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if icrmll"i is Ibeing !served, copy of m:'.uirr unt r:)n salp liir ,uJu r Iililiceinse imL.mit be Iprnviided
<br /> "'lIN"Ihur I liii f u fICi iul ult ul° liillllll reliql1ifires craiii1dilin lei W +ui4bt finIilinsI,i rain ie priliniii iitao iaIlf:�l113,r vail. "rte. lbIlIoW,1111119
<br /> 'events ind1k.ide pwraidesIri otherrm'r N�uiu!'d' 'hld'dn"„Int utflizing City of'Centeni streets, eiii IC) IIn to itt"ilea pubIlilmw
<br /> With a large mnu„sur INS ir` reftt,,,Yir"nr,N + , ("Ifly staff, or any other 'ui deem,it inecessary by the City of('Rier'mt r” ilie„
<br /> a�4lY irk oondlllllJiY:)n o"i 1pi 'rllrnflt thee, wmC,m u� rmt I AIYIrii,
<br /> .WIN
<br /> and unn6!ntd1iii Iin uNuii,'a .!a, whild1h 11iriiiallucilies the 11rotty of cu;!iuirli[tniirllrffle as rhiwrrmurrd lillutsu uru d our iidd1lttour%,,mill
<br /> urinsul,rred., i....i tin l fll'ii,, City as itt-,iie u:mrtlillf'ict IHolrf r° does rmirmt irrr rlurm thr: nDlty is an additlioni,wiil 'in su.iured. Ilt
<br /> miuststate in thue damrcrptir rm box tt"iu:`u1 Gull, (or ifiii, tis"d as Cerfificailet°°i l r) is an wJclffional lirn iaru�, "
<br /> �Illil`alcotidli beiunfl ! „Nrived, tt'r u,mrwtitf mut provide ,Im ' 'rtiitu tr of Lkj ucmr Li tmillity
<br /> Ilan u,.mr a m„m and ii, fila the ("Nty of Cent ni as ernd i'tloii,'m i ira;l Urr..id
<br /> t'uue Cerfililicatis of rniii.i be . u b mn'itt d with this °u IirJl' rt'i rm,.
<br /> ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,„,,,,,,,,,,,,,,,,,,,,,,,t,,,,, ,,,,,,,,,,,,,,,,,„,,,.........................I
<br /> Fhus insuirance will rm :i termr'uli the ii r,m°l'cc,.rverage that 41h+ Ay of CiPenteniffle rtrrmmiir'u t;ube
<br /> inecessary. and adequate under-the dricurnstainces..
<br /> ,. Ifs ,�� � � ,,.,� ” �m . iur'mrr If y 111,� ”N„yN�JWIN,N�J�NN�W�J�JN,NIJ�JN��JN�N�NN� �J�,N�N,N� �N�NJm�J�N�W�NJN��W
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<br /> �,,, crtln,miwln ante the� Clt.,f n-m r� a iri � ��� Ipir f f'i�rm,�,.�u„ITIR um,r"N
<br /> I�r�lr"r„„ �” �
<br /> Is iii i u riaiiu'm r' m'I u�uirrc:lu�l i; d t rurm"uliunu d It,m,! l�liit t t'f), ,,,,,,,,,,,,,,,,,,,,,,.IIIIN 9� ............. lr^Ru,m
<br /> SignSlgnatuire� .. IDate. 'p....
<br /> Return this for to: City of Centerville
<br /> 1880 Main Street
<br /> Centerville, MN 55038
<br /> *Pleaserpore that therp rjre fees associated ith the e of the City's pars(Dep sit, User Fee, i',tc.)
<br /> *ff you would like your event published an-the City"s website Reader Board? Please m a ^ Z”Yo EJ
<br /> 111 No
<br /> Please note, it must meet the "qty's criteria as below-
<br /> 1.
<br /> liqfbirmation related to City business or otter government agencies
<br /> m Requests.from Centennial School District 22
<br /> 3. uests,/roam all registered non- r fit organizations located within time city of Centervillife
<br /> " May not be registered as a non..~organkation(i.e. School events, Fete dps Lacs, etc.)
<br /> 26
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