Laserfiche WebLink
PARK FACILITY PERMIT APPLICATION <br />1. Name/Address/Phone Number of Individual or Organization responsible for <br />making this application: <br />Ian Dobson _ 6356 Deerwood Lane <br />Name Address <br />612-396-5029 Lino Lakes, MN 55014 <br />Telephone Number City, State & Zip <br />2. Please describe your event/activity and identify the specific facility/field within <br />the park you wish to use along with what you are asking from the City: <br />Cub Scout Pack 232 is coordinating a rocket launch with the local MASA <br />rocketry club. The Event will take place in the outfield of fields 3, 4, and 5 <br />at LaMotte Park. <br />3. What is the number of people that are involved in your event/activity? 30 <br />4. What City facilities do you wish to use <br />Acorn Creek Park Eagle Park <br />Laurie LaMotte Memorial Park X Hidden Spring Park <br />(Lighting & Warming House) Trailside Park <br />An adult may be requested to take <br />responsibility to look & unlock restrooms <br />Cornerstone Park Royal Meadows Park <br />Tracie McBride Memorial Park City Hall <br />5. Please list the date or dates and times you propose to use the facilities: <br />4/29/2023 <br />6. Is anyone charged a fee to watch or participate in your event? No <br />7. Have you used these facilities before? Yes If so, when? <br />April, 2022 for the same event held last vear <br />8. Are you requesting additional permits or City services? Yes X No <br />(i.e., Road Closure(s), Temporary Liquor License(s), Fireworks Permit or <br />Burning Permit, Use of lights, bathrooms or Aorta potties, Park Buildings) <br />Please describe <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 to cover city costs. <br />Ian Dobson 3/11/2023 <br />Printed Name of P i g Date <br />Signature 1-2-�J 1 iP <br />■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrsrrr■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrwr■r <br />Office Use Only <br />Permit approved by: <br />Date: <br />NO. <br />Deposit required: $ <br />Form number: 2013.01 PU <br />Receipt # _ <br />