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<br />costs. The Club wants to be flexible but there'd be points were the event sponsorship would be in <br />jeopardy. <br /> <br />13. 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 />A Limited Festival Treasure Hunt and Street Dance Button purchase fee of $6. Buttons if sold <br />out before events take play make the events $10 each. Optional Fundraising Raffle for which <br />tickets are $5 a ticket. <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: N/ A <br /> <br />Centerville <br />Special Event Permit <br /> <br />NAME AND TYPE OF EVENT: <br /> <br />DA Y, DATE AND TIME: <br /> <br />1. PARKS AND RECREATION DEPARTMENT <br />FINAL APPROV AL AND SIGN OFF <br /> <br />Signature <br /> <br />Title <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 has been paid. <br />5. Insurance Certificate is on file with City Clerk <br />6. Surety 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 />Page 6 of 10 <br />