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SPECIAL EVENT PERMIT STAFF CHECK LIST <br />(INTERNAL USE ONLY) <br />Department <br />City Council: <br />Public Works: <br />Centennial Lakes Police Department: <br />Centennial Fire District: <br />Parks and Recreation Committee: <br />Dept. Initial Review/Approval <br />Yes Li No❑ NIA <br />Yes❑ <br />No <br />NIA ❑ <br />Yes ❑ <br />No ❑ <br />N/A ❑ <br />Yes <br />No <br />NIA ❑ <br />Yes <br />No <br />NIA <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? <br />Requesting Party Notified? <br />Yes No NIA <br />Payment Method <br />Yes No NIA ❑ <br />3 1 P a g e <br />