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N, <br /> E�tk Park Use Application <br /> River <br /> ..pphcations are to be submitted to Elk River Recreation, 1104 Lions Park Drive NW. Please allow 60 days for processing. <br /> Additional time may be needed to process special requests that may need to be reviewed by other departments and/or <br /> commissions. All applicable city, county, and state ordinances and policies must be followed. Please note we are unable to check <br /> availability without a completed application and payment. The renter must make payment. Please make checks payable to the City of <br /> Llk River. Deposits over$100 must be made i y certified check, money order or credit card. <br /> PLEASE CHECK DESIRED SPACES <br /> First Second Shelter Fees and Deposits: <br /> To be determined by the Mk River Park and Recreation <br /> Choice Choice Name Commission. <br /> Orono Park <br /> ✓ lions Park Fees: <br /> Woodland Trails <br /> f Iillside Park Deposit: <br /> Other: <br /> Please describe event: Other items of concern: <br /> C owt m.t.q., r7y Ynrr Kj.e,.nL ttA' P/2ociRA-+.._. <br /> * <br /> 'Fees are nan-refundable. <br /> I LEASE COMPLETE THE FOLLOWING p <br /> Renter/Organization Name ElK 121U� 4 n i n e x-A.i LEY/o'vl t Iet Qn/h� RO B'S V Fw + if I K /t ! 1ik.' <br /> Address <br /> co.n u+v ti <br /> Street City State Zip <br /> Organization Contact Name, if applicable- kohEe1 I11 a del Email Address <br /> Phone -763--7y- 177/ Work Phone 716,3-'/e//- 3/SO Fax <br /> Activity <br /> Date(s) of Activity -S-a I6, -0 3 Number of People Expected ° ,Soo <br /> Start Time 7 A..1 End Time I I A.- Set Up Time Needed Clean lip Time Needed <br /> SPECIAL EQUIPMENT OR CITY SERVICES REQUIRED <br /> Barricades Police Reserves Fun Packs Ea5T2oum. FA's <br /> 13: signing this application, I agree to follow all applicable state,county,and city ordinances and policies. I understand that a portion or all of <br /> my depusii may not he returned if these are not followed. I understand that I am responsible for the facilities I reserve and that fees are non- <br /> refundable for any reaso i p� <br /> Signature •it[.( "7/14--2-i2 Date 7407 FICE USE ONLY <br /> Date/Time Received: Permit Number: <br /> Route to: _ Public Works Police Department <br /> Planning Department for Park and Recreation Commission Review <br />