Laserfiche WebLink
PARK FACILITY PERMIT APPLICATION <br /> 1. Name /Address/Phone Number of Individual or Organization responsible for <br /> making this application: <br /> MV,i Gr Ut40f -j AdJ MS M V- A00 w vltw c og- <br /> Name Address <br /> W50 251 -%5'72 LINO LAkXS, $AN 5 5 03jr <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 /> Q ra c e <br /> 0. <br /> 3. What is the number of people that are involved in your event/activity? 4 5 <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 /> SMY�d e,-jQ krorA 3: S0 - A - 10 orn (� L - Jl ti ff- 24, 2012 It <br /> b. 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 Lieense(s), Fireworks Permit or <br /> Burning Permit, Use of lights, bathrooms or ports potties, Park Buildings) <br /> Please describe N /A- <br /> Depending upon the nature of your event, or if you arc requesting City services, you may <br /> be required complete a different application and /or make a deposit to cover city costs. <br /> 1 AV-t GUWDeV M AN — Sit/12- <br /> Printed N ft of Person �Sig Date <br /> Signature <br /> ------------------------------------------------------------------------- <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ Receipt N <br /> Form number. 2012.04 PU <br />