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�3) If ak.:,,otI lis beirIg slerved, copy of ourr(vint oirv,,,,sale Hqii..ior license rI 1,,)e provilded,.
<br />fiUUIr'Mniqe Ft
<br />I . ............. I�IIIIIIIIIIIII .......................................I , ............................... IjII�
<br />Irl-le (0,11ty of Gaintlerville ire-quiras m talirii events Ito obtain 11insuirl pflor, to qjpq,.,mrl The fdllowlng
<br />events inidiudie paii aders and/cmir other rru..)t)EIle. lew.)ints, lubfizftlig City I CenterviHe stiI events ir,)plleiin to thie pii..it)Hic,
<br />with a large inurnbir...%ii ol� atteinderes, Gltysil�aff,, ioir airiy otll"iiiemr evc..),ir,fts deemied rielmssairy 11:>y Ilbe Gity lof Genteii Wile,
<br />As la,corii1dMon I aplplIlIcaird shall-
<br />V.jF::1ro1cure, aiiiiid rnAiritaiin linsuirairicm.,:, whilich ipnilllui'III:JII,nl!OIpty oUlCenl1l.eirvillie as lu^namied firmisred oradidtfiloinal
<br />11111SLIFii old 11141ote: 11 N�.A.1rig tfm Glity asthile Gettifituate I blideii dolies not rnean 0I, City ps airiii addiflun,61 trisuired, It
<br />must state lin the. diascriptloru I1I:mx 1bN.m Iff flistEld as Ceirtifficate 11 Wdemr) ari addltioin4ll
<br />1C1vv adaoO.miuired.ys s, olIrqi1IIf 81O11011 �bliirigeirvedtheeir-itityserftthealchl IproAeGififimte' Liur I JabffitIr-murance n IfpstIng the Up y ofCairii,ter-I as ari additilloy"41 pf"m Ured.
<br />up„he Certificate I Iiimit,.urainioe, rn -po -.., !�i a Ij cat: 0
<br />........ ............ List bc, subiNU . ........ . wif...!]. ji...'s .. ........ m ..........................
<br />J I
<br />JZ� 7 �his inieled to j1::)iiru0det1iIIi1e leve�Il alif coveiragethat thie Uty ofiCerfterVille dpterrTitirm.4,sto Ibe
<br />niecessairy arild !q u t lump ier tiv dI rcumsftaincm s,
<br />II mnm ceftaftii eventsthis CNity irngy require s�lirnple piroof I iii miuv e
<br />IS I:n!SLJroe ireq.flred (as detprirnilried by Git st,aff),�:�
<br />y 111. 1 � I .................
<br />Sgnature:
<br />Return 1 his Farry-vto:
<br />City of Centervilte
<br />1880 MaEnStreet
<br />Ceriterviflie, MN 550,38
<br />Date:
<br />*Pleam., note, that thre arepfees mId with 'the I of the fltys parks (Depask, I Fee, Eta,)
<br />If yr,)u livaluld'ifilke your eivntfshedoewRde�iBad? lieff.5el
<br />Please niatp,, frrI I the I after ia asbi-dolim-
<br />Infimpriation relaredto 03F INAMMS or othler gomernment ago.-�,ni , ws
<br />,2. Requillim Centennialf
<br />A
<br />-apt organizations forated with1n, the irity I Centerville . Request. I oil rembrei eid non-p
<br />4. May not he regish""red as a noa.-prafit orglanlaratiolin fkie Fere dem Lexcs� erc,j
<br />. . .................. . ...............
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