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SPECIAL EVENT PERMIT STAFF CHECK LIST <br />(INTERNAL USE ONLY) <br />Den ylment <br />City Coumd: <br />Public Works: <br />Centennial takes Police Department: <br />Centennial Fire Dlstrxt• <br />Parks and Recreation Committee: <br />Dept. Initial ReviewlApproval <br />Y u No e NIA ❑ <br />�"/'/ I'W4 <br />Yes' ❑ NIA ❑ <br />YssX No a NIA o <br />Yes IlG No a WA n <br />Yes o No ❑ NIA ii <br />Are fees associated with this request? 'Yes u No a N/A I%e- l�Q2o�,c,3/ <br />Park Use Permit $25.00 # Deposit <br />Park Use $100.00 Minimum Deposit <br />Field prep., Trash pickup, fighting, concession facility, police and fire service, will be detennined by the <br />City's Public Words Director. <br />Have fees been paid? Yes ❑ No n IWA <br />Requesting Panty NotWed? <br />Payment Method <br />Yes No NIA <br />311 age <br />