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14. If a donation is requested on a purely voluntary basis, describe how you intend to <br /> inform participants/spectators or others that they may participate in the event whether <br /> they make a donation or not: <br /> Centerville <br /> Special Event Permit <br /> NAME AND TYPE OF EVENT: No One Left Hungry 5K, 8K and Kids Run . <br /> DAY, DATE AND TIME: Saturday Sept 19, 2015 8:00 race start time <br /> 1. PARKS AND RECREATION DEPARTMENT <br /> FINAL APPROVAL AND SIGN OFF <br /> Signature Title <br /> Date: <br /> Please check or use N/A (not applicable) where appropriate: <br /> 1. Final check has been made of application requirements. <br /> 2. Event is approved by City Council. <br /> 3. All required permits are issued and on file. <br /> 4. Refundable clean up fee has been paid. <br /> 5. Insurance Certificate is on file with City Clerk <br /> 6. Surety Bond is on file to secure payment for applicant's obligation <br /> to the <br /> City. <br /> 7. Application is complete. <br /> 8. Special conditions are attached. <br /> REVOCATION: Upon mutual consent, the City Council may revoke a special event <br /> permit if the conditions set fourth in the permit application are not being followed. <br /> Permit is hereby revoked: <br /> Page 9of14 <br />