k,l
<br /> " 111111 10000 111111 '
<br /> Or
<br /> III 111111 IIIIPII I IIIIIIIII II
<br /> ' III IAUV � IIID IIID llllw 1011110 IIIIIIU� llpy 111111� I111UNw I' Illlr
<br /> 1111r III�:OII�II,I � � yI IIIYIIIY�' ,I IIIIIIyI`�IIIIII Y[ 111II1TWWUUVV 0 110111n JIY�IIIIV.11111000iW IIIA 11� II,.VIII
<br /> ��ii�W110110". 11� �WYWr' 101 110001 ����iI�UIO��IIIW �'W'gIW'11111��11W � 11��1� I4 i 11 1111Vu 111"WWpp:: '11010111001 'll001001 O�q�I,INNNOIIIIO'6
<br /> Uloase reed Vmfniflun I ll!jimj;fn' r Special Event F:Z r Ut1belbirr,:n-riplIatinthisapplicaflion., Pleasis biv
<br /> rnurlIit.fees may,Io urrqrreskn Answer all ue-stimnfjjY:l,116N.w pjlIjjjI,jq., yIYit UsIVA (h1lll
<br /> 'ppUUc ' ),wher oIrtuI te-,
<br /> mmRmm �� ...........mmmmmmmmmm mmmmIC �mmI ...... mm....
<br /> mm mm mm
<br /> Spoinsoring DirganizatJoin Name of AppIllcsnt or Contacl Persm
<br /> 838 :Lake: mve..' mem `La � '� 1.-2775 5 ,,,,. .,,,,,,,,,,,,,,,,,,,,,,,,,,,,....,,,,,,,,,,,,.................. ...........
<br /> Address (Stiii'eet, St 'IB„ ,.,I li ) Phoma Number
<br /> "mli is w
<br /> EIrmn ll dress° �r ivi.f ?�r Il 14::g iu ,,,,,,,,w, ,,............................
<br /> Type ofEvent:
<br /> lRun alk OPlanned Dernonstraflon4 i 'lu r� U� Il ur
<br /> Block F aI 11 m U k lr n m lrn
<br /> IrIrIIC1! Io
<br /> Flarad.m mi l ql�" �', .U�wir
<br /> Street.Fair
<br /> 81��1 �. ........... ..............w................................... .................m.... Event Hours .11.............., a�"� ,,,,,,,,,.................��...........
<br /> ): ............. ................................................. ......................
<br /> 7� ;: � Anticipated Attendance
<br /> Ed tation
<br /> II....ocation and Descdpfion of Event 0-11st arra City p 1 ,vaiis or facilffles to be used nd/or b6ocked-off du6ng theevent)
<br /> .A �' rm r r '. °.'I�7nr 'r 1 1 r 'r mR
<br /> .l r�.......r. n ..,r. ,nu�r ,.,,,m,,,,, ,,,,,,,,,,,,,,,,,,,,;,,;,,,,,,,,,,,,,,,,,,,,,,,,,,,m,
<br /> , r iii.i o have �� l i m: s �NI �4,x �� 1 mm °iu.� ��, I ��U tr�l.. l giublui��,l,.
<br /> :rule . No„ � to rr,snmr
<br /> INOTE: No permanent markings f route allowed on any streets, sidewalks,or traft in the City of Centerville.
<br /> ,u-Ve poUj�,� I mr, r needed to provi rlrlmms.nt the veli t (tr 'r control, ria l ud di u9 'Lsa
<br /> arid usle e:: uUwment, w) &S.I ,No �1
<br /> a., I1310111c* Security
<br /> Police Tralfir,(;;'xxrmtr ll 0
<br /> Uf;;larricades
<br /> Ioe
<br /> Barricades
<br /> Picnic Tables 1( 11:3arks re ruEl��) e
<br /> )
<br /> r nap or dingram I 1 f tlhi l event ir' r,,,r 'l'1Nprovided. '1Lodlklllu�l for lrr� les/dI�e0on travel,l d.lioni 1 f
<br /> e 1� , er° in url fc and lcoh �)la stage8joincirlig arid ILIu rurU°u des„
<br /> 5
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