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["様式第1号（第４条関係）"]
["泉佐野市立佐野公民館使用許可申請書"]
["年　　　月　　　日"]
["一般財団法人 泉佐野市文化振興財団　様"]
[null,null,null,"　","使用者（団体名）"]
[null,null,null,"申請者","住所"]
[null,null,null,null,"（フリガナ）"]
[null,null,null,"※","氏名"]
["　　泉佐野市立佐野公民館を使用したいので、次のとおり使用許可の申請をします。"]
["使用する施設","泉佐野市立佐野公民館"]
["使用目的","　",null,null,null,null,"使用予定人数",null,"人"]
["団体名"]
["使用責任者","（フリガナ）"]
[null,"氏名"]
[null,"住所"]
["連絡先（電話）"]
[null,"第1講座室・第2講座室",null,"第1講座室・第2講座室",null,"第1講座室・第2講座室",null,"第1講座室・第2講座室"]
["使用室名","和　　室・料理室",null,"和　　室・料理室",null,"和　　室・料理室",null,"和　　室・料理室"]
["（室名を選択してください）","多目的室・会議室",null,"多目的室・会議室",null,"多目的室・会議室",null,"多目的室・会議室"]
["使用日","　 月　 日（　）",null,"　 月　 日（　）",null,"　 月　 日（　）",null,"　 月　 日（　）"]
["使用時間","　　時　　　分　",null,"　　時　　　分　",null,"　　時　　　分　",null,"　　時　　　分　"]
[null,"から",null,"から",null,"から",null,"から"]
[null,"　　時　　　分　",null,"　　時　　　分　",null,"　　時　　　分　",null,"　　時　　　分　"]
["使用する設備"]
["備考"]
[]
[]
[]
[null,null,null,null,null,null,"受付"]