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PARK FACILITY PERMIT APPLICATION ,( <br /> 1. Name /Address/Phone Number of Individual or Organization responsible for k <br /> making this p lication: <br /> 1 .. <br /> l h f,'s eet — rag Li 4'; - <br /> Name Address yp, <br /> Telephone Number City, State & Zip <br /> IcIP' 1 ) <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 /> . , ,i,„,! - ' l/ /S inerthA///,/^4c//te, <br /> 5 rit'Oo-1 L, P '-‘1,- --17--° P i , .), <br /> V V Sit ' 6. ---,N \e, US,. L WV') k \,r sI'tn✓' `(.• <br /> 3. What is the number of people that are involved in your event/activity? () <br /> 4. What City facilities do you wish to use <br /> - 4 , <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 _L City Hall <br /> 5. Please list the date or date§ and times you pro ose to use the facilities: <br /> 6. Is anyone charged a fee to watch or participate in your event? Y\O A <br /> 7. Have you used these facilities before ?'A,d If so, when? <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 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 /> C_AA6 'f-e CSI)- \ <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 />