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{"sheet":"許可申請書","index":0,"n_rows":22,"n_cols":6,"rows_kept":22,"cut":false,"hidden":false,"merged":[[14,1,14,2],[14,3,14,5],[13,1,13,5],[0,1,0,5],[2,1,2,5],[3,1,3,5],[4,1,4,5],[11,1,11,5],[6,1,7,1],[6,2,7,2],[9,1,10,1],[9,2,10,2],[21,1,21,5],[15,1,15,2],[15,3,15,5],[16,1,19,1],[20,1,20,2],[20,3,20,5]]}
[null,"別記第１号様式（第３条関係）"]
[]
[null,"函館市地域会館使用許可申請書"]
[null,"年　　月　　日　　"]
[null,"　　恵山地区町会連合会　様"]
[]
[null,"住所"]
[]
[]
[null,"申請者　氏名"]
[]
[null,"電話　 　　　　局　　　　　　番　　"]
[]
[null,"　　次のとおり函館市地域会館を使用したいので申請します。"]
[null,"使用目的"]
[null,"地域会館の名称"]
[null,"使用区分","使用年月日","使用場所","　 時間または時間区分","使用人数"]
[null,null,"年　　月　　日",null,null,"人"]
[null,null,"年　　月　　日",null,null,"人"]
[null,null,"年　　月　　日",null,null,"人"]
[null,"※使用料",null,"円(うち暖房料　　　　　　　　円)"]
[null,"　注　※印欄は，記入しないでください。"]