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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 /> Cindy Feist 7305 Deer Pass Drive <br /> Name Address <br /> 763 -24 -2048 Centerville, MN 55038 <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 /> My son and his fiance that are currently serving in the US Navy wish to be marri <br /> in Hidden Spring Park in Centerville. <br /> 3. What is the number of people that are involved in your event/activity? 10 -15 <br /> 4. What City facilities do you wish to use <br /> Acorn Creek Park Eagle Park <br /> Laurie LaMotte Memorial Park Hidden Spring Park _ 1, <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 /> August 18th //,30 -- 2 1X3 <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 /> 8. Are you requesting additional permits or City services? Yes X 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 No...would not let me click the line for NO additinal permits <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 /> Cindy R. Feist 07 -13 -2012 <br /> Printed Name of Person Signing Date <br /> Feist, Cynthia R. y et` <br /> Signature <br /> Office Use Only <br /> Permit approved by: Date: teat <br /> Deposit required: $ /.:D, 02 Receipt # 19,01 <br /> Form number: 2012.04 PU <br />