues).

Name                      Occupation                            

Address                               .

(Ord. 99. Passed 8-7-28.)