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2015/09/09 14:20:30 2 12 <br /> e <br /> PARK FACILITY PERMIT AFTLICATI.O.N. <br /> of IndividUal or Organization 1•esponsib1c,-ror <br /> making this application: <br /> ...................... ------ • <br /> ........ <br /> Address <br /> j , <br /> j <br /> Telephone Humber City,Slate&zip <br /> 2. please describe-Your event/activity and identify the specific facility/Geld within <br /> the?�gk vou wish to use alona widn what you.are askin-,from the CIM <br /> .......... <br /> .�.J j <br /> ------------ . . .......... ----------- ----–------------------------ <br /> V <br /> ...................................... -------- <br /> -----––---- ................. -——-----------................... <br /> m 5- ..o <br /> \N."hat is the number of pcopic that are invoIN.-ed in your eveou".1vity) g4 <br /> .. <br /> .............. ... <br /> 4. What City facilities do you Wish lo use <br /> Acom Creek Park Ea-le Park <br /> 1.4mr;c LaMotte Memorial Park Hidden Spring Park -24�1-11 <br /> (Lighting& Warming House) 'rrailside Park <br /> I ............. <br /> An adult may he requested to wk,: <br /> anpurnsibilit;:to 1(----k&uniock-tcmimww� <br /> Cornerstone Park Royal Meadows P&ej( <br /> Trucie],M-cBridc Memorial Park City 1-Tall .....I....... <br /> Please Jim the(late or dates and times you propose to lise the facilities, <br /> .............. ---------------- <br /> 6. Is anyone charged a fire to watch or participate in your event? <br /> 7. voll used these facilities Ix-fibre') i. 11'so.When'? <br /> ............ <br /> S. Are you requesting additional permits or City services? Yes No <br /> (ix- Roaci Closure(,v), Temporai-v-Liquor Fireworks Pern-tit ur <br /> Burning perinil, 1"Se of 1rghts, bathi-owns orporm-potties, Park BuiNings) <br /> Please describe <br /> Depending upon the nature.of your event,err 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 NU111C of Nrsou Signing Date <br /> ... t:.:,L.\ <br /> 4 w%-�n <br /> men <br /> OtTice Lise 0 IV <br /> Permitapproved by: ................. ....... ------- - -------.................... <br /> Deposit required: ipt <br /> ................ <br /> Forw.jiumbu- 013 01 PU <br />