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PARK FACILITY PERMIT APPLICATION <br /> 1. Name /Address/Phone Number of Individual or Organization responsible for <br /> •, i g this.app 'cation. <br /> irevenawawkintrresizinior <br /> re <br /> 2. Please describe your event/activity and identify the specific facility /field within <br /> th .ark you to use along with what you a - asking from the Ci <br /> • s' 'Ari'► t T:irir��� <br /> 3. What is the number of people that are involved in your event/activity? 3 ± <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 . .at .nd times you prop�to e t e acilit : <br /> 6. Is anyone charged a fee to watch or p:;ici. + te in y_ event? Y� Nib <br /> 7. Have y these f cilities before. If so when. 1 �r� <br /> you <br /> sp r ,n and ,S A t dD 1 1Ygura.y'ee... <br /> 8. Are you requesting additional permits or City services? Yes No <br /> (i.e., Road Closure(s), Temporary Liquor License(s), Fireworks Permit or <br /> Burning Permit, Use of lights, bathrooms or ports potties, Park Buildings) <br /> Please describe <br /> Depending upon the nature of your event, or if you are requesting City services, you may <br /> be required complete a different application and /or make a deposit to cover city costs. <br /> 01:2,_ <br /> Printed Name of Person Signing D <br /> I - 6,53 - 8& 7 CeI (d7- 4S u esting <br /> Signature <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ Receipt # <br /> Form number: 2012.01 PU ��/� <br />