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<br />costs. The Club wants to be flext"ble but there'd be points were the event sponsorship would be in <br />jeopardy. <br /> <br />13. FEE STRUCTURE I EVENT CHARGES: <br /> <br />If there is a fee or donation required as a condition of attendance or ~cipation of this event, <br />please describe the amounts to be collected from various categories ofpatticipants or spectators: <br />A Limited Festival Treali\11ft1! lIunt and Street Dance Button purr.MAe fee of 510. Buttnnfl if sold <br />out before events take play mfJ-1ce the events 510 each on entra.Me_ <br /> <br />14. If a donation is requested on a purely voluntary basis, describe how you intend to inform <br />participants/spectators or others that they may participate in the event whether they make a <br />donation or not: N1A <br /> <br />Centerville <br />Special Event Pennit <br /> <br />NAME AND TYPE OF EVENT: <br /> <br />DAY, DATE AND TIME: <br /> <br />1. PARKS AND RECREATION DEPARTMENT <br />FINAL APPROVAL AND SIGN OFF <br /> <br />Si8"ature <br /> <br />Trtle <br /> <br />Date: <br /> <br />Please check or use N/A (not applicable) where appropriate: <br />1. Final check has been made of application requirements. <br />2. Event is approved by City Council. <br />3. All required permits are issued and on file. <br />4. Refundable clean up fee bas been paid. <br />S. Insurance Certificate is on file with City Clerk <br />6. SW'ety Bond is on file to secure payment for applicant's obligation to the <br />City. <br />7. Application is complete. <br />8. Special conditions are attached. <br /> <br />REVOCATION: Upon mutual consent, the City Council may revoke a special event permit if <br />the conditions set fourth in the permit application are not being followed. <br /> <br />Page6oflO <br /> <br />;7 <br />