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PARK FACILITY PERMIT APPLICATION <br /> 1. Name/Address/Phone Number of Individual or Organization responsible for <br /> making fl-iis agplication: <br /> Caitlin Murp y 7017 Brian Drive <br /> Name Arhiress <br /> 1 <br /> 651-328-4582 (lenterville, A4T,,11 55038 <br /> ................................................................................................. -"'..... .......... <br /> 7 Y" St <br /> 11"elephOne�,Jurnber Cit, ate & Zip <br /> 2. Please describe your event/activity and identify the specific facility/field within <br /> the park you wish to use along with what you are 4skinf from the City: <br /> KI <br /> We will be holding soccer practice for a team of eight -5 <br /> year olds at Acorn <br /> T-�ree �ar . �racice�isone�ourlong on I urs ay evenings at 6:00 PW�arcn s <br /> n tilen <br /> a 'I �Cc' <br /> 3. What is the number of people that are involved in your event/activity? 20 <br /> 4. What City facilities do you wish to use <br /> Acorn Creek Park x Eagle Park <br /> Laurie LaMotte Memorial Park Hidden Spring Park <br /> (Lighting & Warming House) ... Trailside Park <br /> An adult may be requested to take <br /> responsibility to lock&unlock restroorns <br /> Cornerstone Park Royal Meadows Park <br /> Tracie McBride Memorial Park City Hall <br /> 5. Please list the date or dates and times 011.3roplose to use the facilities: <br /> . <br /> 8/3 0, 9/6, 9/13, 9/20, 9/27, 10/4, 10/1 (5 0 - 7:15 PM) <br /> 6. Is anyone charged a fee to watch or participate in your event? No <br /> 7. Have you used these facilities before? No If so, when? <br /> 8. Are you requesting additional permits or City services? Yes X No <br /> (i.e., Road Closure(s), Temporary Liquor License(s), Fireworks Permit or <br /> Burning Permit, Use of lights, bathrooms or porta potties, Park Buildings) <br /> Please describe <br /> Depending upon the nature of your event, or 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 of`Person ;sign <br /> afire+ <br /> —----------- <br /> Si <br /> I i P <br /> IN ain IN lnimminn INIZININ ININ Ioin loom ONE ININ IM WIN loin IN EIRININJININ INN illoolvALVIN ININ In NISSAN <br /> Office Use Only <br /> Permit approved by: Date: <br /> Deposit required: $ Receipt# ...................... <br /> Form number: 2013.01 PU <br />