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<br />e <br /> <br />e <br /> <br />e <br /> <br />Name of Representative: _ <br />Address: <br />Day phone: Evening phone: <br />Indicate medical services (if required) that will be provided for this event: <br /> <br />Ambulances: <br />Nurses: <br /> <br />Doctors: <br />Paramedics: <br /> <br />9. VENDORS OR CONCESSIONAIRES: <br /> <br />Describe what vendors/concessionaires you will allow in conjunction with the event, and the <br />purpose of these concessions: N/A <br /> <br />Describe how you intend to regulate, monitor and control the type, number and quality of <br />vendors/concessionaires whom you may permit to opemte in conjunction with the event: N/A <br /> <br />10. <br /> <br />CITY SERVICESIEQUIPMENT: <br /> <br />Describe city services and/or equipment requested for this event: City barricades, cones, signs, <br />picnic tables and other equipment which may be borrowed on an as-available basis. You should <br />make advance arrangements to pick up and return this equipment. If you or any volunteers <br />cannot pick up and return this equipment, please attach a letter requesting these services and <br />explaining why your organization cannot perform them. This will be reviewed, then approved or <br />denied by the public works foreman. <br />Parking Cones <br /> <br />II. <br /> <br />OTHER PERTINENT INFORMATION: <br /> <br />Please list below any other miscellaneous information you feel would be important and have a <br />bearing on the approval of this Special Event Permit request: <br /> <br />12. FEE STRUCTURE / EVENT CHARGES: <br /> <br />If there is a fee or donation required as a condition of attendance or participation of this event, <br />please describe the amounts to be collected from various categories of participants or spectators: <br />Free Event. Donation from the Lions Club back to the Community. <br /> <br />Page 5 of 10 <br />