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MAR /08 /2012 /THU 04:02 PM FAX No. P. 001 /001 <br /> PARK FACILITY PERMIT APPLICATION <br /> 1. Name /Address/Phone Number of Individual or Organization responsible for <br /> making this application: <br /> Centennial Soccer Club / Chris Melmer Fields Director <br /> 612- 616 -7082 <br /> 2. Please describe your event /activity and identify the specific facility /field within <br /> the park you wish to use along with what you are asking from the City: <br /> Soccer Practices, U9 -1_110 and Ul 1 -U12 age groups. We would like access <br /> to all soccer fields 1 -2 and 11. We are not asking the City to do anything for us. <br /> However, we are wanting to put Soccer nets on the fields for thse age groups. <br /> 3. What is the number of people that are involved in your event/activity? Varies <br /> 4. What City facilities do you wish to use <br /> Acorn Creek Park Eagle Park <br /> Laurie LaMotte Memorial Park Hidden Spring Park <br /> (Lighting & Warming House) Trailside Park <br /> Cornerstone Park Royal Meadows Park <br /> Tracie McBride Memorial Park City Hall <br /> 5. Please list the date or dates and time you propose to use the facilities: <br /> Begining April we would like to use the soccer fields M -Th 4:00 - 9:00 PM <br /> 6. Is anyone charged a fee to watch or participate in your event? NO <br /> 7. Have you used these facilities before? IS If so, when? <br /> Centennial Soccer Club used these soccer fields during the 2010 season. <br /> 8. Are you requesting additional permits or City services? Yes 1J No <br /> (i.e., Road Closure(s), Temporary Liquor License(s), Fireworks Permit or <br /> Burning Permit, Use of lights, bathrooms or porta potties, Park Buildings) <br /> Please describe r <br /> } q <br /> S ` Y <br /> Depending upon the nature of your event, or if you are requesting City services, you may V <br /> be required complete a different application and/or make a deposit to cover city costs. <br /> Chris Melmer 03.05.2012 <br /> Pri tad Na Person Signing Date <br /> Signature <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ Receipt # <br /> Form number. 2012.01 PU <br />