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<br />OS/22/03 THU 10:03 FAX 612 784 0082 <br /> <br />CIRCLE PINES-LEI PD <br /> <br />~~~ CV CITY HALL <br /> <br />~009 <br /> <br />. <br /> <br />7. <br /> <br />PARKS AND RECREATION DEPARTMENT <br /> <br />Approved by: <br /> <br />Signature <br /> <br />Title <br /> <br />Date: <br /> <br />J, _ Parle permit(s) required. (to be attached) <br />2. _ Ballfield Usage PellDit. <br />3, _ Beach permit required. (to be attached) <br />4, _ Trash containers required. (# ) <br />S. _ Portable toilets required. (# ) <br />6. _ Applicant's plan for cleanup. site restoration and material preservation <br />(recycling) required and attached. <br />7. _ Other provisions as may be required by this department: <br /> <br />8. <br /> <br />PUBLIC WORKSD~F <br />Approved. by: <br />Sip' <br /> <br />Title <br /> <br />Date: 2--1.- ""'L 4> :1 <br /> <br />1. jT'a5h containers required. (# ) <br />2. Ponable toilets required. (# ) <br />:3. ---1 Special animal clean up required. <br />4. ---L Barricades provided, as available. (# ) <br />5. / Cones provided, as available. (# ) <br />6. ~ No parking signs provided, as available. (# ) <br />7. -1- Applicant's plan for clean up and material preservation (recycling) required <br />;1 and attached. <br />8. _ Other provisions as may be required by this department: <br /> <br />9. STATE, COUNTY AND CITY HEALTH DEPART.MENT <br /> <br />Approved by: <br /> <br />SignatUre <br /> <br />Title <br /> <br />Date: <br /> <br />1. _ Food and/or beverage served. <br />2. ~ Pennit(s) attached. <br />