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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 /> Name Address <br /> ?� 1�'71���► - , ,� A 5503? <br /> Telephone Number City, to & 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 are asking from t e City: <br /> Hi 5C v( C Much 0 ou --r tk 1e- <br /> rl i rk, <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 /> An adult may be requested to take <br /> responsibility to lock & unlock restrooms <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 /> � , ��� x-3 <br /> oTj X60 6 t�'UtgS g-k--4f1 � <br /> J <br /> 6. Is anyone charged a fee to watch or participate in your event? ' hJ2 <br /> 7. Have you used these facilities before? nO 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 /> © !" <br /> Printed Name of Person Signing Da (e <br /> Signature <br /> .......................................... ............................... <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ /OD• °�= Receipt # 1/3j-'� <br />