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2011-10-05 P & R Packet
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2011-10-05 P & R Packet
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12/14/2011 9:25:01 AM
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10/3/2011 8:03:15 AM
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• EVENTS PERMIT APPLICATION <br /> 216 North 4 Street, Stillwater, NH 55082 <br /> tat atareeaasa OF Telephone: 651- 430 -8800 Fax: 651 - 430 -8809 <br /> Incomplete applications or applications received after deadline will not be 'oaae teeu* <br /> accepted. See Event instructions for application deadline and fees. ! Bete Application: Received <br /> Date of Application: Type: Event 5pedelivent bent w /Contract <br /> Event Information <br /> Title /Name of Event <br /> Event Date/Time: Set up: Date Time to <br /> Actual Event: Date Time to <br /> Clean up: Date Time to <br /> (Events after 10:00 p.m. require a variance from City Council, <br /> Location (Address) of Event: <br /> (If In Lowell Park please specify north or south Lowell park{ <br /> Description of Event (please be spedflc- this Information will be used to promote the event on the City of Stillwater website) <br /> Estimated Attendance 1partdpants and spectators): <br /> Applicant Information (Person/Group Responsible) <br /> Sponsoring Organization Name: <br /> Mailing Address: <br /> City, State, Zip Code: <br /> Primary Contact /Applicant Name: <br /> Phone Number: Fax: Cell Phone: <br /> Email Address: <br /> Website Address: <br /> Name of contact person during event: Cell Phone: <br /> Alternate contact during event: Cell Phone: <br /> Refer media or citizens inquires to: Phone: <br />
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