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PARK FACILITY PERMIT APPLICATION <br /> 1. Name /Address /Phone Number of Individual or Organization responsible for <br /> making this a p plication: <br /> Name Address <br /> Lo 51- y 0 12- Hy `b -o <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 /> 1: �CaCh a grOUP ti {ACf5S CIct55 E ivC 1112 X 77 ltX!rKvzL.l- <br /> ou-t dcx,rS -:e -Mc S u rn me,-, W% tk�- c-D 30 CL no <br /> 3. What is the number of people that are involved in your event/activity? )) 15 <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 /> 5 304►- ( 3o,,r, �3ud -- 5��o 7� 1ti l S ty — S� 4 - . 3 0 <br /> 6. Is anyone charged a fee to watch or participate in your event? <br /> 7. Have you u sed these facilities before? If so, when? <br /> cX��`� C� t 1n2Qryi� n'l lyf I�tyct �JC► 4 <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 /> Printed Name of Person Signing Date <br /> i ature <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ Receipt # <br /> Form number: 2013.01 PU <br />