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SPECIAL EVENT PERMIT STAFF CHECK LIST <br /> (INTERNAL USE ONLY) <br /> PaRk.-1hidal <br /> City Council, Yes ,3 No NIA <br /> Public Works.- Yes No �[�i NIA c.' <br /> Centennial Lakes Police DepartmentYes � No cNIA <br /> ................................... <br /> Centennial Fire DdIfict: Yes No NIA <br /> -------------------- <br /> .................... <br /> ................... <br /> ................ <br /> ................ <br /> ................ <br /> ................ <br /> ................ <br /> ................ <br /> ................ <br /> ............................................................................................................................ <br /> Are fees associated with this request? Yes c€ No NIA �-�J <br /> Park Use Permit$25.00+Deposit <br /> Park Use$100.00 Minimum Deposit <br /> Field prep., Trash pickup, fighting, concession facility,police and fire service, will be determined by the <br /> City's Public Worse Director. <br /> Have fees been paid? Yes No NIA <br /> Pawneni&44m1"hof.'Y <br /> Requesting Party Notified? Yes o No o NIA o <br /> 3 <br />