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of Itidividuall. or Orgaiiizatioiia iresipionsiIIAle ifor <br /> making this application.: '01"_tA k,E <br /> albl i............ AVE <br /> Name Address <br /> 51 A0,1 <br /> Fellephone Number City, State &Zio <br /> 2. Please describe yourevent/activity,,and idenfi6r the specific facility/fielid within <br /> the park yiou wish to use alfr�irjg ivith what you ai�e asking ftom.the City,: <br /> ............ <br /> 3. What is tine narnber of people that are involved in your event/activity? <br /> 4. What City.facilite es do you wish -to use 4:(-,iq (11'i& I kr:xJ1 S E AIeEA, <br /> Acorn Creek Park <br /> Laurie LaMotte.me rnor ial Park n Ifidden Spring Park <br /> (Li tin & Warming House) Park <br /> An adul t maybe requested to hulks <br /> rQ90118ibiMy to lack&unlixk m%#rooms <br /> Corners tone Park R.oy,-rifl IMeadows Park <br /> Tracie McBride Meimorial.park city.Rau <br /> 5. Please list the date or dates and tirnes you propose to use the facilities: <br /> -1 ­ <br /> ................. �S­ <br /> 6. Is anyone clu ged a Ne to watch orartici1,iiate hi yoiiir event? <br /> P :� <br /> 7. Have you used the -facilities before?.. If so,when? <br /> 11-,"",',,"",',,1,,""............... ................... <br /> 8. Are youreqesti ng additional pertniUs or City services? - Yes No <br /> (i.e., Road Closure(Y), 7empora#y.Liquor.Li(-eptse(s), Fire,workv Permit or <br /> Burning Per?nit, Use qflig hfs, bathrooms or por--ta..-pottie.y,, .Park.Bui,'Idings) <br /> P.I[easit.:„irlir,,,saiii.be ............... <br /> Depending <br /> ap on ffienature of your event, or if you are requesting City services, you nay <br /> be required complete a different application and/or mike a deposit to cover city costs, <br /> 713A�,0�,Ais 02.6 08 1 1 <br /> Printed.'q ofpersoii ISigphig Date <br /> 2 <br /> %, i............ <br /> kiaxelldlvc � " <br /> Signature <br /> 1111111 1111111 1111111 111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 uIK 1111111 imu 111 111 111 111 111 111 1111111 111 1111111 um¢111 1111111 111111 1111111 111111 111 auuu uuu 111 omu 1111111 1111111 111 111 111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 111111 111111 1111111 1111111 11111111111111 1111111 1111111 1111111 1111111 111111 <br /> i 1"J'Sc 0111y, <br /> Pertnit aper ovedbY Dat'e�:-------- 2112MA !Cie <br /> Diel,110sit reqUire& $ / t57 40 Receipt If <br /> ................................................................................................................. <br /> Flonyrinuiribier: 201101PU <br />