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PARK FACILITY PERAUT APPLICATION <br /> 1. Name /Address/Phone Number of Individual or Organization responsible for <br /> i g thi p 'cation. � , sy <br /> tJo� <br /> 2. Please describe your event/activity and identify the specific facility /field within <br /> thf,park you wish to use along with what you asking from the City:_ , <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 /> 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 a1 d ti es you propose <br /> e aci <br /> to ! i� <br /> 6. Is anyone charged a fee to watch or partici in y r event? MV S <br /> u c <br /> 7. H��e�y S used these f cilitie before? If when? ` `� (xr se <br /> � ?et. <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 ports 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 /> Printed Name of Person Signing <br /> - signature ---------------------------------------------------------- - - - - -- <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ Receipt # <br /> Form number: 2012.01 PU <br />