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<br /> �����.P�uiO�W�•"�S"��d�""� CITY OF IIIIIIIIII �n IIIIIIIIII IIIIIIIIII IIIIIIIIII IIIIIIIIIIIIII IIII�
<br /> SPECIAL EVENT PERMIT APPLICATION
<br /> Please read
<br /> information ling for Special Event Permit before completingthis application.
<br /> mindful that fees may be associatedi iWrite 1
<br /> Applicable)where appropriate. yJ /�0. y
<br /> �Ap ,,,,,y w LPo,,,,,,,,,,,,n,,,,,,,,,,,,,,,,,,............ .................w.u.................................Ill�onsolriilrl r aini,-, tliouri Name f Contact Ilf eirson
<br /> .Ad
<br /> mlii°ess (Stir--Pet, City, State„ ,ill„a) ho r
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<br /> 1;;;;°;rmmelill ddiiress. "I je7 � C
<br /> Type of Event; II
<br /> RunMalk OPlannedDemonstration Fund riser
<br /> 8 Block eirernony OCelebratlon
<br /> Parade Concert their
<br /> Streetit
<br /> M� .m....,� ,I.ml 'gym
<br /> �.. ...... ..... M„ ----------------- ...................................................................................... Invent IHours ,...................................... ............................................................................
<br /> t v Anticipate ,Attendance
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<br /> r i � I w� ��."� ��� mi III' �mimm�� m�rm "'ll�litlll rmll�Il�:: m ilY°�� .o m
<br /> Location and Description of Event: (List any City parks,streets,trails or facilities to be used and/or blocked during the event)
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<br /> I' „ ,,, Ill; No permanent markingsallowed i it in the ity of Centerville.
<br /> 1) Are policeis v ervicelyt elevent (traffic control, security, rric i streets,
<br /> and useequipment, etc ) s
<br /> Policea. c ri
<br /> Police r is Control
<br /> Barricades
<br /> Cones 0
<br /> Barricades 0
<br /> Picnic s Only) .0
<br /> } A map or magramthe eventt be provided. i for routes/direCtion of travel, locations
<br /> restrooms, serving areas (food n c ), stages, fencing and barricades.
<br /> 110
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