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[{"$nulls":8},"施設長",null,null,"合　  　　議",null,null,null,"主　務"]
[]
["様式第１号（第３条関係）"]
["富 山 市 ス　ポ　ー　ツ 施 設 使 用 承 認 申 請 書"]
[{"$nulls":16},"令和　　　　年　　   月　　　 日"]
["（あて先）　（公財）富山市体育協会"]
["申　請　者","氏名（団体の名称）",{"$nulls":8},"代表者名"]
[]
[null,"住所（所在地）",{"$nulls":8},"責任者の氏名"]
[]
[{"$nulls":4},"電話","－　　　　　－",{"$nulls":6},"（電話）","－　　　　　－"]
[]
["　次のとおり富山市スポーツ施設を使用したいので申請します。"]
["使用施設名",null,"富山市勤労身体障害者体育ｾﾝﾀｰ",{"$nulls":5},"使用人数",null,null,"大人",null,"人 ・"," 小人",null,"人"]
["使用目的"]
["　（大会名等）"]
["使用区分",null,"　１　アマチュアスポーツ　　　２　その他の催し　　　３　興行"]
["入 場 料",null,"　１　徴収しない　　　２　徴収する（内訳　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
["使用場所",null,"使  用  月  日",{"$nulls":4},"使  用  時  間",{"$nulls":4},"使 用 部 分",null,"備　　　  考"]
[null,null,null,"月",null,"日","(      )",null,"時","～ ",null,"時",null,"面"]
[null,null,null,"月",null,"日","(      )",null,"時","～ ",null,"時",null,"面"]
[null,null,null,"月",null,"日","(      )",null,"時","～ ",null,"時",null,"面"]
[null,null,null,"月",null,"日","(      )",null,"時","～ ",null,"時",null,"面"]
[null,null,null,"月",null,"日","(      )",null,"時","～ ",null,"時",null,"面"]
["冷 暖 房",null,"　１　　　使用　　　　　　　２　　　　非使用"]
["付属設備",null,"　１　　　使用　　　　　　　２　　　　非使用"]
["備　　考"]
[]
["承 認 番 号",null,"第",{"$nulls":4},"号",null,"使用料又は\n利用料金の\n総　　　　計",{"$nulls":6},"円"]
["使用料 又は\n利 用 料 金",{"$nulls":6},"円",null,"（減免額",null,null,"％",null,null,null,"円）"]
[null,null," ",null,null,null,"減免後の使用料又は利用料金",{"$nulls":9},"円"]
["冷暖房料",{"$nulls":6},"円",null,"付属設備",{"$nulls":6},"円"]
["受 付 日",null,"令和　　　　　年　　　　　月　　　　　日",{"$nulls":6},"受付施設"]
["特記事項"]
[]
["備考"]
["　１　大会等の場合は、大会等の内容が分かる書面を添えて下さい。",{"$nulls":12},"受付者",null,"入力日"]
["  ２  太枠の欄のみ記入して下さい。"]