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El <br />IM <br />11 <br />]IIII?ARK FACILITY <br />l' wilw / ,Iwl, w ss/P www we 'N'i,unbll r we 1:11div dual. c,17 Organization gww nsibl r <br />rmw l : wag this pl�Aicna;tul.nn;n -. <br />IIII <br />.Namic <br />slaw°1,7751944 <br />t"c� qp nau:n11n. III b"Ill �er° <br />Anderwxn <br />Add�ress <br />II ho III...akes, Il110111 d 5 l'n,n <br />................................................................................... <br />fy, State I I <br />Please Idesw�nlc b „ n)w;w.r elvelIxmt d" and ide tmf:'y th sple i fic Ekifity/ficlid wi lhil a <br />thrl .,Tar:k you wish to use alo lt7a, witili -what,you are slll� illng E rl lIn the, I City: <br />Cullmu:umnn 1232 AmnnuW rocI <br />We Ir7iie IIIall�n'gLIissfi fig the basebaH Wds „4,, ...1 he wflriiil dre0'on H lU��h°�"�l1�'rW.YIY'�I'ilin <br />.... ,... .... <br />tilere we ,'yet up. Nso, weatheii cloWd dialkay Me <br />I <br />People le that are., involved i . your I nlat/a twit � "�Irt..... <br />�t is the aww,w,w�a�, nln� w�w.... <br />'What Cit.yfacilities do you wish to use <br />!a,alcn!r:nn. Creek Park. <br />I,, nnraillcm LaM tte enlr n: ntalll. Park <br />An adult mua y be requested to take <br />rtspiryn: sibifity to lock & wm ock rtst 7caa nw, <br />ll'i'lacilr,'Mlcl3�tide,'M,Dmori,a]�, Park <br />............................ <br />EaOie, F°I: <br />x Hidden Spli:-hig "NA <br />'r iiilmd,wn Park <br />Royal Meadows Pwi-k <br />City Hall <br />Please list the date or dales and. times you PrOpOse to use thefacilities: <br />We iiilllll uunT.ed a':Mw.Shlu an+mom°ru..°wpirim nd Qn'w11rat. I21hl II..,°wI fDIIL wemuwJP eirl11beicauulp sway.. <br />Is anyone charged a fee to watdh o.r participate in yourevent? ..I O <br />7. Have you used these facilities b if so, ndnhe <br />r1 m I. <br />11 a w',y' u'° FOw"' w11`m11a sl a ummu 'uuuruuw llln nwumun a koim °n1 of Ou ln:ubellr,. <br />. Are you requesting addit Tonal permits or City services? . Yes , o <br />(i.e., Rocul loser (s).a Temporary I iquor .L is gas (s), Fire works.Permit or <br />rain .Permit, Use of fights, bathrooms orporta potties, .Park Boil n) <br />Please describe <br />I)IIng w:rllpon t1lie iiiiature of "noun° event, or ifyolan are IltlesllliilnCity sery .1.1 s, yoll.,imay <br />one III° quired complete different t III::mPliicmtialriand/or rl-take as I I posit, to Ico1ela° cit ostrrna <br />111finted. Nnaw>awna! ot.111crison Signing Date <br />t141.11111) zeliol 111 llll <br />ign tnnrwa <br />IIIIIII IIUIII IIIIIII IIIIIIII IIIIIU IIIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIIU IIIIIIII IIIIIIII IIIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIII IIIIIIII IIIIIIII 11111111 1111111 11111H 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 1111111 UIIIII IIIIIII u111. 111114 f81111111'1111111 IIIIIII IIIIII IIIIIII IIIIIII IIIIIII IIIIIII <br />10 '.fiaw«Iwa' IUUse Only <br />111armit woved by: Date: <br />Dieplosit required: a I I i l t <br />