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<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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