Space Request Application Form - Non County Users | Facilities and Fleet Department

What is the goal of this Program or Service?

Who is the client population?

What dates are being requested?

Start Date and Time

Termination Date and Time

What is the address or location of the space being requested?

How many staff will be on site during use ?

How many client visits are expected daily?

Do you have any additional information that would be useful for the decision maker?

Below Fair Market Justification

Demonstrate that this proposed use is serving a public purpose (beneficial to the majority of the county population.)

Are there other viable alternatives to the proposed use?

Demonstrate that the fee, rent or payment at fair market value is not economically feasible and the proposed below fair market fee, rent or payment is otherwise justified. Try to quantify the public benefit associated with the use.

Can the party requesting use of County space demonstrate that it has the financial and operational ability or expertise to provide this program or perform the public service?

Upon completion, this form is sent to [email protected]. If you have questions regarding this request, don't hesitate to call 408-993-4600

Space Request Application Form - Non County Users

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