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1 <br /> License Fee: Waived 60tervitTe State of Minnesota <br /> License No. 2011 -05 `e,t«br :drtd t., >; County of Anoka <br /> City of Centerville <br /> SPECIAL EVENT/NOISE PERMIT <br /> Cub Scout Rocket Launch <br /> Laurie LaMotte Memorial Park, 6970 LaMotte Drive — June 18, 2011 (9:00 a.m. — 3:00 p.m.) with Alternative Date of June 25, 2011 <br /> PURSUANT TO APPLICATION THEREFORE, fee payment was waived and upon investigation and satisfactory evidence of the <br /> qualifications and insurance of the licensee(s) herein named to receive the same, <br /> THIS PERMIT IS ISSUED TO: <br /> Ms. Shelly Olson — Cub Scout <br /> For the term of one -half (1/2) day per the date(s) stated above, to utilize the above stated area for their event. Said licensee(s) controls <br /> and operates this Special Event. Said licensee(s) is responsible for all activities and conduct of participants, spectators, fire or <br /> police /medical emergencies and cleanup of the site. This Special Event Permit is non - transferable except by consent of the authority <br /> issuing the same. <br /> WITNESS THE GOVERNING BODY OF THE CITY OF CENTERVILLE, and the seal thereof this 13th day of May, 2011. <br /> The City Council of the City of Centerville <br /> C�itgst: ® By: k,/,L.t. <br /> City Clerk Administrator <br />