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PARK FACILITY PERMIT APPLICATION <br /> 1. Name /Address/Phone Number of Individual or Organization responsible for <br /> mteThapplic4lops <br /> L Vat. <br /> am J Address <br /> L34 ? Y <br /> Telephone Number City, State & Zip <br /> 2. Please describe your event /activity and identify the specific facility /field within <br /> the par u wisiak to u e alo9g with what you are asking from the City: <br /> () <br /> 3. What is the number of people that are involved in your event/activity? (C) <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 - E - City Hall <br /> 5. Please list the date or dates and times you propose to use the facilities: <br /> 7y /�r4 Dr/ <br /> 6. Is anyone charged a fee to watch or participate in your event? <br /> 7. Have yo23 used these facili 'es before? 1 -(e--S If so, when? <br /> rh At er'( <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 c'ty costs. <br /> ( 3 / ./5 D/L/ -Or 0//2__ <br /> Printed Name 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 />