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PARK FACILITY PERMIT APPLICATION <br />Name/Address/Phone Number of Individual or Organization responsible for <br />making this a plication: <br />Name Address <br />Telephone Number Cit , tate & Zip <br />2. Please describe your event/activity and identify the specific facility/field within <br />the park you wish to use along w�,j�J{'}h�w/1i <br />hat you are asking frothe the City: <br />t-a. r� Af1,1 'I!l 7-77J, 1r k..#Q I- <br />_. AAr _ <br />3. What is the number of people that are involved in your event/activity? it V <br />4. What City facilities do you wish to use <br />Acorn Creek Park <br />Eagle Park <br />Laurie LaMotte Memorial Park <br />Hidden Spring Park_ <br />(Lighting & Warming House) <br />Trailside Park <br />An adult may be requested to take <br />responsibility to lock & unlock restrooms <br />Cornerstone Park <br />Royal Meadows Park <br />Tracie McBride Memorial Park <br />City Hall <br />S. Please LiNt the date or dates and times you propose to use the facilities: <br />6. Is anyone charged a fee to watch or participate in your event? <br />7. Have you used these facilities before? VD If so, when? <br />A <br />Are you requesting additional permits or City services? —Y=. Yes <br />(i.e., Road Closure(s), Temporary LiquorLicense(s), Fireworks Permit or <br />Burning Permit. Use of likhts, bathrooms or Aorta -potties, Park Buildings) <br />Please describe <br />No <br />Depending upon the nature of your event, or if you are requesting City services, you may <br />be required complete a different application and/or make a deposit tb cover city costs. <br />I"OLVMLkA0 r , t- -1J - . <br />Printed Nwk of Per on Signing Date <br />Signature <br />■rrrrrrrr a rrrrrSamoan magnum warrrrrrrrrrrrrrr■ <br />Office Use Only <br />Permit approved by: Date: <br />Deposit required: $ 1 O GLjdZ)— <br />Receipt # / l <br />Form number: 2013.01 PU <br />