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PARK FACILITY PERMIT APPLICATION <br /> 1. Name /Address/Phone Number of Individual or Organization responsible for <br /> making this application: <br /> Brownie Troop 54243 1704 Center Street <br /> Name Address <br /> 651- 338 -1616 Cathy Trast - Troop Leader tt <br /> Telephone Number City, State & Zip <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 /> Our Brownie Troop will be particpating in the Fete des Lacs Parade and we <br /> would like to hold our end of year family picnic immediately following the <br /> parade. We are considering having the picnin catered = easy clean -up! <br /> 3. What is the number of people that are involved in your event /activity? 15 -35 <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 times you propose to use the facilities: <br /> Saturday, July 28th, 2012, immediately following parade <br /> 6. Is anyone charged a fee to watch or participate in your event? no <br /> 7. Have you used these facilities before? no If so, when? <br /> This Troop has adopted the Hidden Springs and L. LaMotte monuments for 2012 <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 porta-potties, Park Buildings) <br /> Please desc i e no <br /> Depending he 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 /> Catherine Trast May 3, 2012 <br /> Printed Name of Person Signing Date <br /> Signature <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ Receipt # <br /> Form number: 2012.04 PU <br /> 11 <br />