2014-12-03 P & R Packet - Laserfiche WebLink

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New Application: Yes Renewal of or Change in Application: CONTACT PERSON: Patrick Branch TELEPHONE: cell 703-501-6815 OR pbrancha,centervill emn.com 2. IDENTIFYING INFORMATION: Attach a written communication from the organization(s)in whose name the event will be advertised which authorizes you,the applicant,to apply for this special event permit on its/their behalf. Applicant's Name: Patrick Branch Title: Festival of the Lakes Run Coordinator Mailing Address:1618 Hunters Ridge Lane, Centerville, MN 55038 Affiliation: Centerville Parks and Recreation Committee Day Phone: 703 501-6815 Evening Phone: 703 501-6815 Emergency Phone: 703-303-1369 (Wife - Catherine) 3. EVENT PRINCIPALS: Following, please list the names, addresses and telephone numbers of all the principals involved in any of the proposed special event. Include professional event organizers, event promoters, financial underwriters, commercial sponsors,charitable agencies for whose benefit the event is being produced,the organization(s) in whose name the event is being advertised, and all others administratively, financially and organizationally involved as principals in the production of the proposed special event. Make additional copies of the following as needed to include as of the principals involved in the proposed special event. Name: City of Centerville Parks and Recreation Committee. Local businesses will be used as event sponsors. Sponsors for 2015 are to be determined. Organization/Business/Agency/Affiliation: Is this a non-profit organization? No. We are a Committee of the Centerville City Council. We are all volunteers. We are not a"for Profit" company. If you are making application under non-profit status,proof of non-profit status must be attached to this application Mailing Address: Day Phone: Evening Phone: Page 2of13