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SPECIAL EVENT PERMIT STAFF CHECK LIST <br /> (INTERNAL USE ONLY) <br /> Department Dept. Initial Review/Approval <br /> City Council: Yes ❑ No ❑ N/A ❑ <br /> Public Works: Yes ❑ No ❑ N/A ❑ <br /> Centennial Lakes Police Department: Yes ❑ No ❑ N/A ❑ <br /> Centennial Fire District: Yes ❑ No ❑ N/A ❑ <br /> Parks and Recreation Committee: Yes ❑ No ❑ N/A ❑ <br /> Are fees associated with this request? Yes ❑ No ❑ N/A ❑ <br /> Park Use Permit$25.00+Deposit <br /> Park Use$100.00 Minimum Deposit <br /> Field prep., Trash pickup, lighting, concession facility,police and fire service, will be determined by the <br /> City's Public Works Director. <br /> Have fees been paid? Yes ❑ No ❑ N/A ❑ <br /> Payment Method <br /> Requesting Party Notified? Yes ❑ No ❑ N/A ❑ <br />